www.phredsolutions.com
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204.12.92.146
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URL:
https://www.phredsolutions.com/NewContact.cfm
Submission: On March 10 via api from US — Scanned from DE
Submission: On March 10 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: ContactUsNewForm — POST ContactUs_ActionNew.CFM
<form name="ContactUsNewForm" id="contact_form" action="ContactUs_ActionNew.CFM" method="post" onsubmit="return _CF_checkContactUsNewForm(this)" novalidate="novalidate" class="bv-form">
<section>
<div class="container">
<div class="row">
<div class="col-md-8">
<h3>Contact Us Today!</h3>
<fieldset>
<div class="form-group has-feedback">
<label>Name</label>
<i class="glyphicon glyphicon-user"></i>
<input class="form-control" name="fname" id="fname" type="text" value="" data-bv-field="fname"><i class="form-control-feedback" data-bv-icon-for="fname" style="display: none;"></i>
<small data-bv-validator="stringLength" data-bv-validator-for="fname" class="help-block" style="display: none;">This value is not valid</small><small data-bv-validator="notEmpty" data-bv-validator-for="fname" class="help-block"
style="display: none;">Please provide your full name</small>
</div>
<div class="form-group">
<label>Company</label>
<i class="glyphicon glyphicon-briefcase"></i>
<input name="Company" type="text" class="form-control" value="">
</div>
<div class="form-group">
<label>Job Title</label>
<i class="glyphicon glyphicon-user"></i>
<input name="fTitle" type="text" class="form-control" value="">
</div>
<div class="form-group">
<label>Company Address</label>
<i class="glyphicon glyphicon-home"></i>
<input name="fAddress1" type="text" class="form-control" value="">
</div>
<div class="form-group has-feedback">
<label>Email Address</label>
<i class="glyphicon glyphicon-envelope"></i>
<input name="emailaddress1" type="Email" id="emailaddress1" class="form-control" value="" data-bv-field="emailaddress1"><i class="form-control-feedback" data-bv-icon-for="emailaddress1" style="display: none;"></i>
<small data-bv-validator="notEmpty" data-bv-validator-for="emailaddress1" class="help-block" style="display: none;">Please provide your email address</small><small data-bv-validator="emailAddress" data-bv-validator-for="emailaddress1"
class="help-block" style="display: none;">Please provide a valid email address</small>
</div>
<div class="form-group has-feedback">
<label>Phone</label>
<i class="glyphicon glyphicon-earphone"></i>
<input type="Phone" class="form-control" id="fphone" name="fphone" value="" data-bv-field="fphone"><i class="form-control-feedback" data-bv-icon-for="fphone" style="display: none;"></i>
<small data-bv-validator="stringLength" data-bv-validator-for="fphone" class="help-block" style="display: none;">Please provide a number that we can call you back at</small><small data-bv-validator="notEmpty"
data-bv-validator-for="fphone" class="help-block" style="display: none;">Please provide your phone number</small>
</div>
<div class="form-group">
<label>Message</label>
<i class="glyphicon glyphicon-pencil"></i>
<textarea name="fComment" id="fComment" class="form-control"></textarea>
</div>
<button type="submit" class="btn btn-default" value="Submit" onclick="Doinging(this,'...Submit')">Submit </button>
<fieldset>
</fieldset>
</fieldset>
</div>
<div class="col-md-4">
<h3>Contact Details</h3>
<p> 101 N Main Street <br> PO Box 4960 <br> Breckenridge, C0 80424<br>
</p>
<p><i class="fa fa-phone"></i>
<abbr title="Phone"></abbr>: +1 (970) 453-5235
</p>
<p><i class="fa fa-envelope-o"></i>
<abbr title="Email"></abbr>: <a href="mailto:nick@phredsolutions.com">Nick Rennie</a>
</p>
<p><i class="fa fa-clock-o"></i>
<abbr title="Hours"></abbr>: Monday - Friday: 9:00 AM to 4:00 PM MST
</p>
<ul class="list-unstyled list-inline list-social-icons">
<p> <a href="Privacy.htm">Privacy Policy</a> </p>
<div style="overflow:hidden;width:379px;height:379px;resize:none;max-width:100%;">
<div id="canvas-for-google-map" style="height:100%; width:100%;max-width:100%;"> <iframe
src="https://www.google.com/maps/embed?pb=!1m0!3m2!1sen!2sus!4v1454005654048!6m8!1m7!1sTn1IjTZ6BHokfkxfxE8OkA!2m2!1d39.48232204486388!2d-106.0461433049346!3f274!4f0!5f0.7820865974627469" width="600" height="450" frameborder="0"
style="border:0" allowfullscreen=""></iframe></div>
</div>
<div class="col-sm-6 map">
<div class="google-map-canvas" id="map-canvas">
</div>
</div>
</ul>
</div>
</div>
</div>
</section><input type="hidden" value="Submit">
</form>
Text Content
Toggle navigation * Home * About Us * Try It Out TRY IT OUT FREE FOR 90 DAYS! CONTACT US TODAY! Name This value is not validPlease provide your full name Company Job Title Company Address Email Address Please provide your email addressPlease provide a valid email address Phone Please provide a number that we can call you back atPlease provide your phone number Message Submit CONTACT DETAILS 101 N Main Street PO Box 4960 Breckenridge, C0 80424 : +1 (970) 453-5235 : Nick Rennie : Monday - Friday: 9:00 AM to 4:00 PM MST Privacy Policy