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2606:4700:7::a29f:9819
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Submitted URL: https://rj9x63.fi18.fdske.com/ec/gAAAAABmn77oA3yADuTBadke91M6ihaN5IQ3b1DZ-xxKz9pZi_UfIIsCbXwbpwj7XQCI5H8nFf0A3FfF7G7y6FSCblmHV...
Effective URL: https://www.toasttab.com/invoice/lead?ot=526d59cb-d523-4de8-ae94-3e9bdf5a052d&rx=a002f41f-8f69-4351-8a0c-b1a4ad35d79a
Submission: On July 23 via manual from IN — Scanned from US
Effective URL: https://www.toasttab.com/invoice/lead?ot=526d59cb-d523-4de8-ae94-3e9bdf5a052d&rx=a002f41f-8f69-4351-8a0c-b1a4ad35d79a
Submission: On July 23 via manual from IN — Scanned from US
Form analysis
1 forms found in the DOM#
<form action="#" class="flex flex-col">
<div class="flex flex-col md:flex-row w-full mb-4">
<div class="w-full mr-3" data-testid="text-input-0-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="name"><span class="mr-0.5 text-error">*</span>Name</label>
<div data-testid="text-input-0-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg box-border h-12 md:h-10 bg-white">
<div data-testid="text-input-0-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div data-testid="text-input-0-prefix" class="type-default whitespace-nowrap text-secondary leading-none absolute pointer-events-none" style="z-index: unset; padding-left: 0px; margin-left: calc(-1px + 0.75rem); line-height: 0;">
<i class="inline-block leading-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M16.29 8.21a4.21 4.21 0 11-8.422 0 4.21 4.21 0 018.422 0zM18.5 20h-13c0-3.72 2.858-7 6.58-7 3.72 0 6.42 3.28 6.42 7z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path></svg></i>
</div>
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><input id="name" name="name" data-testid="text-input-0"
class="py-0 border-none hover:outline-none m-0 outline-none type-default min-w-0 h-full w-full flex-grow text-default placeholder-75 rounded-lg bg-white" type="text" aria-invalid="false" required="" aria-required="true" value=""
style="padding-left: calc(-2px + 2.75rem); padding-right: calc(-2px + 0.75rem);"></div>
</div>
</div>
</div>
<div class="w-full" data-testid="number-input-1-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="number-input-2"><span class="mr-0.5 text-error">*</span>Phone</label>
<div data-testid="number-input-1-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg box-border h-12 md:h-10 bg-white">
<div data-testid="number-input-1-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div data-testid="number-input-1-prefix" class="type-default whitespace-nowrap text-secondary leading-none absolute pointer-events-none" style="z-index: unset; padding-left: 0px; margin-left: calc(-1px + 0.75rem); line-height: 0;">
<i class="inline-block leading-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path clip-rule="evenodd" d="M14.937 20.413c1.7 1 3.7.8 5.1-.6l.7-.7c.4-.4.4-1 0-1.3l-2.8-2.8c-.4-.4-1-.4-1.3 0-.8.8-2.3.8-3.1 0l-4.6-4.4c-.8-.9-.8-2.3 0-3.2.2-.1.3-.4.3-.6 0-.3-.1-.5-.3-.7l-2.8-2.8c-.3-.3-.9-.3-1.3 0l-.6.7c-1.4 1.4-1.6 3.5-.6 5.1 3 4.5 6.8 8.3 11.3 11.3z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path></svg></i>
</div>
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><input inputmode="decimal" name="phone" data-testid="number-input-1"
class="py-0 border-none hover:outline-none m-0 outline-none type-default min-w-0 h-full w-full flex-grow text-default placeholder-75 rounded-lg bg-white" aria-invalid="false" aria-required="true" required="" id="number-input-2"
type="text" value="(___) ___-____" style="padding-left: calc(-2px + 2.75rem); padding-right: calc(-2px + 0.75rem);"></div>
</div>
</div>
</div>
</div>
<div class="mb-4" data-testid="text-input-3-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="email"><span class="mr-0.5 text-error">*</span>Email</label>
<div data-testid="text-input-3-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg box-border h-12 md:h-10 bg-white">
<div data-testid="text-input-3-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div data-testid="text-input-3-prefix" class="type-default whitespace-nowrap text-secondary leading-none absolute pointer-events-none" style="z-index: unset; padding-left: 0px; margin-left: calc(-1px + 0.75rem); line-height: 0;">
<i class="inline-block leading-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M20 8.4l-8 4.1-8-4.1M18 18H5.9c-1.1 0-2-.9-2-2V8c0-1.1.9-2 2-2H18c1.1 0 2 .9 2 2v7.9c0 1.2-.9 2.1-2 2.1z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path></svg></i>
</div>
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><input id="email" name="email" data-testid="text-input-3"
class="py-0 border-none hover:outline-none m-0 outline-none type-default min-w-0 h-full w-full flex-grow text-default placeholder-75 rounded-lg bg-white" type="text" aria-invalid="false" required="" aria-required="true" value=""
style="padding-left: calc(-2px + 2.75rem); padding-right: calc(-2px + 0.75rem);"></div>
</div>
</div>
</div>
<div class="grid grid-cols-1 md:grid-cols-2 w-full mb-4 gap-4">
<div data-testid="InvoiceDatePicker" class="relative w-full">
<div><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="buffet-datepicker-5" id="datepicker-label-6"><span class="mr-0.5 text-error">*</span>Date</label></div>
<div data-testid="InvoiceDatePicker-border-outer" class="p-0 rounded-lg focus-within:shadow-focus h-12 md:h-10 bg-white">
<div data-testid="InvoiceDatePicker-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 hover:shadow-focus-within focus-within:border-primary-75 focus-within:shadow-focus-within">
<div class="flex -m-px" style="width: calc(100% + 2px); height: calc(100% + 2px);"><button data-testid="InvoiceDatePicker-button" type="button"
class="flex text-left pl-3 pr-2 rounded-lg type-default font-normal focus:outline-none items-center text-secondary w-full" id="buffet-datepicker-5" aria-expanded="false" aria-controls="datepicker-contents-7"
aria-owns="datepicker-contents-7" aria-labelledby="datepicker-label-6" aria-haspopup="dialog">
<div class="my-3 md:my-2 text-secondary h-6 flex items-center mr-2">
<i class="inline-block leading-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M8 7.05v-4m8 4v-4m-13 7.4h18m-2 10.5H5c-1.1 0-2-.9-2-2v-12c0-1.1.9-2 2-2h14c1.1 0 2 .9 2 2v12c0 1.2-.9 2-2 2z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path></svg></i>
</div>
<div class="flex-grow truncate">Select date</div>
<i class="inline-block leading-none my-3 md:my-2 text-secondary h-6 items-center pl-2 flex-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M15.018 9.75H9.047c-1.095 0-1.393.6-.597 1.4l2.786 2.8c.299.3.498.3.796.3.3 0 .498-.1.697-.3l2.787-2.8c.796-.8.597-1.4-.498-1.4z" fill="currentColor"></path></svg></i>
</button></div>
</div>
</div>
</div>
<div data-testid="select" class="relative w-full"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="buffet-dropdown-8" id="dropdown-label-9"><span class="mr-0.5 text-error">*</span>Time</label>
<div data-testid="select-border-outer" class="p-0 rounded-lg focus-within:shadow-focus h-12 md:h-10 bg-white">
<div data-testid="select-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 hover:shadow-focus-within focus-within:border-primary-75 focus-within:shadow-focus-within">
<div class="flex -m-px" style="width: calc(100% + 2px); height: calc(100% + 2px);"><button data-testid="select-button" type="button"
class="flex text-left pl-3 pr-2 rounded-lg type-default font-normal focus:outline-none items-center text-secondary w-full" id="buffet-dropdown-8" aria-expanded="false" aria-controls="dropdown-contents-10"
aria-owns="dropdown-contents-10" aria-labelledby="dropdown-label-9" aria-haspopup="listbox" role="combobox">
<div class="my-3 md:my-2 text-secondary h-6 flex items-center mr-2">
<i class="inline-block leading-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M11.9 6.5V12l4.5 4m4.6-4a9 9 0 11-18 0 9 9 0 0118 0z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10" stroke-linecap="round" stroke-linejoin="round"></path></svg></i>
</div>
<div class="flex-grow truncate">Select one</div>
<i class="inline-block leading-none my-3 md:my-2 text-secondary h-6 items-center pl-2 flex-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M15.018 9.75H9.047c-1.095 0-1.393.6-.597 1.4l2.786 2.8c.299.3.498.3.796.3.3 0 .498-.1.697-.3l2.787-2.8c.796-.8.597-1.4-.498-1.4z" fill="currentColor"></path></svg></i>
</button></div>
</div>
</div>
</div>
</div>
<div>
<div class="mb-4">
<div id="dca59aff-bdf2-4ae4-a5ec-2dcf2fb15ce9">
<div>
<div data-testid="text-input-11-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="text-input-12"><span class="mr-0.5 text-error">*</span>Guest count</label>
<div data-testid="text-input-11-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg box-border h-12 md:h-10 bg-white">
<div data-testid="text-input-11-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><input id="text-input-12" data-testid="text-input-11"
class="py-0 border-none hover:outline-none m-0 outline-none type-default min-w-0 h-full w-full flex-grow text-default placeholder-75 rounded-lg bg-white" type="text" required="" aria-required="true" value=""
style="padding-left: calc(-2px + 0.75rem); padding-right: calc(-2px + 0.75rem);"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-4">
<div id="6cf7417f-4aac-4c1b-8f25-5063f9d1d2a3">
<div>
<div class="" data-testid="textarea-13-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="textarea-14">Delivery Address if applicable</label>
<div data-testid="textarea-13-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg">
<div data-testid="textarea-13-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><textarea id="textarea-14" data-testid="textarea-13" class="rounded-lg w-full outline-none bg-white type-default text-default placeholder-75 p-2.5" aria-required="false"
placeholder="Type something" style="height: 96px;"></textarea></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-4">
<div id="82ef3c38-c133-4302-a8a2-3684ef4fb51a">
<div>
<div data-testid="text-input-15-container"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="text-input-16">Occasion</label>
<div data-testid="text-input-15-border-outer" class="relative focus-within:shadow-focus p-0 rounded-lg box-border h-12 md:h-10 bg-white">
<div data-testid="text-input-15-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 focus-within:border-primary-75 hover:shadow-focus-within focus-within:shadow-focus-within">
<div class="flex w-full m-px" style="height: calc(100% - 2px);"><input id="text-input-16" data-testid="text-input-15"
class="py-0 border-none hover:outline-none m-0 outline-none type-default min-w-0 h-full w-full flex-grow text-default placeholder-75 rounded-lg bg-white" type="text" aria-required="false" value=""
style="padding-left: calc(-2px + 0.75rem); padding-right: calc(-2px + 0.75rem);"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-4">
<div id="d58e8336-63cf-470c-a3fb-ca268b73b226">
<div>
<div data-testid="select" class="relative"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="buffet-dropdown-17" id="dropdown-label-18">Catering Type</label>
<div data-testid="select-border-outer" class="p-0 rounded-lg focus-within:shadow-focus h-12 md:h-10 bg-white">
<div data-testid="select-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 hover:shadow-focus-within focus-within:border-primary-75 focus-within:shadow-focus-within">
<div class="flex -m-px" style="width: calc(100% + 2px); height: calc(100% + 2px);"><button data-testid="select-button" type="button"
class="flex text-left pl-3 pr-2 rounded-lg type-default font-normal focus:outline-none items-top text-secondary w-full" id="buffet-dropdown-17" aria-expanded="false" aria-controls="dropdown-contents-19"
aria-owns="dropdown-contents-19" aria-labelledby="dropdown-label-18" aria-haspopup="listbox" role="combobox">
<div class="flex-grow truncate">
<div class="truncate my-3 md:my-2">Select multiple</div>
</div>
<i class="inline-block leading-none my-3 md:my-2 text-secondary h-6 items-center pl-2 flex-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M15.018 9.75H9.047c-1.095 0-1.393.6-.597 1.4l2.786 2.8c.299.3.498.3.796.3.3 0 .498-.1.697-.3l2.787-2.8c.796-.8.597-1.4-.498-1.4z" fill="currentColor"></path></svg></i>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-4">
<div id="793bc415-950c-4252-aea5-230795e4eff0">
<div>
<fieldset role="radiogroup" data-testid="radio-group-20">
<legend class="m-0">
<div>
<div class="inline-flex flex-row font-semibold type-default text-default" data-testid="radio-group-20-label">Utensils</div>
</div>
</legend>
<div class="my-2">
<div data-testid="radio-button-21-container" class="flex relative items-start pl-px overflow-visible select-none group">
<div data-testid="radio-button-21" class="inline-flex w-10 h-10 mr-1 my-0.5 -ml-3 rounded-full box-border group-hover:bg-darken-4 text-secondary">
<i class="inline-block leading-none p-2" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M12 21a9 9 0 100-18 9 9 0 000 18z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10"></path></svg></i><input
type="radio" class="absolute left-0 w-10 h-10 opacity-0 cursor-pointer" data-testid="radio-button-21-input" id="selection-input-22" label="Yes" name="radio-group-1" value="Yes"></div><label
class="inline-flex items-center type-default cursor-pointer py-2.5 text-default font-normal" data-testid="radio-button-21-label" for="selection-input-22">
<div>Yes</div>
</label>
</div>
<div data-testid="radio-button-23-container" class="flex relative items-start pl-px overflow-visible select-none group">
<div data-testid="radio-button-23" class="inline-flex w-10 h-10 mr-1 my-0.5 -ml-3 rounded-full box-border group-hover:bg-darken-4 text-secondary">
<i class="inline-block leading-none p-2" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M12 21a9 9 0 100-18 9 9 0 000 18z" stroke="currentColor" stroke-width="1.5" stroke-miterlimit="10"></path></svg></i><input
type="radio" class="absolute left-0 w-10 h-10 opacity-0 cursor-pointer" data-testid="radio-button-23-input" id="selection-input-24" label="No" name="radio-group-1" value="No"></div><label
class="inline-flex items-center type-default cursor-pointer py-2.5 text-default font-normal" data-testid="radio-button-23-label" for="selection-input-24">
<div>No</div>
</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="mb-4">
<div id="d64f5661-d5e8-45a0-bd21-124705a6cb0d">
<div style="width: 300px;">
<div data-testid="select" class="relative"><label class="inline-flex flex-row font-semibold type-default text-default mb-1" for="buffet-dropdown-25" id="dropdown-label-26"><span class="mr-0.5 text-error">*</span>Delivery/Pickup</label>
<div data-testid="select-border-outer" class="p-0 rounded-lg focus-within:shadow-focus h-12 md:h-10 bg-white">
<div data-testid="select-border-inner" class="p-0 flex items-center border h-full rounded-lg hover:border-primary-75 hover:shadow-focus-within focus-within:border-primary-75 focus-within:shadow-focus-within">
<div class="flex -m-px" style="width: calc(100% + 2px); height: calc(100% + 2px);"><button data-testid="select-button" type="button"
class="flex text-left pl-3 pr-2 rounded-lg type-default font-normal focus:outline-none items-center text-secondary w-full" id="buffet-dropdown-25" aria-expanded="false" aria-controls="dropdown-contents-27"
aria-owns="dropdown-contents-27" aria-labelledby="dropdown-label-26" aria-haspopup="listbox" role="combobox">
<div class="flex-grow truncate">Select one</div>
<i class="inline-block leading-none my-3 md:my-2 text-secondary h-6 items-center pl-2 flex-none" aria-hidden="true"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" class="inline-block align-middle h-6 w-6"><path d="M15.018 9.75H9.047c-1.095 0-1.393.6-.597 1.4l2.786 2.8c.299.3.498.3.796.3.3 0 .498-.1.697-.3l2.787-2.8c.796-.8.597-1.4-.498-1.4z" fill="currentColor"></path></svg></i>
</button></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div><button data-testid="buttons-28" type="submit" disabled=""
class="type-default no-underline text-center border-2 rounded-lg min-w-20 inline-flex items-center transition ease-in-out duration-200 py-0 font-semibold h-12 min-h-12 px-6 justify-center bg-darken-8 border-transparent text-disabled cursor-default w-full mt-2 !bg-gray-25 !text-gray-50"><span
class="truncate">Submit</span></button>
<p class="w-full text-secondary type-subhead text-center mt-6 mb-4">By clicking "Submit" you agree to Toast's <a class="text-link" href="https://pos.toasttab.com/terms-of-service" target="_blank" rel="noreferrer">Guest Terms of Service</a> and
acknowledge that your information will be processed pursuant to Toast's <a class="text-link" href="https://pos.toasttab.com/privacy" target="_blank" rel="noreferrer">Privacy Statement</a>. Additional info for California residents available
<a class="text-link" href="https://pos.toasttab.com/privacy#addendum-a" target="_blank" rel="noreferrer">here</a>. By providing your phone number, you may also receive automated text messages from Toast and/or this restaurant related to your
inquiry. Msg frequency varies. Msg & data rates may apply. Text “STOP” to opt out at any time. Text “HELP” for help.</p>
</form>
Text Content
PHAT BURRITO CATERING H.Q. Welcome to Phat Burrito Catering H.Q. * 3543 Dewitt Ln. Charlotte, NC 28217, United States * phatburrito.com * (704) 561-1504 Catering Inquiry *Name *Phone *Email *Date Select date *Time Select one *Guest count Delivery Address if applicable Occasion Catering Type Select multiple Utensils Yes No *Delivery/Pickup Select one Submit By clicking "Submit" you agree to Toast's Guest Terms of Service and acknowledge that your information will be processed pursuant to Toast's Privacy Statement. Additional info for California residents available here. By providing your phone number, you may also receive automated text messages from Toast and/or this restaurant related to your inquiry. Msg frequency varies. Msg & data rates may apply. Text “STOP” to opt out at any time. Text “HELP” for help.