xn--pn3bm1ngwa5g60d65zdzhika70b.com Open in urlscan Pro Puny
행복한요양원탄현점.com IDN
175.126.73.90  Public Scan

Form analysis
1 forms found in the DOM

POST https://xn--pn3bm1ngwa5g60d65zdzhika70b.com/bbs/counsel_data_insert.php

<form action="https://xn--pn3bm1ngwa5g60d65zdzhika70b.com/bbs/counsel_data_insert.php" method="post" onsubmit="return checkForm(this);">
  <input type="hidden" name="sl_no" value="8">
  <input type="hidden" name="bot_chk" value="">
  <input type="hidden" name="w_time_chk" value="1731573910">
  <ul>
    <li>
      <label>
        <input type="text" name="cd_name" id="cd_name" placeholder="보호자 이름">
      </label>
    </li>
    <li>
      <label>
        <input type="text" name="cd_tel" id="cd_tel" placeholder="보호자 연락처">
      </label>
    </li>
    <li>
      <label>
        <textarea name="cd_contents" id="cd_contents" placeholder="원하는 서비스를 입력해 주세요."></textarea>
      </label>
    </li>
  </ul>
  <div class="agree_wrap">
    <label>
      <span>개인정보취급방침 동의</span>
      <input type="checkbox" name="user_chk" id="user_chk" value="ok">
    </label>
  </div>
  <div class="btn_wrap">
    <button type="submit"> 빠른상담 신청하기 </button>
  </div>
</form>

Text Content

상담예약

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