covenanthealth.inreachce.com
Open in
urlscan Pro
184.106.40.8
Public Scan
Submitted URL: http://email.inreachce.com/ls/click?upn=la1ECRm3L8stUnUyZyWSlq4JDgc1lDKsQBmH7AlfwGijpFV3yq9XbBa4mqYTZDCnidsmftWGHOEWodrSkPo...
Effective URL: https://covenanthealth.inreachce.com/Account/Login
Submission: On August 31 via api from US
Effective URL: https://covenanthealth.inreachce.com/Account/Login
Submission: On August 31 via api from US
Form analysis 4 forms found in the DOM
GET /Search
<form action="/Search" id="searchForm" method="get">
<table border="0" role="presentation">
<tbody>
<tr>
<td><input type="text" name="q" class="inreach_navbar_searchbar_textbox" id="inreach_navbar_searchbar_textbox" placeholder="Search..." value="" title="Search Terms"></td>
<td style="width:25px"><input type="submit" class="inreach_navbar_searchbar_searchbutton" value="Go"></td>
</tr>
</tbody>
</table>
<div id="inreach_navbar_searchbar_advanced" aria-hidden="true">
<table style="width: auto; white-space:nowrap;" role="presentation">
<tbody>
<tr>
<td style="vertical-align: middle"><input id="searchAll" name="searchType" type="radio" value="1" checked="checked"> </td>
<td style="vertical-align: middle; "><label for="searchAll"><b>All</b> Words </label></td>
<td style="vertical-align: middle"><input id="searchAny" name="searchType" type="radio" value="2"> </td>
<td style="vertical-align: middle"><label for="searchAny"><b>Any</b> Word </label></td>
<td style="vertical-align: middle"><input id="searchExactPhrase" name="searchType" type="radio" value="3"> </td>
<td style="vertical-align: middle"><label for="searchExactPhrase"><b>Exact</b> Phrase </label></td>
</tr>
</tbody>
</table>
</div>
</form>POST /Account/LoginValidation
<form action="/Account/LoginValidation" id="loginForm" method="post"><input type="hidden" name="redirectUrl" value="">
<input type="hidden" id="returnURL" name="returnURL" value="">
<input type="hidden" id="showModule" name="showModule" value="">
<table class="align" role="presentation" id="LoginTbl">
<tbody>
<tr>
<td valign="top" class="inreach_medium_width">
<label>E-mail/Login:<br>
<input type="text" id="Login" name="Login" autocomplete="login" value="" class="required inreach_xxlarge_width" maxlength="64" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td valign="top" class="inreach_medium_width">
<label>Password:<br>
<input type="password" id="Password" name="Password" class="required inreach_large_width" maxlength="32" autocomplete="current-password" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
</tr>
<tr>
<td><input type="submit" id="btnLogin" value="Login" class="inreach_large_width"></td>
<td> </td>
</tr>
<tr>
<td>Forgot your password? <a href="#" onclick="open_dialog(); return false;">Click Here<span class="hidden-content"> if you have forgotten your password</span></a></td>
<td> </td>
</tr>
</tbody>
</table>
</form>POST /Account/Create
<form action="/Account/Create" id="registrantForm" method="post" showmodule="">
<input type="hidden" id="RedirectURL" name="RedirectURL" value="">
<input type="hidden" id="FromPreLogin" name="FromPreLogin" value="False">
<input type="hidden" id="ShowModule" name="ShowModule" value="">
<input type="hidden" id="addressStatelbl" data-value="State">
<input type="hidden" id="addressCitylbl" data-value="City">
<input type="hidden" id="addressProvincelbl" data-value="Province">
<input type="hidden" id="addressCityTownLocalitylbl" data-value="City/Town/Locality">
<input type="hidden" id="addressStateProvinceRegionlbl" data-value="State/Province/Region">
<div class="inreach_right_col_med">
<div class="inreach_rounded_box">
<div class="inreach_rounded_box_top_left">
<div class="inreach_rounded_box_top_mid">
<div class="inreach_rounded_box_top_right"></div>
</div>
</div>
<div class="inreach_rounded_box_mid">
<h3 class="inreach_rounded_box_title">New Customer</h3>
<table class="align" role="presentation">
<tbody>
<tr>
<td colspan="2">
<label>E-mail Address:<br>
<input type="text" id="Email" name="Email" value="" class="required email inreach_xxlarge_width" maxlength="64" autocomplete="off" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td colspan="2">
<table class="align" role="presentation">
<tbody>
<tr>
<td>
<label>Prefix:<br>
<select id="Prefix" name="Prefix" value="" class=" inreach_medium_width"> //21767 <option selected="selected" value="">-- Select --</option>
<option value="Dr.">Dr.</option>
<option value="Miss">Miss</option>
<option value="Mr">Mr</option>
<option value="Mr.">Mr.</option>
<option value="Mrs">Mrs</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Prof.">Prof.</option>
<option value="Sir">Sir</option>
<option value="Sister">Sister</option>
</select></label>
</td>
<td> </td>
<td>
<label>First Name:<br>
<input type="text" id="FirstName" name="FirstName" value="" class="required inreach_large_width newCustomerFirstName" maxlength="32" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
<td> </td>
<td>
<label>Middle Name:<br>
<input type="text" id="MiddleName" value="" name="MiddleName" class=" inreach_xlarge_width newCustomerMiddleName" autocomplete="off" maxlength="32"></label>
</td>
<td>
<label>Last Name:<br>
<input type="text" id="LastName" name="LastName" value="" class="required inreach_large_width newCustomerLastName" maxlength="32" autocomplete="off" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
<td> </td>
<td>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2">
<label id="lblPostNotation" for="PostNotation">Credentials</label>:<br>
<input type="text" id="PostNotation" value="" name="PostNotation" class="required inreach_xxlarge_width" autocomplete="off" maxlength="32"
style="float: left; margin-right: 5px; background-image: url("/Content/images/required.gif");" aria-required="true">
</td>
</tr>
<tr>
<td colspan="2">
<table class="align" role="presentation">
<tbody>
<tr>
<td>
<label>Password:<br><input type="password" id="newPassword" name="newPassword" class="required inreach_large_width" autocomplete="off" maxlength="32" onblur="verifyPassword()" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
<td>
<label>Re-type Password:<br><input type="password" id="confirmPassword" name="confirmPassword" class="required inreach_large_width" autocomplete="off" maxlength="32" aria-required="true"
style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2"><label>Company:<br>
<input type="text" id="CompanyName" name="CompanyName" value="" class="required inreach_xxlarge_width" maxlength="128" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label></td>
</tr>
<tr>
<td colspan="2">
<label>ABIM ID Number (if none, type N/A):<br>
<input type="text" id="MemberId" name="MemberId" value="" class="required inreach_xlarge_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td colspan="2">
<label>Date of Birth – Month & Day (XX-XX):<br>
<input type="text" id="ExternalId" name="ExternalId" value="" class="required inreach_xlarge_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td>
<label>Specialty:<br>
<input type="text" id="JobTitle" name="JobTitle" value="" class="required inreach_xlarge_width" maxlength="64" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td colspan="2">
<label>Address 1:<br>
<input type="text" id="Street1" name="Street1" value="" class="required inreach_xlarge_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td colspan="2">
<label>Address 2:<br>
<input type="text" id="Street2" name="Street2" value="" class="inreach_xlarge_width" maxlength="32"></label>
</td>
</tr>
<tr>
<td colspan="2">
<table class="align" role="presentation">
<tbody>
<tr>
<td>
<label id="lblCity" for="City">City</label>: <br>
<input type="text" id="City" name="City" value="" class="required inreach_large_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");">
</td>
<td> </td>
<td>
<asp:label id="lblState" for="State">State</asp:label>: <br>
<select id="State" class="required inreach_large_width" name="State" style="background-image: url("/Content/images/required.gif");">
<option value="AL">ALABAMA</option>
<option value="AK">ALASKA</option>
<option value="AZ">ARIZONA </option>
<option value="AR">ARKANSAS</option>
<option value="CA">CALIFORNIA</option>
<option value="CO">COLORADO </option>
<option value="CT">CONNECTICUT</option>
<option value="DE">DELAWARE</option>
<option value="FL">FLORIDA</option>
<option value="GA">GEORGIA</option>
<option value="HI">HAWAII</option>
<option value="ID">IDAHO</option>
<option value="IL">ILLINOIS</option>
<option value="IN">INDIANA</option>
<option value="IA">IOWA</option>
<option value="KS">KANSAS</option>
<option value="KY">KENTUCKY</option>
<option value="LA">LOUISIANA</option>
<option value="ME">MAINE</option>
<option value="MD">MARYLAND</option>
<option value="MA">MASSACHUSETTS</option>
<option value="MI">MICHIGAN</option>
<option value="MN">MINNESOTA</option>
<option value="MS">MISSISSIPPI</option>
<option value="MO">MISSOURI</option>
<option value="MT">MONTANA</option>
<option value="NE">NEBRASKA</option>
<option value="NV">NEVADA</option>
<option value="NH">NEW HAMPSHIRE</option>
<option value="NJ">NEW JERSEY</option>
<option value="NM">NEW MEXICO</option>
<option value="NY">NEW YORK</option>
<option value="NC">NORTH CAROLINA</option>
<option value="ND">NORTH DAKOTA</option>
<option value="OH">OHIO</option>
<option value="OK">OKLAHOMA</option>
<option value="OR">OREGON</option>
<option value="PA">PENNSYLVANIA</option>
<option value="RI">RHODE ISLAND</option>
<option value="SC">SOUTH CAROLINA</option>
<option value="SD">SOUTH DAKOTA</option>
<option value="TN">TENNESSEE</option>
<option value="TX">TEXAS</option>
<option value="UT">UTAH</option>
<option value="VT">VERMONT</option>
<option value="VA">VIRGINIA</option>
<option value="WA">WASHINGTON</option>
<option value="DC">WASHINGTON D.C.</option>
<option value="WV">WEST VIRGINIA</option>
<option value="WI">WISCONSIN</option>
<option value="WY">WYOMING</option>
<option disabled="disabled" value="Military">--Military--</option>
<option value="AA">ARMED FORCES (AA)</option>
<option value="AE">ARMED FORCES (AE)</option>
<option value="AP">ARMED FORCES (AP)</option>
<option disabled="disabled" value="US Territories">--US Territories--</option>
<option value="AS">AMERICAN SAMOA</option>
<option value="GU">GUAM</option>
<option value="MP">NORTHERN MARIANA ISLANDS</option>
<option value="PR">PUERTO RICO</option>
<option value="UM">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="VI">VIRGIN ISLANDS</option>
</select>
</td>
</tr>
<tr>
<td>
<label>Postal Code:<br>
<input type="text" id="PostalCode" name="PostalCode" value="" class="required inreach_medium_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
<tr>
<td colspan="4">
<label>Country:<br>
<select id="Country" name="Country" class="required inreach_large_width" style="background-image: url("/Content/images/required.gif");">
<option value="AX">AALAND ISLANDS</option>
<option value="AF">AFGHANISTAN</option>
<option value="AL">ALBANIA</option>
<option value="DZ">ALGERIA</option>
<option value="AS">AMERICAN SAMOA</option>
<option value="AD">ANDORRA</option>
<option value="AO">ANGOLA</option>
<option value="AI">ANGUILLA</option>
<option value="AQ">ANTARCTICA</option>
<option value="AG">ANTIGUA AND BARBUDA</option>
<option value="AR">ARGENTINA</option>
<option value="AM">ARMENIA</option>
<option value="AW">ARUBA</option>
<option value="AU">AUSTRALIA</option>
<option value="AT">AUSTRIA</option>
<option value="AZ">AZERBAIJAN</option>
<option value="BS">BAHAMAS</option>
<option value="BH">BAHRAIN</option>
<option value="BD">BANGLADESH</option>
<option value="BB">BARBADOS</option>
<option value="BY">BELARUS</option>
<option value="BE">BELGIUM</option>
<option value="BZ">BELIZE</option>
<option value="BJ">BENIN</option>
<option value="BM">BERMUDA</option>
<option value="BT">BHUTAN</option>
<option value="BO">BOLIVIA</option>
<option value="BA">BOSNIA AND HERZEGOWINA</option>
<option value="BW">BOTSWANA</option>
<option value="BV">BOUVET ISLAND</option>
<option value="BR">BRAZIL</option>
<option value="IO">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BN">BRUNEI DARUSSALAM</option>
<option value="BG">BULGARIA</option>
<option value="BF">BURKINA FASO</option>
<option value="BI">BURUNDI</option>
<option value="KH">CAMBODIA</option>
<option value="CM">CAMEROON</option>
<option value="CA">CANADA</option>
<option value="CV">CAPE VERDE</option>
<option value="KY">CAYMAN ISLANDS</option>
<option value="CF">CENTRAL AFRICAN REPUBLIC</option>
<option value="TD">CHAD</option>
<option value="CL">CHILE</option>
<option value="CN">CHINA</option>
<option value="CX">CHRISTMAS ISLAND</option>
<option value="CC">COCOS (KEELING) ISLANDS</option>
<option value="CO">COLOMBIA</option>
<option value="KM">COMOROS</option>
<option value="CD">CONGO, Democratic Republic of (was Zaire)</option>
<option value="CG">CONGO, Republic of</option>
<option value="CK">COOK ISLANDS</option>
<option value="CR">COSTA RICA</option>
<option value="CI">COTE D'IVOIRE</option>
<option value="HR">CROATIA (local name: Hrvatska)</option>
<option value="CU">CUBA</option>
<option value="CY">CYPRUS</option>
<option value="CZ">CZECH REPUBLIC</option>
<option value="DK">DENMARK</option>
<option value="DJ">DJIBOUTI</option>
<option value="DM">DOMINICA</option>
<option value="DO">DOMINICAN REPUBLIC</option>
<option value="EC">ECUADOR</option>
<option value="EG">EGYPT</option>
<option value="SV">EL SALVADOR</option>
<option value="GQ">EQUATORIAL GUINEA</option>
<option value="ER">ERITREA</option>
<option value="EE">ESTONIA</option>
<option value="ET">ETHIOPIA</option>
<option value="FK">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FO">FAROE ISLANDS</option>
<option value="FJ">FIJI</option>
<option value="FI">FINLAND</option>
<option value="FR">FRANCE</option>
<option value="GF">FRENCH GUIANA</option>
<option value="PF">FRENCH POLYNESIA</option>
<option value="TF">FRENCH SOUTHERN TERRITORIES</option>
<option value="GA">GABON</option>
<option value="GM">GAMBIA</option>
<option value="GE">GEORGIA</option>
<option value="DE">GERMANY</option>
<option value="GH">GHANA</option>
<option value="GI">GIBRALTAR</option>
<option value="GR">GREECE</option>
<option value="GL">GREENLAND</option>
<option value="GD">GRENADA</option>
<option value="GP">GUADELOUPE</option>
<option value="GU">GUAM</option>
<option value="GT">GUATEMALA</option>
<option value="GN">GUINEA</option>
<option value="GW">GUINEA-BISSAU</option>
<option value="GY">GUYANA</option>
<option value="HT">HAITI</option>
<option value="HM">HEARD AND MC DONALD ISLANDS</option>
<option value="HN">HONDURAS</option>
<option value="HK">HONG KONG</option>
<option value="HU">HUNGARY</option>
<option value="IS">ICELAND</option>
<option value="IN">INDIA</option>
<option value="ID">INDONESIA</option>
<option value="IR">IRAN (ISLAMIC REPUBLIC OF)</option>
<option value="IQ">IRAQ</option>
<option value="IE">IRELAND</option>
<option value="IL">ISRAEL</option>
<option value="IT">ITALY</option>
<option value="JM">JAMAICA</option>
<option value="JP">JAPAN</option>
<option value="JO">JORDAN</option>
<option value="KZ">KAZAKHSTAN</option>
<option value="KE">KENYA</option>
<option value="KI">KIRIBATI</option>
<option value="KP">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KR">KOREA, REPUBLIC OF</option>
<option value="KW">KUWAIT</option>
<option value="KG">KYRGYZSTAN</option>
<option value="LA">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LV">LATVIA</option>
<option value="LB">LEBANON</option>
<option value="LS">LESOTHO</option>
<option value="LR">LIBERIA</option>
<option value="LY">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LI">LIECHTENSTEIN</option>
<option value="LT">LITHUANIA</option>
<option value="LU">LUXEMBOURG</option>
<option value="MO">MACAU</option>
<option value="MK">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</option>
<option value="MG">MADAGASCAR</option>
<option value="MW">MALAWI</option>
<option value="MY">MALAYSIA</option>
<option value="MV">MALDIVES</option>
<option value="ML">MALI</option>
<option value="MT">MALTA</option>
<option value="MH">MARSHALL ISLANDS</option>
<option value="MQ">MARTINIQUE</option>
<option value="MR">MAURITANIA</option>
<option value="MU">MAURITIUS</option>
<option value="YT">MAYOTTE</option>
<option value="MX">MEXICO</option>
<option value="FM">MICRONESIA, FEDERATED STATES OF</option>
<option value="MD">MOLDOVA, REPUBLIC OF</option>
<option value="MC">MONACO</option>
<option value="MN">MONGOLIA</option>
<option value="MS">MONTSERRAT</option>
<option value="MA">MOROCCO</option>
<option value="MZ">MOZAMBIQUE</option>
<option value="MM">MYANMAR</option>
<option value="NA">NAMIBIA</option>
<option value="NR">NAURU</option>
<option value="NP">NEPAL</option>
<option value="NL">NETHERLANDS</option>
<option value="AN">NETHERLANDS ANTILLES</option>
<option value="NC">NEW CALEDONIA</option>
<option value="NZ">NEW ZEALAND</option>
<option value="NI">NICARAGUA</option>
<option value="NE">NIGER</option>
<option value="NG">NIGERIA</option>
<option value="NU">NIUE</option>
<option value="NF">NORFOLK ISLAND</option>
<option value="MP">NORTHERN MARIANA ISLANDS</option>
<option value="NO">NORWAY</option>
<option value="OM">OMAN</option>
<option value="PK">PAKISTAN</option>
<option value="PW">PALAU</option>
<option value="PS">PALESTINIAN TERRITORY, Occupied</option>
<option value="PA">PANAMA</option>
<option value="PG">PAPUA NEW GUINEA</option>
<option value="PY">PARAGUAY</option>
<option value="PE">PERU</option>
<option value="PH">PHILIPPINES</option>
<option value="PN">PITCAIRN</option>
<option value="PL">POLAND</option>
<option value="PT">PORTUGAL</option>
<option value="PR">PUERTO RICO</option>
<option value="QA">QATAR</option>
<option value="RE">REUNION</option>
<option value="RO">ROMANIA</option>
<option value="RU">RUSSIAN FEDERATION</option>
<option value="RW">RWANDA</option>
<option value="SH">SAINT HELENA</option>
<option value="KN">SAINT KITTS AND NEVIS</option>
<option value="LC">SAINT LUCIA</option>
<option value="PM">SAINT PIERRE AND MIQUELON</option>
<option value="VC">SAINT VINCENT AND THE GRENADINES</option>
<option value="WS">SAMOA</option>
<option value="SM">SAN MARINO</option>
<option value="ST">SAO TOME AND PRINCIPE</option>
<option value="SA">SAUDI ARABIA</option>
<option value="SN">SENEGAL</option>
<option value="CS">SERBIA AND MONTENEGRO</option>
<option value="SC">SEYCHELLES</option>
<option value="SL">SIERRA LEONE</option>
<option value="SG">SINGAPORE</option>
<option value="SK">SLOVAKIA</option>
<option value="SI">SLOVENIA</option>
<option value="SB">SOLOMON ISLANDS</option>
<option value="SO">SOMALIA</option>
<option value="ZA">SOUTH AFRICA</option>
<option value="GS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="ES">SPAIN</option>
<option value="LK">SRI LANKA</option>
<option value="SD">SUDAN</option>
<option value="SR">SURINAME</option>
<option value="SJ">SVALBARD AND JAN MAYEN ISLANDS</option>
<option value="SZ">SWAZILAND</option>
<option value="SE">SWEDEN</option>
<option value="CH">SWITZERLAND</option>
<option value="SY">SYRIAN ARAB REPUBLIC</option>
<option value="TW">TAIWAN</option>
<option value="TJ">TAJIKISTAN</option>
<option value="TZ">TANZANIA, UNITED REPUBLIC OF</option>
<option value="TH">THAILAND</option>
<option value="TL">TIMOR-LESTE</option>
<option value="TG">TOGO</option>
<option value="TK">TOKELAU</option>
<option value="TO">TONGA</option>
<option value="TT">TRINIDAD AND TOBAGO</option>
<option value="TN">TUNISIA</option>
<option value="TR">TURKEY</option>
<option value="TM">TURKMENISTAN</option>
<option value="TC">TURKS AND CAICOS ISLANDS</option>
<option value="TV">TUVALU</option>
<option value="UG">UGANDA</option>
<option value="UA">UKRAINE</option>
<option value="AE">UNITED ARAB EMIRATES</option>
<option value="GB">UNITED KINGDOM</option>
<option value="US">UNITED STATES</option>
<option value="UM">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="UY">URUGUAY</option>
<option value="UZ">UZBEKISTAN</option>
<option value="VU">VANUATU</option>
<option value="VA">VATICAN CITY STATE (HOLY SEE)</option>
<option value="VE">VENEZUELA</option>
<option value="VN">VIET NAM</option>
<option value="VG">VIRGIN ISLANDS (BRITISH)</option>
<option value="VI">VIRGIN ISLANDS (U.S.)</option>
<option value="WF">WALLIS AND FUTUNA ISLANDS</option>
<option value="EH">WESTERN SAHARA</option>
<option value="YE">YEMEN</option>
<option value="ZM">ZAMBIA</option>
<option value="ZW">ZIMBABWE</option>
</select></label>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="2">
<table class="align" role="presentation">
<tbody>
<tr>
<td>
<label>Phone Number:<br>
<input type="text" id="Phone" name="Phone" value="" class="required phone inreach_large_width" maxlength="32" aria-required="true" style="background-image: url("/Content/images/required.gif");"></label>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td style="padding-bottom: 6px;">
<label for="udf696d9a1d-9827-406e-9818-a7c1702e0dfc_Required">Are you a CHP Physician?:</label><br><select name="udf696d9a1d-9827-406e-9818-a7c1702e0dfc" is_udf="true" class="required"
id="udf696d9a1d-9827-406e-9818-a7c1702e0dfc_Required" style="background-image: url("/Content/images/required.gif");">
<option selected="selected" value="select">-- Select --</option>
<option value="2bf96d9c-2645-4468-9f30-1e0dc4873367">No</option>
<option value="822acc75-4250-410e-8018-5d2d1ed77f80">Yes</option>
</select>
<div id="udf696d9a1d-9827-406e-9818-a7c1702e0dfc_Requiredspan" class="div_hide">Please select a value.</div>
</td>
</tr>
<tr>
<td colspan="2">
<br>
</td>
</tr>
<tr>
<td colspan="2" align="center">
<input type="button" id="btnRegister" value="Create Account" onclick="verifyAddress();" class="inreach_large_width">
</td>
</tr>
</tbody>
</table>
</div>
<div class="inreach_rounded_box_bottom_left">
<div class="inreach_rounded_box_bottom_mid">
<div class="inreach_rounded_box_bottom_right"></div>
</div>
</div>
</div>
</div>
</form>POST /Account/Login
<form action="/Account/Login" id="passwordForm" method="post">
<p>Please enter your e-mail address below.</p>
<table width="100%" class="align" role="presentation">
<tbody>
<tr valign="top">
<td nowrap="">
<label for="account_email">E-mail Address:</label>
</td>
</tr>
<tr>
<td>
<input type="text" id="account_email" name="account_email" class="required email" style="width: 235px; background-image: url("/Content/images/required.gif");" aria-required="true">
</td>
</tr>
<tr valign="top" id="submit_row">
<td>
<input type="button" id="btnLookup" value="Lookup" onclick="lookup();" class="inreach_medium_width">
</td>
</tr>
<tr valign="top" id="done_row" style="display: none;">
<td>
<input type="button" id="btnDone" value="Close" onclick="$jq('#password_dialog').dialog('close'); return false;" class="inreach_medium_width">
</td>
</tr>
</tbody>
</table>
<div id="email_verifying" style="display: none;" align="center">
<img src="/Content/images/loading.gif" alt="loading" align="top" hspace="5" vspace="5">Verifying account...
</div>
<div id="email_success" class="inreach_success_summary" style="display: none;">
<span></span> <br clear="all">
</div>
<div id="email_failure" class="inreach_error_summary" style="display: none;">
<span></span> <br clear="all">
</div>
<div id="email_timeout" class="inreach_error_summary" style="display: none;">
<span>Attempt to send email timed out. Please try again.</span> <br clear="all">
</div>
<div id="email_sending" style="display: none;" align="center">
<img src="/Content/images/loading.gif" alt="loading" align="top" hspace="5" vspace="5">Attempting to send email...
</div>
</form>Text Content
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