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2606:4700:3035::ac43:ae06  Public Scan

Form analysis
1 forms found in the DOM

POST /manager/inventory/buy/bgood_timappo?ref=162d18156abe

<form method="post" accept-charset="utf-8" role="form" action="/manager/inventory/buy/bgood_timappo?ref=162d18156abe">
  <div style="display:none;"><input type="hidden" name="_method" value="POST"></div> <input type="hidden" name="fingerprint" id="fingerprint" value="8678b557ffba0ac72c412ee5d9833ed6">
  <input type="hidden" name="variations" id="variations" value="">
  <input type="hidden" name="aff_sub1" value="">
  <center>
    <h3 class="title">COMPILA IL MODULO</h3>
  </center><input type="hidden" name="source_id" id="source_id" value="162d18156abe">
  <div class="form-group">
    <label>Nome e Cognome</label>
    <input type="text" name="name" class="form-control" placeholder="Inserisci Nome e Cognome" required="required">
  </div>
  <div class="form-group">
    <label>Telefono (Meglio Cellulare)</label>
    <input type="text" name="phone" class="form-control" placeholder="Inserisci il tuo numero di telefono" required="required" value="">
  </div>
  <div class="form-group">
    <label>Indirizzo e n. civico</label>
    <input type="text" name="address" class="form-control" placeholder="ES. Via Aldo moro, 130" required="required" value="">
  </div>
  <div class="form-row">
    <div class="form-group col-md-8">
      <label>Città</label>
      <input type="text" name="city" class="form-control" placeholder="ES. Milano" required="required" value="">
    </div>
    <div class="form-group col-md-4">
      <label>CAP</label>
      <input type="text" name="zipcode" class="form-control" placeholder="ES. 94112" required="required">
    </div>
  </div>
  <div class="form-group">
    <label>E-mail (Facoltativo)</label>
    <input type="email" name="email" class="form-control" placeholder="Inserisci il tuo indirizzo e-mail" value="">
  </div>
  <div class="form-row offer-selection" data-images="[]" data-default-img="https://manager-uploads.s3.eu-central-1.amazonaws.com/upload/products/image/2979_1c740ee68bd778655f95f049220fa33c_1576764972.jpg">
    <div class="col-auto text-center d-flex align-items-center" data-toggle="lightbox">
      <img data-jslghtbx="" style="max-width:100%;max-height:80px;" src="https://manager-uploads.s3.eu-central-1.amazonaws.com/upload/products/image/2979_1c740ee68bd778655f95f049220fa33c_1576764972.jpg">
    </div>
    <div class="form-group col text-center">
      <label>Scegli un'offerta</label>
      <select name="quantity" class="form-control" required="required">
        <option value="1" selected="selected">1 TiMappo 49,00 €</option>
        <option value="2">2 TiMappo 59,00 €</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <label>Note per il corriere</label>
    <input type="text" name="notes" class="form-control" rows="2" placeholder="ES. Citofonare al Sig. Rossi" value="">
  </div>
  <div style="display:none"> {}</div>
  <div class="preloader loader-1"></div>
  <center>
    <div id="info-privacy"><small>Cliccando "Completa l'acquisto" confermi di aver preso visione <a href="/landing/privacy.html">dell'informativa sulla privacy</a>.</small></div><button id="submit-button" class="btn btn-lg btn-warning new-sbm-btn"
      type="submit">Completa l'acquisto</button> <!--img src="/manager/img/form-secure.jpg" style="max-width:250px;margin:10px"-->
  </center>
</form>

Text Content

COMPILA IL MODULO

Nome e Cognome
Telefono (Meglio Cellulare)
Indirizzo e n. civico
Città
CAP
E-mail (Facoltativo)
Scegli un'offerta 1 TiMappo 49,00 €2 TiMappo 59,00 €
Note per il corriere
{}

Cliccando "Completa l'acquisto" confermi di aver preso visione dell'informativa
sulla privacy.
Completa l'acquisto