saferbirth.org
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199.16.172.39
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Submitted URL: https://www.saferbirth.org/
Effective URL: https://saferbirth.org/
Submission: On June 21 via automatic, source certstream-suspicious — Scanned from DE
Effective URL: https://saferbirth.org/
Submission: On June 21 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" novalidate="">
<div class="gform_body gform-body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_above">
<div id="field_1_1" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_above hidden_label gfield_visibility_visible" data-js-reload="field_1_1"><label class="gfield_label" for="input_1_1">First
name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" placeholder="First name*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_2" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_above hidden_label gfield_visibility_visible" data-js-reload="field_1_2"><label class="gfield_label" for="input_1_2">Last
name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_1_2" type="text" value="" class="large" placeholder="Last name*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_3" class="gfield gfield--width-half field_sublabel_below field_description_above hidden_label gfield_visibility_visible" data-js-reload="field_1_3"><label class="gfield_label" for="input_1_3">Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_1_3" type="tel" value="" class="large" placeholder="Phone" aria-invalid="false"></div>
</div>
<div id="field_1_4" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_above hidden_label gfield_visibility_visible" data-js-reload="field_1_4"><label class="gfield_label" for="input_1_4">Email<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_4" id="input_1_4" type="email" value="" class="large" placeholder="Email*" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_1_5" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_above hidden_label gfield_visibility_visible" data-js-reload="field_1_5"><label class="gfield_label"
for="input_1_5">Message<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_5" id="input_1_5" class="textarea medium" placeholder="Message*" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_1_6" class="gfield gform_validation_container field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_1_6"><label class="gfield_label" for="input_1_6">Name</label>
<div class="gfield_description" id="gfield_description_1_6">This field is for validation purposes and should be left unchanged.</div>
<div class="ginput_container"><input name="input_6" id="input_1_6" type="text" value="" autocomplete="new-password"></div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=&description=&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsImYyODhmNzVlOTk5MTVhZTg3Yjc3NjUyMjE5Yjg4OGRhIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1655840202512">
<script>
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>
Text Content
WE ARE COMING SOON! But we can reach out to you. Please get in touch. First name* Last name* Phone Email* Message* Name This field is for validation purposes and should be left unchanged. Δ Notifications