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2606:4700::6810:bf16  Public Scan

Submitted URL: https://click.exct.palmbeachgroup.com/?qs=6f3f91197d68f72bd305c0fbdc1df956922603254614c676acc4b6ddc2194ea37bcac64e1ede67cec528d5cab605...
Effective URL: https://signup.legacyresearch.com/?cid=MKT401615&eid=MKT632114&step=start&plcid=PLC139182&SNAID=SAC0019427707&email=gsheard@bcbsm....
Submission: On May 06 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-c1="" class="sna-b2b-contact-form ng-untouched ng-pristine ng-invalid" novalidate="">
  <div _ngcontent-c1="" class="form-group sna-b2b-email-wrapper"><label _ngcontent-c1="" for="b2bEmail">Email</label><input _ngcontent-c1="" class="form-control sna-b2b-email ng-untouched ng-pristine ng-invalid" id="b2bEmail" maxlength="80"
      name="email" required="" type="email" pattern="/^[A-Z0-9._%+-]+@[A-Z0-9.-]+\.[A-Z]{2,6}$/i"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-first-name-wrapper"><label _ngcontent-c1="" for="b2bFirstName">First Name</label><input _ngcontent-c1="" class="form-control sna-b2b-first-name ng-untouched ng-pristine ng-invalid" id="b2bFirstName"
      maxlength="40" name="firstName" required="" type="text"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-last-name-wrapper"><label _ngcontent-c1="" for="b2bLastName">Last Name</label><input _ngcontent-c1="" class="form-control sna-b2b-last-name ng-untouched ng-pristine ng-invalid" id="b2bLastName"
      maxlength="80" name="lastName" required="" type="text"><!----></div>
  <div _ngcontent-c1="" class="form-group sna-b2b-contact-record-type">
    <div _ngcontent-c1=""><label _ngcontent-c1="">Type</label></div><label _ngcontent-c1="" class="radio-inline"><input _ngcontent-c1="" class="sna-b2b-contact-record-type-radio ng-untouched ng-pristine ng-valid" name="contactRecordType" type="radio"
        value="bd"> Broker-Dealer </label><label _ngcontent-c1="" class="radio-inline"><input _ngcontent-c1="" class="sna-b2b-contact-record-type-radio ng-untouched ng-pristine ng-valid" name="contactRecordType" type="radio" value="ria"> Registered
      Investment Advisor </label>
  </div>
</form>

Text Content

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