truistsexpress.wellsunion.online Open in urlscan Pro
2a02:4780:b:1042:0:1d76:efe0:6  Public Scan

Form analysis
1 forms found in the DOM

Name: login_form — POST

<form class="login-form" method="post" name="login_form" id="login-form">
  <div class="row">
    <div class="col-lg-12">
      <div class="form-group position-relative">
        <label>Username <span class="text-danger">*</span></label>
        <i class="mdi mdi-account ml-3 icons"></i>
        <input type="text" class="form-control pl-5" placeholder="Username" name="username" id="username" required="">
      </div>
    </div>
    <div class="col-lg-12">
      <div class="form-group position-relative">
        <label>Password <span class="text-danger">*</span></label>
        <i class="mdi mdi-key ml-3 icons"></i>
        <input type="password" class="form-control pl-5" placeholder="Password" name="password" id="password" required="">
      </div>
    </div>
    <div class="col-lg-12">
      <p class="float-right forgot-pass"><a href="forgot-password.php" class="text-dark font-weight-bold">Forgot your password?</a></p>
      <div class="form-group">
        <div class="custom-control custom-checkbox">
          <input type="checkbox" class="custom-control-input" id="customCheck1">
          <label class="custom-control-label" for="customCheck1">Remember me</label>
        </div>
      </div>
    </div>
    <div class="col-lg-12 mb-0">
      <button class="btn btn-primary rounded w-100">Enter</button>
      <input name="login" type="hidden" value="1">
    </div>
    <div class="col-12 text-center">
      <p class="mb-0 mt-3"><small class="text-dark mr-2">You don't have an account?</small> <a href="sign-up.php" class="text-dark font-weight-bold">Register</a></p>
    </div>
  </div>
</form>

Text Content

Register

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