brants-asphalt.com Open in urlscan Pro
35.215.122.222  Public Scan

Submitted URL: http://brantsasphalthqs.com/
Effective URL: https://brants-asphalt.com/
Submission: On August 29 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

POST /#gf_1

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" data-formid="1" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <div id="field_1_8"
        class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_8">
        <p class="gform_title"><span>Request an Estimate</span></p>
      </div>
      <div id="field_1_6" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_1_6"><label
          class="gfield_label gform-field-label" for="input_1_6">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_6" id="input_1_6" type="text" value="" class="large" placeholder="Name*" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_1_2" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_2"><label class="gfield_label gform-field-label" for="input_1_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_1_2" type="email" value="" class="large" placeholder="Email*" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_1_4" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_1_4"><label class="gfield_label gform-field-label" for="input_1_4">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_4" id="input_1_4" type="tel" value="" class="large" placeholder="Phone*" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_1_7" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_1_7">
        <label class="gfield_label gform-field-label" for="input_1_7">Message<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_7" id="input_1_7" class="textarea medium" placeholder="Comments*" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_1_9" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_9"><label
          class="gfield_label gform-field-label" for="input_1_9">Email</label>
        <div class="ginput_container"><input name="input_9" id="input_1_9" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_1_9">This field is for validation purposes and should be left unchanged.</div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_1&quot;]){return false;}  if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_1&quot;]){return false;} if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=1&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme">
    <input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="1">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjkyNjkxM2VlYzRmZWFkOTNhMWQ1MTdmY2Q0NjYwYmNjIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <p style="display: none !important;" class="akismet-fields-container" data-prefix="ak_"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js"
      value="1724954213286">
    <script>
      document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
    </script>
  </p>
</form>

Text Content

CALL TODAY: (724) 585-8843

ASPHALT REPAIR YOU CAN TRUST




About Us

We are Brant’s Asphalt, a family-owned and operated business, specializing in
both commercial property maintenance and residential driveway paving and seal
coating. Our team is dedicated to using environmentally friendly asphalt and
sealcoating materials. This commitment ensures that our work not only meets the
highest standards of quality but also contributes positively to the environment.

"*" indicates required fields

Request an Estimate

Name*

Email*

Phone*

Message*

Email

This field is for validation purposes and should be left unchanged.


Δ

© [2024] – © Copyright All Rights Reserved.
123.456.7890

Notifications