www.bonfire.ca Open in urlscan Pro
158.51.123.219  Public Scan

Submitted URL: http://mya.ca/
Effective URL: http://www.bonfire.ca/contact-us/?domain=mya.ca
Submission: On March 12 via api from US — Scanned from CA

Form analysis 1 forms found in the DOM

Name: contact-formPOST

<form name="contact-form" id="contact-form" method="post">
  <table cellpadding="0" cellspacing="0" border="0" class="contactform">
    <tbody>
      <tr valign="top">
        <td width="140"><label for="name">Your Name:</label></td>
        <td><input type="text" name="name" value="" id="name" size="30"></td>
      </tr>
      <tr valign="top">
        <td><label for="email">Email Address:</label></td>
        <td><input type="text" name="email" value="" id="email" size="30"></td>
      </tr>
      <tr valign="top">
        <td><label for="landline">Phone (landline):</label></td>
        <td><input type="text" name="landline" value="" id="landline" size="30" placeholder=""></td>
      </tr>
      <tr valign="top">
        <td><label for="cellphone">Phone (mobile):</label></td>
        <td><input type="text" name="cellphone" value="" id="cellphone" size="30" placeholder="use cell # to receive text messages"></td>
      </tr>
      <tr valign="top">
        <td><label for="domain">Domain:</label></td>
        <td><input type="text" name="domain" value="mya.ca" id="domain" size="30"></td>
      </tr>
      <tr valign="top">
        <td><label for="comments">Message:</label></td>
        <td><textarea name="comments" id="comments" rows="8" cols="40" placeholder="Let us know why you're contacting us..."></textarea></td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>
          <br>
          <div>
            <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=6LdL3dsZAAAAAGonJN7MzphOqTOmBH809ZGctBUw&amp;co=aHR0cDovL3d3dy5ib25maXJlLmNhOjgw&amp;hl=en&amp;v=MuIyr8Ej74CrXhJDQy37RPBe&amp;size=invisible&amp;sa=submit&amp;cb=65zfdvugu7tm"
                  width="256" height="60" role="presentation" name="a-mif1a2herygk" 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><button style="padding:5px;font-weight:700" class="g-recaptcha" data-sitekey="6LdL3dsZAAAAAGonJN7MzphOqTOmBH809ZGctBUw" data-callback="onSubmit" data-action="submit">Send Message</button>
        </td>
      </tr>
    </tbody>
  </table>
  <input type="hidden" name="details" value="">
</form>

Text Content

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