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hsastore.com Open in urlscan Pro
104.18.23.238  Public Scan

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Submitted URL: https://cdn.us1.exponea.com/health-ecommerce-prod/e/.eJyNj71Lw0AYh1FwaaVIQQUnFweF9HLJ5fKBS3FVcLVS4n2a1KQJuatU6Nz_wE0cxF0XnRw...
Effective URL: https://hsastore.com/sms-sign-up.html?xnpe_tifc=bDz8OIoph.nJ4Fxlb.Y7OMpsafeWaeiWhF6JhkYp4IzphF1lOIo8xIbdx.eNxuh.xkxdO...
Submission: On November 18 via api from RU — Scanned from DE

Form analysis 6 forms found in the DOM

<form class="cio-form" data-testid="cio-form"><label id="cio-autocomplete-1-label" for="cio-input"><input id="cio-autocomplete-1-input" aria-activedescendant="" aria-autocomplete="list" aria-controls="cio-autocomplete-1-menu" aria-expanded="false"
      aria-labelledby="cio-autocomplete-1-label" autocomplete="off" role="combobox" class="cio-input" data-testid="cio-input" placeholder="Search Eligible Products" value=""></label><button class="cio-clear-btn" data-testid="cio-clear-btn" hidden=""
    type="button" aria-label="Clear search field text">
    <div class="cio-icon"><svg stroke="currentColor" fill="currentColor" stroke-width="0" viewBox="0 0 512 512" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg">
        <path d="M289.94 256l95-95A24 24 0 00351 127l-95 95-95-95a24 24 0 00-34 34l95 95-95 95a24 24 0 1034 34l95-95 95 95a24 24 0 0034-34z"></path>
      </svg></div>
  </button><button class="cio-submit-btn" data-testid="cio-submit-btn" disabled="" type="submit" aria-label="Submit Search">
    <div class="cio-icon"><svg stroke="currentColor" fill="currentColor" stroke-width="0" viewBox="0 0 512 512" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg">
        <path
          d="M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z">
        </path>
      </svg></div>
  </button></form>

<form class="cio-form" data-testid="cio-form"><label id="cio-autocomplete-0-label" for="cio-input"><input id="cio-autocomplete-0-input" aria-activedescendant="" aria-autocomplete="list" aria-controls="cio-autocomplete-0-menu" aria-expanded="false"
      aria-labelledby="cio-autocomplete-0-label" autocomplete="off" role="combobox" class="cio-input" data-testid="cio-input" placeholder="Search Eligible Products" value=""></label><button class="cio-clear-btn" data-testid="cio-clear-btn" hidden=""
    type="button" aria-label="Clear search field text">
    <div class="cio-icon"><svg stroke="currentColor" fill="currentColor" stroke-width="0" viewBox="0 0 512 512" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg">
        <path d="M289.94 256l95-95A24 24 0 00351 127l-95 95-95-95a24 24 0 00-34 34l95 95-95 95a24 24 0 1034 34l95-95 95 95a24 24 0 0034-34z"></path>
      </svg></div>
  </button><button class="cio-submit-btn" data-testid="cio-submit-btn" disabled="" type="submit" aria-label="Submit Search">
    <div class="cio-icon"><svg stroke="currentColor" fill="currentColor" stroke-width="0" viewBox="0 0 512 512" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg">
        <path
          d="M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z">
        </path>
      </svg></div>
  </button></form>

Name: email-signup — 

<form role="form" class="c-email-signup__form js-email-signup-form" name="email-signup" data-gtm-vis-recent-on-screen42336299_187="1357" data-gtm-vis-first-on-screen42336299_187="1357" data-gtm-vis-total-visible-time42336299_187="100"
  data-gtm-vis-has-fired42336299_187="1">
  <div class="row justify-content-center c-email-signup__row">
    <div class="col-12 col-md-5 col-lg email-description c-email-signup__col c-email-signup__col--description text-center text-md-left">
      <div class="html-slot-container">
        <h2 class="h5 c-email-signup__col__header">Get $15 off your first $125 order</h2>
        <p>Sign up for discounts, special promotions, tips, and more!</p>
        <p><span style="font-size:12px;"><small style="font-weight:300;">By entering your email address, you agree to our Terms of Use<br> and Privacy Notice, including Notice of Financial Incentives.</small></span></p>
      </div>
    </div>
    <div class="col-12 col-md-7 col-lg c-email-signup__col">
      <div class="input-group d-flex flex-nowrap align-items-start">
        <div class="form-group c-email-signup__form__item w-100 js-form-group">
          <label class="form-control-label c-email-signup__form__item__label" for="hpEmailSignUp"> Enter Email Address </label>
          <input type="email" class="form-control c-email-signup__form__item__input js-email-signup" id="hpEmailSignUp" name="hpEmailSignUp" placeholder="Email" aria-label="Email" aria-describedby="email-signup-errors" required="">
          <div id="email-signup-errors" aria-live="assertive" class="c-email-signup__form__error-msg invalid-feedback px-0 px-sm-2"></div>
        </div>
        <button type="submit" class="form-control-btn c-email-signup__form__item__btn subscribe-email text-white js-subscribeEmail" data-href="/on/demandware.store/Sites-HSASTORE-Site/default/EmailSubscribe-SubscribeEmail" data-source="2407863"
          data-list="349645" data-default="Sign Up" data-success="Email Submitted"> Sign Up </button>
      </div>
    </div>
  </div>
</form>

Name: login-form — POST /on/demandware.store/Sites-HSASTORE-Site/default/Account-Login?rurl=1

<form action="/on/demandware.store/Sites-HSASTORE-Site/default/Account-Login?rurl=1" class="login" method="POST" name="login-form">
  <div class="form-group hide-required-star required">
    <label class="form-control-label" for="login-form-email"> Email </label>
    <input type="email" id="login-form-email" required="" aria-required="true" class="form-control required" aria-describedby="form-email-error" name="loginEmail" value="" pattern="^[\w.%+-]+@[\w.-]+\.[\w]{2,6}$"
      data-pattern-mismatch="Please enter a valid email address" data-missing-error="This field is required.">
    <div class="invalid-feedback" id="form-email-error"></div>
  </div>
  <div class="form-group hide-required-star required">
    <label class="form-control-label" for="login-form-password"> Password </label>
    <input type="password" id="login-form-password" pattern="^(?=.*[a-z])(?=.*[A-Z])(?=.*\d)(?=.*[^\da-zA-Z]).{8,}$" required="" aria-required="true" class="form-control required" aria-describedby="form-password-error" name="loginPassword"
      _ar_hide_="width:481px;height:46px;margin:0px;position:static;display:block;">
    <div class="invalid-feedback" id="form-password-error"></div>
  </div>
  <div class="clearfix">
    <div class="form-group custom-control custom-checkbox float-left remember-me">
      <input type="checkbox" class="custom-control-input" id="rememberMe" name="loginRememberMe" value="true" checked="">
      <label class="custom-control-label c-login-create__custom-control-label" for="rememberMe"> Remember me </label>
    </div>
    <div class="float-right c-login-create__forgot-password forgot-password text-right" _ar_hide_="width:120.078px;height:21.9688px;margin:0px;position:static;display:block;">
      <a class="d-sm-none" href="/passwordreset" title="Forgot Password?">
                Forgot Password?
            </a>
      <a id="password-reset" class="hidden-xs-down text-underline forgot-password" title="Forgot Password?" data-toggle="modal" href="/on/demandware.store/Sites-HSASTORE-Site/default/Account-PasswordResetDialogForm" data-target="#requestPasswordResetModal">
                Forgot Password?
            </a>
    </div>
  </div>
  <input type="hidden" name="csrf_token" value="r6qsXUEy-K78fp8NaGntbxLFHWtGTx_c_6jd1Dk4ZkQ1rgV1ztVSM2D-baQvNqpe3C4DkzxmACPa2QBu2kSrUaY8qBUmSCRHR6p2UWNKHIXtW5_4U3skfQOwosajCFOw5f96axlJsXcpBtoFxQ9o_9tx_d1MPaLM7KLlez8BXTbPTD8VhyQ=">
  <div class="c-login-create__card__body--action">
    <div class="text-center c-login-create__log-in-button-wrapper">
      <button type="submit" class="btn btn-block btn-primary c-login-create__log-in-button-wrapper__button mb-3">
        <span class="js-proceed-to-checkout-element d-none"> Sign In &amp; Check Out </span>
        <span class="js-signin-btn-element "> Sign In </span>
      </button>
      <div class="form-group mb-0 justify-content-center">
        <a data-oauth-checkout-url="https://hsastore.com/on/demandware.store/Sites-HSASTORE-Site/default/Login-OAuthLogin?oauthProvider=GoogleHSA&amp;oauthLoginTargetEndPoint=6" data-oauth-normal-url="https://hsastore.com/on/demandware.store/Sites-HSASTORE-Site/default/Login-OAuthLogin?oauthProvider=GoogleHSA&amp;oauthLoginTargetEndPoint=6" href="https://hsastore.com/on/demandware.store/Sites-HSASTORE-Site/default/Login-OAuthLogin?oauthProvider=GoogleHSA&amp;oauthLoginTargetEndPoint=6" class="c-login-create__google-button-wrapper mx-auto btn btn-block btn-light btn-google oauth-google" role="button" aria-pressed="true">
            <svg class="c-icon--google" aria-hidden="true">
     
    <use class="" xlink:href="/on/demandware.static/Sites-HSASTORE-Site/-/default/dw758f9605/svg/symbols.svg#svg-google"></use>
    
</svg>

            Sign in with Google
        </a>
      </div>
    </div>
  </div>
</form>

Name: email-form — POST /on/demandware.store/Sites-HSASTORE-Site/default/Account-PasswordResetDialogForm?mobile=

<form class="reset-password-form" action="/on/demandware.store/Sites-HSASTORE-Site/default/Account-PasswordResetDialogForm?mobile=" method="POST" name="email-form" id="email-form">
  <div class="request-password-body" _ar_hide_="width:0px;height:0px;margin:0px;position:static;display:block;">
    <h2 class="modal-title request-password-title c-quick-view__body__title">Forgot Your Password?</h2>
    <p class="pt-2 c-quick-view__body__text"> Please submit the email address associated with your account to reset your password. </p>
    <div class="form-group hide-required-star required reset-pass-form">
      <label class="form-control-label" for="reset-password-email"> Email </label>
      <input id="reset-password-email" pattern="^[\w.%+-]+@[\w.-]+\.[\w]{2,6}$" data-pattern-mismatch="Please enter a valid email address" data-missing-error="This field is required." type="email" class="form-control" name="loginEmail"
        aria-describedby="emailHelp" placeholder="Email">
      <div class="invalid-feedback" role="alert" id="emailHelp"></div>
    </div>
  </div>
  <div class="send-email-btn text-center pt-2">
    <button data-magicurl="/generate-password-magiclink" value="magic" type="submit" name="ml_button" id="magicLinkButton" class="btn btn-primary btn-block btn-short"> Send Magic Link </button>
  </div>
  <div class="send-email-btn text-center pt-2" id="passwordResetButton">
    <button value="reset" type="submit" name="rp_button" id="submitEmailButton" class="btn btn-primary btn-block btn-short"> Reset Password </button>
  </div>
</form>

Name: dwfrm_profile — POST /on/demandware.store/Sites-HSASTORE-Site/default/Account-SubmitRegistration?rurl=1

<form action="/on/demandware.store/Sites-HSASTORE-Site/default/Account-SubmitRegistration?rurl=1" class="registration" method="POST" name="dwfrm_profile"
  data-loyalty-sync-url="https://hsastore.com/on/demandware.store/Sites-HSASTORE-Site/default/LoyaltyProgram-SyncPoints">
  <div class="row">
    <div class="col-12">
      <div class="form-group hide-required-star flex-column required">
        <label class="form-control-label" for="registration-form-email"> Email </label>
        <input type="email" class="form-control" id="registration-form-email" data-missing-error="This field is required." data-pattern-mismatch="Please enter a valid email address" data-range-error="Must be 50 characters or less."
          aria-describedby="form-email-error" name="dwfrm_profile_customer_email" required="" aria-required="true" value="" maxlength="50" pattern="^[\w.%+-]+@[\w.-]+\.[\w]{2,6}$">
        <div class="invalid-feedback" id="form-email-error"></div>
      </div>
    </div>
    <div class="col-12 col-sm-6">
      <div class="form-group hide-required-star flex-column required">
        <label class="form-control-label" for="registration-form-password"> Password <span class="info-icon">
            <svg class="c-icon--global-tool-tip mb-1" aria-hidden="true">
              <use class="" xlink:href="/on/demandware.static/Sites-HSASTORE-Site/-/default/dw758f9605/svg/symbols.svg#svg-tooltip"></use>
            </svg>
            <span class="sr-only">Password Requirements</span>
            <span class="tooltip d-none">
              <ul>
                <li class="mb-2">Minimum password length: 8 characters</li>
                <li class="mb-2">Must contain letters</li>
                <li class="mb-2">Must contain numbers</li>
                <li class="mb-2">Letters must be mixed case (ex: HsA)</li>
                <li class="mb-2">Minimum of 1 special character ($%/()[]{}=?!.,-_*|+~#)</li>
              </ul>
            </span>
          </span>
        </label>
        <input type="password" class="form-control" id="registration-form-password" data-missing-error="This field is required." data-range-error="This field needs 8 to 255 characters" aria-describedby="form-password-error" autocomplete="off"
          name="dwfrm_profile_login_password" required="" aria-required="true" value="" maxlength="255" minlength="8" pattern="^(?=.*[a-z])(?=.*[A-Z])(?=.*\d)(?=.*[^\da-zA-Z]).{8,}$"
          _ar_hide_="width:0px;height:0px;margin:0px;position:static;display:block;">
        <div class="invalid-feedback" id="form-password-error"></div>
      </div>
    </div>
    <div class="col-12 col-sm-6">
      <div class="form-group hide-required-star flex-column required">
        <label class="form-control-label" for="registration-form-password-confirm"> Confirm Password </label>
        <input type="password" class="form-control" id="registration-form-password-confirm" data-missing-error="This field is required." data-range-error="This field needs 8 to 255 characters" aria-describedby="form-password-confirm-error"
          autocomplete="off" name="dwfrm_profile_login_passwordconfirm" required="" aria-required="true" value="" maxlength="255" minlength="8" pattern="^(?=.*[a-z])(?=.*[A-Z])(?=.*\d)(?=.*[^\da-zA-Z]).{8,}$"
          _ar_hide_="width:0px;height:0px;margin:0px;position:static;display:block;">
        <div class="invalid-feedback" id="form-password-confirm-error"></div>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group small-bottom-indent hide-required-star flex-column">
        <label class="form-control-label" for="phone"> Phone <em class="c-loginSlider-container__tab__em">(Optional)</em>
        </label>
        <input inputmode="numeric" type="text" class="form-control bigger-font-size" id="phone" name="dwfrm_profile_customer_phone" value="" maxlength="2147483647">
      </div>
    </div>
    <!-- Only in FSA-->
    <!--/ Only in FSA-->
    <input type="hidden" name="csrf_token" value="d9kmbMV5j9i2C3S9P3926nvuQC8vqWwRbPRgX-gTNzD5ks-n_bpTaDLJhZRcpdlYXS2p3Sj0rAI60AM4b-w-Br9tVPy1GB8RJNxMK1ltiiozZ4X1YCJuUXEX2gE2fil8QAa7ES_cZaM8fuODcocU0ITg51A2wVv31e_-HgdkyaWM6qUUDww=">
  </div>
  <div class="js-signin-tc-element tc-acknowledge">
    <div class="row mt-4 mb-4">
      <div class="col-12 c-loginSlider-container__tab__terms">
        <div class="form-group custom-control custom-checkbox">
          <label class="" for="termsPolicy">
            <div class="c-login-create__login-page__terms"> I've read, understand and agree to the <a class="c-login-create__login-page__terms__link" href="/terms-and-conditions.html" target="_blank"><u>Terms of Use</u></a> and
              <a class="c-login-create__login-page__terms__link" href="/privacy-policy.html" target="_blank"><u>Privacy Notice</u></a>. </div>
          </label>
          <div class="invalid-feedback text-left isIconHide px-0"> Please accept the Terms of Use and Privacy Notice </div>
        </div>
        <div class="mb-3 form-group custom-control custom-checkbox c-login-create__keep-signed-in c-loginSlider-container__tab__checkbox keep-signed-in">
          <input class="custom-control-input" type="checkbox" checked="" for="add-to-email-list" name="dwfrm_profile_customer_addtoemaillistsms" value="true" id="add-to-email-list-sms">
          <label class="custom-control-label c-loginSlider-container__tab__checkbox--label" for="add-to-email-list-sms"> By entering my phone number, I agree to receive SMS messages with special offers, discount alerts, cart reminders, and FSA
            deadline reminders. </label>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-12">
      <div class="c-loginSlider-container__tab__perks__logo">
        <a class="c-loginSlider-container__tab__perks__logo__link" href="/">
                    <svg class="c-icon--logo c-loginSlider-container__tab__perks__icon" aria-hidden="true">
     
    <use class="" xlink:href="/on/demandware.static/Sites-HSASTORE-Site/-/default/dw758f9605/svg/symbols.svg#svg-logo-hsa-perks-navy"></use>
    
</svg>

                </a>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group custom-control custom-checkbox c-login-create__keep-signed-in c-loginSlider-container__tab__checkbox keep-signed-in">
        <input type="checkbox" class="custom-control-input" id="add-to-email-list" name="dwfrm_profile_customer_addtoemaillist" value="true" checked="">
        <label class="custom-control-label c-loginSlider-container__tab__checkbox--label" for="add-to-email-list"> Enroll in HSA Perks™ to unlock member-only rewards and savings. I confirm that I have read, understand and agree to the
          <a class="c-loginSlider-container__tab__checkbox__link" href="/hsa-perks-terms-and-conditions.html" target="_blank">HSA Perks™ Official Rules, Terms &amp; Conditions</a>. </label>
      </div>
    </div>
  </div>
  <div class="text-center c-login-create__create-account-btn-wrapper create-account-button-wrapper">
    <button type="submit" class="btn btn-block btn-primary c-login-create__create-account-btn register-button"> Create Account </button>
  </div>
</form>

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