managed.proactiscapture.com Open in urlscan Pro
185.65.102.244  Public Scan

Form analysis
1 forms found in the DOM

GET

<form class="cmxform" id="frmQueryResponse" method="get" action="">
  <input type="hidden" id="inp_TokenKey" name="inp_TokenKey" value="e26d8221-4d21-43cf-83b2-82837a4a9b0f_ab1476a5-5223-49c0-9f54-5997e9ae5531" class="reponsedata">
  <div class="field row">
    <div class="col-md-4 col-sm-4 col-xs-4 col-lg-4">
      <span class="text-black">Order No</span>
    </div>
    <div class="col-md-8 col-sm-8 col-xs-8 col-lg-8">
      <input type="text" id="inp_PURCHASEORDERNO" name="inp_PURCHASEORDERNO" value="" class="form-control reponsedata" data-bind="enable:Enabled" required="">
    </div>
  </div>
  <div class="space-after"></div>
  <div><strong class="text-black">Comments:</strong></div>
  <div class="space-after">
    <textarea data-bind="enable:Enabled" class="reponsedata" style=" width:100%;" rows="6" id="inp_xcomments" name="inp_xcomments" placeholder="Enter comments here"></textarea>
  </div>
</form>

Text Content

B U S Y


QUERY ABOUT THIS DOCUMENT:



YOU HAVE SUBMITTED AN INVOICE WITH EITHER NO PURCHASE ORDER NUMBER OR AN INVALID
PURCHASE ORDER NUMBER. PLEASE COULD YOU RE-SUBMIT WITH A CORRECT PO NUMBER VIA
THE BELOW LINK.

PLEASE RESPOND USING THE "YOUR RESPONSE" SECTION


Your Response

Please enter responses below:

Missing Data
Order No


Comments:

Submit



Proactis.com | Privacy | Support
Copyright © Proactis Limited 2020. All rights reserved.