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app.qualle.co Open in urlscan Pro
199.36.158.100  Public Scan

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Submitted URL: https://bitli.pro/1Sokc_d800adb2
Effective URL: https://app.qualle.co/register
Submission: On May 22 via manual from IN — Scanned from NL

Form analysis 1 forms found in the DOM

<form data-v-20dc1a15="" novalidate="novalidate" id="register-form" class="v-form">
  <div data-v-20dc1a15="" class="pa-4 rounded-sm v-card v-sheet theme--light elevation-0">
    <div data-v-20dc1a15="" class="v-card__title justify-center flex-direction-column">
      <div data-v-20dc1a15="" class="v-image v-responsive shrink mr-2 theme--light" style="max-width: 160px;">
        <div class="v-responsive__sizer" style="padding-bottom: 27.2727%;"></div>
        <div class="v-image__image v-image__image--contain" style="background-image: url(&quot;https://app.qualle.co/img/logo.65627462.png&quot;); background-position: center center;"></div>
        <div class="v-responsive__content" style="width: 264px;"></div>
      </div><span data-v-20dc1a15="" class="mt-8"> Create your Free Account </span><span data-v-20dc1a15="" class="auth-hint-label font-size-14"> Already have an account?
        <a data-v-20dc1a15="" href="/login" class="text-decoration-none"><span data-v-20dc1a15="" class="auth-hint-signup">Sign In</span></a></span>
    </div>
    <div data-v-20dc1a15="" class="v-card__text">
      <div data-v-20dc1a15="" class="col">
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label for="input-13" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Name*</label><input required="required" id="input-13" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="pl-0 py-0 orgId-field-wrapper col col-6">
            <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
              <div class="v-input__control">
                <div class="v-input__slot">
                  <div class="v-text-field__slot"><label for="input-16" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Work Phone #*</label><input pattern="[0-9]{3}-[0-9]{3}-[0-9]{4}" required="required"
                      id="input-16" type="tel"></div>
                </div>
                <div class="v-text-field__details">
                  <div class="v-messages theme--light">
                    <div class="v-messages__wrapper"></div>
                  </div>
                </div>
              </div>
            </div><!----><!---->
          </div>
          <div data-v-20dc1a15="" class="pr-0 py-0 col col-6">
            <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
              <div class="v-input__control">
                <div class="v-input__slot">
                  <div class="v-text-field__slot"><label for="input-19" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Company*</label><input required="required" id="input-19" type="text"></div>
                </div>
                <div class="v-text-field__details">
                  <div class="v-messages theme--light">
                    <div class="v-messages__wrapper"></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label for="input-22" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email*</label><input required="required" id="input-22" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label for="input-25" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">SCAC Code*</label><input maxlength="4" required="required" id="input-25" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input rounded-sm v-input--is-label-active v-input--is-dirty theme--light v-text-field v-text-field--is-booted v-select">
            <div class="v-input__control">
              <div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-28" class="v-input__slot">
                <div class="v-select__slot"><label for="input-28" class="v-label v-label--active theme--light" style="left: 0px; right: auto; position: absolute;">Account Type</label>
                  <div class="v-select__selections">
                    <div class="v-select__selection v-select__selection--comma">Trucker</div><input required="required" id="input-28" readonly="readonly" type="text" aria-readonly="false" autocomplete="off">
                  </div>
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
                  </div><input type="hidden" value="asset">
                </div>
                <div class="v-menu"><!----></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input v-input--hide-details theme--light v-text-field v-text-field--is-booted">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label for="input-33" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Password*</label><input name="password" id="input-33" type="password"></div>
                <div class="v-input__append-inner">
                  <div class="v-input__icon v-input__icon--append"><button type="button" aria-label="append icon" class="v-icon notranslate v-icon--link mdi mdi-eye-off theme--light"></button></div>
                </div>
              </div>
            </div>
          </div>
          <div data-v-20dc1a15="" class="Password"><!---->
            <div class="Password__strength-meter">
              <div class="Password__strength-meter--fill"></div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row">
          <div data-v-20dc1a15="" class="v-input theme--light v-text-field v-text-field--is-booted">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label for="input-36" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Confirm Password*</label><input name="confirmPassword" id="input-36" type="password"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div data-v-20dc1a15="" class="row"><span data-v-20dc1a15="" class="font-size-11 color-15">Required fields are marked with a (*)</span></div>
      </div>
    </div>
    <div data-v-20dc1a15="" class="v-card__actions">
      <div data-v-20dc1a15="" class="row ma-0"><button data-v-20dc1a15="" type="submit" class="width-100 auth-btn h-3 rounded-sm pa-4 v-btn v-btn--has-bg theme--dark elevation-0 v-size--default" form="register-form"><span class="v-btn__content"> Sign
            Up </span></button>
        <div data-v-20dc1a15="" class="row justify-center"><span data-v-20dc1a15="" class="auth-hint-label font-size-12 mt-8 mb-4 text-align-center" style="max-width: 400px;"> By clicking "Sign Up" you agree to
            <a data-v-20dc1a15="" href="/docs/legal/terms" class="text-decoration-none"><span data-v-20dc1a15="" class="auth-hint-signup font-size-12">Qualle Terms</span></a>, and
            <a data-v-20dc1a15="" href="/docs/legal/privacy" class="text-decoration-none"><span data-v-20dc1a15="" class="auth-hint-signup font-size-12">Privacy Policy</span></a> . </span></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Name*

Work Phone #*

Company*

Email*

SCAC Code*

Account Type
Trucker



Password*


Confirm Password*

Required fields are marked with a (*)
Sign Up
By clicking "Sign Up" you agree to Qualle Terms, and Privacy Policy .
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