www.juniperjustincase.com Open in urlscan Pro
199.34.228.66  Public Scan

Submitted URL: https://juniper-ins.com/
Effective URL: https://www.juniperjustincase.com/
Submission: On April 12 via api from US — Scanned from DE

Form analysis 2 forms found in the DOM

GET /apps/search

<form id="wsite-header-search-form" action="/apps/search" method="get">
  <input type="text" name="q" class="wsite-search-input" autocomplete="off" placeholder="Search"><span class="wsite-search-button"><span class="wsite-search-button-inner"></span></span>
</form>

POST https://www.juniperjustincase.com/ajax/apps/formSubmitAjax.php

<form enctype="multipart/form-data" action="https://www.juniperjustincase.com/ajax/apps/formSubmitAjax.php" method="POST" id="form-632741528680386344" accept-charset="UTF-8" target="form-632741528680386344-target-1712947749338">
  <div id="632741528680386344-form-parent" class="wsite-form-container" style="margin-top:10px;">
    <ul class="formlist" id="632741528680386344-form-list">
      <h2 class="wsite-content-title">Let us know how we can help you!</h2>
      <label class="wsite-form-label wsite-form-fields-required-label"><span class="form-required">*</span> Indicates required field</label>
      <div>
        <div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label">Name <span class="form-required">*</span></label>
          <div style="clear:both;"></div>
          <div class="wsite-form-input-container wsite-form-left wsite-form-input-first-name">
            <input aria-required="true" id="input-671465391955894298" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u671465391955894298[first]">
            <label class="wsite-form-sublabel" for="input-671465391955894298">First</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
            <input aria-required="true" id="input-671465391955894298-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u671465391955894298[last]">
            <label class="wsite-form-sublabel" for="input-671465391955894298-1">Last</label>
          </div>
          <div id="instructions-671465391955894298" class="wsite-form-instructions" style="display:none;"></div>
        </div>
        <div style="clear:both;"></div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-385780132482331769">Email <span class="form-required">*</span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-385780132482331769" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u385780132482331769">
          </div>
          <div id="instructions-385780132482331769" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-phone-field" style="margin-top:5px;">
          <label class="wsite-form-label" for="input-118082783570812314">Phone Number <span class="form-not-required">*</span></label>
          <div style="clear:both;"></div>
          <div class="wsite-form-input-container wsite-form-left" style="margin-bottom:5px;">
            <input id="input-118082783570812314" class="wsite-form-input wsite-input" type="text" name="_u118082783570812314[number]">
          </div>
          <div id="instructions-118082783570812314" class="wsite-form-instructions" style="display:none;"></div>
        </div>
        <div style="clear:both;"></div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-130027661765380998">Message <span class="form-required">*</span></label>
          <div class="wsite-form-input-container">
            <textarea aria-required="true" id="input-130027661765380998" class="wsite-form-input wsite-input wsite-input-width-370px" name="_u130027661765380998" style="height: 200px"></textarea>
          </div>
          <div id="instructions-130027661765380998" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
    </ul>
  </div>
  <div style="display:none; visibility:hidden;">
    <input type="hidden" name="wsite_subject">
  </div>
  <div style="text-align:left; margin-top:10px; margin-bottom:10px;">
    <input type="hidden" name="form_version" value="2">
    <input type="hidden" name="wsite_approved" id="wsite-approved" value="approved">
    <input type="hidden" name="ucfid" value="632741528680386344">
    <input type="hidden" name="recaptcha_token">
    <input type="submit" role="button" aria-label="Submit" value="Submit" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
    <a class="wsite-button">
				<span class="wsite-button-inner">Submit</span>
			</a>
  </div>
</form>

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