facilityworld.in Open in urlscan Pro
166.62.118.143  Public Scan

URL: http://facilityworld.in/register.html
Submission: On March 16 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

Name: contactformPOST register.php

<form method="POST" name="contactform" action="register.php" id="contact-form" class="hero-form" style="padding-top: 10px;padding-left: 20px;padding-right: 20px;">
  <br>
  <input class="form-control form-control-name" placeholder="Name" name="name" id="f-name" value="" type="text" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-email" placeholder="Designation" name="designation" id="designation" value="" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-subject" placeholder="Company Name" name="company" id="company_name" value="" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-email" placeholder="Email Address" name="email" id="email_address" value="" type="email" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-email" placeholder="Contact Number" name="number" id="contact_number" value="" onkeypress="return isNumberKey(event)" minlength="10" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-name" placeholder="City" name="city" id="l-name" value="" type="text" required="" style="background-color: white">
  <br>
  <input class="form-control form-control-name" placeholder="Country" name="country" id="l-name" value="" type="text" required="" style="background-color: white">
  <br>
  <select class="form-control form-control-select" name="pricing" id="pricing">
    <option value="INR 10,000 + taxes" selected="selected">INR 10,000 + taxes</option>
    <option value="INR 12,500 + taxes" selected="selected">INR 12,500 + taxes</option>
    <option value="INR 15,000 + taxes" selected="selected">INR 15,000 + taxes</option>
  </select>
  <br>
  <div style="display: inline-flex;float: left;">
    <input type="checkbox" id="privacy1" name="privacy1" value="yes" style="float: left;" required="">
    <label for="privacy" style="padding-left: 5px;font-size: 13px;color: #000;font-weight: normal;text-align: left;margin-top: -2px;"> I authorize UBS Forums and/or its partners to contact me. Use of my contact data is governed by the UBS Forums and
      its partner’s <a href="https://ubsforums.com/privacy.html" target="_blank" style="color:#fff;"> Privacy Policy</a></label>
  </div>
  <br><br><br>
  <button class=" btn" value="Submit" type="submit" name="submit" style="background-color: #1a3d6e;color: #fff;font-size: 20px;padding-left: 10%;padding-right: 10%;">Register Now</button>
  <br>
  <br>
</form>

Text Content

 * Home
 * Partners
 * Speakers
 * Awards
 * Price
 * Edition
   * Edition 1
   * Edition 2 - Bangalore
   * Edition 2 - Mumbai
 * Contact
 * Venue
 * Register now

Registration Form


REGISTRATION FORM









INR 10,000 + taxes INR 12,500 + taxes INR 15,000 + taxes

I authorize UBS Forums and/or its partners to contact me. Use of my contact data
is governed by the UBS Forums and its partner’s Privacy Policy



Register Now



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