portal.hostbreak.com
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172.67.128.195
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URL:
https://portal.hostbreak.com/submitticket.php?step=2&deptid=1
Submission Tags: falconsandbox
Submission: On September 17 via api from US — Scanned from US
Submission Tags: falconsandbox
Submission: On September 17 via api from US — Scanned from US
Form analysis 2 forms found in the DOM
POST /submitticket.php?step=3
<form method="post" action="/submitticket.php?step=3" enctype="multipart/form-data" role="form">
<input type="hidden" name="token" value="ee51372d2677c735f9ec610bef804d64430aeda4">
<div class="section">
<div class="section-header">
<h3>Ticket Information</h3>
</div>
<div class="section-body">
<div class="panel panel-default panel-form">
<div class="panel-body">
<div class="row">
<div class="form-group col-sm-6">
<label for="inputName">Name</label>
<input type="text" name="name" id="inputName" value="" class="form-control">
</div>
<div class="form-group col-sm-6">
<label for="inputEmail">Email Address</label>
<input type="email" name="email" id="inputEmail" value="" class="form-control">
</div>
</div>
<div class="row">
<div class="form-group col-sm-6">
<label for="inputDepartment">Department</label>
<select name="deptid" id="inputDepartment" class="form-control" onchange="refreshCustomFields(this)">
<option value="1" selected="selected"> Sales </option>
</select>
</div>
<div class="form-group col-sm-6">
<label for="inputPriority">Priority</label>
<select name="urgency" id="inputPriority" class="form-control">
<option value="High"> High </option>
<option value="Medium" selected="selected"> Medium </option>
<option value="Low"> Low </option>
</select>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="section">
<div class="section-header">
<h3>Message</h3>
</div>
<div class="section-body">
<div class="panel panel-default panel-form">
<div class="panel-body">
<div class="row">
<div class="form-group col-sm-12">
<label for="inputSubject">Subject</label>
<input type="text" name="subject" id="inputSubject" value="" class="form-control">
</div>
<div class="form-group col-sm-12">
<label for="inputMessage">Message</label>
<div class="md-editor" id="1726569122673">
<div class="md-header btn-toolbar">
<div class="btn-group"><button class="btn-default btn-sm btn" type="button" title="Bold" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdBold" data-hotkey="Ctrl+B"><span
class="fa fa-bold"></span> </button><button class="btn-default btn-sm btn" type="button" title="Italic" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdItalic" data-hotkey="Ctrl+I"><span
class="fa fa-italic"></span> </button><button class="btn-default btn-sm btn" type="button" title="Heading" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdHeading"
data-hotkey="Ctrl+H"><span class="fa fa-header"></span> </button></div>
<div class="btn-group"><button class="btn-default btn-sm btn" type="button" title="URL/Link" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdUrl" data-hotkey="Ctrl+L"><span
class="fa fa-link"></span> </button><button class="btn-default btn-sm btn hidden" type="button" title="Image" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdImage"
data-hotkey="Ctrl+G"><span class="fa fa-picture-o"></span> </button></div>
<div class="btn-group"><button class="btn-default btn-sm btn" type="button" title="Unordered List" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdList" data-hotkey="Ctrl+U"><span
class="fa fa-list"></span> </button><button class="btn-default btn-sm btn" type="button" title="Ordered List" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdListO"
data-hotkey="Ctrl+O"><span class="fa fa-list-ol"></span> </button><button class="btn-default btn-sm btn" type="button" title="Code" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdCode"
data-hotkey="Ctrl+K"><span class="fa fa-code"></span> </button><button class="btn-default btn-sm btn" type="button" title="Quote" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdQuote"
data-hotkey="Ctrl+Q"><span class="fa fa-quote-left"></span> </button></div>
<div class="btn-group"><button class="btn-sm btn btn-primary" type="button" title="Preview" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdPreview" data-hotkey="Ctrl+P"
data-toggle="button"><span class="fa fa-search"></span> Preview</button></div>
<div class="btn-group"><button class="btn-default btn-sm btn open-modal" type="button" title="Help" tabindex="-1" data-provider="bootstrap-markdown" data-handler="bootstrap-markdown-cmdHelp" data-hotkey="Ctrl+F1"
data-modal-title="Markdown Guide" href="submitticket.php?action=markdown"><span class="fas fa-question-circle"></span> </button></div>
<div class="md-controls"><a class="md-control md-control-fullscreen" href="#"><span class="fa fa-expand"></span></a></div>
</div><textarea name="message" id="inputMessage" rows="12" class="form-control markdown-editor md-input" data-auto-save-name="client_ticket_open" style="resize: vertical;"></textarea>
<div class="md-footer">
<div id="inputMessage-footer" class="markdown-editor-status">
<div class="small-font">lines: 0 words: 0 <span class="markdown-save">saved</span></div>
</div>
</div>
<div class="md-fullscreen-controls"><a href="#" class="exit-fullscreen" title="Exit fullscreen"><span class="fa fa-compress"></span></a></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="section">
<div class="section-header">
<h3>Attachments</h3>
</div>
<div class="section-body">
<div class="panel panel-default panel-form">
<div class="panel-body">
<div class="row">
<div class="col-sm-9">
<div class="file-input form-control">
<input type="file" name="attachments[]" id="inputAttachments" class="form-control">
<span class="file-input-button btn btn-default"> Select File </span>
<span class="file-input-text text-light">No file selected</span>
</div>
<div id="fileUploadsContainer"></div>
</div>
<div class="col-sm-3">
<button type="button" class="btn btn-info btn-block add-extra-attachement mob-m-t-16" data-nofiletext="No file selected" data-selectfiletext="Select File" data-removetext="Remove">
<i class="ls ls-plus"></i>Add More </button>
</div>
</div>
<p class=" ticket-attachments-message text-muted m-b-0"> Allowed File Extensions: .jpg, .gif, .jpeg, .png, .pdf </p>
</div>
</div>
</div>
</div>
<div id="customFieldsContainer">
<div class="form-group">
<label for="customfield4">Phone number</label>
<input type="text" name="customfield[4]" id="customfield4" value="" size="30" class="form-control">
</div>
</div>
<div id="autoAnswerSuggestions" class="hidden m-t-32"></div>
<div class="text-center margin-bottom">
<style>
#divDynamicRecaptcha[data-size="invisible"]+.tooltip {
display: none !important;
}
</style>
</div>
<div class="form-actions">
<input type="submit" id="openTicketSubmit" value="Submit" class="btn btn-primary btn-recaptcha btn-recaptcha-invisible">
<a href="supporttickets.php" class="btn btn-default">Cancel</a>
</div>
<div id="divDynamicRecaptcha" class="g-recaptcha" data-toggle="tooltip" data-placement="bottom" data-trigger="manual" title="Required" data-size="invisible" data-sitekey="6LehwQwqAAAAAA0c81t6oJcXppWJMTKInbIYgZLi" data-callback="recaptchaCallback0">
<div class="grecaptcha-badge" data-style="bottomright" style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-ts279vhhcf73" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LehwQwqAAAAAA0c81t6oJcXppWJMTKInbIYgZLi&co=aHR0cHM6Ly9wb3J0YWwuaG9zdGJyZWFrLmNvbTo0NDM.&hl=en&v=WV-mUKO4xoWKy9M4ZzRyNrP_&size=invisible&cb=awzcvao4z9i9"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</form>#
<form action="#" id="frmGeneratePassword" class="form-horizontal">
<div class="modal fade" id="modalGeneratePassword">
<div class="modal-dialog">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><i class="lm lm-close"></i></button>
<h3 class="modal-title"> Generate Password </h3>
</div>
<div class="modal-body">
<div class="alert alert-danger hidden" id="generatePwLengthError"> Please enter a number between 8 and 64 for the password length </div>
<div class="form-group">
<label for="generatePwLength" class="col-sm-4 control-label">Password Length</label>
<div class="col-sm-8">
<input type="number" min="8" max="64" value="12" step="1" class="form-control input-inline input-inline-100" id="inputGeneratePasswordLength">
</div>
</div>
<div class="form-group">
<label for="generatePwOutput" class="col-sm-4 control-label">Generated Password</label>
<div class="col-sm-8">
<input type="text" class="form-control" id="inputGeneratePasswordOutput">
</div>
</div>
<div class="row">
<div class="col-sm-8 col-sm-offset-4">
<button type="submit" class="btn btn-default btn-sm">
<i class="fa fa-plus fa-fw"></i> Generate new password </button>
<button type="button" class="btn btn-default btn-sm copy-to-clipboard" data-clipboard-target="#inputGeneratePasswordOutput">
<img src="/assets/img/clippy.svg" alt="Copy to clipboard" width="15">
</button>
</div>
</div>
</div>
<div class="modal-footer">
<button type="button" class="btn btn-default" data-dismiss="modal"> Close </button>
<button type="button" class="btn btn-primary" id="btnGeneratePasswordInsert" data-clipboard-target="#inputGeneratePasswordOutput"> Copy to clipboard & Insert </button>
</div>
</div>
</div>
</div>
</form>Text Content
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