africoins.org Open in urlscan Pro
165.22.247.118  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class="contact-form row gy-4" action="" method="post">
  <input type="hidden" name="csrfmiddlewaretoken" value="XAfuN7umVngx8EA6FP28fcoT72oEmBWKVLYEv1t2uX0GFw1rXSBe3FJVPThYjHlt">
  <div class="form-group col-md-6">
    <input class="form-control form--control" type="text" name="name" value="" placeholder="First Name" required="">
  </div>
  <div class="form-group col-md-6">
    <input class="form-control form--control" type="text" name="lastname" value="" placeholder="Last Name" required="">
  </div>
  <div class="form-group col-md-12">
    <input class="form-control form--control" type="number" name="phone" value="" placeholder="Phone Number">
  </div>
  <div class="form-group col-md-12">
    <input class="form-control form--control" type="email" name="email" value="" placeholder="Email Address" required="">
  </div>
  <div class="form-group col-md-12">
    <input class="form-control form--control" name="password1" id="password" type="password" placeholder="Password" required="">
  </div>
  <div class="form-group col-md-12">
    <input class="form-control form--control" name="password2" id="password_confirmation" type="password" placeholder="Confirm Password" required="">
  </div>
  <div class="form-group col-12">
    <button class="btn btn--base px-5" type="submit">Sign Up</button>
  </div>
</form>

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