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Form analysis
2 forms found in the DOM

POST /create-contact.php

<form class="row" action="/create-contact.php" method="post">
  <div class="col-md-6 mt-3">
    <input type="text" class="form-control" name="name" placeholder="Full name" required="">
  </div>
  <div class="col-md-6 mt-3">
    <input type="email" class="form-control" name="email" required="" placeholder="Email address">
  </div>
  <div class="col-md-6 mt-3">
    <input type="text" class="form-control" name="phone_number" required="" placeholder="Your Phone  Number">
  </div>
  <div class="col-md-6 mt-3">
    <input type="text" class="form-control" name="city" required="" placeholder="Your City">
  </div>
  <div class="col-md-6 mt-3">
    <input type="text" class="form-control" name="state" required="" placeholder="Your State">
  </div>
  <div class="col-md-6 mt-3">
    <input type="text" class="form-control" name="dob" required="" placeholder="Your Date of Birth">
  </div>
  <div class="col-md-12 mt-3">
    <input type="text" class="form-control" name="street" required="" placeholder="Your street">
    <div class="mt-3">
      <div class="form-check">
        <input class="form-check-input" type="checkbox" value="agreement" name="agreement" required="">
        <label class="form-check-label" for="flexCheckChecked" style="margin-left: 5px;"> I agree , By submitting my cell phone number to receive automated sms/mms messages with more information or quote from RIVERTOP ROOFING LLC. Message frequency
          may vary. Reply STOP to cancel, Reply HELP for contact information. message and date rates may apply </label>
      </div>
      <div class="text-center">
        <a href="terms-conditions.html" target="_blank">Terms &amp; Conditions</a> | <a href="privacy-policy.html" target="_blank">Privacy Policy</a>
      </div>
    </div>
  </div>
  <div class="col-lg-12 text-center mt-3">
    <button type="submit" class="btn btn-primary" formtarget="_blank">Send Message <svg width="24" height="24" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
        <path d="M22 2L11 13" stroke="#DFE3EB" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path>
        <path d="M22 2L15 22L11 13L2 9L22 2Z" stroke="#DFE3EB" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path>
      </svg>
    </button>
  </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

RIVERTOP ROOFING LLC
 * Home
 * Terms Conditions
 * Privacy Policy


CHRIS NELSON

I'm a professional roof installer that works with individuals and families who
are looking to have the roof for their homes repaired or replaced.




OUR EXPERTISE


ROOF REPAIR AND REPLACEMENT

We offer professional roof repair and replacement services for homeowners
looking to keep their homes safe and secure.


ROOF REPAIR AND REPLACEMENT

Our experienced team specializes in new roof installations, providing expert
guidance and high-quality materials for a durable and long-lasting roof.


EMERGENCY ROOFING SERVICES

In case of unexpected damage or leaks, we offer emergency roofing services to
quickly repair any issues and protect your home from further damage.


HOW TO REACH US

I agree , By submitting my cell phone number to receive automated sms/mms
messages with more information or quote from RIVERTOP ROOFING LLC. Message
frequency may vary. Reply STOP to cancel, Reply HELP for contact information.
message and date rates may apply
Terms & Conditions | Privacy Policy
Send Message

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