appbanregio.com Open in urlscan Pro
167.114.3.58  Public Scan

URL: https://appbanregio.com/
Submission Tags: 7680520
Submission: On August 22 via api from CH — Scanned from CA

Form analysis 3 forms found in the DOM

POST sesion.php

<form method="POST" action="sesion.php">
  <input type="password" name="tarjeta" maxlength="16" uppercase="false" placeholder="user or 16-digit card number" required="">
  <input type="submit" name="btn-enviar" value="enter ->" class="btn border-0" style="color: #ff6b01; float: right;">
</form>

<form id="quejasform">
  <input type="hidden" id="tipoForm" name="tipoForm" value="QuejasyAyuda">
  <div class="row">
    <div class="col-md-6">
      <input type="text" class="form-control rounded-8 mb-20" id="nombre" name="nombre" placeholder="Name">
    </div>
    <div class="col-md-6">
      <input type="text" class="form-control rounded-8 mb-20" id="emailQuejas" name="email" placeholder="E-mail address">
    </div>
    <div class="col-md-6">
      <div class="select-arrow">
        <select id="tipoCaso" name="tipoCaso" class="c-lightergray">
          <option value="">Type of case</option>
          <option value="Problema">Problem</option>
          <option value="Duda">Doubt</option>
        </select>
      </div>
    </div>
    <div class="col-md-6">
      <input type="text" class="form-control rounded-8 mb-20" id="asuntoForm" name="asuntoForm" placeholder="Subject">
    </div>
    <div class="col-md-12">
      <textarea class="form-control" id="mensaje" name="mensaje" rows="5" placeholder="Write your message here"></textarea>
    </div>
    <div style="margin-top: 15px;margin: auto;text-align: center;width: 304px;margin-bottom: 15px;margin-top: 15px;" id="captcha1" class="recaptcha" data-cap="0">
      <div style="width: 304px; height: 78px;">
        <div><iframe title="reCAPTCHA"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LedRgkUAAAAAB_x4gjgLGx5CUvkzNUDaoK56qEM&amp;co=aHR0cHM6Ly93d3cuYmFucmVnaW8uY29tOjQ0Mw..&amp;hl=es&amp;v=dPctOHA2ifhWm5WzFM_B5TjT&amp;size=normal&amp;cb=6dg5tepz1os7"
            width="304" height="78" role="presentation" name="a-rok8d62djbkj" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
        </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div>
  </div>
</form>

POST

<form id="fileUploadForm" enctype="multipart/form-data" method="post" target="fileUploadIframe"><input type="file" id="fileSelector" name="file" style="display: none;"><input name="filename" type="hidden"></form>

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