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valasysb2bmarketing.com Open in urlscan Pro
192.185.129.139  Public Scan

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Submitted URL: https://r.v-mail.valasys.com/tr/cl/ROf9xSb6Xkoy_92ri87fLqoz9ZS9BJ_YdIEPdLSOKdhmboK4v1wh2cqVeJZ-WXvF5ONCLRGtHycpI6XZi0jknODDCe...
Effective URL: https://valasysb2bmarketing.com/landing-valasys-ai/
Submission: On November 02 via manual from US — Scanned from FR

Form analysis 1 forms found in the DOM

POST prepare_send_mail.php

<form action="prepare_send_mail.php" method="post" class="php-email-form">
  <div class="row form-group">
    <div class="input-group col-sm-9 mb-3">
      <label id="name-label" class="control-label">Full Name <span class="text-danger">*</span></label>
      <div class="input-group mt-2">
        <input type="text" class="form-control required" name="full_name" id="full_name" required="">
      </div>
    </div>
  </div>
  <div class="row form-group mb-3">
    <div class="input-group col-sm-9">
      <label id="name-label" class="control-label">Business Email <span class="text-danger">*</span></label>
      <div class="input-group mt-2">
        <input type="email" class="form-control required" name="business_email" id="business_email" required="">
      </div>
    </div>
  </div>
  <div class="row form-group mb-3">
    <div class="input-group col-sm-9">
      <label id="name-label" class="control-label">Phone Number <span class="text-danger">*</span></label>
      <div class="input-group mt-2">
        <input type="text" class="form-control required" name="phone_number" id="phone_number" onkeypress="return validateNumber(event)" required="true">
      </div>
    </div>
  </div>
  <div class="row form-group mb-3">
    <div class="input-group col-sm-9">
      <label id="name-label" class="control-label">Job Title <span class="text-danger">*</span></label>
      <div class="input-group mt-2">
        <input type="text" class="form-control required" name="job_title" id="job_title" required="true">
      </div>
    </div>
  </div>
  <div class="row form-group">
    <div class="input-group col-sm-9">
      <label><input type="checkbox" class="form-check-input" name="agree" id="agree">&nbsp;&nbsp;I agree to <a href="https://valasys.com/terms-and-conditions/" style="color:#fff;text-decoration: underline;"><b>Terms &amp; Conditions</b></a></label>
    </div>
  </div>
</form>

Text Content

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Full Name *

Business Email *

Phone Number *

Job Title *

  I agree to Terms & Conditions
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