leroycc.com Open in urlscan Pro
107.180.0.47  Public Scan

URL: http://leroycc.com/
Submission: On November 26 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

/action_page.php

<form action="/action_page.php" target="_blank">
  <p><input class="w3-input w3-padding-16 w3-border" type="text" placeholder="Name" required="" name="Name"></p>
  <p><input class="w3-input w3-padding-16 w3-border" type="number" placeholder="How many people" required="" name="People"></p>
  <p><input class="w3-input w3-padding-16 w3-border" type="datetime-local" placeholder="Date and time" required="" name="date" value="2020-11-16T20:00"></p>
  <p><input class="w3-input w3-padding-16 w3-border" type="text" placeholder="Message \ Special requirements" required="" name="Message"></p>
  <p><button class="w3-button" type="submit">SEND MESSAGE</button></p>
</form>

Text Content

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CONTACT

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SEND MESSAGE