eitrokc.com Open in urlscan Pro
166.62.107.20  Public Scan

URL: http://eitrokc.com/
Submission: On March 04 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

GET http://eitrokc.com/

<form role="search" method="get" class="et-search-form" action="http://eitrokc.com/">
  <input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_21" action="/">
  <div class="gform_body">
    <ul id="gform_fields_21" class="gform_fields top_label form_sublabel_below description_below">
      <li id="field_21_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_21_1">Name<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_text"><input name="input_1" id="input_21_1" type="text" value="" class="large" tabindex="1" placeholder="Name" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_21_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_21_2">Phone Number<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_2" id="input_21_2" type="text" value="" class="large" tabindex="2" placeholder="Phone Number" aria-required="true" aria-invalid="false"></div>
      </li>
      <li id="field_21_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_21_3">Email Address<span class="gfield_required">*</span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_21_3" type="text" value="" class="large" tabindex="3" placeholder="Email Address" aria-required="true" aria-invalid="false">
        </div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_21" class="gform_button button" value="Sign Me Up" tabindex="4"
      onclick="if(window[&quot;gf_submitting_21&quot;]){return false;}  window[&quot;gf_submitting_21&quot;]=true;  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_21&quot;]){return false;} window[&quot;gf_submitting_21&quot;]=true;  jQuery(&quot;#gform_21&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_21" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="21">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_21" value="WyJbXSIsImY5MjU1MzRhNDA0ZmExZjY4N2Q1MTViMWFhM2ZlZjNkIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_21" id="gform_target_page_number_21" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_21" id="gform_source_page_number_21" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

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