powsolution.co.za Open in urlscan Pro
2a02:4780:13:894:0:816:d9cc:10  Public Scan

URL: https://powsolution.co.za/contact-us/
Submission Tags: advance fee fraud malicious nondelivery Search All
Submission: On February 24 via api from ZA — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form data-form_id="3" id="fluentform_3" class="frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loaded" data-form_instance="ff_form_instance_3_1" method="POST"><input type="hidden" name="__fluent_form_embded_post_id"
    value="15"><input type="hidden" id="_fluentform_3_fluentformnonce" name="_fluentform_3_fluentformnonce" value="e4c333de01"><input type="hidden" name="_wp_http_referer" value="/contact-us/">
  <div data-type="name-element" data-name="names" class=" ff-field_container ff-name-field-wrapper">
    <div class="ff-t-container">
      <div class="ff-t-cell ">
        <div class="ff-el-group">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_first_name_">First Name</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names[first_name]" id="ff_3_names_first_name_" class="ff-el-form-control" placeholder="First Name"></div>
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      <div class="ff-t-cell ">
        <div class="ff-el-group">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_last_name_">Last Name</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names[last_name]" id="ff_3_names_last_name_" class="ff-el-form-control" placeholder="Last Name"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_input_text">Phone Number</label> </div>
    <div class="ff-el-input--content"><input type="text" name="input_text" class="ff-el-form-control" placeholder="Phone Number" data-name="input_text" id="ff_3_input_text"></div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_email">Email</label> </div>
    <div class="ff-el-input--content"><input type="email" name="email" id="ff_3_email" class="ff-el-form-control" placeholder="Email Address" data-name="email"></div>
  </div>
  <div data-type="name-element" data-name="names_1" class=" ff-field_container ff-name-field-wrapper">
    <div class="ff-t-container">
      <div class="ff-t-cell ">
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          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_1_first_name_">City</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names_1[first_name]" id="ff_3_names_1_first_name_" class="ff-el-form-control" placeholder="City"></div>
        </div>
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      <div class="ff-t-cell ">
        <div class="ff-el-group  ff-el-form-top">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_1_last_name_">Province</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names_1[last_name]" id="ff_3_names_1_last_name_" class="ff-el-form-control" placeholder="Province"></div>
        </div>
      </div>
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  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_subject">Subject</label> </div>
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  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_message">Your Message</label> </div>
    <div class="ff-el-input--content"><textarea name="message" id="ff_3_message" class="ff-el-form-control" placeholder="Your Message" rows="4" cols="2" data-name="message"></textarea></div>
  </div>
  <div class="ff-el-group ff-text-left ff_submit_btn_wrapper"><button type="submit" class="ff-btn ff-btn-submit ff-btn-md ff_btn_style">Submit Form</button></div>
</form>

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