template.pauldavisdelma.wpenginepowered.com Open in urlscan Pro
141.193.213.11  Public Scan

Submitted URL: http://template.pauldavisdelma.wpenginepowered.com/
Effective URL: https://template.pauldavisdelma.wpenginepowered.com/
Submission: On July 15 via api from DK — Scanned from DK

Form analysis 1 forms found in the DOM

POST /#gf_5

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_5" id="gform_5" class="floating_labels" action="/#gf_5" data-formid="5" novalidate="">
  <div class="gform-body gform_body">
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        <label class="gfield_label gform-field-label" for="input_5_6">First &amp; Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_6" id="input_5_6" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_5_2" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_5_2"><label
          class="gfield_label gform-field-label" for="input_5_2">Email Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_5_2" type="email" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_5_3" class="gfield gfield--type-phone gfield--width-full numeric_keyboard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_5_3"><label class="gfield_label gform-field-label" for="input_5_3">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_3" id="input_5_3" type="tel" value="" class="large" aria-required="true" aria-invalid="false" inputmode="numeric"></div>
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        <label class="gfield_label gform-field-label" for="input_5_7">Street Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_7" id="input_5_7" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
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      <div id="field_5_11" class="gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_5_11"><label
          class="gfield_label gform-field-label" for="input_5_11">Comments</label>
        <div class="ginput_container ginput_container_text"><input name="input_11" id="input_5_11" type="text" value="" class="large" aria-invalid="false"> </div>
      </div>
      <div id="field_5_12"
        class="gfield gfield--type-html gfield--width-full consent banner_consent order-10 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_5_12">
        <p class="bc_color_white  bc_text_14 bc_line_height_18 bc_weight_normal text-center">By clicking "Submit", you agree to our <a target="_blank" href="https://pauldavis.com/terms-of-use/">Terms of Use</a>, which contain a mandatory arbitration
          provision.</p>
      </div>
      <div id="field_submit" class="gfield gfield--type-submit gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-field-class="gform_editor_submit_container"
        data-field-position="inline" data-js-reload="true"><button type="submit" id="gform_submit_button_5" class="gform-button gform-button--white  button gform-button--width-full"
          onclick="if(window[&quot;gf_submitting_5&quot;]){return false;}  if( !jQuery(&quot;#gform_5&quot;)[0].checkValidity || jQuery(&quot;#gform_5&quot;)[0].checkValidity()){window[&quot;gf_submitting_5&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_5&quot;]){return false;} if( !jQuery(&quot;#gform_5&quot;)[0].checkValidity || jQuery(&quot;#gform_5&quot;)[0].checkValidity()){window[&quot;gf_submitting_5&quot;]=true;}  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); }">SUBMIT</button>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="hidden" name="gform_ajax" value="form_id=5&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme">
    <input type="hidden" class="gform_hidden" name="is_submit_5" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="5">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_5" value="WyJbXSIsImE4NzQxZWEyZjQxNjE1MDM2ZjhkNDlmMGRkYjYyNzVmIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_5" id="gform_target_page_number_5" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_5" id="gform_source_page_number_5" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js"
      value="1721078775386">
    <script>
      document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
    </script>
  </p>
</form>

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