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54.149.55.78  Public Scan

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Submitted URL: https://secure.efficientforms.com/LB/5/Release7/Inv_ClientRegister3.asp?id=89E81CDEC3674EEA85891CAF916A936A
Effective URL: https://secure.efficientforms.com/LB/5/Release7/clientportal.asp?WSID=DD8C208F64694B4E8073D10613327211&sourcepage=https://secure.e...
Submission: On September 18 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form autocomplete="off">
  <div class="row">
    <div class="small-12 medium-6 large-4 columns"><label for="NEW_PASSWORD">Password<div class="fieldValidation" id="V_NEW_PASSWORD"></div></label><input id="NEW_PASSWORD" type="password" size="28" maxlength="50"></div>
    <div class="small-12 medium-6 large-4 columns"><label for="NEW_PASSWORD2">Verify Password<div class="fieldValidation" id="V_NEW_PASSWORD2"></div></label><input id="NEW_PASSWORD2" type="password" size="28" maxlength="50"></div>
    <div class="small-12 medium-6 large-4 columns end"><span class="HelpBox">Case sensitive</span><span class="HelpBox" style="display: block">Password requirements:<br>
        <ul>
          <li> 6 to 12 characters</li>
          <li>Minimum of 2 number(s)</li>
          <li>Minimum of 1 alphabetic character(s)</li>
        </ul>
      </span></div>
  </div>
</form>

Text Content

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Hi Thomas!


ACCOUNT INFORMATION: THOMAS LAMB

Complete the information below then click the Update Information button to save.

(Thomas Lamb has not completed their initial login.)
Please use legal names (as appears on identification documents), not nicknames
in this section.
First Name

Last Name

Contact Method

Select oneEmailMobile (text message)
Email
Please verify email address

DISCLAIMER:

Standard text messaging rates will apply. For more information regarding text
messaging rates, please contact your service provider.

Service ProviderSelect ProviderAT&TCricketBoost MobileSprintT-MobileU.S.
CellularVerizon / StraightTalkVirginC SpiremetroPCSViaero
Mobile Number (123-456-7890)
Verify Mobile Number


LOGIN INFORMATION

Be sure to record your User ID and password in a safe place for future
reference.

User ID

Your password is expired and must be changed before any other information can be
updated

Password

Verify Password

Case sensitivePassword requirements:

 * 6 to 12 characters
 * Minimum of 2 number(s)
 * Minimum of 1 alphabetic character(s)


PERSONAL IDENTIFICATION INFORMATION

This PIN confirms your consent to electronically receive records. You will enter
this PIN when electronically signing documents.

For a complete description of your consent to use electronic records and your
consumer protections, click here

PIN
Verify PIN
Must be 4 non-repeating numbers, and cannot begin with zero (0)


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