www.brandforce.com Open in urlscan Pro
159.8.40.55  Public Scan

Form analysis
1 forms found in the DOM

POST ajaxa/landing_themes/add_inquiry_cap/

<form action="ajaxa/landing_themes/add_inquiry_cap/" method="post" class="odf_ajax detail_form" data-target="form_feedback">
  <input type="hidden" name="domain_id" value="3854809">
  <input type="hidden" name="user_id" value="10979">
  <div id="form_feedback">
  </div>
  <div class="row">
    <div class="col-md-6">
      <div class="form-group">
        <p>Name *</p>
        <input type="text" name="name" class="form-control">
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <p>Email *</p>
        <input type="mail" name="email" class="form-control">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-6">
      <div class="form-group">
        <p>Phone number</p>
        <input type="text" name="phone" class="form-control">
      </div>
    </div>
    <div class="col-md-6">
      <div class="form-group">
        <p>Offer <span>Offers can only be made in USD</span> </p>
        <input type="text" placeholder="Offer in USD" name="offer" class="form-control">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-12">
      <div class="form-group">
        <p>Message</p>
        <textarea class="form-control" rows="5" name="message"> </textarea>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-6 col-sm-12">
      <div class="g-recaptcha" data-sitekey="6LfLJxMTAAAAACSYGZUH0OCGhnoq50xexhkAGCe7" style="transform:scale(0.77);-webkit-transform:scale(0.77);transform-origin:0 0;-webkit-transform-origin:0 0;">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LfLJxMTAAAAACSYGZUH0OCGhnoq50xexhkAGCe7&amp;co=aHR0cHM6Ly93d3cuYnJhbmRmb3JjZS5jb206NDQz&amp;hl=nl&amp;v=M-QqaF9xk6BpjLH22uHZRhXt&amp;size=normal&amp;cb=k5g1wz8c9e0v"
              width="304" height="78" role="presentation" name="a-kwz3krpur97r" frameborder="0" scrolling="no"
              sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></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>
    <div class="col-md-6 col-sm-12">
      <input type="submit" class="btn btn_buy" value="Submit offer" style="margin-top:8px !important;float:right;">
    </div>
  </div>
</form>

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WWW.BRANDFORCE.COM > DOMAIN OVERVIEW > 401.COM


401.COM

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401.COM



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