bookme.name Open in urlscan Pro
159.223.188.136  Public Scan

Form analysis
5 forms found in the DOM

<form class="modal-form" autocomplete="off">
  <div class="form-group"><label><span>Full Name*</span><input class="form-control" type="text"></label>
    <div class="has-error" style="display: none;"><span class="help-block">Required</span></div>
  </div>
  <div class="form-group"><label><span>Email Address*</span><input class="form-control" type="text"></label>
    <div class="has-error" style="display: none;"><span class="help-block">Required</span></div>
  </div><!----><!----><!----><!----><!----><!---->
  <div class="form-group">* indicates a required field</div><button type="submit" class="btn submit" disabled="">BOOK ME</button><!---->
</form>

---

<form style="display: none;">
  <div class="row">
    <div class="form-group col-md-12 col-sm-12 col-xs-12"><textarea class="form-control" placeholder="Please post any comments or your reasoning for canceling or rescheduling"></textarea></div>
    <div class="col-md-12 col-sm-12 col-xs-12"><input type="submit" class="submit cancel-btn" value="CANCEL MY BOOKING"></div>
  </div>
</form>

---

<form>
  <div class="row">
    <div class="form-group col-md-12 col-sm-12 col-xs-12"><textarea class="form-control" placeholder="Please post any comments or your reasoning for canceling or rescheduling"></textarea></div>
    <div class="col-md-12 col-sm-12 col-xs-12"><input type="submit" class="submit reschedule-btn" disabled="" value="RESCHEDULE MY BOOKING"></div>
  </div>
</form>

---

<form>
  <div class="row">
    <div class="col-sm-6 col-xs-6 block form-group col-md-12">
      <p>Name</p><input class="form-control" type="text"><span class="help-block" style="display: none;">Name is required.</span>
    </div>
    <div class="col-sm-6 col-xs-6 block form-group col-md-12">
      <p>Email</p><input class="form-control" type="text"><span class="help-block" style="display: none;">Email is required.</span><span class="help-block" style="display: none;">Must be a valid email address.</span>
    </div>
    <div class="col-md-12 col-sm-12 col-xs-12 block form-group">
      <p>Message</p><textarea class="form-control"></textarea><span class="help-block" style="display: none;">Message is required.</span>
    </div>
    <div class="col-md-12 col-sm-12 col-xs-12 block">
      <div id="g-recaptcha-desktop" class="g-recaptcha">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-lv2nbwx6i6ot" 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&amp;k=6Le1JSMTAAAAAGZUjAckIxvLpTY_ybrq1l6mWVWz&amp;co=aHR0cHM6Ly9ib29rbWUubmFtZTo0NDM.&amp;hl=nl&amp;v=i7X0JrnYWy9Y_5EYdoFM79kV&amp;size=normal&amp;cb=sz9xsvhj6vrc"></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>
    <div class="col-md-12 col-sm-12 col-xs-12 button-wrapper"><button type="submit" class="submit">SEND YOUR MESSAGE</button></div>
  </div>
</form>

---

<form class="reply-form">
  <div class="row">
    <div class="col-md-12 col-sm-12 col-xs-12 block form-group">
      <p>Message</p><textarea class="form-control"></textarea><span class="help-block" style="display: none;">Message is required.</span>
    </div>
    <div class="col-md-12 col-sm-12 col-xs-12 button-wrapper"><button type="submit" class="submit">SEND YOUR MESSAGE</button></div>
  </div>
</form>

---

Text Content

Ingrid Kooistra


Contact Me



MULTIPLUS BV

12 hours



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August 2024


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