na.eventscloud.com Open in urlscan Pro
18.205.242.158  Public Scan

Submitted URL: https://protect-eu.mimecast.com/s/gZz0CO7mzS0E47JmcWe5Le?domain=nam11.safelinks.protection.outlook.com
Effective URL: https://na.eventscloud.com/ereg/newreg.php?eventid=668301&reference=webpricepage
Submission: On July 26 via manual from IN — Scanned from GB

Form analysis 1 forms found in the DOM

POST newreg.php?eventid=668301&reference=webpricepage

<form id="form" method="post" action="newreg.php?eventid=668301&amp;reference=webpricepage" enctype="multipart/form-data" autocomplete="on">
  <input type="hidden" id="action" name="action" value="submit">
  <input type="hidden" name="eventid" value="668301">
  <input type="hidden" name="csrf" value="ee15e52ec36ece1df298857ecf808282a2f85285f9b4f7f3">
  <input type="hidden" name="categoryid" value="-1" id="categoryid">
  <input type="hidden" name="subcategoryid" value="">
  <input type="hidden" name="preloadedcategoryid" value="0">
  <input type="hidden" name="preloadedsubcategoryid" value="0">
  <input type="hidden" name="language" value="eng">
  <input type="hidden" name="reference" value="webpricepage">
  <input type="hidden" name="t" value="">
  <input type="hidden" name="s" value="">
  <input type="hidden" name="eb" value="">
  <input type="hidden" name="ebs" value="">
  <input type="hidden" name="admin" value="-1">
  <table width="100%" cellspacing="0" cellpadding="0">
    <tbody>
      <tr>
        <td class="red requiredlabel" align="right">* = Required Field</td>
      </tr>
    </tbody>
  </table>
  <table role="presentation" data-questiontype="1" data-relatedvars="qh-color,ql-background-color,ql-capitalization,ql-font,ql-font-color,ql-font-size,qi-container-bg-color,qi-bg-color,qi-font-size" class="questionContainer questionLabelLeft "
    cellspacing="0" cellpadding="2" id="q48315493" style="">
    <tbody>
      <tr>
        <td width="175" align="right" valign="top" class="standard questionLabel">Registrant Email Address:<font class="red" aria-hidden="true">*</font>
        </td>
        <td class="questionInput" valign="top"><label for="email" style="position: absolute !important;clip: rect(1px 1px 1px 1px); /* IE6, IE7 */
    clip: rect(1px, 1px, 1px, 1px);">Registrant Email Address:</label><input aria-required="true" class="shadow" id="email" type="text" name="input[email]" value="" style="width:350px;" autocomplete="email">
        </td>
      </tr>
    </tbody>
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  <script type="text/javascript">
    jQuery('form').submit(function(e) {
      jQuery("input:hidden[style*='display: none']").remove();
    });
  </script>
  <table role="presentation" cellspacing="0" cellpadding="2" class="standard r-standard questionContainer">
    <tbody>
      <tr class="category-selection-tr">
        <td colspan="2">
          <br><b><span id="showcategoryquestions"><bdi>Please select from the following options:</bdi></span></b>
          <font aria-hidden="true" class="red">*</font><br><br>
        </td>
      </tr>
      <tr>
        <td colspan="2">
          <div aria-labelledby="showcategoryquestions" role="radiogroup" aria-required="true">
            <table role="presentation">
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                  <td width="175" align="right" valign="top"><input type="radio" id="c4341419" name="selectcategoryid" value="4341419" onclick="altercost(499.00);closeallpass();" onkeypress="altercost(499.00);closeallpass();"></td>
                  <td class="optionclassiso"><label id="category_4341419" for="c4341419">Attendee (Individual) - $499<br>
                      <div><em><span style="font-family: 'Open Sans', sans-serif;">(Total savings of $400)</span></em></div>
                      <div></div>
                    </label> </td>
                </tr>
                <tr class="category-selection-tr" style="">
                  <td width="175" align="right" valign="top"><input type="radio" id="c4341594" name="selectcategoryid" value="4341594" onclick="altercost(499.00);closeallpass();" onkeypress="altercost(499.00);closeallpass();"></td>
                  <td class="optionclassiso"><label id="category_4341594" for="c4341594">Attendee (Team of 3) - $499 each<br>
                      <div><em><span style="font-family: 'Open Sans', sans-serif;">(Total savings of $1,200)</span></em></div>
                      <div></div>
                    </label> </td>
                </tr>
                <tr class="category-selection-tr" style="">
                  <td width="175" align="right" valign="top"><input type="radio" id="c4341949" name="selectcategoryid" value="4341949" onclick="altercost(499.00);closeallpass();" onkeypress="altercost(499.00);closeallpass();"></td>
                  <td class="optionclassiso"><label id="category_4341949" for="c4341949">Attendee (Team of 5) - $499 each<br><em><span style="font-family: 'Open Sans', sans-serif;">(Total savings of $2,000)</span></em></label> </td>
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              </tbody>
            </table>
          </div>
        </td>
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    </tbody>
  </table>
  <div id="totalcostsection" aria-live="polite" aria-atomic="true" tabindex="0">
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        <tr id="totalcostdisplay" style="display:none;">
          <td colspan="2" align="center"><b id="totalcostdesc">Total Cost</b> $<span id="totalcost">0.00</span></td>
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    <tbody>
      <tr>
        <td align="center" id="button_continue"><br>
          <input name="reg_button" type="submit" class="button r-button" onclick="if (this.classList.contains('clicked')){
                if(this.type == 'submit' || this.type == 'image') {
                  this.form.setAttribute('onsubmit','return false');
                  this.disabled = true;
                } else{
                    return false;
                  }
              } else { this.classList.add('clicked'); }" value="Continue">
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

DEBUG INFO => SERVER NAME:na-web-php8-www12b
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User Profile Navigator

   
 * Welcome
 * Attendee Information
 * Additional Attendees
 * Payment
 * Registration Record

Welcome Attendee Information Additional Attendees Payment Registration Record





Special Offer:

This week only, receive $499 pricing (our lowest price!) for all new
registrations. Offer valid through Friday, July 29.

* = Required Field

Registrant Email Address:* Registrant Email Address:


Please select from the following options: *



Attendee (Individual) - $499

(Total savings of $400)

Attendee (Team of 3) - $499 each

(Total savings of $1,200)

Attendee (Team of 5) - $499 each
(Total savings of $2,000)

Total Cost $0.00




We reserve priority registration for healthcare providers, payers, government
entities, associations, and employer-led plans (leaders, professionals, and
teams) for whom this summit has been designed. This year, we are accepting a
limited number of vendor registrations who we have identified as strategic
partners.

If you have any registration questions, please contact our team at
HASregistration@healthcatalyst.com.  
 
Note for Group Registrations: You must register at least a minimum of three for
the Team of 3 discount or a minimum of five for the Team of 5 discount. If you
do not have all names at the time of registration, please enter your
organization name to create additional registrations (organization 1,
organization 2, etc.)  The total fees for all registrants in the group will be
charged to the first person in the group. If members of the group are paying
individually (for example, with different credit cards), you may create a group
and select the check payment option. After finalizing your registration, please
call 801-365-3644 to provide the different credit cards for payment. Should you
have further questions regarding group registrations, please contact our team at
hasregistration@healthcatalyst.com.