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Submission: On March 23 via automatic, source certstream-suspicious — Scanned from DE
Submission: On March 23 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 2 forms found in the DOM
<form action="">
<input type="text" class="form-control" placeholder="Your Email Address">
<button type="submit" class="btn">Submit</button>
</form>Name: contactForm —
<form name="contactForm" class="row contact-form" novalidate="novalidate">
<div class="col-md-6 col-lg-6">
<label for="">Supplier Name *</label>
<input type="text" name="" class="form-control name" required="">
</div>
<div class="col-md-6 col-lg-6">
<label for="">Supplier ID *</label>
<input type="text" name="" class="form-control name" required="">
</div>
<div class="col-md-6 col-lg-6">
<label for="">Improve Name *</label>
<input type="text" name="" class="form-control name" required="">
</div>
<div class="col-md-6 col-lg-6">
<label for="">Job Title * *</label>
<input type="text" name="" class="form-control name" required="">
</div>
<div class="col-md-6 col-lg-6">
<label for="">Email Id *</label>
<input type="email" name="" class="form-control name" required="">
</div>
<div class="col-md-6 col-lg-6">
<label for="">Mobile No *</label>
<input type="tel" name="phone" class="form-control phone" required="">
</div>
<div class="col-lg-12">
<label for="">Warehouse Address</label>
<input type="text" name="address" class="form-control subject" required="">
</div>
<div class="col-lg-12">
<div class="form-check">
<label class="form-check-label">
<input class="form-check-input" type="checkbox" id="check1" name="option1" value="something"> I Agree To Terms And Conditions</label>
</div>
</div>
<!-- Contact Form Button -->
<div class="col-lg-12 mt-15 form-btn">
<a href="#" class="btn">Cancle</a>
<button type="submit" class="btn btn-blue blue-hover submit">Next</button>
</div>
</form>Text Content
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You are continuously handle patient treatment wonderfully. Thanks for your great service. Please enjoy the chocolates. TURKI ALDERY CHR QUALITY OF SERVICE I appreciate your hospital really good environment and excellent patient care. You are continuously handle patient treatment wonderfully. Thanks for your great service. Please enjoy the chocolates. DR. MAAD SA'ATI CEO QUALITY OF SERVICE I appreciate your hospital really good environment and excellent patient care. You are continuously handle patient treatment wonderfully. Thanks for your great service. Please enjoy the chocolates. DR. MAAD SA'ATI CEO ABOUT BIO BANK I appreciate your hospital really good environment and excellent patient care. You are continuously handle patient treatment wonderfully. Thanks for your great service. Please enjoy the chocolates. DR. AL JAWHARA HAZIM CMO EMPOWERING OUR STAFF I appreciate your hospital really good environment and excellent patient care. 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All Rights Reserved ACCOUNT OWNER INFORMATION × Supplier Name * Supplier ID * Improve Name * Job Title * * Email Id * Mobile No * Warehouse Address I Agree To Terms And Conditions Cancle Next SUPPLIER