uitzendportaal.nl Open in urlscan Pro
45.84.206.67  Public Scan

Form analysis
1 forms found in the DOM

POST contact.php

<form id="main-offer-form" action="contact.php" method="post" novalidate="novalidate">
  <h2 class="text-primary">Interesse in uitzendportaal.nl?</h2>
  <hr>
  <div class="form-group">
    <input type="text" name="name" id="name" class="form-control" placeholder="Naam*">
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <input type="email" name="email" class="form-control" placeholder="E-mail*">
      </div>
    </div>
    <!-- <div class="col">
                                                <div class="form-group">
                                                    <input
                                                      type="text"
                                                      name="phone"
                                                      class="form-control"
                                                      placeholder="Phone number (Required)"
                                                    >
                                                </div>
                                              </div> -->
  </div>
  <div class="form-group">
    <input type="number" name="price" class="form-control" min="0" placeholder="Bod">
  </div>
  <div class="form-group">
    <textarea name="comments" class="form-control" placeholder="Bericht*"></textarea>
  </div>
  <div class="form-group">
    <div id="recaptcha" class="g-recaptcha" data-sitekey="6Lc4DSMeAAAAALKm_eq5WJN6dj4HrdmdHbfFaVSt" data-callback="onSubmit" data-size="invisible">
      <div class="grecaptcha-badge" data-style="bottomright"
        style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
        <div class="grecaptcha-logo"><iframe title="reCAPTCHA"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc4DSMeAAAAALKm_eq5WJN6dj4HrdmdHbfFaVSt&amp;co=aHR0cDovL3VpdHplbmRwb3J0YWFsLm5sOjgw&amp;hl=nl&amp;v=Nh10qRQB5k2ucc5SCBLAQ4nA&amp;size=invisible&amp;cb=o7braxepq00g" width="256"
            height="60" role="presentation" name="a-cegxhekd3mhn" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div>
        <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div>
  </div>
  <button type="submit" class="btn text-white btn-lg bg-primary btn-block">Verstuur bericht</button>
</form>

Text Content

UITZENDPORTAAL.NL IS TE KOOP!

Neem contact op voor meer informatie.


INTERESSE IN UITZENDPORTAAL.NL?

--------------------------------------------------------------------------------






Verstuur bericht