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constellation.iqvia.com Open in urlscan Pro
141.145.8.10  Public Scan

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URL: http://constellation.iqvia.com/optout?utm_campaign=2022_JPMORGANHEALTHCARESUMMIT_Biotech_LG&utm_medium=email&utm_source=Eloqua&...
Submission: On December 27 via manual from IN — Scanned from NL

Form analysis 1 forms found in the DOM

Name: optout — POST http://constellation.iqvia.com/e/f2?LP=28

<form method="post" name="optout" action="http://constellation.iqvia.com/e/f2?LP=28" onsubmit="return handleFormSubmit(this)" id="form39" class="elq-form"><input value="optout" type="hidden" name="elqFormName"><input value="460529241" type="hidden"
    name="elqSiteId"><input name="elqCampaignId" type="hidden" value="6704">
  <div id="formElement0" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper"></div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p"><label for="field0" class="label-position top ">Email Address<span class="required">*</span></label><input id="field0" name="emailAddress" type="text" value="sam.souza@emdmillipore.com" class="field-size-top-large"></p>
      </div>
    </div>
  </div>
  <div id="formElement1" class="sc-view form-design-field sc-static-layout  sc-regular-size">
    <div class="field-wrapper"></div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p"><input id="field1" type="hidden" name="EmailOptOutMethod" value="Email"></p>
      </div>
    </div>
  </div>
  <div id="formElement2" class="sc-view form-design-field sc-static-layout  sc-regular-size">
    <div class="field-wrapper"></div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p"><input id="field2" type="hidden" name="emailstatus" value="Opted Out"></p>
      </div>
    </div>
  </div>
  <div id="formElement3" class="sc-view form-design-field sc-static-layout  sc-regular-size">
    <div class="field-wrapper"></div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p"><input id="field3" type="hidden" name="FormOptIn" value="0"></p>
      </div>
    </div>
  </div>
  <div id="formElement4" class="sc-view form-design-field sc-static-layout item-padding sc-regular-size">
    <div class="field-wrapper"></div>
    <div class="individual field-wrapper">
      <div class="_100 field-style">
        <p class="field-p"><input type="submit" value="Submit" class="submit-button" style="font-size: 100%; height: 24px; width: 100px"></p>
      </div>
    </div>
  </div>
</form>

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