www.aktionsfuchs.de Open in urlscan Pro
5.35.226.142  Public Scan

URL: http://www.aktionsfuchs.de/contact.html
Submission: On January 04 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST #main_body

<form id="form_16562" class="appnitro left_label" method="post" data-highlightcolor="#d8dfea" action="#main_body">
  <div class="form_description">
    <h2>Contact</h2>
    <p><br>Heeft u vragen of wilt u contact met ons opnemen?<br><br>Vul dan onderstaand formulier in en we zullen zo spoedig mogelijk uw vraag proberen te beantwoorden.<br><br>Vul de velden in gemarkeerd met <span
        style="color:#FF0000">*</span><br><br></p>
  </div>
  <ul>
    <li id="li_1" class="multiple_choice inline_columns">
      <span class="description">Begroeting <span id="required_1" class="required">*</span></span>
      <div>
        <fieldset>
          <legend style="display: none">Begroeting</legend>
          <span><input id="element_1_1" name="element_1" class="element radio" type="radio" value="1">
            <label class="choice" for="element_1_1">Heer</label>
          </span>
          <span><input id="element_1_2" name="element_1" class="element radio" type="radio" value="2">
            <label class="choice" for="element_1_2">Mevrouw</label>
          </span>
        </fieldset>
      </div>
    </li>
    <li id="li_2" class="simple_name">
      <span class="description">Uw naam <span id="required_2" class="required">*</span></span>
      <span class="simple_name_1">
        <input id="element_2_1" name="element_2_1" type="text" class="element text" maxlength="255" size="8" value="">
        <label for="element_2_1">Voornaam</label>
      </span>
      <span class="simple_name_2">
        <input id="element_2_2" name="element_2_2" type="text" class="element text" maxlength="255" size="14" value="">
        <label for="element_2_2">Achternaam</label>
      </span>
    </li>
    <li id="li_3">
      <label class="description" for="element_3">Uw Email <span id="required_3" class="required">*</span></label>
      <div>
        <input id="element_3" name="element_3" class="element text large" type="text" maxlength="255" value="">
      </div>
    </li>
    <li id="li_4">
      <label class="description" for="element_4">Uw Bericht <span id="required_4" class="required">*</span></label>
      <div>
        <textarea id="element_4" name="element_4" class="element textarea medium" rows="8" cols="90"></textarea>
      </div>
    </li>
    <li id="li_5" style="display: none">
      <label class="description" for="element_5">domain </label>
      <div>
        <input id="element_5" name="element_5" readonly="readonly" class="element text small" type="text" value="AktionsFuchs.de">
      </div>
    </li>
    <li id="li_buttons" class="buttons">
      <input type="hidden" name="form_id" value="16562">
      <input type="hidden" name="submit_form" value="1">
      <input type="hidden" name="page_number" value="1">
      <input id="submit_form" class="button_text" type="submit" name="submit_form" value="Doorgaan">
    </li>
  </ul>
</form>

Text Content

 * OVER ONS
 * NIEUWSBRIEF
 * AFMELDEN
 * CONTACT


CONTACT


CONTACT


Heeft u vragen of wilt u contact met ons opnemen?

Vul dan onderstaand formulier in en we zullen zo spoedig mogelijk uw vraag
proberen te beantwoorden.

Vul de velden in gemarkeerd met *



 * Begroeting *
   Begroeting Heer Mevrouw
 * Uw naam * Voornaam Achternaam
 * Uw Email *
   
 * Uw Bericht *
   
 * domain
   
 * 


 * Privacy- en gegevens bescherming
 * Impressum
 * Privacy Informatie
 * Algemene Voorwaarden
 * Contact
 * Anti-spambeleid

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