events.energy-te.com Open in urlscan Pro
172.67.171.54  Public Scan

Form analysis
1 forms found in the DOM

POST https://events.energy-te.com/gcc-maintrel/register-user

<form action="https://events.energy-te.com/gcc-maintrel/register-user" class="input_style_1 fl-form fl-style-1" method="Post" enctype="multipart/form-data">
  <input type="hidden" name="_token" value="bfDr6s0nVqiGuUndbN0fkiMQSKMWUrml5IDhClEF" autocomplete="off">
  <div class="form-group">
    <label for="full_name">Full Name<span>*</span></label>
    <input type="text" class="form-control" name="name" value="" required="">
  </div>
  <div class="form-group">
    <label for="email_address">Email Address<span>*</span></label>
    <input type="email" class="form-control" name="email" value="" required="">
    <span class="text-danger"></span>
  </div>
  <div class="form-group">
    <label for="message_field">Company name<span>*</span></label>
    <input type="text" class="form-control" name="company" value="" required="">
  </div>
  <div class="form-group">
    <label for="message_field">Job title<span>*</span></label>
    <input type="text" class="form-control" name="job_title" value="" required="">
  </div>
  <div class="form-group">
    <label for="message_field">Your phone number<span>*</span></label>
    <input type="number" class="form-control" name="phone" value="" required="">
    <span class="text-danger"></span>
  </div>
  <div class="form-group">
    <label for="message_field">Your country<span>*</span></label>
    <input type="text" class="form-control" name="country" value="" required="">
  </div>
  <input type="hidden" name="user_type" value="visitor">
  <button type="submit" class="btn_1 full-width">Submit</button>
</form>

Text Content

3RD ANNUAL GCC PLANT MAINTENANCE & RELIABILITY CONFERENCE & EXHIBITION TOWARDS
MAINTENANCE & RELIABILITY EXCELLENCE

Al Khobar Kingdom of Saudi Arabia


14th – 16th May 2024

VISITOR REGISTRATION

Full Name*
Email Address*
Company name*
Job title*
Your phone number*
Your country*
Submit
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