supplierticket.bp.com Open in urlscan Pro
157.133.206.79  Public Scan

Form analysis
1 forms found in the DOM

Name: form — POST https://bpcompany.my.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8

<form onsubmit="onSubmit()" name="form" action="https://bpcompany.my.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">
  <div class="container">
    <input type="hidden" name="captcha_settings" value="{&quot;keyname&quot;:&quot;BPP_ProdRecaptcha&quot;,&quot;fallback&quot;:&quot;true&quot;,&quot;orgId&quot;:&quot;00D0Y000001fRsz&quot;,&quot;ts&quot;:&quot;1730965114429&quot;}">
    <input type="hidden" name="orgid" value="00D0Y000001fRsz">
    <input type="hidden" name="retURL" id="retURL" value="https://supplierticket.bp.com/response.html">
    <br>
    <input id="name" maxlength="80" name="name" size="20" type="hidden"><br>
    <label for="fname" class="iconmark labelfont">First Name</label>
    <input autocomplete="off" class="input" id="fname" maxlength="80" name="fname" size="20" type="text" required=""><br>
    <label for="lname" class="iconmark labelfont">Last Name</label>
    <input autocomplete="off" class="input" id="lname" maxlength="80" name="lname" size="20" type="text" required=""><br>
    <label for="email" class="iconmark labelfont">Email Address</label>
    <input autocomplete="off" class="input" id="email" name="email" type="email" required=""><br>
    <label for="company" class="iconmark labelfont">Company Name</label>
    <input autocomplete="off" class="input" id="company" maxlength="80" name="company" type="text" required=""><br>
    <label class="iconmark labelfont">Issue Type:</label>
    <select class="input optionfont" id="00N4G000006xsWh" name="00N4G000006xsWh" title="myAnalysis" required="">
      <option class="optionfont" value="Registration Error">Registration Error</option>
      <option class="optionfont" value="Registration Query">Registration Query</option>
      <option class="optionfont" value="Login Query">Login Query</option>
      <option class="optionfont" value="Login Error">Login Error</option>
    </select><br>
    <label for="subject" class="iconmark labelfont">Subject</label>
    <input autocomplete="off" id="subject" class="input" maxlength="255" name="subject" type="text" required=""><br>
    <label for="description" class="iconmark labelfont">Description</label>
    <textarea name="description" class="input" maxlength="3200" required=""></textarea><br>
    <div class="g-recaptcha" data-sitekey="6LdjZJMiAAAAAEDhftvSknB5gQonlx-VddZWXBfK">
      <div style="width: 304px; height: 78px;">
        <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-6hskomjxe0r9" frameborder="0" scrolling="no"
            sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LdjZJMiAAAAAEDhftvSknB5gQonlx-VddZWXBfK&amp;co=aHR0cHM6Ly9zdXBwbGllcnRpY2tldC5icC5jb206NDQz&amp;hl=de&amp;v=-ZG7BC9TxCVEbzIO2m429usb&amp;size=normal&amp;cb=7332jdvvtmr5"></iframe>
        </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div><br>
    <button class="submitbtn" id="submit" name="submit" type="submit" disabled="">Submit</button>
    <input type="hidden" id="external" name="external" value="1"><br>
    <!-- Myprocurement Record Type Id -->
    <input type="hidden" name="recordType" id="recordType" value="0124G0000007XA0"><br>
    <!-- System Value -->
    <!--<input type="hidden" id="00N4G000006pjx3" name="00N4G000006pjx3" title="System" value="	Non-Ariba"><br>-->
    <input type="hidden" id="00N4G000006pjx3" name="00N4G000006pjx3" title="Application / Tool" value="Other Applications / Tools"><br>
    <!-- Query Value -->
    <input type="hidden" id="00N4G000006xryx" name="00N4G000006xryx" title="Query" value="System Access &amp; Administrative Support"><br>
    <!-- sub-Query Value -->
    <input type="hidden" id="00N4G000006xsWf" name="00N4G000006xsWf" title="Sub-Query" value="Supplier Portal Access"><br>
    <!-- Origin Value -->
    <input type="hidden" id="origin" name="origin" value="Supplier Guest Page"><br>
    <!-- Status Value -->
    <input type="hidden" id="status" name="status" value="Pending Assignment"><br>
  </div>
</form>

Text Content

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First Name
Last Name
Email Address
Company Name
Issue Type: Registration Error Registration Query Login Query Login Error
Subject
Description



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