portal.thrivereviews.io Open in urlscan Pro
13.32.99.31  Public Scan

Form analysis
1 forms found in the DOM

POST /landing_page/contact?owner=orivet-genetic-pet-care

<form class="form" id="review-contact-form" data-remote="true" action="/landing_page/contact?owner=orivet-genetic-pet-care" accept-charset="UTF-8" method="post" novalidate="novalidate"><input type="hidden" name="authenticity_token"
    value="_IT6UYxy8ObA3VR2Xt1hapi81rRuzK-ntSlCPjbG7zvtezjqnT-R7rp8TuItOtkktx2u3GYGvx3B-BNgy7q2ag">
  <div class="modal-header" data-editable="" data-name="funnel_resource[contact_header]" id="contact-modal-header">
    <h4> We strive for 100% customer satisfaction. If we fell short, please let us know so we can address your concerns. </h4>
  </div>
  <div class="modal-body">
    <div class="form-group">
      <input class="form-control" required="required" placeholder="First name" type="text" name="review_contact[first_name]" id="review_contact_first_name">
    </div>
    <div class="form-group">
      <input class="form-control" required="required" placeholder="Last name" type="text" name="review_contact[last_name]" id="review_contact_last_name">
    </div>
    <div class="form-group">
      <input class="form-control" id="user_email" placeholder="Email" type="email" name="review_contact[email]">
    </div>
    <div class="form-group hide" id="email_warn">
      <div class="alert alert-warning"> Please enter your email </div>
    </div>
    <div class="form-group">
      <div class="intl-tel-input allow-dropdown">
        <div class="flag-container">
          <div class="selected-flag" tabindex="0" title="United States: +1">
            <div class="iti-flag us"></div>
            <div class="iti-arrow"></div>
          </div>
          <ul class="country-list hide">
            <li class="country" data-dial-code="1" data-country-code="ca">
              <div class="flag-box">
                <div class="iti-flag ca"></div>
              </div><span class="country-name">Canada</span><span class="dial-code">+1</span>
            </li>
            <li class="country" data-dial-code="64" data-country-code="nz">
              <div class="flag-box">
                <div class="iti-flag nz"></div>
              </div><span class="country-name">New Zealand</span><span class="dial-code">+64</span>
            </li>
            <li class="country active" data-dial-code="1" data-country-code="us">
              <div class="flag-box">
                <div class="iti-flag us"></div>
              </div><span class="country-name">United States</span><span class="dial-code">+1</span>
            </li>
          </ul>
        </div><input class="form-control" id="user_phone" data-countries="[&quot;US&quot;,&quot;CA&quot;,&quot;NZ&quot;]" data-init-country="US" data-phone-name="review_contact[phone]" type="tel" name="review_contact[phone]" autocomplete="off"
          placeholder="(201) 555-0123"><input type="hidden" name="review_contact[phone]">
      </div>
    </div>
    <div class="form-group hide" id="email_or_phone_warn">
      <div class="alert alert-warning"> Please enter either your email or phone number </div>
    </div>
    <div class="form-group">
      <textarea class="form-control" rows="5" required="required" placeholder="Message" name="review_contact[message]" id="review_contact_message"></textarea>
    </div>
    <div class="help-block" data-editable="" data-name="funnel_resource[review_help]" id="review-modal-review-help">
      <p> If you do not wish to address your concerns privately and prefer to post a review, <a href="#modal-reviews">click here</a>. </p>
    </div>
    <div class="form-group">
      <div class="g-recaptcha-contact-modal" data-badge="inline" data-callback="contactModalCaptchaSubmit" data-sitekey="6Lc7788ZAAAAAL1XbsJBAXi7tPX8JVkXGVMKB9zs" data-size="invisible" id="recaptcha-contact-modal">
        <div class="grecaptcha-badge" data-style="inline" style="width: 256px; height: 60px; box-shadow: gray 0px 0px 5px;">
          <div class="grecaptcha-logo"><iframe title="reCAPTCHA"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc7788ZAAAAAL1XbsJBAXi7tPX8JVkXGVMKB9zs&amp;co=aHR0cHM6Ly9wb3J0YWwudGhyaXZlcmV2aWV3cy5pbzo0NDM.&amp;hl=de&amp;v=3TZgZIog-UsaFDv31vC4L9R_&amp;size=invisible&amp;badge=inline&amp;cb=f8m4y3yigrep"
              width="256" height="60" role="presentation" name="a-bvi364xwxrbx" 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>
          <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>
  </div>
  <div class="modal-footer">
    <button class="btn btn-default" data-dismiss="modal" type="button">Close</button>
    <button name="button" type="submit" class="btn btn-primary" id="btn-contact-modal" data-disable-with="Sending...">Send Message</button>
  </div>
</form>

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WE STRIVE FOR 100% CUSTOMER SATISFACTION. IF WE FELL SHORT, PLEASE LET US KNOW
SO WE CAN ADDRESS YOUR CONCERNS.

Please enter your email
 * 
   Canada+1
 * 
   New Zealand+64
 * 
   United States+1

Please enter either your email or phone number


If you do not wish to address your concerns privately and prefer to post a
review, click here.


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