www.neuranet.com Open in urlscan Pro
44.237.92.43  Public Scan

Form analysis
1 forms found in the DOM

POST https://www2.flexitive.com/l/595931/2019-10-31/4jwstq

<form id="contact" action="https://www2.flexitive.com/l/595931/2019-10-31/4jwstq" method="post">
  <div class="input__control input__control--inline input__control--50">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <input required="" type="text" name="firstName" class="input input__first-name" placeholder="First Name*" data-name="first-name" data-isset="" data-isset-message="Please enter your first name">
  </div>
  <div class="input__control input__control--inline input__control--50 last-name">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top-left" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <input required="" type="text" name="lastName" class="input input__last-name" placeholder="Last Name*" data-name="last-name" data-isset="" data-isset-message="Please enter your last name">
  </div>
  <div class="input__control">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top-left" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <input required="" type="text" name="company" class="input input__company" placeholder="Account Name (Organization Name or Username)*" data-name="company" data-isset="" data-isset-message="Please enter your account name">
    <span class="input__icon input__icon--right"></span>
    <span class="input__tooltip input__tooltip--right"></span>
  </div>
  <div class="input__control">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top-left" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <select class="input input__select role_selection" name="role">
      <option disabled="" selected="selected">Your Role</option>
    </select>
  </div>
  <div class="input__control">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top-left" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <select class="input input__select location_selection" name="company_type">
      <option disabled="" selected="selected">Organization Type</option>
    </select>
  </div>
  <div class="input__control">
    <span class="input__icon input__icon--right">
      <span class="nn-tooltip nn-tooltip--error nn-tooltip--top-left" data-tooltip="">
        <i class="fa"></i>
      </span>
    </span>
    <input required="" type="text" name="email" class="input input__email" placeholder="Email Address*" data-name="email" data-isset="" data-isset-message="Please enter a valid email address" data-email=""
      data-email-message="Please enter a valid email address">
  </div>
  <div class="input__control">
    <textarea class="input input__textarea" placeholder="How can we help you?*" name="comments" data-isset="" data-isset-message="Please leave a comment so we can help you" data-name="comments"></textarea>
  </div>
  <div class="input__control">
    <label class="nn-checkbox__label nn-checkbox__label--inline">
      <input type="checkbox" name="newsletter" class="nn-checkbox nn-checkbox--left" id="newsletter-contact"> I want to receive important updates about Flexitive </label>
  </div>
  <button class="register__submit" data-action="contact" data-success="thankyou">Submit</button>
  <div class="captcha" data-sitekey="6LcGblkUAAAAALT3uIZ64KeFGQnBY9ovFi_uuYgn" data-size="invisible">
    <!-- explicitly render the captcha here using JS when form is ready -->
  </div>
  <input type="hidden" name="formName" value="neuranet-contactus">
</form>

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