www.opcommedicalusa.com Open in urlscan Pro
34.208.33.91  Public Scan

Form analysis
2 forms found in the DOM

GET search.php

<form action="search.php" method="get">
  <div class="search-left"><img src="imgs/search_bar_left.jpg"></div>
  <div class="search-bg"><input type="text" name="search" placeholder="Search Product..." class="search-iput"></div>
  <div class="search-icon"><input type="image" src="imgs/search_icon.jpg" value="Search"></div>
  <div class="clear"></div>
</form>

Name: contact_form — POST

<form action="" name="contact_form" method="post" id="contact_form" class="form-horizontal">
  <div class="message-text">To help us serve you better, please provide some information to us.</div>
  <div class="message-text">If you require Technical Support, <br>please <a href="Technical_Support.php">Click Here</a></div>
  <div class="message-title">Introduce yourself <span style="color:#FF0004;">*</span></div>
  <div><input type="text" name="Introduce" id="Introduce" class="message-iput" placeholder="Name"></div>
  <div class="message-title">Email <span style="color:#FF0004;">*</span></div>
  <div><input type="text" name="Email_message" id="Email_message" class="message-iput" placeholder="Email"></div>
  <div class="message-title">Message <span style="color:#FF0004;">*</span></div>
  <div><textarea name="Message_content" id="Message_content" class="message-textarea"></textarea></div>
  <div class="message-send"><a href="javascript:;" id="Send_btn">Send</a></div>
</form>

Text Content

 * Veterinary
 * Dentistry
 * ENT
 * Urology

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To help us serve you better, please provide some information to us.
If you require Technical Support,
please Click Here
Introduce yourself *

Email *

Message *

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