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Form analysis
2 forms found in the DOM

POST /create-contact.php

<form id="contact-form" class="contact__form" method="post" action="/create-contact.php">
  <input type="hidden" class="form-control" placeholder="First name" name="firstname-empty">
  <div class="row">
    <div class="col-6 form-group col-md-6 pr-3">
      <input type="text" class="form-control" id="Name" name="name" placeholder="Full name" required="">
    </div>
    <div class="col-6 form-group col-md-6">
      <input type="email" class="form-control" id="email" name="email" placeholder="Your Email" required="">
    </div>
  </div>
  <div class="row">
    <div class="col-6 form-group col-md-6 pr-3">
      <input type="text" class="form-control" id="dob" name="dob" placeholder="Your Date of Birth" required="">
    </div>
    <div class="col-6 form-group col-md-6">
      <input type="text" class="form-control" id="phone" name="phone_number" placeholder="Phone number" required="">
    </div>
  </div>
  <div class="row">
    <div class="col-6 form-group col-md-6 pr-3">
      <input type="text" class="form-control" id="city" name="city" placeholder="Your City" required="">
    </div>
    <div class="col-6 form-group col-md-6">
      <input type="text" class="form-control" id="state" name="state" placeholder="Your State" required="">
    </div>
  </div>
  <div class="col-12 form-group">
    <textarea class="form-control" id="street" name="street" rows="6" placeholder="Your street" required=""></textarea>
  </div>
  <div class="form-check">
    <input type="checkbox" name="agreement" required=""> I agree , By submitting my cell phone number to receive automated sms/mms messages with more information or quote from TYLER M SERGI. Message frequency may vary. Reply STOP to cancel, Reply
    HELP for contact information. message and date rates may apply <a href="terms-conditions.html">Terms &amp; Conditions</a> | <a href="privacy-policy.html">Privacy Policy</a>
  </div>
  <button type="submit" class="btn btn-primary btn-zoom contact-form-btn" id="contact-form-button" formtarget="_blank">Send Message</button>
</form>

POST /opt-contact.php

<form method="POST" action="/opt-contact.php">
  <div class="modal-body"><input type="text" class="form-control" placeholder="Phone" name="ph" required="">
  </div>
  <div class="modal-footer">
    <button type="button" class="btn btn-secondary closeModalButton">Close</button>
    <button type="submit" class="btn btn-primary">Submit</button>
  </div>
</form>

Text Content

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