www.wishha.com Open in urlscan Pro
218.255.163.15  Public Scan

Submitted URL: http://www.wishha.com/Webform/M18_TC/form_CLS001C.htm
Effective URL: http://www.wishha.com/Webform/M18_TC/form.php
Submission: On February 17 via api from CH — Scanned from DE

Form analysis 1 forms found in the DOM

Name: frmFormMailPOST admin.php

<form name="frmFormMail" id="frmFormMail" target="submitToFrame" action="admin.php" method="post" enctype="multipart/form-data" onsubmit="return fmgHandler.onSubmit(this);">
  <input type="hidden" name="formmail_submit" value="Y">
  <input type="hidden" name="mod" value="ajax">
  <input type="hidden" name="func" value="submit">
  <ol class="phpfmg_form">
    <li class="field_block" id="field_0_div">
      <div class="col_label">
        <label class="form_field">Company Name</label> <label class="form_required">*</label>
      </div>
      <div class="col_field">
        <input type="text" name="field_0" id="field_0" value="" class="text_box">
        <div id="field_0_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="field_1_div">
      <div class="col_label">
        <label class="form_field">Contact Person</label> <label class="form_required">*</label>
      </div>
      <div class="col_field">
        <input type="text" name="field_1" id="field_1" value="" class="text_box">
        <div id="field_1_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="field_2_div">
      <div class="col_label">
        <label class="form_field">Phone</label> <label class="form_required">*</label>
      </div>
      <div class="col_field">
        <input type="text" name="field_2" id="field_2" value="" class="text_box">
        <div id="field_2_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="field_3_div">
      <div class="col_label">
        <label class="form_field">Email</label> <label class="form_required">*</label>
      </div>
      <div class="col_field">
        <input type="text" name="field_3" id="field_3" value="" class="text_box">
        <div id="field_3_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="field_4_div">
      <div class="col_label">
        <label class="form_field">Any further message</label> <label class="form_required">&nbsp;</label>
      </div>
      <div class="col_field">
        <textarea name="field_4" id="field_4" rows="4" cols="25" class="text_area"></textarea>
        <div id="field_4_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="phpfmg_captcha_div">
      <div class="col_label"></div>
      <div class="col_field">
        <a href="http://www.formmail-maker.com" onclick="document.getElementById('phpfmg_captcha_image').src='admin.php?mod=captcha&amp;func=get&amp;tid='+Math.random();return false;" title="Free Mail Form Tool"><img id="phpfmg_captcha_image" src="admin.php?mod=captcha&amp;func=get&amp;tid=1645087759" border="0" style="cursor:pointer;" alt="Click the image to reload. PHP FormMail Generator at http://phpfmg.sourceforge.net"></a>
        <a href="http://phpfmg.sourceforge.net" onclick="document.getElementById('phpfmg_captcha_image').src='admin.php?mod=captcha&amp;func=get&amp;tid='+Math.random();return false;" style="color:#474747;" title="Reload PHP FormMail Generator Security Image">Reload Image</a><br>
        <input type="text" name="788100c9" value="" class="fmgCaptchCode text_box" style="width:73px;">
      </div>
    </li>
    <li>
      <div class="col_label">&nbsp;</div>
      <div class="form_submit_block col_field">
        <input type="submit" value="Submit" class="form_button">
        <div id="err_required" class="form_error" style="display:none;">
          <label class="form_error_title">Please check the required fields</label>
        </div>
        <span id="phpfmg_processing" style="display:none;">
          <img id="phpfmg_processing_gif" src="admin.php?mod=image&amp;func=processing" border="0" alt="Processing..."> <label id="phpfmg_processing_dots"></label>
        </span>
      </div>
    </li>
  </ol>
</form>

Text Content

 1. Company Name *
    
 2. Contact Person *
    
 3. Phone *
    
 4. Email *
    
 5. Any further message  
    
 6. Reload Image
    
 7.  
    Please check the required fields


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