id.health.priceline.com.au Open in urlscan Pro
104.18.31.30  Public Scan

Form analysis
1 forms found in the DOM

Name: contactForm —

<form novalidate="" data-testid="contact-form" id="contactForm" name="contactForm" class="sc-lcIPJg kKvcNZ sc-tagGq dhhvRp">
  <div class="sc-kdBSHD cPEUAw">
    <div data-testid="textbox-component">
      <div class=""><label for="contact" class="sc-JrDLc jCpyFI">Mobile number or email address</label>
        <div class="sc-Nxspf csuaqu"><input data-testid="contact-input" type="email" title="Login" class="sc-esYiGF eXWTMK sc-hRJfrW cVqhhY fs-mask" name="contact" id="contact" aria-describedby="help-contact error-contact" aria-invalid="true"
            value=""></div>
      </div>
    </div>
    <div data-testid="checkbox-component">
      <div class=""><label for="rememberContact" class="sc-JrDLc jCpyFI">Remember my login details</label>
        <div class="sc-Nxspf csuaqu">
          <div class="sc-gFVvzn jjxOcg"><input data-testid="remember-contact-checkbox" name="rememberContact" aria-describedby="help-rememberContact error-rememberContact" aria-invalid="true" id="rememberContact" type="checkbox"
              class="sc-iMWBiJ gjeVnN"><label for="rememberContact" class="sc-brPLxw imJMsR fs-mask">For security purposes, we recommend leaving this box unchecked on public or shared devices</label></div>
        </div>
      </div>
    </div>
    <div class="sc-fqkvVR ggeiHh">
      <div><button type="submit" data-id="ga-inlink-login-with-member-contact-next" class="sc-eZkCL sc-kAkpmW eSzUih dKZIuz">
          <div class="sc-imWYAI hLeJdK">
            <div class="sc-gsFSXq diMNwN sc-dZoequ cuQzhL">
              <div class="sc-kAyceB grEoze"><span class="sc-hIUJlX jvCZET">Next</span></div>
            </div>
          </div>
        </button></div>
      <div>
        <p class="sc-cwHptR cXUraR"><button type="button" class="sc-bmzYkS sc-iHGNWf gnxjiF jNmkEV">Are you having trouble logging in?</button></p>
      </div>
    </div>
  </div>
</form>

Text Content

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WELCOME

Please enter the mobile number or email address you use for your policy.

Mobile number or email address

Remember my login details
For security purposes, we recommend leaving this box unchecked on public or
shared devices
Next

Are you having trouble logging in?