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3.79.173.192  Public Scan

Form analysis
1 forms found in the DOM

POST

<form action="" method="post">
  <fieldset class="form-fieldset">
    <div>
      <div class="form-input form-text cf wnd-form-field wnd-required">
        <label for="field-wnd_ShortTextField_151906"><span class="it b link">
            <span class="it-c">Jméno a příjmení</span>
          </span></label>
        <input id="field-wnd_ShortTextField_151906" name="wnd_ShortTextField_151906" required="" value="" type="text" maxlength="150">
      </div>
      <div class="form-input form-textarea cf wnd-form-field wnd-required">
        <label for="field-wnd_LongTextField_255422"><span class="it b link">
            <span class="it-c">Ulice,psč,město</span>
          </span></label>
        <textarea rows="5" id="field-wnd_LongTextField_255422" name="wnd_LongTextField_255422" required=""></textarea>
      </div>
      <div class="form-input form-email cf wnd-form-field wnd-required">
        <label for="field-wnd_EmailField_508512"><span class="it b link">
            <span class="it-c">E-mail</span>
          </span></label>
        <input id="field-wnd_EmailField_508512" name="wnd_EmailField_508512" required="" value="@" type="email" maxlength="255">
      </div>
      <div class="form-input form-date cf wnd-form-field wnd-required">
        <label for="field-wnd_DateField_95217"><span class="it b link">
            <span class="it-c">Datum narození</span>
          </span></label>
        <input id="field-wnd_DateField_95217" name="wnd_DateField_95217" required="" value="" type="date" placeholder="29.08.2024">
        <span class="datepicker-icon"></span>
      </div>
      <div class="form-input form-tel cf wnd-form-field wnd-required">
        <label for="field-wnd_PhoneField_846241"><span class="it b link">
            <span class="it-c">Telefonní číslo</span>
          </span></label>
        <input id="field-wnd_PhoneField_846241" name="wnd_PhoneField_846241" required="" value="" type="tel" pattern="[\.\+\-\(\)0-9 ]+">
      </div>
    </div>
  </fieldset>
  <div class="form-submit b-btn cf b-btn-1 b-btn-fs">
    <button class="b-btn-l" type="submit" name="send" value="wnd_FormBlock_768910">
      <span class="form-submit-text b-btn-t">Odeslat</span>
    </button>
  </div>
</form>

Text Content

Menu
 * REGISTRACE
 * KATALOGY
 * DÁRKOVÝ PROGRAM
 * STRUKTURA SLEV
 * OBJEDNÁVKA ONLINE
 * KARIÉRA SALES LEADER
 * KONTAKT

Více



REGISTRAČNÍ FORMULÁŘ


Jméno a příjmení
Ulice,psč,město
E-mail
Datum narození
Telefonní číslo
Odeslat
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