premierhousesteam.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST /services/form/911894

<form action="/services/form/911894" method="post" class="streettext-form streettext-form-loaded" data-id="911894" style="margin: 0px auto; position: relative;"><input type="hidden" name="id_step" value="1571324"><input type="hidden" name="id_lead"
    value="0"><input type="hidden" name="session" value="pd95cd3b8cacc55ed212a3c98cd1b671">
  <h1 style="">Contact Me</h1>
  <div class="streettext-form-field" style=""><label style="font-size:14px;font-weight:bold;width:100%;display:block">First Name * <input data-validate="0" name="name_first" type="text" placeholder="First Name" style="" required="" value=""></label>
  </div>
  <div class="streettext-form-field" style=""><label style="font-size:14px;font-weight:bold;width:100%;display:block">Last Name<input data-validate="0" name="name_last" type="text" placeholder="Last Name" style="" value=""></label></div>
  <div class="streettext-form-field" style=""><label style="font-size:14px;font-weight:bold;width:100%;display:block">Please enter your address<input data-validate="0" id="address-autocomplete-86e93ddf-140a-c80a-3130-4c623f42b518" name="address"
        type="text" placeholder="Address" style="" value="" class="pac-target-input" autocomplete="off"></label></div>
  <div class="streettext-form-field" style=""><label style="font-size:14px;font-weight:bold;width:100%;display:block">Email Address<input data-validate="0" name="email" type="text" placeholder="Email" style="" value=""></label></div>
  <div class="streettext-form-field" style=""><label style="font-size:14px;font-weight:bold;width:100%;display:block">Mobile Number<input data-validate="0" name="phone_cell" type="text" placeholder="Mobile Number" style="" value=""></label></div>
  <div class="streettext-form-field" style=""><label for="field-consent0" style=""><input id="field-consent0" style="" type="checkbox" name="consent[]" value="consent_sms"><span>I would like to opt-in to being contacted by text
        message</span></label><label for="field-consent1" style=""><input id="field-consent1" style="" type="checkbox" name="consent[]" value="consent_email"><span>I would like to opt-in to being contacted by email</span></label></div><input
    class="streettext-submit" type="button"
    style="background:#69b9ea;border:1px solid #2293d1;color:#fff;display:block;font-weight:bold;padding:5px 20px;margin:0 auto;margin-top:20px;text-shadow:0px -1px 0px #2293d1;-moz-box-shadow:inset 0 -5px 10px #2293d1;-webkit-box-shadow:inset 0 -5px 10px #2293d1;box-shadow:inset 0 -5px 10px #2293d1"
    value="Submit">
</form>

Text Content

LEON HARPER

TRIWOOD REALTY

253-279-8111

INFO@PREMIERHOUSES.COM


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