rbma.informz.net
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18.215.61.253
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Submitted URL: https://rbma.informz.net/z/cjUucD9taT00Mjk3ODgyJnU9Mzg4NTY1NDc0JmxpPTQ4NzE1NTcxJmw9aHR0cDovL3JibWEuaW5mb3Jtei5uZXQvcmJtYS...
Effective URL: https://rbma.informz.net/rbma/pages/NewUnsub?_zs=iwSJa&_zmi=Ob1M
Submission: On November 04 via api from US — Scanned from US
Effective URL: https://rbma.informz.net/rbma/pages/NewUnsub?_zs=iwSJa&_zmi=Ob1M
Submission: On November 04 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form class="formData" autocomplete="off">
<!-- H o n e y p o t -->
<label class="ohnohoney" for="name"></label>
<input class="ohnohoney" autocomplete="off" type="search" id="name" name="name" placeholder="Your name here">
<label class="ohnohoney" for="email"></label>
<input class="ohnohoney" autocomplete="off" type="search" id="email" name="email" placeholder="Your e-mail here">
<div class="form_messages" style="background-color:#ffffff;border-radius:4px;border:1px solid #999999;margin:40px;padding:5px;text-align: center;display:none"></div>
<div id="live" class="informzForm" style="display: block; position: relative; height: 491px; width: 820px; background-color: rgba(255, 255, 255, 0.9); border: 1px solid rgb(239, 239, 239); border-radius: 10px; margin: 10px auto; padding: 10px;">
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<div class="ui-wrapper" style="overflow: hidden; position: relative; width: 820px; height: 200px; top: 0px; left: 0px; margin: 0px;"><img alt="" id="image901A5986-5544-9E42-E883-634126D95166"
src="//rbma.informz.net/rbma/data/images/RBMA21_eAnnounce_Headers-1.jpg" height="200" width="820" class="ui-resizable" style="margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 200px; width: 820px;"></div>
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<div style="width: 665px; height: 45px; text-align: left; color: rgb(51, 51, 51); line-height: 24px; letter-spacing: 0px; font-weight: normal; font-size: 16px; margin-top: 0px; margin-bottom: 0px; top: 0px; left: 0px; overflow: hidden;"
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<p></p>
<h1 style="color: rgb(51, 51, 102); font-weight: bold; font-size: 24px; margin-top: 0px; margin-bottom: 0px; line-height: 24px; letter-spacing: 0px;">Please Indicate Why You are Leaving?</h1>
<h1 style="color: rgb(51, 51, 102); font-weight: bold; font-size: 24px; margin-top: 0px; margin-bottom: 0px; line-height: 24px; letter-spacing: 0px;">
<p></p>
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<table>
<tbody>
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<td> <input id="945E8F88-C2F1-AF40-4B9A-8D45433D1166" type="radio" name="radio_val" value="I no longer want to receive these emails." placeholder="I no longer want to receive these emails." style="pointer-events: unset;"
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role="textbox" aria-multiline="true" data-medium-editor-editor-index="3" medium-editor-index="2b8588f3-27b2-97ae-17b6-32714acd88c1" data-placeholder="Type your text">I no longer want to receive these emails.</div>
</td>
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<div>
<div style="position: absolute; top: 340px; left: 15px; cursor: text; border-radius: 4px;" class="form_designer_field" id="D0942A69-70F1-8093-1719-A45DDA6E790F_live">
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<table>
<tbody>
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<td> <input id="D0942A69-70F1-8093-1719-A45DDA6E790F" type="radio" name="radio_val" value="I receive too many emails." placeholder="I receive too many emails." style="pointer-events: unset;" autocomplete="off"> </td>
<td>
<div style="display:inline-block;" id="editable_D0942A69-70F1-8093-1719-A45DDA6E790F" dataidval="D0942A69-70F1-8093-1719-A45DDA6E790F" class="form_designer_field_editable" spellcheck="true" data-medium-editor-element="true"
role="textbox" aria-multiline="true" data-medium-editor-editor-index="4" medium-editor-index="9e6219fd-cae8-c192-82af-99a34d7e795b" data-placeholder="Type your text">I receive too many emails.</div>
</td>
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</tbody>
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<div>
<div style="position: absolute; top: 380px; left: 15px; cursor: text; border-radius: 4px;" class="form_designer_field" id="0566C5CD-98EF-C0A1-AD31-D54F7E1A6526_live">
<div style="width: 400px; height: 60px; text-align: left; color: rgb(51, 51, 51); line-height: 24px; letter-spacing: 0px; font-weight: normal; font-size: 16px; margin-top: 0px; margin-bottom: 0px; overflow: hidden;"
id="text_container_0566C5CD-98EF-C0A1-AD31-D54F7E1A6526" class="text_style ui-resizable">
<div id="editable_0566C5CD-98EF-C0A1-AD31-D54F7E1A6526" dataidval="0566C5CD-98EF-C0A1-AD31-D54F7E1A6526" class="form_designer_field_editable" spellcheck="true" data-medium-editor-element="true" role="textbox" aria-multiline="true"
data-medium-editor-editor-index="5" medium-editor-index="95ee198f-db30-2bba-eeec-92146e2a90da" data-placeholder="Type your text">
<p>You are unsubscribing <b>mzamora@alifemedical.com</b>.</p>
</div>
</div>
</div>
</div>
<div>
<div style="position: absolute; top: 450px; left: 15px; cursor: text; border-radius: 4px;" class="form_designer_field" id="submitButton_live">
<div style="display: block; width: 100%; cursor: pointer;" id="container_submitButton">
<div id="submitButton_button"
style="width: 200px; height: 30px; word-break: break-all; display: table-cell; vertical-align: middle; color: rgb(0, 0, 0); font-family: "Open Sans"; border: 1px solid rgb(204, 204, 204); border-radius: 6px; margin-top: 0px; margin-bottom: 0px; padding: 10px; background-color: rgb(57, 168, 223); font-size: 16px; text-align: center; box-shadow: rgb(153, 153, 153) 2px 2px 2px; letter-spacing: 0px; line-height: 24px;"
class="form_designer_button ui-resizable">
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medium-editor-index="17579e8f-2ff0-cb37-0bd1-d2ee7379e657" data-placeholder="Type your text"><b>Unsubscribe</b></div>
</div><input name="submitButton" type="hidden" value="0" placeholder="0" id="submitButton" style="pointer-events: unset;" autocomplete="off"><input name="submitButton" type="hidden" value="12787" placeholder="0" id="submitButton"
style="pointer-events: unset;" autocomplete="off">
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<input type="hidden" name="isf_form_id" value="12787"><input type="hidden" name="isf_id" value="388565474">
</form>Text Content
Template Name: Characters remaining: Template Description: Characters remaining: Name: Filename: Select the destination folder: Select a folder * Report * Edit * Test * Activate * Deactivate * Save As Template * Copy * Delete * Undelete * Archive * Set as In Progress * Form * Content Only * Unsubscribe Form * Custom Some non-required fields on this form are blank. Do you wish to save with blank values? NewUnsub PLEASE INDICATE WHY YOU ARE LEAVING? I no longer want to receive these emails. I receive too many emails. You are unsubscribing mzamora@alifemedical.com. Unsubscribe