post-op-results.com Open in urlscan Pro
2606:4700:3033::6815:4ce1  Public Scan

Form analysis
1 forms found in the DOM

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<form method="POST" id="contactForm" data-parsley-validate="" novalidate="">
  <input type="hidden" name="_token" value="gzZZHVoZfsMCWBHlG2JRZcqpJNTISElHNkMwj1pM">
  <div class="form-group">
    <label for="user_name">Name</label>
    <input class="form-control" type="text" id="user_name" name="userName" placeholder="Enter name" required="">
  </div>
  <div class="form-group">
    <label for="user_email">Email address</label>
    <input type="email" class="form-control" id="user_email" name="userEmail" placeholder="Enter Email" required="">
  </div>
  <div class="form-group">
    <label for="exampleFormControlInput1">Contact number</label>
    <input type="number" class="form-control" id="user_contact_number" data-parsley-minlength="10" name="userContactNumber" placeholder="Enter contact number" required="">
  </div>
  <div class="form-group">
    <label for="user_message">Message</label>
    <textarea rows="10" type="text" class="form-control" id="user_message" name="userMessage" placeholder="Enter your message" required=""></textarea>
  </div>
  <button class="btn btn-info" type="submit">Submit</button>
</form>

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