samstechnomech.com
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188.114.96.3
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Submitted URL: http://samstechnomech.com/our-products
Effective URL: https://samstechnomech.com/our-products
Submission: On August 05 via api from US — Scanned from NL
Effective URL: https://samstechnomech.com/our-products
Submission: On August 05 via api from US — Scanned from NL
Form analysis 1 forms found in the DOM
Name: quixform — POST /our-products
<form method="post" name="quixform" action="/our-products">
<div class="form-fields-wrapper">
<div id="qx-form-gncsy0name" class="qx-form-group qx-form-group-0">
<label for="qx-form-gncsy0name">Name <strong>*</strong></label>
<input type="text" name="jform[name]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy0name" aria-describedby="qx-form-gncsy0name" placeholder="Your Name" value="" required="true">
</div>
<div id="qx-form-gncsy1companyname" class="qx-form-group qx-form-group-1">
<label for="qx-form-gncsy1companyname">Company Name <strong>*</strong></label>
<input type="text" name="jform[companyname]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy1companyname" aria-describedby="qx-form-gncsy1companyname" placeholder="Your Company Name" value="" required="true">
</div>
<div id="qx-form-gncsy2email" class="qx-form-group qx-form-group-2">
<label for="qx-form-gncsy2email">Email ID <strong>*</strong></label>
<input type="email" name="jform[email]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy2email" aria-describedby="qx-form-gncsy2email" placeholder="Your Email" value="" required="true">
</div>
<div id="qx-form-gncsy3country" class="qx-form-group qx-form-group-3">
<label for="qx-form-gncsy3country">Country <strong>*</strong></label>
<input type="text" name="jform[country]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy3country" aria-describedby="qx-form-gncsy3country" placeholder="Your Country Name" value="" required="true">
</div>
<div id="qx-form-gncsy4state" class="qx-form-group qx-form-group-4">
<label for="qx-form-gncsy4state">State <strong>*</strong></label>
<input type="text" name="jform[state]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy4state" aria-describedby="qx-form-gncsy4state" placeholder="Your State Name" value="" required="true">
</div>
<div id="qx-form-gncsy5phone" class="qx-form-group qx-form-group-5">
<label for="qx-form-gncsy5phone">Phone <strong>*</strong></label>
<input type="tel" name="jform[phone]" class="qx-input qx-form-control qx-form-control-md" id="qx-form-gncsy5phone" aria-describedby="qx-form-gncsy5phone" placeholder="Your Phone Number" value="" required="true">
</div>
<div id="qx-form-gncsy6requirement" class="qx-form-group qx-form-group-6">
<label for="qx-form-gncsy6requirement">Requirement</label>
<textarea name="jform[requirement]" class="qx-textarea qx-form-control qx-form-control-md" id="qx-form-gncsy6requirement" rows="4" aria-describedby="qx-form-gncsy6requirement" placeholder=""></textarea>
</div>
<div id="qx-form-captcha" class="qx-form-group qx-form-group-captcha">
<label for="qx-form-captcha-field">Captcha</label>
<div class="qx-text-center qx-inline qx-dark">
<canvas id="qx-form-gncsy-first" data-id="9"></canvas>
<div id="captcha-expire" class="qx-d-none qx-overlay-default qx-position-cover">
<div class="qx-position-center">
<span class="qx-margin-small-right qx-icon">
<svg width="100" height="100" viewBox="0 0 20 20" xmlns="http://www.w3.org/2000/svg" data-svg="close">
<path fill="none" stroke="gray" stroke-width="0.5" d="M16,16 L4,4"></path>
<path fill="none" stroke="gray" stroke-width="0.5" d="M16,4 L4,16"></path>
</svg>
</span>
</div>
</div>
</div>
<canvas id="qx-form-gncsy-second" class="qx-d-none" data-id="19"></canvas>
<input type="text" name="jform[recaptcha_value]" class="qx-form-control qx-form-control-md" id="qx-form-captcha-input" aria-describedby="captcha" placeholder="Write the result" required="true">
</div>
<div class="qx-form-group form-submit">
<button class="qx-btn qx-btn-primary qx-btn-md qx-btn-block" type="submit">
<span class="qx-flex qx-flex-middle"> Send Message </span>
</button>
</div>
<div class="qx-form-group">
<div id="form-element-msg"></div>
</div>
<input type="hidden" name="2783b5eca85488ad6e79c6211131d78b" value="1">
<input type="hidden" name="option" value="com_quix">
<input type="hidden" name="task" value="ajax">
<input type="hidden" name="element" value="form">
<input type="hidden" name="builder" value="frontend">
<input type="hidden" name="jform[info]"
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