saferbirth.org Open in urlscan Pro
199.16.172.39  Public Scan

Submitted URL: https://www.saferbirth.org/
Effective URL: https://saferbirth.org/
Submission: On June 21 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST /#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[&quot;gf_submitting_1&quot;]){return false;}  if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_1&quot;]){return false;} if( !jQuery(&quot;#gform_1&quot;)[0].checkValidity || jQuery(&quot;#gform_1&quot;)[0].checkValidity()){window[&quot;gf_submitting_1&quot;]=true;}  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=1&amp;title=&amp;description=&amp;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

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First name*

Last name*

Phone

Email*

Message*

Name
This field is for validation purposes and should be left unchanged.



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