www.birthgap-japan.com Open in urlscan Pro
34.117.168.233  Public Scan

Submitted URL: https://birthgap-japan.com/
Effective URL: https://www.birthgap-japan.com/
Submission: On November 23 via api from JP — Scanned from JP

Form analysis 1 forms found in the DOM

<form id="comp-kc46aw1q" class="yBJuM">
  <div data-mesh-id="comp-kc46aw1qinlineContent" data-testid="inline-content" class="">
    <div data-mesh-id="comp-kc46aw1qinlineContent-gridContainer" data-testid="mesh-container-content">
      <div id="comp-l61panwn" class="_2dBhC _2nVk2 _65cjg"><label for="input_comp-l61panwn" class="aHD7c">カナ</label>
        <div class="XRJUI"><input type="email" name="email" id="input_comp-l61panwn" class="_1SOvY has-custom-focus" value="" placeholder="" required="" aria-required="true" pattern="^.+@.+\.[a-zA-Z]{2,63}$" maxlength="250"></div>
      </div>
      <div id="comp-kc46aw24" class="_2dBhC _65cjg">
        <div class="XRJUI"><input type="text" name="姓" id="input_comp-kc46aw24" class="_1SOvY has-custom-focus" value="" placeholder="姓" required="" aria-required="true" maxlength="100" aria-label="姓"></div>
      </div>
      <div id="comp-l61pashu" class="_2dBhC _2nVk2 _65cjg"><label for="input_comp-l61pashu" class="aHD7c">カナ</label>
        <div class="XRJUI"><input type="text" name="カナ" id="input_comp-l61pashu" class="_1SOvY has-custom-focus" value="" placeholder="" required="" aria-required="true" maxlength="100"></div>
      </div>
      <div id="comp-kc46aw281" class="_2dBhC _65cjg">
        <div class="XRJUI"><input type="text" name="名" id="input_comp-kc46aw281" class="_1SOvY has-custom-focus" value="" placeholder="名" required="" aria-required="true" maxlength="100" aria-label="名"></div>
      </div>
      <div id="comp-kc46aw2b1" class="_2dBhC _65cjg">
        <div class="XRJUI"><input type="email" name="email" id="input_comp-kc46aw2b1" class="_1SOvY has-custom-focus" value="" placeholder="メールアドレス" required="" aria-required="true" pattern="^.+@.+\.[a-zA-Z]{2,63}$" maxlength="250"
            aria-label="メールアドレス"></div>
      </div>
      <div id="comp-kc46aw2e1" class="_2dBhC _65cjg">
        <div class="XRJUI"><input type="tel" name="phone" id="input_comp-kc46aw2e1" class="_1SOvY has-custom-focus" value="" placeholder="都道府県" required="" aria-required="true" maxlength="50" aria-label="都道府県"></div>
      </div>
      <div id="comp-kc46aw2i" class="bItEI _22Vl0"><label for="textarea_comp-kc46aw2i" class="_20uhs"></label><textarea id="textarea_comp-kc46aw2i" class="_1VWbH has-custom-focus" placeholder=" お問い合わせ内容" required="" aria-required="true"></textarea>
      </div>
      <div class="_2UgQw" id="comp-kc46aw2q" aria-disabled="false"><button aria-disabled="false" data-testid="buttonElement" class="_1fbEI"><span class="_1Qjd7">送信</span></button></div>
      <div id="comp-kc46aw2m" class="_1Q9if _3bcaz" data-testid="richTextElement">
        <p class="font_8" style="font-size:15px;"><span style="color:#05C8A1;">ありがとうございます</span></p>
      </div>
      <div data-mesh-id="comp-kc46aw1qinlineContent-wedge-4"></div>
      <div data-mesh-id="comp-kc46aw1qinlineContent-wedge-7"></div>
    </div>
  </div>
</form>

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