mbdzero.datafree.co Open in urlscan Pro
13.244.165.24  Public Scan

Form analysis
5 forms found in the DOM

POST .

<form class="form-submit-v2" id="donotcontactform" method="post" action="." data-url="/ddc/donotcontact/" data-pre-val="1" novalidate="">
  <div class="modalBody">
    <div class="nameRow flex">
      <div class="itemInputGroup">
        <div class="inputItem v-padding-sm">
          <select class="select-box" id="thereason" name="thereason">
            <option value="I am currently unemployed">I am currently unemployed</option>
            <option value="I am the correct person but I cannot afford to repay this debt">I am the correct person but I cannot afford to repay this debt</option>
            <option value="I am the correct person but this is not my debt">I am the correct person but this is not my debt</option>
            <option value="I have already paid">I have already paid</option>
            <option value="I want a copy of my statement">I want a copy of my statement</option>
            <option value="I want a copy of the contract">I want a copy of the contract</option>
            <option value="The person you are looking for is deceased">The person you are looking for is deceased</option>
          </select>
          <input type="hidden" value="" name="lead_id" id="lead_id">
          <input type="hidden" value="pre" name="pre-or-post" id="pre-or-post">
        </div>
      </div>
      <div style="height: 20px;"></div>
    </div>
  </div>
  <div class="modalFooter">
    <div class="inputItem">
      <button class="btn-padding-sm shadow-sm-light round-sm hotspot btn-width btn-hover modal-close">Cancel</button>
    </div>
    <div class="inputItem">
      <button class="cta-btn btn-padding-sm shadow-sm-light round-sm hotspot btn-width btn-hover submitButton">Submit</button>
    </div>
  </div>
</form>

---

<form class="form-details">
  <div class="nameRow flex ">
    <div class="itemInputGroup">
      <div class="inputItem v-padding-sm">
        <select name="number_option" id="optionsChangeNumber">
          <option value="0">Use the current number</option>
          <option value="1">Capture a New Number</option>
        </select>
      </div>
      <div class="inputItem v-padding-sm hidden">
        <input class="form-control form-input" id="cell_number" name="cell_number" placeholder="Enter a new cell number" maxlength="10">
      </div>
      <div class="inputItem v-padding-sm">
        <input type="email" placeholder="Email Address" id="email_address" name="email_address">
      </div>
      <div class="row-items v-padding-sm center-aligned">
        <div>Send me monthly reminders to view my account status</div>
        <div>
          <label class="checkbox-switch">
            <input type="checkbox" checked="" id="debt-reminder-check" name="debt-reminder-check">
            <span class="checkbox-slider round"></span>
          </label>
        </div>
      </div>
    </div>
    <div style="height: 20px;"></div>
  </div>
</form>

---

POST .

<form class="form-submit-v2" id="donotcontactform" method="post" action="." data-url="/ddc/donotcontact/" data-pre-val="1" novalidate="">
  <div class="modalBody">
    <input type="hidden" name="csrfmiddlewaretoken" value="qGh2JJcJK9i6f4Xbk0SkhQAMZHj9jxnXsq8ijQsvQW7uzweh4l62topiix0JHUmE">
    <div class="nameRow flex">
      <div class="itemInputGroup">
        <div class="inputItem v-padding-sm">
          <select class="select-box" id="thereason" name="thereason">
            <option value="">Please select a reason</option>
            <option value="I am currently unemployed">I am currently unemployed</option>
            <option value="I am the correct person but I cannot afford to repay this debt">I am the correct person but I cannot afford to repay this debt</option>
            <option value="I am the correct person but this is not my debt">I am the correct person but this is not my debt</option>
            <option value="I have already paid">I have already paid</option>
            <option value="I want a copy of my statement">I want a copy of my statement</option>
            <option value="I want a copy of the contract">I want a copy of the contract</option>
            <option value="The person you are looking for is deceased">The person you are looking for is deceased</option>
          </select>
        </div>
      </div>
      <div style="height: 20px;"></div>
    </div>
    <input type="hidden" value="" name="lead_id" id="lead_id">
    <input type="hidden" value="post" name="pre-or-post" id="pre-or-post">
  </div>
  <div class="modalFooter">
    <div class="inputItem">
      <button class="btn-padding-sm shadow-sm-light round-sm hotspot btn-width btn-hover modal-close">Cancel</button>
    </div>
    <div class="inputItem">
      <button type="submit" class="cta-btn btn-padding-sm shadow-sm-light round-sm hotspot btn-width btn-hover submitButton">Submit</button>
    </div>
  </div>
</form>

---

<form class="form-details">
  <div class="inputControl">
    <input class="form-control form-input" name="email_address" placeholder="Email Address">
  </div>
  <div class="inputControl">
    <input class="form-control form-input" name="phone_number" placeholder="Phone Number">
  </div>
</form>

---

<form class="form-statement-details">
  <div class="inputControl" style="display:none;">
    <select class="select-box" id="optionsChangeNumber" name="number_option">
      <option value="0" selected="">Use the current number</option>
      <option value="1">Capture a New Number</option>
    </select>
  </div>
  <div class="inputControl">
    <input class="form-control form-input" id="email_address" name="email_address" placeholder="Email Address">
  </div>
  <div class="inputControl">
    <div class="row-items v-padding-sm center-aligned">
      <div>Send me my statements</div>
      <label class="checkbox-switch">
        <input type="checkbox" id="userWantsStatements" name="userWantsStatements" checked="">
        <span class="checkbox-slider round"></span>
      </label>
    </div>
  </div>
</form>

---

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Please select a reason I am currently unemployed I am the correct person but I
cannot afford to repay this debt I am the correct person but this is not my debt
I have already paid I want a copy of my statement I want a copy of the contract
The person you are looking for is deceased

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