akllp.net Open in urlscan Pro
212.109.198.105  Public Scan

Form analysis
1 forms found in the DOM

POST lead.php

<form action="lead.php" method="post">
  <div class="form-group">
    <input type="text" name="name" class="form-control" placeholder="Name">
  </div>
  <div class="form-group">
    <input type="email" name="email" class="form-control" placeholder="E-mail">
  </div>
  <div class="form-group">
    <input type="text" name="phone" class="form-control" placeholder="Phone">
  </div>
  <div class="form-group">
    <input type="text" id="autocomplete" name="city" class="form-control pac-target-input" placeholder="Type Your City Name" autocomplete="off">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" name="zip_code" placeholder="Comment">
  </div>
  <div class="form-group">
    <div class="button-slider">
      <div class="btn-group btn_group">
        <div class="btn btn-default btn_amount">Amount </div>
        <div class="btn btn-default btn_slider">
          <div class="slider slider-horizontal" id="">
            <div class="slider-track">
              <div class="slider-selection" style="left: 0%; width: 10.5263%;"></div>
              <div class="slider-handle min-slider-handle round" tabindex="0" style="left: 10.5263%;"></div>
              <div class="slider-handle max-slider-handle round hide" tabindex="0" style="left: 0%;"></div>
            </div>
            <div class="tooltip tooltip-main top" style="left: 10.5263%; margin-left: 0px;">
              <div class="tooltip-arrow"></div>
              <div class="tooltip-inner">90</div>
            </div>
            <div class="tooltip tooltip-min top">
              <div class="tooltip-arrow"></div>
              <div class="tooltip-inner"></div>
            </div>
            <div class="tooltip tooltip-max top" style="top: -30px;">
              <div class="tooltip-arrow"></div>
              <div class="tooltip-inner"></div>
            </div>
          </div><input id="bootstrap-slider" type="text" name="amount" data-slider-min="30" data-slider-max="600" data-slider-step="5" data-slider-value="90" data="value: '90'" value="90" style="display: none;">
          <div class="valueLabel"><span class="text_span">Amount &nbsp; &nbsp;</span> $<span id="sliderValue">90</span></div>
        </div>
      </div>
    </div>
  </div>
  <button type="submit" class="btn btn-default quote_btn">Send Request</button>
</form>

Text Content

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Amount
90


Amount     $90
Send Request

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