czatkonin.cba.pl Open in urlscan Pro
37.48.70.196  Public Scan

Form analysis
1 forms found in the DOM

POST /oldTi9QvqM6ytokU9Q8ylQq

<form id="contact_us_mail_feedback" action="/oldTi9QvqM6ytokU9Q8ylQq" method="post">
  <fieldset>
    <!-- Form Name -->
    <legend>Contact Us</legend>
    <!-- Text input-->
    <div class="cumf_bt_form-group">
      <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_name">name</label>
      <div class="col-md-4">
        <input id="cumf_bt_name" name="cumf_bt_name" type="text" placeholder="your name" class="cumf_bt_form-control cumf_bt_input-md
" required="1">
        <span class="cumf_bt_help-block">Please enter your name</span>
      </div>
    </div>
    <!-- Text input-->
    <div class="cumf_bt_form-group">
      <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_email">your email</label>
      <div class="col-md-4">
        <input id="cumf_bt_email" name="cumf_bt_email" type="text" placeholder="enter your email" class="cumf_bt_form-control cumf_bt
_input-md" required="1">
        <span class="cumf_bt_help-block">please enter your email</span>
      </div>
    </div>
    <!-- Textarea -->
    <div class="cumf_bt_form-group">
      <label class="col-md-4 cumf_bt_control-label" for="cumf_bt_message">your message</label>
      <div class="col-md-4">
        <textarea class="cumf_bt_form-control" id="cumf_bt_message" name="cumf_bt_message">Message goes here</textarea>
      </div>
    </div>
    <input type="submit" id="cumf_bt_submit" value="Send">
  </fieldset>
</form>

Text Content

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Contact Us
name
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your email
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your message
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