mw.bloomex.ca Open in urlscan Pro
18.221.154.234  Public Scan

Form analysis
1 forms found in the DOM

POST /campaigns/rs690n0hc90f2/report-abuse/cc968bg391246/fg8119rowg384

<form id="yw0" action="/campaigns/rs690n0hc90f2/report-abuse/cc968bg391246/fg8119rowg384" method="post">
  <input type="hidden" value="VlJWd2E2SlNuMTJ4aFg2QWdJVW9jU09pX19qRVhRbU-bOOgEysk-0_8H4Yrdh-c-iB7LStufky8r0D5wePwpyA==" name="csrf_token">
  <div class="box box-primary borderless">
    <div class="box-header">
      <h3 class="box-title">Report abuse</h3>
    </div>
    <div class="box-body">
      <div class="clearfix"><!-- --></div>
      <div class="callout callout-info"> Please be specific about why you are reporting this abuse, it will help us take proper action.<br>
      </div>
      <div class="clearfix"><!-- --></div>
      <div class="row">
        <div class="col-lg-12">
          <div class="form-group">
            <label for="CampaignAbuseReport_reason" class="required">Reason <span class="required" data-original-title="" title="">*</span></label> <textarea class="form-control" placeholder="Reason" rows="5" name="CampaignAbuseReport[reason]"
              id="CampaignAbuseReport_reason"></textarea>
          </div>
        </div>
      </div>
      <div class="clearfix"><!-- --></div>
    </div>
    <div class="box-footer">
      <div class="pull-right">
        <button type="submit" class="btn btn-primary btn-flat">Report abuse</button>
      </div>
      <div class="clearfix"><!-- --></div>
    </div>
  </div>
</form>

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REPORT ABUSE

Please be specific about why you are reporting this abuse, it will help us take
proper action.


Reason *

Report abuse

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