urlscan.io logo urlscan.io
SecurityTrails logo

www.champaigner.com Open in urlscan Pro
218.255.163.121  Public Scan

Back to summary
Submitted URL: http://www.champaigner.com/webform/MAC_unsub/form_HCM003C.htm
Effective URL: http://www.champaigner.com/webform/MAC_unsub/form.php
Submission: On March 30 via manual from SG — Scanned from DE

Form analysis 1 forms found in the DOM

Name: frmFormMail — POST 

<form name="frmFormMail" action="" method="post" enctype="multipart/form-data" onsubmit="return fmgHandler.onsubmit(this);">
  <input type="hidden" name="formmail_submit" value="Y">
  <div id="err_required" class="form_error" style="display:none;">
    <label class="form_error_title">Please check the required fields</label>
  </div>
  <ol class="phpfmg_form">
    <li class="field_block" id="field_0_div">
      <div class="col_label">
        <label class="form_field">Email</label> <label class="form_required">*</label>
      </div>
      <div class="col_field">
        <input type="text" name="field_0" id="field_0" value="" class="text_box">
        <div id="field_0_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="field_1_div">
      <div class="col_label">
        <label class="form_field">Reason of unsubscription </label> <label class="form_required">&nbsp;</label>
      </div>
      <div class="col_field">
        <textarea name="field_1" id="field_1" rows="4" cols="25" class="text_area"></textarea>
        <div id="field_1_tip" class="instruction"></div>
      </div>
    </li>
    <li class="field_block" id="phpfmg_captcha_div">
      <div class="col_label"><label class="form_field">Security Code:</label> <label class="form_required">*</label> </div>
      <div class="col_field">
        <a href="http://www.formmail-maker.com" onclick="document.getElementById('phpfmg_captcha_image').src='admin.php?mod=captcha&amp;func=get&amp;tid='+Math.random();return false;" title="Free Mail Form Tool"><img id="phpfmg_captcha_image" src="admin.php?mod=captcha&amp;func=get&amp;tid=1648617576" border="0" style="cursor:pointer;" alt="Click the image to reload. PHP FormMail Generator at http://phpfmg.sourceforge.net"></a>
        <a href="http://phpfmg.sourceforge.net" onclick="document.getElementById('phpfmg_captcha_image').src='admin.php?mod=captcha&amp;func=get&amp;tid='+Math.random();return false;" style="color:#474747;" title="Reload PHP FormMail Generator Security Image">Reload Image</a><br>
        <input type="text" name="90146972" value="" class="fmgCaptchCode" style="width:73px;">
      </div>
    </li>
    <li>
      <div class="col_label">&nbsp;</div>
      <div class="form_submit_block col_field">
        <input type="submit" value="Submit" class="form_button">
        <span id="phpfmg_processing" style="display:none;">
          <img id="phpfmg_processing_gif" src="admin.php?mod=image&amp;func=processing" border="0" alt="Processing..."> <label id="phpfmg_processing_dots"></label>
        </span>
      </div>
    </li>
  </ol>
</form>

Text Content

Please check the required fields
 1. Email *
    
 2. Reason of unsubscription  
    
 3. Security Code: *
    Reload Image
    
 4.  
    




:: PHP FormMail Generator ::