websurfer.com.np Open in urlscan Pro
116.90.227.73  Public Scan

Form analysis
1 forms found in the DOM

POST https://websurfer.com.np/create_pkg_contact

<form action="https://websurfer.com.np/create_pkg_contact" enctype="multipart/form-data" method="post" accept-charset="utf-8">
  <div class="form-group has-feedback">
    <label class="sr-only" for="name">Name</label>
    <input type="text" class="form-control" id="name" placeholder="Full Name" name="name" required="">
    <i class="fa fa-user form-control-feedback"></i>
  </div>
  <div class="form-group has-feedback">
    <label class="sr-only" for="email">Email address</label>
    <input type="email" class="form-control" id="email" placeholder="Enter email" name="email" required="">
    <i class="fa fa-envelope form-control-feedback"></i>
  </div>
  <div class="form-group has-feedback">
    <label class="sr-only" for="phone">Phone</label>
    <input type="text" class="form-control" id="phone" placeholder="Phone Number" name="mobile" required="">
    <i class="fa fa-phone form-control-feedback"></i>
  </div>
  <div class="form-group has-feedback">
    <label class="sr-only" for="message">Message</label>
    <textarea class="form-control" rows="2" id="message" placeholder="Message" name="notes" required=""></textarea>
    <i class="fa fa-pencil form-control-feedback"></i>
  </div>
  <div class="form-group has-feedback">
    <label class="sr-only" for="location">Location</label>
    <textarea class="form-control" rows="2" id="location" placeholder="Location" name="location" required=""></textarea>
    <i class="fa fa-pencil form-control-feedback"></i>
  </div>
  <input type="hidden" value="0" name="address" required="">
  <input type="hidden" value="No package only Inquery" name="package_id" required="">
  <input type="submit" value="Send" class="submit-button btn btn-default">
</form>

Text Content

Call Us: 01-5970222 / 16600170222 Renew Online | Business | Residential |
Contact | Jobs | Pay by QR   |


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SUPERB SERVICE!



Thanks to Websurfer Team. Installed in the same day. Quality was extra ordinary.
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JB Media Nepal.

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GREAT WORK!



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By Company

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By Company

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> We are always commited to provide better services. Keeping our customers happy
> with our products and services is our main goal.
> 
> Websurfer

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   P.O. Box: 7940
 * +977-1-5970222
 * +977-9801170093
 * 16600170222
 * Contact Online

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