mccormick.aso.jaggaer.com Open in urlscan Pro
130.250.98.18  Public Scan

Submitted URL: https://mccormick.aso.jaggaer.com/cs_register?access_code=d9FhwKqp
Effective URL: https://mccormick.aso.jaggaer.com/cs_register
Submission: On October 28 via manual from FR — Scanned from FR

Form analysis 2 forms found in the DOM

<form id="asoFeedbackForm" class="asoFeedbackForm">
  <fieldset class="form-group">
    <div class="form-check form-check-inline">
      <label> Quelle note attribueriez-vous à cette page ? </label>
    </div>
    <div class="form-check form-check-inline">
      <label for="rating-1" class="form-check-label">
        <input id="rating-1" name="rating" type="radio" value="1" class="form-check-input">
        <span class="emoticon rating1"></span>
      </label>
    </div>
    <div class="form-check form-check-inline">
      <label for="rating-2" class="form-check-label">
        <input id="rating-2" name="rating" type="radio" value="2" class="form-check-input">
        <span class="emoticon rating2"></span>
      </label>
    </div>
    <div class="form-check form-check-inline">
      <label for="rating-3" class="form-check-label">
        <input id="rating-3" name="rating" type="radio" value="3" class="form-check-input">
        <span class="emoticon rating3"></span>
      </label>
    </div>
    <div class="form-check form-check-inline">
      <label for="rating-4" class="form-check-label">
        <input id="rating-4" name="rating" type="radio" value="4" class="form-check-input">
        <span class="emoticon rating4"></span>
      </label>
    </div>
    <div class="form-check form-check-inline">
      <label for="rating-5" class="form-check-label">
        <input id="rating-5" name="rating" type="radio" value="5" class="form-check-input">
        <span class="emoticon rating5"></span>
      </label>
    </div>
    <div class="md-form">
      <input type="text" id="asoRatingOption" class="form-control hidden validate">
      <label for="asoRatingOption" data-error="Error: This field is required"></label>
    </div>
  </fieldset>
  <fieldset class="form-group">
    <div class="md-form w-100">
      <i class="material-icons prefix">create</i>
      <textarea id="asoRatingComment" name="comment" type="text" class="md-textarea validate" maxlength="1000" required=""></textarea>
      <label for="asoRatingComment" data-error="Error: This field is required"> Commentaires </label>
    </div>
  </fieldset>
</form>

POST /cs_register?

<form action="/cs_register?" method="post" class="xhtml_form validation">
  <div class="popover widget element_help error template right popover-right" help_position="right">
    <div class="pointer"></div>
    <div class="help_wrapper">
      <h3 class="popover-title"> Erreur de Saisie </h3>
      <div class="popover-content">
      </div>
    </div>
  </div>
  <div>
    <span class="asterisk-symbol position-left">*</span>
    <div class="md-form col-sm-10 col-xl-8 position-left">
      <input type="text" name="first_name" id="first_name" value="Stuart" data-validators="required" class="form-control">
      <label for="first_name" class="active"> Prénom </label>
    </div>
    <div class="clear"></div>
  </div>
  <div>
    <span class="asterisk-symbol position-left">*</span>
    <div class="md-form col-sm-10 col-xl-8 position-left">
      <input type="text" name="last_name" id="last_name" value="Purves" data-validators="required" class="form-control">
      <label for="last_name" class="active"> Nom de famille </label>
    </div>
    <div class="clear"></div>
  </div>
  <div>
    <span class="asterisk-symbol position-left">*</span>
    <div class="md-form col-sm-10 col-xl-8 position-left">
      <input type="text" name="email_address" id="email_address" value="Stuart.PURVES@MANE.com" disabled="" class="form-control">
      <label for="email_address" class="active"> Adresse email </label>
    </div>
    <div class="clear"></div>
  </div>
  <div>
    <span class="asterisk-symbol position-left">*</span>
    <div class="md-form col-sm-10 col-xl-8 position-left">
      <input type="text" name="company" id="company" value="MANE F" data-validators="required" class="form-control">
      <label for="company" class="active"> Nom de la société </label>
    </div>
    <div class="clear"></div>
  </div>
  <table border="0" cellspacing="0" cellpadding="3">
  </table>
  <div>
    <span class="asterisk-symbol position-left">*</span>
    <div class="md-form phone-container col-8 col-sm-7 col-xl-5 position-left">
      <input type="text" name="phone" id="phone" value="07702873661 " data-validators="required" class="form-control">
      <label for="phone" class="active"> Numéro de téléphone </label>
    </div>
    <div class="md-form phone-ext-container col-4 col-sm-3 col-xl-3 position-left">
      <input type="text" name="phone_ext" id="phone_ext" value="" class="form-control">
      <label for="phone_ext"> ext. </label>
    </div>
    <div class="clear"></div>
  </div>
  <div class="clear"></div>
  <input type="submit" value="Soumettre" name="Soumettre" class="Submit btn btn-primary btn-md position-right">
</form>

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FLAVOR 2023.BID :: INSCRIPTION À L'ÉVÉNEMENT : RENSEIGNEMENT SUR LES
PARTICIPANTS




S'il vous plaît entrer les renseignements personnels suivants. Les champs
marqués d'un astérisque "*" sont obligatoires.


ERREUR DE SAISIE


*
Prénom

*
Nom de famille

*
Adresse email

*
Nom de la société




*
Numéro de téléphone
ext.