belgium.uk Open in urlscan Pro
176.74.22.4  Public Scan

Form analysis
1 forms found in the DOM

Name: form-2 — POST

<form action="" method="post" class="forms" name="form-2">
  <ul>
    <li>
      <label class="desc">Full Name *</label>
      <div id="text-7"><input type="text" name="full_name" value="" class="field text full "></div>
    </li>
    <li>
      <label class="desc">Company Name</label>
      <div id="text-7"><input type="text" name="company_name" value="" class="field text full"></div>
    </li>
    <li>
      <label class="desc">Email Address *</label>
      <div id="text-8"><input type="text" name="email_address" value="" class="field text full "></div>
    </li>
    <li>
      <label class="desc">Telephone Number *</label>
      <div id="text-20"><input type="text" name="telephone" value="" class="field text full "></div>
    </li>
    <li>
      <label class="desc">Message</label>
      <div id="textarea-12"><textarea name="message" style="height: 100px; width: 100%" class="field textarea full"></textarea></div>
    </li>
    <li>
      <label class="desc">Enter the following code, DOMAINSERVICES</label>
      <div id="text-20"><input type="text" name="verif" value="" class="field text small ">
      </div>
    </li>
    <li class="buttons">
      <input type="submit" value="Submit" name="submit-2" class="submit_button">
    </li>
    <li>
      <label class="desc"></label>
      <div id="formstyle2"><input type="text" name="fullname" value="" class="field text full "></div>
    </li>
  </ul>
</form>

Text Content

Domain Services

--------------------------------------------------------------------------------

belgium.uk


--------------------------------------------------------------------------------

 * Full Name *
   
 * Company Name
   
 * Email Address *
   
 * Telephone Number *
   
 * Message
   
 * Enter the following code, DOMAINSERVICES
   
 * 
 *