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cogswelldistrict.weusthem.com Open in urlscan Pro
188.114.96.3  Public Scan

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Submitted URL: http://cogswelldistrict.weusthem.com/
Effective URL: https://cogswelldistrict.weusthem.com/affected-businesses/
Submission: On November 01 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

<form id="data">
  <div class="row sep_margin">
    <div>
      <label class="required section_header" for="bname">Name of your business</label><br>
      <input type="text" id="bname" name="bname"><br>
    </div>
    <div>
      <label class="required section_header" for="google">Link to Google page</label><br>
      <input type="text" id="google" name="google">
    </div>
  </div>
  <div>
    <span class="section_header required">Type of business</span>
  </div>
  <div class="radios sep_margin">
    <div>
      <label for="hotel">Hotel</label>
      <input type="radio" id="hotel" name="btype" value="Hotel">
      <div class="radio"></div>
    </div>
    <div>
      <label for="restaurant">Restaurant &amp; Café</label>
      <input type="radio" id="restaurant" name="btype" value="Restaurant &amp; Café">
      <div class="radio"></div>
    </div>
    <div>
      <label for="office">Office</label>
      <input type="radio" id="office" name="btype" value="Office">
      <div class="radio"></div>
    </div>
    <div>
      <label for="retail">Retail</label>
      <input type="radio" id="retail" name="btype" value="Retail">
      <div class="radio"></div>
    </div>
    <div>
      <label for="entertainment">Entertainment</label>
      <input type="radio" id="entertainment" name="btype" value="Entertainment">
      <div class="radio"></div>
    </div>
    <div>
      <label for="parking">Parking</label>
      <input type="radio" id="parking" name="btype" value="Parking">
      <div class="radio"></div>
    </div>
  </div>
  <div>
    <span class="section_header required">Upload an image or a logo</span>
  </div>
  <div>
    <input id="fileinput" type="file" style="display:none;">
    <div id="falseinput" class="button">Upload</div>
    <div id="selected_filename"></div>
  </div>
  <div class="sep_margin">
    <div>1920x1080 or higher recommended. Max 15MB.</div>
    <div>High resolution images (png, jpg)</div>
  </div>
</form>

Text Content

OPEN FOR BUSINESS SUBMISSION FORM

Do you own a business located in the Cogswell District? Want to feature your
business on our app? Submit your information below for consideration. A member
of our team will connect with you.
Name of your business


Link to Google page

Type of business
Hotel

Restaurant & Café

Office

Retail

Entertainment

Parking

Upload an image or a logo
Upload

1920x1080 or higher recommended. Max 15MB.
High resolution images (png, jpg)
Complete
Complete!

Thank you for your submission!
A member of our team will connect with you.