mail.raqzl717.mywhc.ca
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173.209.32.3
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URL:
https://mail.raqzl717.mywhc.ca/
Submission: On December 18 via api from US — Scanned from CA
Submission: On December 18 via api from US — Scanned from CA
Form analysis
1 forms found in the DOMPOST https://mail.raqzl717.mywhc.ca/
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name="wb_form_id" value="c8fd6562"><input type="hidden" name="wb_form_uuid" value="269531e0"><textarea name="message" rows="3" cols="20" class="hpc" autocomplete="off"></textarea>
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<tbody>
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<th></th>
<td><input type="hidden" name="wb_input_0" value="Name">
<div><input class="form-control form-field" type="text" value="" placeholder="Name" maxlength="255" name="wb_input_0" required="required"></div>
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<tr>
<th></th>
<td><input type="hidden" name="wb_input_1" value="Phone">
<div><input class="form-control form-field" type="tel" value="" placeholder="Phone" pattern="^[\d\-\*\+\(\)\s]{1,}$" title="Type valid phone number" name="wb_input_1" required="required"></div>
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<tr class="form-footer btn-new-line">
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<td colspan="1" class="text-center"><button type="submit" class="btn btn-default"><span>Submit</span></button></td>
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Text Content
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