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| <!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML 3.0//EN" "html.dtd"> | |
| <HTML> | |
| <HEAD> | |
| <TITLE>SPOTCHECK Sign-In</TITLE> | |
| </HEAD> | |
| <BODY BACKGROUND="images/backgrnd.gif" BGCOLOR="#fac0de"> | |
| <P align=left><A HREF="index.html"><IMG SRC="images/sp2.gif" ALT="SPOTCHECK LOGO" BORDER="0" WIDTH="82" HEIGHT="81"></A> | |
| </P></CENTER> | |
| <p><h1 align=center>Welcome to SPOTCHECK's DEMO</h1></p> | |
| <p><h3 align=center>To experience a hands-on demonstration of the SPOTCHECK® product enter:</h3> | |
| <h3 align=center>memberid1 in the Provider LIC# Box</h3> | |
| <h3 align=center>memberpin1 in the SPOTCHECK PIN# Box</h3> | |
| <form action="/demo1.phtml" method="POST"><center> | |
| <table width=75% align=center cellspacing=0 cellpadding=1 border=1> | |
| <tr> | |
| <td align=right width=50%> | |
| Provider LIC #: | |
| </td> | |
| <td align=left width=50%> | |
| <input type="text" name="member_number" value="" size=24> | |
| </td> | |
| </tr> | |
| <tr> | |
| <td align=right width=50%> | |
| SPOTCHECK PIN #: | |
| </td> | |
| <td align=left width=50%> | |
| <input type="password" name="pass_word" value="" size=24> | |
| </td> | |
| </tr> | |
| <tr> | |
| <td align=right width=50%> | |
| <input type="submit" value="Validate"> | |
| </td> | |
| <td align=left width=50%> | |
| <input type=RESET value="Clear Fields"> | |
| </td> | |
| </tr> | |
| </table> | |
| Forget Your SPOTCHECK PIN Number? That's O.K., We Can <a href="../support/index.htm">HELP!</a> | |
| </center> | |
| </form> | |
| <h3 align=center>Membership information is available from our <a href="../support/index.htm">Membership FAQ</a>.</h3> | |
| <H5 ALIGN="CENTER">SPOTCHECK® is a registered trade mark of Insurance Benefit Spot Check, Inc.</H5> | |
| <H6 ALIGN="CENTER">© 1997. <A HREF="../info/index.htm"> Insurance Benefit Spot Check, Inc.</A> ALL RIGHTS RESERVED.</H6> | |
| </html> |