gruzin.pl Open in urlscan Pro
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1 forms found in the DOM

POST

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  <div class="container">
    <div class="row g-3">
      <div style="margin:3em 0">
        <h1>Skontaktuj się z właścicielem domeny <span class="text-primary">gruzin.pl</span></h1>
      </div>
      <div class="col-md-4">
        <div class="input-group has-validation"><input class="form-control " value="" name="name" placeholder="Imię i nazwisko *" required="" minlength="3">
          <div class="invalid-feedback" style="display: none">Imię i nazwisko jest wymagane.</div>
        </div>
      </div>
      <div class="col-md-4">
        <div class="input-group has-validation"><input type="email" class="form-control " value="" name="email" placeholder="E-mail *" required="" minlength="5">
          <div class="invalid-feedback" style="display: none">Email jest wymagany.</div>
        </div>
      </div>
      <div class="col-md-4"><input class="form-control " value="" name="phone_number" placeholder="Numer telefonu (opcjonalne)"></div>
      <div class="col-12">
        <div class="input-group has-validation"><textarea class="form-control " name="text" rows="6" placeholder="Wpisz wiadomość *" required=""></textarea>
          <div class="invalid-feedback" style="display: none">Wiadomość jest wymagana.</div>
        </div>
      </div>
      <div class="col-12" style="display:none">
        <div class="form-check"><input name="token2"></div>
      </div>
      <div class="col-12">
        <div class="form-check"><input class="form-check-input" type="checkbox" name="send_copy">
          <label class="form-check-label">Chcę otrzymać kopię</label>
        </div>
      </div>
      <div class="col-12">
        <div class="form-check"><input class="form-check-input" type="checkbox" name="tos">
          <label class="form-check-label">Zgadzam się na przekazanie podanych danych właścicielowi domeny gruzin.pl<span style="color:red">*</span></label>
          <div class="invalid-feedback" style="display: none">Zgoda jest wymagana.</div>
        </div>
      </div>
      <div class="col-12">
        <div class="form-check"><input class="form-check-input" type="checkbox" name="tos2">
          <label class="form-check-label">Akceptuję <a target="_blank" href="https://ddregistrar.pl/regulamin/polityka-prywatnosci/">Zasady przetwarzania danych osobowych</a><span style="color:red">*</span></label>
          <div class="invalid-feedback" style="display: none">Zgoda jest wymagana.</div>
        </div>
      </div>
      <div class="col-sm-6"><label>Ile to 40 + 1?</label>
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          </span><input class="form-control " name="user_answer" placeholder="*" required="">
          <div class="invalid-feedback">Odpowiedź jest wymagana.</div><input type="hidden" name="question_token"
            value="MTczNDUxMDY2M3xfOTBNQVBfWmV5SnhkV1Z6ZEdsdmJpSTZJa2xzWlNCMGJ5QTBNQ0FySURFX0lpd2lZVzV6ZDJWeVgyaGhjMmdpT2lJMVlqUTNNRFk0TldNd04ySXdNak00WVRBMVlXVmtaREV5T0Rnek5qQXhPREUzT0RjNU1qUXdORFptTnprME0yRTJaall6TnpFelpESmtaR1JqTVdKaUlpd2lkR2x0WlhOMFlXMXdJam94TnpNME5URXdOall6TkRnNUxDSnViMjVqWlNJNklqVmxOVGMzTVRrelltTmxZamd6Tm1KbE1HSmpNekZpT1dObVlXSXdZMkUySWl3aVpHOXRZV2x1WDI1aGJXVWlPaUpuY25WNmFXNHVjR3dpTENKaGRIUmxiWEIwSWpvd2ZRPT18vt2eSGEznw7fiBbMTCKX-vWCWK_dJOsTNvSmfT2U9Ks=">
        </div>
      </div>
      <div class="col-sm-6 text-center"><br><button class="btn btn-primary">Wyślij wiadomość</button></div>
    </div>
    <div class="row">
      <div class="col-12 mb-10"><br><span style="color:red">*</span> Gwiazdką zostały oznaczone pola, które należy wypełnić lub zaznaczyć w celu przesłania widomości.</div>
    </div>
  </div>
</form>

Text Content

SKONTAKTUJ SIĘ Z WŁAŚCICIELEM DOMENY GRUZIN.PL

Imię i nazwisko jest wymagane.
Email jest wymagany.

Wiadomość jest wymagana.

Chcę otrzymać kopię
Zgadzam się na przekazanie podanych danych właścicielowi domeny gruzin.pl*
Zgoda jest wymagana.
Akceptuję Zasady przetwarzania danych osobowych*
Zgoda jest wymagana.
Ile to 40 + 1?
Odpowiedź jest wymagana.

Wyślij wiadomość

* Gwiazdką zostały oznaczone pola, które należy wypełnić lub zaznaczyć w celu
przesłania widomości.

Domena zarejestrowana w ddregistrar.pl - profesjonalne narzędzia do obsługi
domen.