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Form analysis
1 forms found in the DOM

POST assets/php/contact.php

<form id="contact-form" method="post" action="assets/php/contact.php" role="form" class="ng-pristine ng-valid">
  <div class="messages"></div>
  <div class="controls">
    <div class="row">
      <div class="col-md-6">
        <div class="form-group">
          <label for="form_name">Firstname *</label>
          <input id="form_name" type="text" name="name" class="form-control" placeholder="Please enter your firstname *" required="required" data-error="Firstname is required.">
          <div class="help-block with-errors"></div>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="form_lastname">Lastname *</label>
          <input id="form_lastname" type="text" name="surname" class="form-control" placeholder="Please enter your lastname *" required="required" data-error="Lastname is required.">
          <div class="help-block with-errors"></div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-md-6">
        <div class="form-group">
          <label for="form_email">Email *</label>
          <input id="form_email" type="email" name="email" class="form-control" placeholder="Please enter your email *" required="required" data-error="Valid email is required.">
          <div class="help-block with-errors"></div>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="form_phone">Phone</label>
          <input id="form_phone" type="tel" name="phone" class="form-control" placeholder="Please enter your phone">
          <div class="help-block with-errors"></div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-md-12">
        <div class="form-group">
          <label for="form_message">Proposal *</label>
          <textarea id="form_message" name="message" class="form-control" placeholder="Please mention your price *" rows="4" required="required" data-error="Please,leave us a message."></textarea>
          <div class="help-block with-errors"></div>
        </div>
      </div>
      <div class="col-md-12">
        <input type="submit" class="btn btn-success btn-send" value="Make Offer">
      </div>
    </div>
  </div>
</form>

Text Content

midfloridaservices


CONGRATULATIONS!
MIDFLORIDASERVICES
IS FOR SALE

subtext


INTERESTED?

Use the contact form below to make your best offer.

Firstname *

Lastname *

Email *

Phone

Proposal *