UPMC BU > CloudPages > API Internal Testing Forms > DigiCon 2023 Secret Code - TEST FORM


      <h2>DigiCon 2023 Secret Code - Test Form</h2>
      <form action="https://pages.upmc.com/digicon-2023-secret-code-api-internal-testing-form" method="post">
         <label>Email</label>
         <input type="text" name="email_address"><br>
         <label>First Name</label>
         <input type="text" name="first_name"><br>
         <label>Last Name</label>
         <input type="text" name="last_name"><br><br>

         <label>Secret Code</label>
         <input type="text" name="secret_code"><br><br>
         <!--
         <label>Secret Code (Option 1: TH1S 1$ UR D1G1 C0N 2023 M3$ SAG3)</label>
         <input type="text" name="secret_code_option1"><br><br>
        
        <label>Secret Code (Option 2: TH1S 1$ UR D1G1C0N 2023 M3$SAG3)</label>
         <input type="text" name="secret_code_option2"><br><br>
         -->
         <label>Service Line</label>
         <input type="text" name="service_line"><br>
         <label>Category</label>
         <input type="text" name="category"><br>
         <label>Subcategory</label>
         <input type="text" name="subcategory"><br>
         <input name="submitted" type="hidden" value="true" />
         <input type="submit" value="Submit">
      </form>