tropheegolf-globalblue-adyen.com
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URL:
https://tropheegolf-globalblue-adyen.com/
Submission: On July 11 via automatic, source certstream-suspicious — Scanned from FR
Submission: On July 11 via automatic, source certstream-suspicious — Scanned from FR
Form analysis
1 forms found in the DOMPOST index.php#inscription
<form method="POST" action="index.php#inscription">
<div class="small-12 medium-4 columns">
<label>Nom*</label>
<input type="text" name="nom" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Prénom*</label>
<input type="text" name="prenom" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Email*</label>
<input type="text" name="email" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Société*</label>
<input type="text" name="societe" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Poste*</label>
<input type="text" name="poste" value="">
</div>
<div class="small-12 medium-4 columns">
<label>N° Mobile*</label>
<input type="text" name="mobile" value="">
</div>
<div class="small-12 medium-4 columns">
<label>N° licence <i style="font-size:10px;">(qui devra être validé pour la saison en cours)</i></label>
<input type="text" name="licence" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Index</label>
<input type="text" name="index" value="">
</div>
<div class="small-12 medium-4 columns">
<label>Activité*<i style="font-size:10px;">(Golf ou Initiation)</i></label>
<select name="activite">
<option value="GOLF">GOLF</option>
<option value="INITIATION">INITIATION</option>
</select>
</div>
<div class="small-12 medium-4 columns">
<label>Invité par le partenaire :*</label>
<select name="invitation">
<option value="">--</option>
<option value="NETSKOPE">NETSKOPE</option>
<option value="ORANGE">ORANGE</option>
<option value="SWING">SWING</option>
</select>
</div>
<div class="small-12 columns" style="text-align:center;margin-top:25px;">
<input type="submit" class="button" value="Envoyer le formulaire">
</div>
</form>
Text Content
* Organisateurs * Inscription * Programme * Contact * Organisateurs * Inscription * Programme * Contact * Organisateurs * Inscription * Programme * Contact * * * 1 PrevNext LUNDI 00 0000 GLOBAL BLUE X ADYEN LUNDI 00 0000 GLOBAL BLUE X ADYEN GLOBAL BLUE X ADYEN -------------------------------------------------------------------------------- Inscription PROGRAMME ORGANISATEURS INSCRIPTION Nom* Prénom* Email* Société* Poste* N° Mobile* N° licence (qui devra être validé pour la saison en cours) Index Activité*(Golf ou Initiation) GOLF INITIATION Invité par le partenaire :* -- NETSKOPE ORANGE SWING CONTACTEZ-NOUS CONTACT ORGANISATION THIBAULT JASLET thibault.jaslet@swing.fr +33 (0) 7 62 52 08 43 COPYRIGHT © SWING & ARIGOLDY - 2024-07-11