beheer.autowise.dev Open in urlscan Pro
2a01:4f8:c2c:6dcd::1  Public Scan

Form analysis
1 forms found in the DOM

Name: signup — POST

<form name="signup" method="post" class="w-full sm:w-auto max-w-md xl:max-w-xl">
  <div class="mb-3">
  </div>
  <h1 class="mb-1 text-xl font-bold leading-tight tracking-tight text-gray-900 sm:text-2xl"> Account aanmaken </h1>
  <div class="form-group"><label class="form-label required" for="signup_companyName">Bedrijfsnaam</label><input type="text" id="signup_companyName" name="signup[companyName]" required="required" autocomplete="organization" class="form-field"></div>
  <div class="hidden"><label class="form-label" for="signup_address">Address</label><input type="text" id="signup_address" name="signup[address]" tabindex="-1" class="form-field"></div>
  <div class="grid sm:gap-4 sm:grid-cols-2">
    <div class="form-group"><label class="form-label required" for="signup_contactFirstName">Voornaam</label><input type="text" id="signup_contactFirstName" name="signup[contactFirstName]" required="required" autocomplete="given-name"
        class="form-field"></div>
    <div class="form-group"><label class="form-label required" for="signup_contactLastName">Achternaam</label><input type="text" id="signup_contactLastName" name="signup[contactLastName]" required="required" autocomplete="family-name"
        class="form-field"></div>
  </div>
  <div class="form-group"><label class="form-label required" for="signup_phoneNumber">Telefoonnummer</label><input type="text" id="signup_phoneNumber" name="signup[phoneNumber]" required="required" class="form-field"></div>
  <div class="form-group"><label class="form-label required" for="signup_email">E-mailadres</label><input type="email" id="signup_email" name="signup[email]" required="required" autocomplete="email" class="form-field"></div>
  <div><button type="submit" id="signup_Save" name="signup[Save]" class="submit-button">Aanmelden</button></div>
  <input type="hidden" id="signup__token" name="signup[_token]" class="form-field" value="2f2fd70705c9109cc58313b37f.2WgsgLIsfz_GTk6dqaogUZGS4p9FVTmQqFFhKwe7fWU.rAtp5_lNIG2jKCTE4Z9yNdikkvsjOmjz-BwLfj_vShWdN2-59nQRcIAidg">
</form>

Text Content

ACCOUNT AANMAKEN

Bedrijfsnaam
Address
Voornaam
Achternaam
Telefoonnummer
E-mailadres
Aanmelden


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