rubensplima.com
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192.185.210.86
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Submitted URL: https://rubensplima.com/utn/?6292931
Effective URL: https://rubensplima.com/
Submission: On May 30 via api from CA — Scanned from CA
Effective URL: https://rubensplima.com/
Submission: On May 30 via api from CA — Scanned from CA
Form analysis
1 forms found in the DOMName: Contact Form — POST
<form class="pagelayer-contact-form" id="contact-form" name="Contact Form" onsubmit="return pagelayer_contact_submit(this, event)" method="POST">
<div class="pagelayer-contact-holder">
<div pagelayer-id="cxd4416" class="p-cxd4416 pagelayer-contact_item">
<style pagelayer-style-id="cxd4416">
.p-cxd4416 {
width: 100%;
padding-top: 0px;
padding-right: 0px;
padding-bottom: 20px;
padding-left: 0px
}
</style><label for="name"><span class="pagelayer-form-label">Name</span></label><input type="text" placeholder="Your full name" name="name">
</div>
<div pagelayer-id="al22723" class="p-al22723 pagelayer-contact_item">
<style pagelayer-style-id="al22723">
.p-al22723 {
width: 100%;
padding-top: 0px;
padding-right: 0px;
padding-bottom: 20px;
padding-left: 0px
}
</style><label for="uname"><span class="pagelayer-form-label">username</span></label><input type="text" placeholder="Username" name="uname">
</div>
<div pagelayer-id="p0x7037" class="p-p0x7037 pagelayer-contact_item">
<style pagelayer-style-id="p0x7037">
.p-p0x7037 {
width: 100%;
padding-top: 0px;
padding-right: 0px;
padding-bottom: 20px;
padding-left: 0px
}
</style><label for="email"><span class="pagelayer-form-label">Email</span></label><input type="text" placeholder="email address" name="email">
</div>
<div pagelayer-id="xwm3917" class="p-xwm3917 pagelayer-contact_item">
<style pagelayer-style-id="xwm3917">
.p-xwm3917 {
width: 100%;
padding-top: 0px;
padding-right: 0px;
padding-bottom: 20px;
padding-left: 0px
}
</style><label for="password"><span class="pagelayer-form-label">Password</span></label><input type="text" placeholder="********" name="password">
</div>
<div pagelayer-id="p3q1017" class="p-p3q1017 pagelayer-contact_item">
<style pagelayer-style-id="p3q1017">
.p-p3q1017 {
width: 100%;
padding-top: px;
padding-right: px;
padding-bottom: 10px;
padding-left: px
}
</style><label for="confirm password"><span class="pagelayer-form-label">Confirm password</span></label><input type="text" placeholder="********" name="confirm password">
</div>
</div>
<input type="hidden" name="cfa-pagelayer-id">
<input type="hidden" name="cfa-custom-template" value="true">
<div class="pagelayer-contact-submit-holder">
<button type="submit" form="contact-form" class="pagelayer-contact-submit-btn pagelayer-btn-holder pagelayer-ele-link pagelayer-btn-custom pagelayer-btn-mini {{icon_position}}">
<i class="fa fa-circle-o-notch fa-spin" style="display:none;margin-right:5px;"></i>
<span class="pagelayer-btn-text">Submit</span>
</button>
</div>
</form>
Text Content
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