bensmonitoring.com Open in urlscan Pro
13.54.73.20  Public Scan

Form analysis
2 forms found in the DOM

Name: get_started — POST /public/email-send.php

<form id="frmGetStarted" method="post" action="/public/email-send.php" onsubmit="return frmGetStarted();" name="get_started">
  <div class="modal-body">
    <div class="form-group">
      <p>Please fill out the following and we'll be in touch.</p>
      <input id="inpType" name="type" value="getstarted" readyonly="" hidden="">
      <input id="inpTopic" name="topic" value="general" hidden="">
    </div>
    <div class="form-group">
      <label for="inpGSName">Name*</label>
      <input id="inpGSName" class="form-control" name="details[name]" type="text" placeholder="Full name here...">
      <div id="errGSName" class="alert alert-danger" hidden="">Name is required.</div>
    </div>
    <div class="form-group">
      <label for="inpGSEmail">E-Mail*</label>
      <input id="inpGSEmail" class="form-control" name="details[email]" type="text" placeholder="mail@mailservice.com">
      <div id="errGSEmail" class="alert alert-danger" hidden="">A valid email is required.</div>
    </div>
    <div class="form-group">
      <label for="inpGSPhone">Phone*</label>
      <input id="inpGSPhone" class="form-control" name="details[phone]" type="text" placeholder="+61 414 123456">
      <div id="errGSPhone" class="alert alert-danger" hidden="">A valid contact number is required.</div>
    </div>
    <div class="form-group">
      <label for="inpGSAddress">Address</label>
      <input id="inpGSAddress" class="form-control" name="details[address]" type="text" placeholder="1 Everest St, Softville, NSW">
    </div>
    <div class="form-group">
      <label for="inpGSComments">Notes</label>
      <textarea id="inpGSComments" class="form-control" name="comments"></textarea>
      <input id="inpEmpty" name="empty" hidden="">
    </div>
  </div>
  <div class="modal-footer">
    <button type="submit" class="btn btn-primary btnGetStartedClose">Submit</button>
  </div>
</form>

Name: partner — POST /public/email-send.php

<form id="frmPartner" method="post" action="/public/email-send.php" onsubmit="return frmPartner();" name="partner">
  <div class="modal-body">
    <div class="form-group">
      <p>Please fill out the following fields to register your interest.<br><b>*</b> denotes required fields.</p>
      <input id="inpType" name="type" value="partnership" readyonly="" hidden="">
      <input id="inpTopic" name="topic" value="general" hidden="">
    </div>
    <div class="form-group">
      <label for="inpPName">Name*</label>
      <input id="inpPName" class="form-control" name="details[name]" type="text" placeholder="Full name here...">
      <div id="errPName" class="alert alert-danger" hidden="">Name is required.</div>
    </div>
    <div class="form-group">
      <label for="inpPEmail">E-Mail*</label>
      <input id="inpPEmail" class="form-control" name="details[email]" type="text" placeholder="mail@mailservice.com">
      <div id="errPEmail" class="alert alert-danger" hidden="">A valid email is required.</div>
    </div>
    <div class="form-group">
      <label for="inpPPhone">Phone*</label>
      <input id="inpPPhone" class="form-control" name="details[phone]" type="text" placeholder="+61 414 123456">
      <div id="errPPhone" class="alert alert-danger" hidden="">A valid contact number is required.</div>
    </div>
    <div class="form-group">
      <label for="inpGSCompany">Business Name</label>
      <input id="inpPCompany" class="form-control" name="details[company]" type="text" placeholder="">
    </div>
    <div class="form-group">
      <label for="inpGSAddress">Business Address</label>
      <input id="inpPAddress" class="form-control" name="details[address]" type="text" placeholder="8 Everest St, Softville, NSW">
    </div>
    <div class="form-group">
      <label for="inpPComments">Notes</label>
      <textarea id="inpPComments" class="form-control" name="comments"></textarea>
      <input id="inpEmpty" name="empty" hidden="">
    </div>
  </div>
  <div class="modal-footer">
    <button type="submit" class="btn btn-primary btnPartnerClose">Submit</button>
  </div>
</form>

Text Content

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public item 1
public item 2
public item 3
public item 4

SESSION NOTICE!

Your Session has been inactive for a while, and is ending soon. Are you still
around?

Yes, continue my session!
Error ×

Warning ×

×

×

×

GET STARTED

Please fill out the following and we'll be in touch.

Name*
Name is required.
E-Mail*
A valid email is required.
Phone*
A valid contact number is required.
Address
Notes
Submit
×

BECOME A PARTNER

Please fill out the following fields to register your interest.
* denotes required fields.

Name*
Name is required.
E-Mail*
A valid email is required.
Phone*
A valid contact number is required.
Business Name
Business Address
Notes
Submit



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