vicencmarco.com Open in urlscan Pro
80.94.2.102  Public Scan

Form analysis
1 forms found in the DOM

POST scripts/form-u4648.php

<form class="form-grp clearfix colelem" id="widgetu4648" method="post" enctype="multipart/form-data" action="scripts/form-u4648.php"><!-- none box -->
  <div class="fld-grp clearfix grpelem" id="widgetu4667" data-required="true"><!-- none box -->
    <label class="fld-label grpelem" id="u4670" for="widgetu4667_input"><!-- state-based BG images --></label>
    <span class="fld-input NoWrap actAsDiv transition clearfix grpelem" id="u4669-4"><!-- content --><input class="wrapped-input" type="text" spellcheck="false" id="widgetu4667_input" name="custom_U4667" tabindex="1"><label
        class="wrapped-input fld-prompt" id="widgetu4667_prompt" for="widgetu4667_input"><span class="actAsPara">Enter Name</span></label></span>
  </div>
  <div class="fld-grp clearfix grpelem" id="widgetu4658" data-required="true" data-type="email"><!-- none box -->
    <label class="fld-label grpelem" id="u4659" for="widgetu4658_input"><!-- state-based BG images --></label>
    <span class="fld-input NoWrap actAsDiv transition clearfix grpelem" id="u4661-4"><!-- content --><input class="wrapped-input" type="email" spellcheck="false" id="widgetu4658_input" name="Email" tabindex="3"><label class="wrapped-input fld-prompt"
        id="widgetu4658_prompt" for="widgetu4658_input"><span class="actAsPara">Enter Email</span></label></span>
  </div>
  <!-- m_editable region-id="editable-static-tag-U4666-BP_infinity" template="index.html" data-type="html" data-ice-options="disableImageResize,link" -->
  <div class="clearfix grpelem" id="u4666-4" data-muse-uid="U4666" data-muse-type="txt_frame"><!-- content -->
    <p>Submitting Form...</p>
  </div>
  <!-- /m_editable -->
  <!-- m_editable region-id="editable-static-tag-U4649-BP_infinity" template="index.html" data-type="html" data-ice-options="disableImageResize,link" -->
  <div class="clearfix grpelem" id="u4649-4" data-muse-uid="U4649" data-muse-type="txt_frame"><!-- content -->
    <p>The server encountered an error.</p>
  </div>
  <!-- /m_editable -->
  <!-- m_editable region-id="editable-static-tag-U4671-BP_infinity" template="index.html" data-type="html" data-ice-options="disableImageResize,link" -->
  <div class="clearfix grpelem" id="u4671-4" data-muse-uid="U4671" data-muse-type="txt_frame"><!-- content -->
    <p>Form received.</p>
  </div>
  <!-- /m_editable -->
  <button class="submit-btn NoWrap grpelem" id="u4672" alt="CONTACT US" src="images/blank.gif?crc=4208392903" type="submit" value="" tabindex="6"><!-- state-based BG images --></button>
  <div class="fld-grp clearfix grpelem" id="widgetu4662" data-required="false"><!-- none box -->
    <label class="fld-label grpelem" id="u4663" for="widgetu4662_input"><!-- state-based BG images --></label>
    <span class="fld-textarea actAsDiv transition clearfix grpelem" id="u4665-4"><!-- content --><textarea class="wrapped-input" id="widgetu4662_input" name="custom_U4662" tabindex="5"></textarea><label class="wrapped-input fld-prompt"
        id="widgetu4662_prompt" for="widgetu4662_input"><span class="actAsPara">Enter Your Message</span></label></span>
  </div>
  <div class="fld-grp clearfix grpelem" id="widgetu4650" data-required="true"><!-- none box -->
    <label class="fld-label grpelem" id="u4651" for="widgetu4650_input"><!-- state-based BG images --></label>
    <span class="fld-input NoWrap actAsDiv transition clearfix grpelem" id="u4652-4"><!-- content --><input class="wrapped-input" type="text" spellcheck="false" id="widgetu4650_input" name="custom_U4650" tabindex="2"><label
        class="wrapped-input fld-prompt" id="widgetu4650_prompt" for="widgetu4650_input"><span class="actAsPara">Enter Company</span></label></span>
  </div>
  <div class="fld-grp clearfix grpelem" id="widgetu4654" data-required="true"><!-- none box -->
    <label class="fld-label grpelem" id="u4656" for="widgetu4654_input"><!-- state-based BG images --></label>
    <span class="fld-input NoWrap actAsDiv transition clearfix grpelem" id="u4657-4"><!-- content --><input class="wrapped-input" type="tel" spellcheck="false" id="widgetu4654_input" name="custom_U4654" tabindex="4"><label
        class="wrapped-input fld-prompt" id="widgetu4654_prompt" for="widgetu4654_input"><span class="actAsPara">Enter Phone Number</span></label></span>
  </div>
</form>

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Enter Name
Enter Email

Submitting Form...

The server encountered an error.

Form received.

Enter Your Message
Enter Company
Enter Phone Number


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