obform.verzeo.in Open in urlscan Pro
15.206.189.182  Public Scan

URL: https://obform.verzeo.in/pre-registration/d0gxw0rprcs4nfwgfpk6
Submission: On October 25 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST /pre-order-summary

<form action="/pre-order-summary" method="post" onsubmit="return closesub()" autocomplete="off">
  <div>
    <input type="text" name="name" id="name" placeholder="Name" required="">
  </div>
  <div style="position: relative;">
    <!-- <span style="position: absolute;font-size: 18px; color: black;top: 19px;left: 0;">+91-</span> -->
    <input type="tel" name="phone" id="phone" placeholder="Phone" maxlength="10" required="">
  </div>
  <div>
    <input type="email" name="email" id="email" placeholder="Email" required="">
  </div>
  <input type="hidden" name="link" value="d0gxw0rprcs4nfwgfpk6">
  <div>
    <button type="submit" id="submit">Register</button>
  </div>
</form>

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