campaign.campaignworld.co Open in urlscan Pro
2606:4700:3030::ac43:ada6  Public Scan

Form analysis
1 forms found in the DOM

POST https://campaign.campaignworld.co/paEyZIZJE1Yx

<form action="https://campaign.campaignworld.co/paEyZIZJE1Yx" method="POST" autocomplete="on" novalidate="novalidate" id="personalInformationForm">
  <input type="hidden" name="_token" value="6XvySPoV41ewSpvirbnuZS0OQg12U9TydQV40mvB">
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group">
        <label for="first_name">Vorname</label>
        <div class="controls">
          <input type="text" name="first_name" id="first_name" minlength="2" value="" placeholder="Vorname" required="" class="form-control form-control-lg">
        </div>
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <label for="last_name">Nachname</label>
        <div class="controls">
          <input type="text" name="last_name" id="last_name" minlength="2" value="" placeholder="Nachname" required="" class="form-control form-control-lg">
        </div>
      </div>
    </div>
  </div>
  <div class="form-group">
    <label for="address">Adresse</label>
    <div class="controls">
      <input type="text" name="address" id="address" minlength="3" value="" placeholder="Adresse" required="" class="form-control form-control-lg">
    </div>
  </div>
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group">
        <label for="zip_code">Postleitzahl</label>
        <div class="controls">
          <input type="text" name="zip_code" id="zip_code" value="a530476a-2d72-4fc5-a821-8d0262d331a2" placeholder="Postleitzahl" required="" class="form-control form-control-lg">
        </div>
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <label for="city">Ort</label>
        <div class="controls">
          <input type="text" name="city" id="city" value="" placeholder="Ort" required="" class="form-control form-control-lg">
        </div>
      </div>
    </div>
  </div>
  <div class="form-group">
    <label for="phone_number">Telefon</label>
    <div class="controls">
      <input type="tel" name="phone_number" id="phone_number" minlength="6" value="" placeholder="Telefon" required="" class="form-control form-control-lg">
    </div>
  </div>
  <div class="form-group">
    <label for="email">E-mail</label>
    <div class="controls">
      <input type="email" name="email" value="" id="email" placeholder="E-mail" required="" class="form-control form-control-lg">
    </div>
  </div>
  <div class="total-price border-top border-bottom my-3 py-2 lead">
    <div class="row">
      <div class="col-6">Ihr Preis</div>
      <div class="col-6 text-end">2 EUR</div>
    </div>
  </div>
  <button type="submit" id="submitButton" class="btn btn-success btn-lg w-100">
    <span class="loader" style="height:12px;width:12px;border-width:3px;margin-right:5px;display:none;"></span>
    <span class="submit-label">Weiter</span>
    <span class="waiting-label" style="display:none;">Weiter</span>
  </button>
  <input type="hidden" name="request_hash" id="request_hash" value="eyJqYXZhX2VuYWJsZWQiOmZhbHNlLCJjb2xvcl9kZXB0aCI6MjQsInNjcmVlbl93aWR0aCI6MTYwMCwic2NyZWVuX2hlaWdodCI6MTIwMCwidGltZXpvbmUiOjAsImRldmljZSI6Im5vdF9tb2JpbGUifQ==">
  <input type="hidden" name="options[recaptcha]" value="6970ed037a144967a7ccd32ffe07fcf2">
</form>

Text Content

Vorname

Nachname

Adresse

Postleitzahl

Ort

Telefon

E-mail

Ihr Preis
2 EUR
Weiter Weiter


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Diese Kampagne endet am 31. Dezember 2023. Dies ist ein spezielles Angebot, das
einen 3-tägigen Testzugang zu einer unserer Partner-Websites beinhaltet, auf der
Sie für einen Online-Service angemeldet sind, dessen Bedingungen und Preise
variieren können.

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