ww2.highmarksce.com Open in urlscan Pro
173.213.233.198  Public Scan

Form analysis
2 forms found in the DOM

Name: signIn — POST https://ww2.highmarksce.com/ucsf/index.cfm?do=usr.signInAttendeeUser

<form id="signIn" name="signIn" method="post" action="https://ww2.highmarksce.com/ucsf/index.cfm?do=usr.signInAttendeeUser" onsubmit="return Validate()" ai-ignore-captcha="true" novalidate="true" class="form-inline">
  <div id="signinform" class="activitySigninForm">
    <fieldset>
      <legend tabindex="0">Existing Account</legend>
      <p>Please enter your username and password. Note: your username is the email address you used to create the account.</p>
      <script type="text/javascript">
        <!--
        function Validate() {
          if ((document.getElementById("username").value.length == 0) || (document.getElementById("password").value.length == 0)) {
            alert('You must enter a Username and Password.');
            return false;
          } else var submit = document.getElementById("signInSubmit");
          submit.value = "Processing...";
          submit.disabled = true;
          return true;
        }
        //
        -->
      </script>
      <div>
        <label for="username" title="Username">Username:</label>
        <input type="Text" id="username" name="username" value="" size="20" required="" class="form-control">
      </div>
      <div>
        <label for="password" title="Password">Password:</label>
        <input type="password" id="password" name="password" value="" size="20" autocomplete="off" required="" class="form-control">
      </div>
      <div class="centerwithpad">
        <input type="submit" value="Sign In" id="signInSubmit" name="submit" class="button btn btn-success" title="Sign In">
        <input type="hidden" name="nextStep" id="nextStep_existing" value="att.viewPersonDashboard__attendeeID=AI_ATTENDEEID">
        <input type="hidden" id="signInPurpose_existing" name="signInPurpose" value="ACCOUNTINFO">
        <input type="hidden" id="" name="ai_conf_key" value="5C7100A6-FD75-F4BA-70589E6213E5F134301901"><input type="hidden" id="" name="ai_conf_token" value="BA1C4A42B6C9B195BCFE122BD635A1373F5CE220">
      </div>
      <p>Forgot your Username or Password? <a href="index.cfm?do=usr.forgotPassword&amp;signInType=speaker&amp;nextStep=att.viewAccountInfo__attendeeID=AI_ATTENDEEID&amp;username=" title="Get it now!">Get it now!</a></p>
    </fieldset>
  </div>
</form>

Name: newProfile — POST index.cfm?do=usr.saveNewProfile

<form id="newProfile" name="newProfile" method="post" action="index.cfm?do=usr.saveNewProfile" novalidate="true" class="form-inline">
  <div class="formedit">
    <fieldset title="Create New Account" id="createNewAccount">
      <legend tabindex="0">Create New Account</legend>
      <script type="text/javascript">
        <!--
        // 5/8/2018 - JED: Added toggle to require consent.
        function iConsentToggle() {
          try {
            var submit = document.getElementById("createAccountSubmit");
            var iConsent = document.getElementById("iConsent");
            if (iConsent.checked == true) {
              submit.disabled = false;
            } else {
              submit.disabled = true;
            };
          } catch (err) {
            //do nothing
          }
        }
        //
        -->
      </script>
      <div class="centerwithpad"><span class="required">*</span> - indicates a required item.</div>
      <div>
        <label for="firstName" title="First Name"><span class="required">*</span>First Name:</label>
        <input type="text" id="firstName" name="firstName" value="" size="40" maxlength="50" required="" class="form-control">
      </div>
      <div>
        <label for="lastName" title="Last Name"><span class="required">*</span>Last Name:</label>
        <input type="text" id="lastName" name="lastName" value="" size="40" maxlength="50" required="" class="form-control">
      </div>
      <div>
        <label for="email1" title="Email"><span class="required">*</span>Email:</label>
        <input type="email" id="email1" name="email1" value="" size="45" maxlength="75" required="" class="form-control">
      </div>
      <div>
        <label for="confirmEmail1" title="Confirm Email Address"><span class="required">*</span>Confirm Email Address:</label>
        <input type="email" id="confirmEmail1" name="confirmEmail1" value="" size="45" maxlength="75" required="" class="form-control">
      </div>
      <div>
        <div>This form collects name, email address and other contact information so our support team can communicate and provide assistance. Please check our
          <a href="https://www.attendeeinteractive.com/privacy-policy/" target="_blank">Privacy Policy</a> to see how we protect and manage submitted data.</div>
        <div><span class="required">*</span><input type="checkbox" id="iConsent" name="iConsent" value="Yes" onchange="javascript:iConsentToggle();">I consent to having this contact information collected via this form.</div>
      </div>
      <div class="centerwithpad">
        <input type="submit" value="Create Account" id="createAccountSubmit" name="Submit" class="button btn btn-success" title="Sign In" disabled="">
        <input type="hidden" id="attendeeID" name="attendeeID" value="-1">
        <input type="hidden" id="updatedOn" name="updatedOn" value="{ts '2024-04-18 01:19:30'}">
        <input type="hidden" id="style" name="style" value="0">
        <input type="hidden" id="userRegistrationProfile" name="userRegistrationProfile" value="1">
        <input type="hidden" id="signInPurpose" name="signInPurpose" value="ACCOUNTINFO">
        <input type="hidden" id="isNew" name="isNew" value="true">
        <input type="hidden" id="plannerID" name="plannerID" value="">
        <input type="hidden" id="nextStep" name="nextStep" value="att.viewPersonDashboard__attendeeID=AI_ATTENDEEID"> <input type="hidden" id="" name="ai_conf_key" value="5C7100A6-FD75-F4BA-70589E6213E5F134301901"><input type="hidden" id=""
          name="ai_conf_token" value="BA1C4A42B6C9B195BCFE122BD635A1373F5CE220">
      </div>
    </fieldset>
    <script>
      <!--
      iConsentToggle();
      //
      -->
    </script>
  </div>
</form>

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Forgot your Username or Password? Get it now!

Create New Account
* - indicates a required item.
*First Name:
*Last Name:
*Email:
*Confirm Email Address:
This form collects name, email address and other contact information so our
support team can communicate and provide assistance. Please check our Privacy
Policy to see how we protect and manage submitted data.
*I consent to having this contact information collected via this form.


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