visum.ro Open in urlscan Pro
176.9.144.103  Public Scan

Form analysis
1 forms found in the DOM

POST https://visum.ro/

<form class="et_pb_contact_form clearfix" method="post" action="https://visum.ro/">
  <p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half" data-id="name" data-type="input">
    <label for="et_pb_contact_name_0" class="et_pb_contact_form_label">Name</label>
    <input type="text" id="et_pb_contact_name_0" class="input" value="" name="et_pb_contact_name_0" data-required_mark="required" data-field_type="input" data-original_id="name" placeholder="Name">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last" data-id="email" data-type="email">
    <label for="et_pb_contact_email_0" class="et_pb_contact_form_label">Email Address</label>
    <input type="text" id="et_pb_contact_email_0" class="input" value="" name="et_pb_contact_email_0" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_half" data-id="subject" data-type="input">
    <label for="et_pb_contact_subject_0" class="et_pb_contact_form_label">Subject</label>
    <input type="text" id="et_pb_contact_subject_0" class="input" value="" name="et_pb_contact_subject_0" data-required_mark="required" data-field_type="input" data-original_id="subject" placeholder="Subject">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half et_pb_contact_field_last" data-id="company" data-type="input">
    <label for="et_pb_contact_company_0" class="et_pb_contact_form_label">Company</label>
    <input type="text" id="et_pb_contact_company_0" class="input" value="" name="et_pb_contact_company_0" data-required_mark="required" data-field_type="input" data-original_id="company" placeholder="Company">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_last" data-id="website" data-type="input">
    <label for="et_pb_contact_website_0" class="et_pb_contact_form_label">Website URL</label>
    <input type="text" id="et_pb_contact_website_0" class="input" value="" name="et_pb_contact_website_0" data-required_mark="required" data-field_type="input" data-original_id="website" placeholder="Website URL">
  </p>
  <p class="et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_last" data-id="message" data-type="text">
    <label for="et_pb_contact_message_0" class="et_pb_contact_form_label">Message</label><textarea name="et_pb_contact_message_0" id="et_pb_contact_message_0" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text"
      data-original_id="message" placeholder="Message"></textarea>
  </p>
  <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_0">
  <div class="et_contact_bottom_container">
    <button type="submit" name="et_builder_submit_button" class="et_pb_contact_submit et_pb_button et_pb_custom_button_icon" data-icon="9">Submit</button>
  </div>
  <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted-0" name="_wpnonce-et-pb-contact-form-submitted-0" value="458b80474e"><input type="hidden" name="_wp_http_referer" value="/">
</form>

Text Content

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CONTACT INFO



OFFICE@VISUM.RO



+40 745 125530

Name

Email Address

Subject

Company

Website URL

Message

Submit

Copyright 2021 visum.ro

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