mc1spjj30d-lq2xt17jvxd-c8hv0.pub.sfmc-content.com
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urlscan Pro
13.111.70.16
Public Scan
Submitted URL: https://click.relay.corestream.com/?qs=1df043f2706bae0ee7c21c9543f79f1adc3cf4bfdeead6375d0ba62ae53b79fc0c707259ee19e3bec59b9f0fcbee...
Effective URL: https://mc1spjj30d-lq2xt17jvxd-c8hv0.pub.sfmc-content.com/2ekrkb1eu15?qs=c8ec8ea0a084311fccb6a3aed87283c949e1379879c93ea750f0e40f738cac18d70727bc4aa01a6bb...
Submission: On November 01 via manual from US — Scanned from DE
Effective URL: https://mc1spjj30d-lq2xt17jvxd-c8hv0.pub.sfmc-content.com/2ekrkb1eu15?qs=c8ec8ea0a084311fccb6a3aed87283c949e1379879c93ea750f0e40f738cac18d70727bc4aa01a6bb...
Submission: On November 01 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="smartcapture-block-6vc4v01tlfe" class="smartcapture-content-wrapper fuelux" novalidate="novalidate">
<style id="smartcapture-styles-6vc4v01tlfe">
#smartcapture-block-6vc4v01tlfe {
background-color: transparent;
margin-top: 0px;
margin-right: 0px;
margin-bottom: 0px;
margin-left: 0px;
padding-top: 0px;
padding-right: 0px;
padding-bottom: 0px;
padding-left: 0px;
text-align: left;
margin: 0px;
padding: 0px 50px 25px;
}
#smartcapture-block-6vc4v01tlfe .smartcapture-controls {
padding-bottom: 10px;
}
#smartcapture-block-6vc4v01tlfe .smartcapture-controls .sc-formfield-label,
#smartcapture-block-6vc4v01tlfe .smartcapture-controls .sc-formfield-label label,
#smartcapture-block-6vc4v01tlfe .smartcapture-controls .sc-formfield-input label {
color: #000000;
font-family: Arial, Helvetica, sans-serif;
font-size: 16px;
}
#smartcapture-block-6vc4v01tlfe input[type="radio"],
#smartcapture-block-6vc4v01tlfe input[type="checkbox"] {
margin: 0 0.4em 3px 0;
vertical-align: middle;
}
#smartcapture-block-6vc4v01tlfe input[type="text"],
#smartcapture-block-6vc4v01tlfe input[type="email"],
#smartcapture-block-6vc4v01tlfe input[type="number"] {
width: 365px;
}
#smartcapture-block-6vc4v01tlfe .sc-button {
background-color: #808080;
border-color: #808080;
border-radius: 3px;
border-style: solid;
-webkit-border-radius: 3px;
-moz-border-radius: 3px;
color: #FFFFFF;
font-family: Arial, Helvetica, sans-serif;
font-size: 16px;
line-height: normal;
padding: 10px;
}
#smartcapture-block-6vc4v01tlfe .smartcapture-submit-button-wrapper {
padding-bottom: 10px;
text-align: center;
}
#smartcapture-block-6vc4v01tlfe .date-dropdown-select-boxes input {
display: none;
}
#smartcapture-block-6vc4v01tlfe .date-dropdown-select-boxes .select {
max-height: 28em;
max-width: 6em;
overflow: auto;
}
</style>
<table cellpadding="0" cellspacing="0" width="100%" role="presentation" style="min-width: 100%; " class="stylingblock-content-wrapper">
<tbody>
<tr>
<td class="stylingblock-content-wrapper camarker-inner">
<center>
<div class="smartcapture-controls">
<div class="sc-formfield-label"><label for="mobile_phone"><span style="font-family:Arial,Helvetica,san-serif;font-size:18px;color:#808080"><b>Mobile phone:*</b></span></label>
<span class="sc-formfield-input"><input type="text" maxlength="10" id="mobile_phone" name="mobile_phone" data-field-type="Phone" <input="" placeholder="Enter the 10-digit mobile (e.g. 5555555555)" required="required"
data-validation-message="Please enter your mobile phone number."><br><br></span>
</div>
</div>
</center>
</td>
</tr>
</tbody>
</table>
<div class="smartcapture-submit-button-wrapper">
<button type="submit" class="sc-button">Update</button>
</div>
<script id="smartcapture-script-6vc4v01tlfe">
var scFormLoaded = function() {
window.ScForm.init({
"gearID": "6vc4v01tlfe",
"smartCaptureFormID": 0,
"sourceKey": "984D51BA-206B-4027-9F8C-A08BFA8F7154",
"source": "dataExtension",
"triggeredSend": "",
"confirmationMessage": "Thank you for your submission.",
"buttonText": "Update",
"formStyling": {
"background-color": "transparent",
"margin-top": "0px",
"margin-right": "0px",
"margin-bottom": "0px",
"margin-left": "0px",
"padding-top": "0px",
"padding-right": "0px",
"padding-bottom": "0px",
"padding-left": "0px",
"text-align": "left",
"margin": "0px",
"padding": "0px 50px 25px"
},
"fieldStyling": {
"width": "365px"
},
"buttonStyling": {
"background-color": "#808080",
"border-color": "#808080",
"border-radius": "3px",
"border-style": "solid",
"-webkit-border-radius": "3px",
"-moz-border-radius": "3px",
"color": "#FFFFFF",
"font-family": "Arial, Helvetica, sans-serif",
"font-size": "16px",
"line-height": "normal",
"padding": "10px"
},
"onSubmitShouldGotoUrl": true,
"onSubmitGotoUrlType": 2,
"onSubmitGotoUrl": "http://mc1spjj30d-lq2xt17jvxd-c8hv0.pub.sfmc-content.com/gkybhsvccag"
});
};
var scAppDomain = 'cloudpages.mc-content.com';
var scAppBasePath = '/CloudPages';
(function() {
var appDomain = 'mc.s11.exacttarget.com';
if (appDomain.indexOf('qa') !== -1) {
scAppDomain = 'cloudpages-qa.mc-content.com';
scAppBasePath = '/CloudPages_V1';
}
}());
window.appDomain = window.appDomain || scAppDomain;
window.contentDetail = window.contentDetail || {
"isSite": true,
"mid": 514014862,
"eid": 514012461,
"pageID": 1397,
"siteID": 587269,
"isMobile": "false"
};
if (!window.ScForm || !window.ScForm.init) {
var head = document.getElementsByTagName('head')[0];
var id = 'smartcapture-formjs-script';
var script = document.getElementById(id);
var domain = window.appDomain;
var el;
if (!script) {
if (domain) {
domain = '//' + domain;
}
el = document.createElement('script');
el.async = true;
el.id = id;
el.src = domain + scAppBasePath + '/lib/smartcapture-formjs.js';
el.onload = scFormLoaded;
head.appendChild(el);
} else {
if (script.addEventListener) {
script.addEventListener('load', scFormLoaded);
} else if (script.attachEvent) {
script.attachEvent('onload', scFormLoaded);
}
}
} else {
scFormLoaded();
}
</script>
<input name="sk" type="hidden" value="3f3e623d1a6da940abb4d2a6ad584e58"><input name="account_code" type="hidden" value="OHS"><input name="Program_Name" type="hidden" value="Ochsner Health Lifestyle Benefits"><input name="user_first" type="hidden"
value=""><input name="user_last" type="hidden" value="">
</form>Text Content
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