www.espacenotarial5962.fr
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https://www.espacenotarial5962.fr/contact
Submission: On December 04 via api from BE — Scanned from FR
Submission: On December 04 via api from BE — Scanned from FR
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1 forms found in the DOMName: form — POST
<form name="form" method="post" class="form-contact">
<legend>You have a question ?</legend>
<fieldset>
<label for="form_email">Your email :</label>
<input type="email" id="form_email" name="form[email]" class="form-control" value="">
<label for="form_sujet">Your question :</label>
<select id="form_sujet" name="form[sujet]" class="form-select">
<option value=""></option>
<option value="connexion">Login to the site</option>
<option value="technique">Technical problem</option>
<option value="autre">Other</option>
</select><br>
<label for="form_message">Your message :</label>
<textarea id="form_message" name="form[message]" class="form-control"></textarea>
<label for="form_captcha" class="required">For security reasons, please copy this code :</label>
<img class="captcha_image" id="captcha_656da41fd563a"
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<div class="text-center">
<input type="button" class="btn btn-danger" value="Back" onclick="history.back();">
<input type="submit" class="btn btn-primary" value="Send">
</div>
</fieldset>
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</form>
Text Content
Espace Notarial 59-62 by You have a question ? Your email : Your question : Login to the siteTechnical problemOther Your message : For security reasons, please copy this code : * About the website * Contact © 2013 - 2023 CIN du Nord et du Pas de Calais