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170.130.40.183  Public Scan

Form analysis
1 forms found in the DOM

/contactus/form-processing.php

<form class="d-form-box" id="feedback-form" action="/contactus/form-processing.php" enctype="multipart/form-data" novalidate="">
  <div class="d-form-double">
    <div class="d-form-single">
      <div class="d-form-group js-form-group">
        <input class="d-form-input js-form-field" type="text" id="name" name="name" value="" maxlength="100" required="">
        <label class="d-form-label" for="name">
          <div class="d-form-name" data-content="First name">First name</div>
        </label>
        <div class="d-novalid-text"></div>
      </div>
    </div>
    <div class="d-form-single">
      <div class="d-form-group js-form-group">
        <input class="d-form-input js-form-field" type="text" id="lastname" name="lastname" value="" maxlength="100">
        <label class="d-form-label" for="lastname">
          <div class="d-form-name" data-content="Last name">Last name</div>
        </label>
        <div class="d-novalid-text"></div>
      </div>
    </div>
  </div>
  <div class="d-form-single">
    <div class="d-form-group js-form-group">
      <input class="d-form-input js-form-field" type="email" name="email" id="email" value="" required="">
      <label class="d-form-label" for="email">
        <div class="d-form-name" data-content="Email">Email</div>
      </label>
      <div class="d-novalid-text"></div>
    </div>
  </div>
  <div class="d-form-single">
    <div class="d-form-group js-form-group">
      <select class="d-form-select js-form-field" id="how" name="how">
        <option value="" selected="" disabled="" hidden=""></option>
        <option value="Search Engines">Search Engines</option>
        <option value="Social Media">Social Media</option>
        <option value="Another Company's Website">Another Company's Website</option>
        <option value="Employer or Coworker">Employer or Coworker</option>
        <option value="Customer Review Sites">Customer Review Sites</option>
        <option value="Community/Forum/Blog">Community/Forum/Blog</option>
        <option value="Networking Event">Networking Event</option>
      </select>
      <label class="d-form-label" for="how">
        <div class="d-form-name" data-content="How did you hear about us">How did you hear about us</div>
      </label>
      <div class="d-novalid-text"></div>
    </div>
  </div>
  <div class="d-form-single">
    <div class="d-form-group js-form-group">
      <textarea class="d-form-textarea js-form-field" id="message" name="message" value="" maxlength="1000"></textarea>
      <label class="d-form-label" for="message">
        <div class="d-form-name" data-content="Describe your project">Describe your project</div>
      </label>
      <div class="d-novalid-text"></div>
    </div>
  </div>
  <div class="d-form-captcha js-form-group">
    <img class="d-form-captcha-img" src="captcha/captcha.php" data-src="captcha/captcha.php" alt="CAPTCHA">
    <div class="d-form-captcha-refresh"></div>
    <div class="d-form-captcha-input js-form-group">
      <input type="text" name="captcha" maxlength="6" required="" id="captcha" class="form-control captcha" autocomplete="off" value="">
      <div class="d-novalid-text"></div>
    </div>
  </div>
  <div class="d-form-single">
    <div class="d-form-group js-form-group">
      <div class="d-form-field">
        <input type="checkbox" name="agree" class="d-form-checkbox" id="agree" value="true" required="">
        <label class="d-form-labelcheckbox" for="agree">I have read and agree to data40.com's <a href="https://data40.com/terms-of-use/" target="_blank">Terms of Use</a> and
          <a href="https://data40.com/privacy/" target="_blank">Privacy Policy</a></label>
        <div class="d-novalid-text"></div>
      </div>
    </div>
  </div>
  <div class="d-form-error d-form-error-hide">Correct the data and submit the form again</div>
  <div class="d-form-single">
    <div class="d-form-group js-form-group">
      <div class="d-form-field">
        <button class="d-form-submit" type="submit" id="submit" name="submit">Contact us</button>
      </div>
    </div>
  </div>
  <div class="d-form-success d-form-success-hide">
    <div class="d-form-success-message">
      <div class="d-form-x"></div>
      <div class="d-form-success-message-title">Thank you for getting in touch!</div>
      <div class="d-form-success-message-text">We appreciate you contacting us. One of our colleagues will get back in touch with you soon. Have a great day!</div>
      <div class="d-form-success-message-text">Go to the main page of <a class="d-form-success-message-link" href="https://data40.com/">custom data solutions</a></div>
    </div>
  </div>
</form>

Text Content

custom data solutions
Get in touch with us

If you have any questions or concerns, please feel free to contact us. Simply
fill out the form below with your contact information and a brief message, and
we will do our best to get back to you as soon as possible. We appreciate your
feedback and value your time, so we try to respond to all inquiries in a timely
manner.

If you have a question about our products and services or just want to say
hello, we're here to help. Thank you for considering our company, and we look
forward to hearing from you soon.

First name

Last name

Email

Search Engines Social Media Another Company's Website Employer or Coworker
Customer Review Sites Community/Forum/Blog Networking Event
How did you hear about us

Describe your project


I have read and agree to data40.com's Terms of Use and Privacy Policy

Correct the data and submit the form again
Contact us
Thank you for getting in touch!
We appreciate you contacting us. One of our colleagues will get back in touch
with you soon. Have a great day!
Go to the main page of custom data solutions