sainthealthllc.site
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104.21.83.28
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URL:
https://sainthealthllc.site/
Submission: On November 29 via api from BE — Scanned from CA
Submission: On November 29 via api from BE — Scanned from CA
Form analysis
2 forms found in the DOMPOST /create-contact.php
<form id="contact-form" class="contact__form" method="post" action="/create-contact.php">
<div class="row">
<div class="col-sm-6 py-2">
<label for="name" class="fg-grey">Full name</label>
<input type="text" id="name" name="name" class="form-control" placeholder="Full name">
</div>
<div class="col-sm-6 py-2">
<label for="email" class="fg-grey">Email address</label>
<input type="email" id="email" name="email" class="form-control" placeholder="Email address">
</div>
<div class="col-sm-6 py-2">
<label for="dob" class="fg-grey">Your Date of Birth</label>
<input type="text" id="dob" name="dob" class="form-control" placeholder="Your Date of Birth">
</div>
<div class="col-sm-6 py-2">
<label for="phone" class="fg-grey">Phone number</label>
<input type="text" id="phone" name="phone_number" class="form-control" placeholder="Phone number">
</div>
<div class="col-sm-6 py-2">
<label for="state" class="fg-grey">Your State</label>
<input type="text" id="state" name="state" class="form-control" placeholder="Your State">
</div>
<div class="col-sm-6 py-2">
<label for="city" class="fg-grey">Your City</label>
<input type="text" id="city" name="city" class="form-control" placeholder="Your City">
</div>
<div class="col-12 py-2">
<label for="message" class="fg-grey">Your street</label>
<textarea id="street" name="street" class="form-control" rows="5" placeholder="Your street"></textarea>
</div>
<div class="ml-3">
<input type="checkbox" name="agreement" value="1"> I agree , By submitting my cell phone number to receive automated sms/mms messages with more information or quote from SAINTHEALTHLLC. Message frequency may vary. Reply STOP to cancel, Reply
HELP for contact information. message and date rates may apply <a href="terms-conditions.html">Terms & Conditions</a> | <a href="privacy-policy.html">Privacy Policy</a>
</div>
<div class="col-12 mt-3">
<button type="submit" class="btn btn-primary px-5">Submit</button>
</div>
</div>
</form>
POST /opt-contact.php
<form method="POST" action="/opt-contact.php">
<div class="modal-body"><input type="text" class="form-control" placeholder="Phone" name="ph" required="">
</div>
<div class="modal-footer">
<button type="button" class="btn btn-secondary closeModalButton">Close</button>
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</form>
Text Content
mosainthealth@gmail.com tel:+19546675532 SAINTHEALTHLLC * Home * Terms Conditions * Privacy Policy SAINTHEALTHLLC SAINTHEALTHLLC SAINTHEALTHLLC SAINTHEALTHLLC SAINTHEALTHLLC MOHAB SAINTELUS I'm a licensed health plan agent that accesses all the newest and up to date health coverage options to find the best option that meets the needs and budget requirements of families and individuals I provide quality assistance to. HOW WE HELP YOU COMPREHENSIVE HEALTH COVERAGE OPTIONS Let us help you navigate through all the latest health coverage options to find the best plan for your family's or individual's needs and budget. PERSONALIZED HEALTH PLAN ASSESSMENT Our licensed agents will provide tailored assistance in finding the perfect health plan that meets your specific requirements and budget. EXPERT GUIDANCE FOR INSURANCE SELECTION With our extensive knowledge and experience, we'll guide you towards selecting the right insurance plan from a variety of options available in the market. WE'RE HERE TO HELP Full name Email address Your Date of Birth Phone number Your State Your City Your street I agree , By submitting my cell phone number to receive automated sms/mms messages with more information or quote from SAINTHEALTHLLC. Message frequency may vary. Reply STOP to cancel, Reply HELP for contact information. message and date rates may apply Terms & Conditions | Privacy Policy Submit UNSUBSCRIBE X Close Submit -------------------------------------------------------------------------------- Copyright © 2024 - SAINTHEALTHLLC All Rights Reserved. Unsubscribe