axoncontrol.co.uk Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST

<form class="form" method="post" id="far-moss-form">
  <!-- Header -->
  <h1>Far Moss Membership Form</h1>
  <div class="form-wrapper">
    <!-- Text fields -->
    <fieldset>
      <label for="value1" class="label-title">First Name</label>
      <input type="text" id="value2" name="firstname" placeholder="John">
    </fieldset>
    <fieldset>
      <label for="value1" class="label-title">Surname</label>
      <input type="text" id="value1" name="surname" placeholder="Smith">
    </fieldset>
    <fieldset>
      <label for="value1" class="label-title">Email</label>
      <input type="text" id="value3" name="email" placeholder="john.smith@example.com">
    </fieldset>
    <!-- Select -->
    <fieldset>
      <label class="label-title">Are you a senior player?</label>
      <select class="" name="isSenior" id="isSenior">
        <option value="false">No</option>
        <option value="true">Yes</option>
      </select>
    </fieldset>
    <fieldset>
      <label class="label-title">Dependants</label>
    </fieldset>
    <div id="dependants"></div>
    <div class="options">
      <button type="button" class="add-dependant" id="add-btn">Add</button>
      <button type="button" class="remove-dependant" id="remove-btn">Remove</button>
    </div>
    <div class="plan">
      <label class="label-title">Plan</label>
      <select class="select-first" id="plans" name="plan">
        <option value="0">--- Please Choose ---</option>
        <option value="https://pay.gocardless.com/AL0000GZ8EYF5E" class="plan-option">FMSG Social Member Annual</option>
        <option value="https://pay.gocardless.com/AL0000GDT5XRMZ" class="plan-option">FMSG Social Member Monthly</option>
        <option value="https://pay.gocardless.com/AL0001W52SQABV" class="plan-option">FMSG Student Monthly</option>
      </select>
    </div>
    <div class="g-recaptcha" data-sitekey="6LeQ6CcTAAAAAE-EHwc8kpWEXO6JmhsDeB14yKv8">
      <div style="width: 304px; height: 78px;">
        <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-g7ngwwnokfz8" 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=6LeQ6CcTAAAAAE-EHwc8kpWEXO6JmhsDeB14yKv8&amp;co=aHR0cHM6Ly9heG9uY29udHJvbC5jby51azo0NDM.&amp;hl=en&amp;v=rKbTvxTxwcw5VqzrtN-ICwWt&amp;size=normal&amp;cb=hdfler2r7su3"></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>
    <!-- Submit -->
    <button type="submit">Submit</button>
  </div>
</form>

Text Content

FAR MOSS MEMBERSHIP FORM

First Name Surname Email Are you a senior player? No Yes Dependants

Add Remove
Plan --- Please Choose --- FMSG Social Member AnnualFMSG Social Member
MonthlyFMSG Student Monthly

Submit