palmjebelali-dxb.info Open in urlscan Pro
159.69.137.231  Public Scan

URL: https://palmjebelali-dxb.info/
Submission: On December 22 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://palmjebelali-dxb.info/

<form class="w-form  layout_ver for_cform us_form_1" autocomplete="off" action="https://palmjebelali-dxb.info/" method="post">
  <div class="w-form-h">
    <div class="w-form-row for_text required">
      <div class="w-form-row-field">
        <input aria-label="Full Name" type="text" name="us_form_1_text_1" value="" placeholder="Full Name *" data-required="true" aria-required="true">
      </div>
      <div class="w-form-row-state">Fill out this field</div>
    </div>
    <div class="w-form-row for_text required">
      <div class="w-form-row-field">
        <input aria-label="Phone" type="text" name="us_form_1_text_2" value="" placeholder="Phone *" data-required="true" aria-required="true">
      </div>
      <div class="w-form-row-state">Fill out this field</div>
    </div>
    <div class="w-form-row for_email">
      <div class="w-form-row-field">
        <input aria-label="Email" type="email" name="us_form_1_email_1" value="" placeholder="Email">
      </div>
      <div class="w-form-row-state">Please enter a valid email address.</div>
    </div>
    <input type="hidden" name="action" value="us_ajax_cform">
    <input type="hidden" name="post_id" value="9">
    <input type="hidden" name="form_index" value="1">
    <input type="hidden" name="queried_object_id" value="9">
    <input type="hidden" name="queried_object_type" value="post">
    <div class="w-form-row for_submit align_none">
      <button class="w-btn  us-btn-style_1" aria-label="Submit" type="submit">
        <span class="g-preloader type_1"></span>
        <span class="w-btn-label">Submit</span>
      </button>
    </div>
  </div>
  <div class="w-form-message"></div>
</form>

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