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Submitted URL: https://www.powr.io/form-builder/i/38272045#page
Effective URL: https://www.powr.io/form-builder/i/38272045
Submission: On May 17 via manual from IN — Scanned from DE
Effective URL: https://www.powr.io/form-builder/i/38272045
Submission: On May 17 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST /app_form_responses
<form class="realForm" action="/app_form_responses" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="PYFQPznOmSmx1DDUxtWmkyj9eCS-vIoYrXpdTjas49JV12ygVIHCUGrQsqZlJ8AnrgRmdfIrusyiAwi1UlEqSw">
<input class="honeypot hid no-print" type="text">
<div class="dynamicElements modernize-inputs-block modernize-inputs-small modernize-inputs visible" data-qa="dynamicElements" style="">
<div class="col-sm-12 clearfix form__element--min-height-zero">
<div id="494b290d_1715707875356" class="formElement form-group formImageWrapper fadeMe" style="" data-qa="formElement-image">
<div class="494b290d_1715707875356"></div>
<img class="formImage" src="https://customer.powrcdn.com/Kdd4wQ/src-res/-KxjtD2l08KNYe8wO0_NF.webp" style="max-height:1000px" data-node-image="https://customer.powrcdn.com/Kdd4wQ/src-res/-KxjtD2l08KNYe8wO0_NF.webp" alt="" data-qa="formImage">
</div>
</div>
<div class="gap-element gap-element--large undefined js-edit-on-click-add-element" data-idx="494b290d_1715707875356"></div>
<div class="col-sm-12 clearfix form__element--min-height-zero">
<div id="77451c2a_1715708579684" class="formElement form-group fadeMe text" data-qa="formElement-email">
<div class="77451c2a_1715708579684"></div>
<label class="fitText for-input"><span class="required">*</span>Email</label>
<input aria-describedby="77451c2a_1715708579684_errors" value="" class="form-control email" name="77451c2a_1715708579684" placeholder="*Email" type="email" required="" data-send-confirmation-email="" data-subscribe="" data-form-type="email"
title="Email">
</div>
</div>
<div class="gap-element gap-element--large undefined js-edit-on-click-add-element" data-idx="77451c2a_1715708579684"></div>
<div class="col-sm-12 clearfix form__element--min-height-zero">
<div id="082e751f_1715708912495" class="formElement form-group formImageWrapper fadeMe" style="" data-qa="formElement-image">
<div class="082e751f_1715708912495"></div>
<img class="formImage" src="https://customer.powrcdn.com/rjj9Bn/src-res/pCmaL6iLYv8759GqjA1sr.webp" style="max-height:50px" data-node-image="https://customer.powrcdn.com/rjj9Bn/src-res/pCmaL6iLYv8759GqjA1sr.webp" alt="" data-qa="formImage">
</div>
</div>
<div class="gap-element gap-element--large undefined js-edit-on-click-add-element" data-idx="082e751f_1715708912495"></div>
<div class="col-sm-12 clearfix form__element--min-height-zero">
<div id="d3b2aa91_1715708697349" class="formElement form-group fadeMe text" data-qa="formElement-text">
<div class="d3b2aa91_1715708697349"></div>
<label class="fitText for-input"></label>
<input aria-describedby="d3b2aa91_1715708697349_errors" class="form-control" value="" name="d3b2aa91_1715708697349" placeholder="" type="text" data-export-field="" title="" data-max="250" data-limiting="">
<div class="lengthSummary fitText hid">
<span class="lengthErrors lengthErrors hid">
<i class="fas fa-exclamation-triangle"></i>
</span>
<span role="alert" class="currentLength">0 out of 250 characters</span>
</div>
</div>
</div>
<div class="gap-element gap-element--small undefined js-edit-on-click-add-element" data-idx="d3b2aa91_1715708697349"></div>
</div>
<div id="invisibleCaptcha" class="hid" style="">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-zhshq8595z0i" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le5I8cUAAAAAK9mUWl2F9U7PJiEXz4nPsQRAoUr&co=aHR0cHM6Ly93d3cucG93ci5pbzo0NDM.&hl=de&v=8k85QBI-qzxmenDv318AZH30&size=invisible&cb=anfzi04fhwd"></iframe></div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<div class="form-group col-sm-12 buttonContainer">
<div role="alert" class="errors hid no-print margin-bottom-m" id="validationErrors"><i class="fas fa-exclamation-triangle margin-right-xs"></i>Please fill in required fields.</div>
<div role="alert" class="errors hid no-print margin-bottom-m" id="braintreeErrors"><i class="fas fa-exclamation-triangle margin-right-xs"></i>Braintree doesn't recognize these keys.</div>
<div role="alert" class="errors hid no-print margin-bottom-m" id="alreadySubmittedErrors"><i class="fas fa-exclamation-triangle margin-right-xs"></i> You've already submitted a response</div>
<div role="alert" class="errors hid no-print margin-bottom-m" id="uploadErrors"><i class="fas fa-exclamation-triangle margin-right-xs"></i> Please wait for your uploads to finish.</div>
<div role="alert" class="errors hid no-print margin-bottom-m" id="noBusinessErrors"><i class="fas fa-exclamation-triangle margin-right-xs"></i> Payments have not been connected for this form. If you're testing this form, you may need to refresh
the page.</div>
<div class="hid no-print margin-bottom-m" id="spamDetection"><i class="fas fa-exclamation-triangle margin-right-xs"></i> Whoa! This form has detected unusual activity, which might be spam. Please contact
<a href="https://powr-support.zendesk.com/hc/en-us/requests/new">support</a> for help if you continue to see this message.</div>
<div role="alert" id="successAlert" class="success hid fitText no-print">
<div role="alert" class="triggerPayment button button-primary hid">Continue to Payment <i class="fal fa-credit-card"></i></div>
<div class="madeWithPowr powrMark" style="display: none;"> This form was created with POWr. <a href="https://www.powr.io/plugins/form-builder/standalone?from=form" target="_blank"><u>Create Your Own</u></a>
</div>
</div>
<div class="buttonAndSummaryWrapper margin-h-nil" data-qa="buttonAndSummaryWrapper">
<div id="form-submit-button-edit-on-click" class="position-relative">
<div class="form-submit-button-edit-on-click"></div>
<button class="fitText leftBtn submitButton ani_cta_none" id="submitButton" data-qa="button-submit" style="font-size: 16px;">
<span style="font-size: 16px;">Submit</span>
</button>
</div>
</div>
<div class="hide">
<input type="submit" id="hiddenSubmitButton" class="hid">
</div>
</div>
</form>Text Content
Edit App Rate Us * Auf Live-Seite bearbeiten * Bearbeiten im POWR-Editor * Formulareinsendungen ansehen Please let us know how we can improve. Einreichen Kündigen Thank you for your feedback! Close (Only you can see this) DIESES PLUGIN IST NOCH NICHT REGISTRIERT. JETZT EINLOGGEN UND AKTIVIEREN! Registrieren DIE ZAHLUNG FÜR IHR ABONNEMENT IST FEHLGESCHLAGEN. BITTE AKTUALISIEREN SIE IHRE ZAHLUNGSINFORMATIONEN Updaten (Nur du kannst das sehen) YOUR TRIAL EXPIRED. PLEASE SELECT A PLAN TO CONTINUE USING POWR ONE View plans (Nur du kannst das sehen) SIE HABEN IHREM FORM BUILDER KOSTENPFLICHTIGE FUNKTIONEN HINZUGEFÜGT. RÜSTEN SIE IHREN PLAN AUF, UM FORM BUILDER MIT KOSTENPFLICHTIGEN FUNKTIONEN ZU VERÖFFENTLICHEN. ENTFERNEN SIE KOSTENPFLICHTIGE FUNKTIONEN, UM FORM BUILDER KOSTENLOS ZU VERÖFFENTLICHEN. IHRE EINREICHUNG IST EINGEGANGEN, WIR WARTEN JEDOCH NOCH AUF DIE ZAHLUNG. Klicken Sie hier, um das Zahlungsfenster erneut zu öffnen IHRE EINREICHUNG IST EINGEGANGEN, WIR WARTEN JEDOCH NOCH AUF DIE ZAHLUNG. Mit der Bezahlung fertig Klicken Sie hier, um das Zahlungsfenster erneut zu öffnen YOUR SUBMISSION HAS BEEN RECEIVED! Loading form responses... View Results The submission limit has been reached for this form. *Email 0 out of 250 characters Please fill in required fields. Braintree doesn't recognize these keys. You've already submitted a response Please wait for your uploads to finish. Payments have not been connected for this form. If you're testing this form, you may need to refresh the page. Whoa! This form has detected unusual activity, which might be spam. Please contact support for help if you continue to see this message. Continue to Payment This form was created with POWr. Create Your Own Submit POWR Editor Alle Formen ->