www.revivebeautyspa.com
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167.71.90.245
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Submitted URL: http://revivebeautyspa.com/book-now
Effective URL: https://www.revivebeautyspa.com/book-now
Submission: On July 24 via api from US — Scanned from DE
Effective URL: https://www.revivebeautyspa.com/book-now
Submission: On July 24 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form class="form_control contact_form" method="post" id="booking_form" novalidate="novalidate">
<input type="hidden" name="_token" value="iwdesA8WcbiBu2WzMPDSt0MtHw8dom37ZBV1Bbm8">
<div id="my_spaname_wrap" style="display:none;">
<input name="my_spaname" type="text" value="" id="my_spaname">
<input name="my_spatime" type="text" value="eyJpdiI6IkZvY1hSU0dLOEozdHZYWnZ0WFZTNFE9PSIsInZhbHVlIjoic3ErTFFpSUJaSG9nNUt6Q1M0ZG5XQT09IiwibWFjIjoiZWNhOGUzOTY3ZDU5MWNmY2RmZDliODk3ZjhiNzAwM2U4NDhiYjlmNTE3MWNmNjhiZGRkY2JlYmVhZTM1MzhhMCJ9">
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label>Name *</label>
<input type="text" placeholder="Enter your Name" name="name" value="">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Email *</label>
<input type="text" placeholder="Enter your Email" name="email" value="">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label>Phone *</label>
<input type="tel" id="phone_no" minlength="6" maxlength="20" placeholder="Enter your Phone" name="phone_number" value="" onpaste="return false;" onkeypress="javascript: return KeycheckOnlyPhonenumber(event);">
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Appointment Date *</label>
<input type="text" name="date" placeholder="Select Date" id="specific_date" value="" readonly="readonly">
</div>
</div>
<div class="col-md-3">
<div class="form-group" id="datetime">
<label>Appointment time *</label>
<input type="text" name="datetime" placeholder="Select time" id="specific_time" value="" readonly="readonly">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label>Message</label>
<textarea class="form-control" placeholder="Which service would you like to book with us ?" name="user_message" maxlength="400"></textarea>
<span id="note" style="color: #2d2d2d;font-size: 14px;"><strong style="color:#438510;margin-right: 5px;"> *Note:</strong>You can list multiple services seperated each service by a comma.</span>
</div>
</div>
<div class="col-md-6 hidden-xs contact_label"></div>
<div class="col-md-12 msg_btn">
<div class="form-group">
<div id="html_element" class="g-recaptcha" data-sitekey="6LdOLDYpAAAAAMqflsPoabreqjsBT3hBxBu-Brx4">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-t20mn32bkmyp" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdOLDYpAAAAAFexS2qUrV5mWEn7VKswNgGB_Yoa&co=aHR0cHM6Ly93d3cucmV2aXZlYmVhdXR5c3BhLmNvbTo0NDM.&hl=de&v=rKbTvxTxwcw5VqzrtN-ICwWt&size=normal&cb=n9g6z5w2qjec"></iframe>
</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 class="capphitcha">
</div>
</div>
<button class="btn pull-right">Submit</button>
</div>
</div>
</form>Text Content
MENUGET READY TO BE NOTICED! * Home * About Us * Our Philosophy * Services * Spa * Hair * Laser * Packages * Revive Waxing Package * Revive Express Package * Birthday Package * Sweet Sixteen Teen Package * Haircare Package * Promotions * Gallery * Testimonials * Contact MENUGET READY TO BE NOTICED! * Home * About Us * Our Philosophy * Services * Spa * Hair * Laser * Packages * Revive Waxing Package * Revive Express Package * Birthday Package * Sweet Sixteen Teen Package * Haircare Package * Promotions * Gallery * Testimonials * Contact MENUGET READY TO BE NOTICED! * Home * About Us * Our Philosophy * Services * Spa * Hair * Laser * Packages * Revive Waxing Package * Revive Express Package * Birthday Package * Sweet Sixteen Teen Package * Haircare Package * Promotions * Gallery * Testimonials * Contact * 647-477-1901 * info@revivebeautyspa.com Get ready to be noticed! Book Now * * * * * Home * About Us * Our Philosophy * Services * Spa * Hair * Laser * Packages * Revive Waxing Package * Revive Express Package * Birthday Package * Sweet Sixteen Teen Package * Haircare Package * Promotions * Gallery * Testimonials * Contact BOOK NOW * Home * Book Now BOOK AN APPOINTMENT *=Required Name * Email * Phone * Appointment Date * Appointment time * Message *Note:You can list multiple services seperated each service by a comma. Submit * * * * MAIN LINKS * Home * About Us * Our Philosophy * Services * Packages * Promotions * Gallery * Testimonials * Contact CONTACT INFORMATION * 7955 Financial Dr Brampton, ON L6Y 0J8, Canada * 647-477-1901, * info@revivebeautyspa.com Copyright © 2024 Revive Beauty Spa. All Rights Reserved. * Site Map * Terms & Conditions Website Designed & Developed By: