online.premiersoftware.co.uk Open in urlscan Pro
51.104.28.69  Public Scan

Form analysis
3 forms found in the DOM

<form id="LoginForm">
  <label for="txtUID" class="sr-only">Email Address</label>
  <input type="email" id="txtUID" name="txtUID" class="form-control input-lg form-group" placeholder="Email Address" required="" autofocus="" autocomplete="off">
  <label for="txtPWD" class="sr-only">Password</label>
  <input type="password" id="txtPWD" name="txtPWD" class="form-control input-lg form-group" placeholder="Password" required="" autocomplete="off">
  <button class="btn btn-lg btn-success btn-block" type="submit" id="dologin">Sign In</button>
</form>

<form id="RegisterForm" novalidate="novalidate">
  <label for="registerTitle" class="sr-only">Select a Title</label>
  <select class="form-control input-lg" id="registerTitle" name="registerTitle">
    <option value="">Please Select a Title...</option>
    <option data-gender="Female" value="Dr">Dr</option>
    <option data-gender="Female" value="Lady">Lady</option>
    <option data-gender="Female" value="Miss">Miss</option>
    <option data-gender="Male" value="Mr">Mr</option>
    <option data-gender="Female" value="Mrs">Mrs</option>
    <option data-gender="Female" value="Ms">Ms</option>
    <option data-gender="Female" value="Mx">Mx</option>
    <option data-gender="Female" value="Prof">Prof</option>
    <option data-gender="Male" value="Sir">Sir</option>
  </select>
  <label for="registerFirstName" class="sr-only">First Name</label>
  <input type="text" id="registerFirstName" name="registerFirstName" class="form-control input-lg capitals" placeholder="First Name" required="" autocomplete="off" aria-required="true">
  <label for="registerLastName" class="sr-only">Surname</label>
  <input type="text" id="registerLastName" name="registerLastName" class="form-control input-lg capitals" placeholder="Surname" required="" autocomplete="off" aria-required="true">
  <label for="registerPostcode" class="sr-only">Postcode</label>
  <input type="text" id="registerPostcode" name="registerPostcode" class="form-control input-lg allcapitals" placeholder="Postcode" required="" autocomplete="off" aria-required="true">
  <label for="registerMobile" class="sr-only">Mobile Phone Number</label>
  <input type="text" id="registerMobile" name="registerMobile" class="form-control input-lg" placeholder="Mobile Phone Number" required="" autocomplete="off" aria-required="true">
  <label for="registerEmail" class="sr-only">Email Address</label>
  <input type="email" id="registerEmail" name="registerEmail" class="form-control input-lg" placeholder="Email Address" required="" autofocus="" autocomplete="off" aria-required="true">
  <label for="registerConfirmEmail" class="sr-only">Confirm Email Address</label>
  <input type="email" id="registerConfirmEmail" name="registerConfirmEmail" class="form-control input-lg" placeholder="Confirm Email Address" required="" autocomplete="off" aria-required="true">
  <label for="registerPassword" class="sr-only">Password</label>
  <input type="password" id="registerPassword" name="registerPassword" class="form-control input-lg" placeholder="Password" required="" autocomplete="off" aria-required="true">
  <label for="registerConfirmPassword" class="sr-only">Confirm Password</label>
  <input type="password" id="registerConfirmPassword" name="registerConfirmPassword" class="form-control input-lg" placeholder="Confirm Password" required="" autocomplete="off" aria-required="true">
  <div class="input-group">
    <input type="text" id="registerDateOfBirth" name="registerDateOfBirth" class="form-control input-lg dob" placeholder="Date of Birth">
    <span class="input-group-addon glyphicon glyphicon-calendar"></span>
  </div>
  <label for="registerSite" class="sr-only">Select your local site</label>
  <select class="form-control input-lg" name="registerSite" id="registerSite" required="" aria-required="true">
    <option value="-1" disabled="disabled" selected="selected">Select your location</option>
    <option value="4">Waterloo Place</option>
  </select>
  <div class="btn btn-default btn-lg btn-block">
    <label for="optin" class="sr-only"></label>
    <label class="checkbox-inline">
      <input type="checkbox" id="optin" name="optin" class="optin"> Add me to your mailing list </label>
  </div>
  <div id="GDPRSignature" style="display: none;">
    <div class="row">
      <div class="col-sm-4 col-xs-12">
        <text class="boldTxt">Signature</text>
      </div>
      <div class="col-sm-8 col-xs-12" align="right">
        <button class="btn btn-danger clear-signature">Clear</button>
      </div>
    </div>
    <div class="row">
      <div class="col-sm-12">
        <canvas id="signature" height="200" style="border: 1px solid #999;"></canvas>
      </div>
    </div>
  </div>
  <div style="padding-top: 10px;">
    <text class="boldTxt">You may contact me by:</text>
  </div>
  <div class="col-sm-4 contactMethods">
    <div class="btn btn-default btn-lg btn-block">
      <label for="sms" class="sr-only"></label>
      <label class="checkbox-inline">
        <input type="checkbox" id="sms" name="sms"> SMS </label>
    </div>
  </div>
  <div class="col-sm-4 contactMethods">
    <div class="btn btn-default btn-lg btn-block">
      <label for="email" class="sr-only"></label>
      <label class="checkbox-inline">
        <input type="checkbox" id="email" name="email"> E-mail </label>
    </div>
  </div>
  <div class="col-sm-4 contactMethods">
    <div class="btn btn-default btn-lg btn-block">
      <label for="mail" class="sr-only"></label>
      <label class="checkbox-inline">
        <input type="checkbox" id="mail" name="mail"> Post </label>
    </div>
  </div>
  <div class="alert alert-danger registermessage hide col-sm-12" role="alert">
    <span class="glyphicon glyphicon-exclamation-sign" aria-hidden="true"></span><span class="sr-only">Prompt:</span>
  </div>
  <button class="btn btn-lg btn-success btn-block" type="submit" id="doRegister">Register</button>
</form>

<form id="ResetForm" novalidate="novalidate">
  <div id="reset-password-error-message" class="alert alert-danger hide"></div>
  <div id="reset-password-success-message" class="alert alert-success hide">
    <p>Your password was reset successfully and has been e-mailed to you.</p>
    <p style="margin-bottom: 0">
      <a data-dismiss="modal" data-toggle="modal" data-target="#login" title="" class="btn btn-link" type="button" style="padding-bottom: 0;"><b>Click here to Sign In</b></a>
    </p>
  </div>
  <div class="form-group">
    <label for="resetEmail" class="sr-only">Email Address</label>
    <input type="email" id="resetEmail" name="resetEmail" class="form-control input-lg" placeholder="Email Address" required="" autofocus="" autocomplete="off" aria-required="true">
  </div>
  <div class="form-group">
    <label for="resetMobile" class="sr-only">Mobile Phone Number</label>
    <input type="text" id="resetMobile" name="resetMobile" class="form-control input-lg" placeholder="Mobile Phone Number" required="" autocomplete="off" aria-required="true">
  </div>
  <button class="btn btn-lg btn-success btn-block" type="submit" id="doReset">Reset Password</button>
</form>

Text Content

WATERLOO PLACE







BOOK A NEW APPOINTMENT

× Prompt:


Edit Prompt:
Filter By Location
Select your locationWaterloo Place

Sign In
×

LOG IN TO YOUR ACCOUNT

Prompt:
Email Address Password Sign In
RegisterReset Password Cancel
×

REGISTER A NEW ACCOUNT

Select a Title Please Select a Title... DrLadyMissMrMrsMsMxProfSir First Name
Surname Postcode Mobile Phone Number Email Address Confirm Email Address
Password Confirm Password

Select your local site Select your locationWaterloo Place
Add me to your mailing list
Signature
Clear

You may contact me by:
SMS
E-mail
Post
Prompt:
Register
Cancel
×

 

 
Close
×

RESET PASSWORD

Your password was reset successfully and has been e-mailed to you.

Click here to Sign In

Email Address
Mobile Phone Number
Reset Password
Cancel
×

CONFIRM SIGN OUT

Prompt: You have unpaid bookings outstanding. Do you want to pay for them now?
Pay Now Close Sign Out
×

YOUR PERSONAL DETAILS

Prompt:
Save Details Cancel

YOUR BOOKING

Prompt:

Cancel Bookings

Are you sure you want to cancel your online bookings that require payment?

Yes No
Unfortunately, we could not delete your appointments.
Continue Shopping
×

LINKS AVAILABLE FOR YOUR SELECTION

Prompt:

Close
×

YOUR PREVIOUS BOOKINGS

Prompt:
Close
×

CONFIRM APPOINTMENT

PLEASE CONFIRM THAT THE DETAILS BELOW ARE CORRECT


Prompt:
Book now Cancel
×

CLIENT NOTICE

Prompt: The total value of your unpaid future appointments exceeds the limit of
£0.00
Close
×

UNFORTUNATELY, YOUR APPOINTMENT COULD NOT BE BOOKED

Unfortunately, you are already on another Appointment at this time.
Close

UNFORTUNATELY WE COULD NOT FIND ANY RESULTS TO RE-BOOK THE APPOINTMENT ON THIS
DATE OR TIME.
PLEASE TRY AGAIN ON A DIFFERENT DATE OR TIME.

×

YOU HAVE A RESERVATION FOR THIS DATE

 
Close

UNFORTUNATELY ONE OR MORE OF YOUR APPOINTMENTS HAVE TIMED OUT.
PLEASE CLICK THE BELOW BUTTON TO REFRESH THE PAGE SO YOU CAN RE-TRY THE PAYMENT
PROCESS.

Click here to refresh the page
You have remaining to pay for your outstanding appointments. Click the extend
button below, to increase the time you have remaining.
Extend



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