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Hamilton CapTel Sign Up Information

Last Updated:
3/2/2020 7
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Email Address


Your Name

 First Name, Last Name

Your Address

 Home Address, City, State, Zipcode

Phone Number


Post-Registration Data

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This site did not show evidence of storing passwords in plaintext.

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This site did show a clear way to unsubscribe from their emails

This site does verify your email address.

Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Hamilton CapTel.

Thank you for joining the Hamilton CapTel Hearing Healthcare Program! We'll contact you with more details shortly - be sure to watch for an e-mail from us!

Name: Mila Green
Title: Mr
Business or Organization: Jon
Address (Line 1): 235 Langham Road
Address (Line 2): 212 Langham Road
City: London
State: NH
Zipcode: 90275
Phone Number: 0 (791) 948-8313
E-mail Address: @
Comments and Questions: Jon

Thank you,
The Hamilton CapTel Hearing Healthcare Team
1006 12th Street
Aurora, NE 68818

CONFIDENTIALITY NOTE: This email and any attachments are confidential and may be protected by legal privilege. If you have received this email in error, please immediately notify the sender by return email and delete all copies of this email.
Business or Organization
First name
Last name
Home address
Data Name Data Type Options
Business or Organization   Text Box
First name   Text Box
Last name   Text Box
Title   Text Box
Email   Text Box
Phone   Text Box
Home address   Text Box
City   Text Box
State   Text Box
Zipcode   Text Box
State   dropdown State

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Comment by: admin
Comment on: 01/09/2020