ridepico.com Open in urlscan Pro
192.185.16.222  Public Scan

Form analysis
2 forms found in the DOM

POST

<form class="contact-form" id="contact-form" method="post" siq_id="autopick_4435">
  <div class="row">
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <input type="text" class="form-control" name="first_name" id="first_name" value="" required="">
          <label class="placeholder">First name<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <input type="text" class="form-control" name="last_name" id="last_name" value="">
          <label class="placeholder">Last Name<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <input type="text" class="form-control" name="email_address" id="email_address" value="" required="">
          <label class="placeholder">Email<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <input type="text" class="form-control" name="phone" id="phone" maxlength="10" onkeypress="return isNumberKey(event)" value="">
          <label class="placeholder">Phone<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <input type="text" class="form-control" name="organization_name" id="organization_name" value="">
          <label class="placeholder">Organization Name<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <div class="input-group">
          <div class="theme-select">
            <select class="form-control required" name="dealer_type" id="dealer_type">
              <option></option>
              <option value="School">School</option>
              <option value="Corporate">Corporate</option>
              <option value="Municipality">Municipality</option>
              <option value="Delivery Service">Delivery Service</option>
              <option value="Development">Development</option>
              <option value="Operator">Operator</option>
              <option value="OEM">OEM</option>
              <option value="Other">Other</option>
            </select>
            <label class="placeholder">Organization Type<span style="color: red">*</span></label>
          </div>
        </div>
      </div>
    </div>
    <div class="col-md-12">
      <div class="form-group">
        <div class="input-group input-group-msg">
          <textarea class="form-control" name="message" id="message"></textarea>
          <label class="placeholder placeholder-msg">Message<span style="color: red">*</span></label>
        </div>
      </div>
    </div>
    <div class="col-md-12">
      <div class="btn-block">
        <button type="button" id="contact_us" class="btn primary-btn">Send Message</button>
        <button type="reset" class="btn btn-dark close-modal">Cancel</button>
      </div>
    </div>
    <!-- ============= Hidden fields for the form ======================= -->
    <input type="hidden" id="jf_csrf_token" name="ci_csrf_token" value="">
    <!-- ============= Hidden fields for the form ======================= -->
  </div>
</form>

<form>
  <div class="form-group">
    <div class="input-group button">
      <a href="javascript:void(0);" data-target="#feedback-widget-container-modal" data-toggle="modal" class="addon feedback-widget-modal">Provide Feedback</a>
    </div>
    <!-- <ul class="ft-links ft-contact-links">
										<li> <span>Customer Service</span> <a href="mailto:help@ridepico.com" target="_blank">help@ridePico.com</a> </li>
										<li> <span>Media Inquires</span> <a href="mailto:media@ridepico.com" target="_blank">media@ridepico.com</a> </li>
										<li> <span>Investor Relations</span> <a href="mailto:invest@ridepico.com" target="_blank">invest@ridePico.com</a> </li>
									</ul> -->
  </div>
</form>

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