gestioncorp.unsub-partners.com Open in urlscan Pro
34.247.185.125  Public Scan

Form analysis
1 forms found in the DOM

Name: form_connexion — POST https://gestioncorp.unsub-partners.com/es/darse-de-baja

<form id="form_connexion" name="form_connexion" action="https://gestioncorp.unsub-partners.com/es/darse-de-baja" method="POST">
  <input type="hidden" id="mail" name="mail" value="">
  <input type="hidden" id="id_envoi" name="id_envoi" value="Ok1x8Vyx4qAnsf6WaCLSOEpsuFRLEMYmA5w8ltX/3Yf2DeRe+JIHJcr9HV86JwlMSoFYu6oRjVTDXkIsuJ+9ON8pkzjRndJrFucR/fPKcqcjSv3LLCRf5y8vsGE=">
  <div class="form-group has-feedback">
    <h4><label class="form-label" for="email">Mi dirección email</label></h4>
    <input id="email" name="email" type="text" class="form-control" placeholder="Su email" value="civilrightscoordinator@bcbsnc.com">
    <span class="glyphicon glyphicon-envelope form-control-feedback"></span>
  </div>
  <div class="row">
    <div class="col-xs-5 pull-right">
      <button type="submit" name="desinscrire" value="desinscrire" class="btn btn-primary btn-block btn-flat">Darse de baja</button>
    </div>
  </div>
</form>

Text Content

¿Usted quiere darse de baja?

MI DIRECCIÓN EMAIL

Darse de baja