passingzip.happyquote.io Open in urlscan Pro
195.35.33.21  Public Scan

Form analysis
1 forms found in the DOM

POST index.php

<form action="index.php" method="post" id="get-quote" style="padding: 80px; border: 1px solid black;">
  <div class="row">
    <div class="form-group col-md-6">
      <label for="exampleInputPhone_number">Phone_number</label>
      <input type="text" class="form-control  capture_number  " id="Phone_number" name="phone_number" required="" value="" aria-describedby="Phone_number Help" placeholder="Enter Phone_number" maxlength="10">
    </div>
    <div class="form-group col-md-6">
      <label for="exampleInputZip">Zip</label>
      <input type="text" class="form-control   capture_zip " id="Zip" name="zip" required="" value="" aria-describedby="Zip Help" placeholder="Enter Zip" maxlength="5">
    </div>
    <div class="col-md-12 text-right">
      <button type="submit" class="btn btn-primary mb-2">Confirm Submit</button>
    </div>
  </div>
</form>

Text Content

Phone_number
Zip
Confirm Submit