pet-claims-testing.calingo.ch
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2600:9000:275b:6000:5:e0d4:1780:93a1
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URL:
https://pet-claims-testing.calingo.ch/
Submission: On July 29 via automatic, source certstream-suspicious — Scanned from CH
Submission: On July 29 via automatic, source certstream-suspicious — Scanned from CH
Form analysis
1 forms found in the DOM<form _ngcontent-mnu-c81="" novalidate="" class="customer-details-container fnol-media-container ng-untouched ng-pristine ng-invalid" ng-reflect-form="[object Object]">
<div _ngcontent-mnu-c81="" class="title"><span _ngcontent-mnu-c81="" class="title-1">Deine Angaben</span></div>
<div _ngcontent-mnu-c81="" class="fnol-form-field row">
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">Vorname</label><input _ngcontent-mnu-c81="" type="text" name="f-name" formcontrolname="firstName" ng-reflect-name="firstName"
class="ng-untouched ng-pristine ng-invalid"></div>
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">Nachname</label><input _ngcontent-mnu-c81="" type="text" name="l-name" formcontrolname="lastName" ng-reflect-name="lastName"
class="ng-untouched ng-pristine ng-invalid"></div>
</div>
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">Email</label><input _ngcontent-mnu-c81="" type="email" name="email" formcontrolname="email" ng-reflect-name="email" placeholder="Email"
class="ng-untouched ng-pristine ng-invalid"></div>
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">Telefonnummer</label><input _ngcontent-mnu-c81="" type="text" name="phone-number" formcontrolname="phoneNumber" ng-reflect-name="phoneNumber"
class="ng-untouched ng-pristine ng-invalid"></div>
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">Kontakt</label>
<div _ngcontent-mnu-c81="" class="radio"><input _ngcontent-mnu-c81="" type="radio" id="contactPhone" name="preferredChannel" value="phone" checked="" formcontrolname="preferredChannel" ng-reflect-name="preferredChannel" ng-reflect-value="phone"
ng-reflect-form-control-name="preferredChannel" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-mnu-c81="" for="contactPhone">Telefon</label><input _ngcontent-mnu-c81="" type="radio" id="contactEmail" name="preferredChannel"
value="email" formcontrolname="preferredChannel" ng-reflect-name="preferredChannel" ng-reflect-value="email" ng-reflect-form-control-name="preferredChannel" class="ng-untouched ng-pristine ng-valid"><label _ngcontent-mnu-c81=""
for="contactEmail">Email</label></div>
</div>
<div _ngcontent-mnu-c81="" class="fnol-form-field"><label _ngcontent-mnu-c81="">IBAN (Optional)</label><input _ngcontent-mnu-c81="" type="text" name="iban" formcontrolname="iban" ng-reflect-name="iban"
class="ng-untouched ng-pristine ng-valid"><mat-hint _ngcontent-mnu-c81="" class="mat-hint" id="mat-hint-0">Die IBAN muss nur angegeben werden falls sie nicht schon früher angegeben wurde.</mat-hint></div>
<div _ngcontent-mnu-c81="" class="button-wrapper"><button _ngcontent-mnu-c81="" type="submit">Weiter</button></div>
</form>
Text Content
0800 00 57 90 DE ∨ Erzähl uns kurz von dir Deine Angaben Tierarztbesuch Übersicht Deine Angaben Vorname Nachname Email Telefonnummer Kontakt TelefonEmail IBAN (Optional)Die IBAN muss nur angegeben werden falls sie nicht schon früher angegeben wurde. Weiter