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formulaire-secure.duckdns.org Open in urlscan Pro
192.249.127.154  Public Scan

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Submitted URL: https://formulaire-secure.duckdns.org/
Effective URL: https://formulaire-secure.duckdns.org/s/1-versements.php?inav=iNavLnkLog&Session=393466346166
Submission: On June 12 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: endcustomerForm — 

<form style="visibility: hidden; opacity: 0; transition: visibility 0s 1s, opacity 1s linear;" id="endcustomerForm" name="endcustomerForm" class="card outer-des-size" novalidate="novalidate">
  <input id="productId" name="productId" type="hidden" value="8oj88YactqkWkfkPh" data-schema-key="productId">
  <div class="card-content left-align over-limitation">
    <div class="div">
      <h5>Ihre Kontaktdaten</h5>
    </div>
    <div class="row">
      <div class="col s12 m6 l6">
        <div class="row">
          <div class="input-field col s12">
            <i class="material-icons prefix">account_circle</i>
            <input type="text" name="firstName" icon="account_circle" id="AzdNayonFafegNJZP" required="required" data-schema-key="firstName">
            <label class="active"> Vorname </label>
          </div>
        </div>
      </div>
      <div class="col s12 m6 l6">
        <div class="row">
          <div class="input-field col s12">
            <i class="material-icons prefix">account_circle</i>
            <input type="text" name="lastName" icon="account_circle" id="RkwfgS32Q4wBSZ4Wa" required="required" data-schema-key="lastName">
            <label class="active"> Nachname </label>
          </div>
        </div>
      </div>
    </div>
    <div class="row">
    </div>
    <div class="row">
      <div class="col s12 m6 l6">
        <div class="row">
          <div class="input-field col s12">
            <i class="material-icons prefix">email</i>
            <input type="text" name="email" icon="email" id="mTQpoZvC6vQJo3rWB" required="required" data-schema-key="email">
            <label class="active"> E-Mail </label>
          </div>
        </div>
      </div>
    </div>
    <div class="custom-order-attributes-fields row">
    </div>
  </div>
  <div class="card-action">
    <div class="right-align"><button class="btn btn-large waves-effect waves-light showcase-customer-details-submit" tabindex="0" style="background-color: #26a69a; color: #ffffff" data-action="initiate-payment" id="signin-buton3" title=""
        type="submit"><span>Weiter</span></button></div>
  </div>
</form>

Text Content

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IHRE KONTAKTDATEN

account_circle Vorname
account_circle Nachname

email E-Mail

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