devineheartsservers.co.za Open in urlscan Pro
156.38.171.131  Public Scan

Form analysis
2 forms found in the DOM

POST login.php

<form action="login.php" id="login-form" method="POST" style="display: none;">
  <div class="form-group"><input name="username" placeholder="Username" required="" type="text"></div>
  <div class="form-group"><input name="password" placeholder="Password" required="" type="password"></div>
  <button class="auth-submit" type="submit">Login</button>
</form>

POST signup.php

<form action="signup.php" id="signup-form" method="POST" style="display: none;">
  <div class="form-group"><select name="title" required="">
      <option disabled="disabled" selected="selected" value="">Select Title</option>
      <option value="Mr.">Mr.</option>
      <option value="Mrs.">Mrs.</option>
      <option value="Miss">Miss</option>
      <option value="Ms.">Ms.</option>
    </select></div>
  <div class="form-group"><input name="initials" placeholder="Initials" required="" type="text"></div>
  <div class="form-group"><input name="full_names" placeholder="Full Names" required="" type="text"></div>
  <div class="form-group"><input name="surname" placeholder="Surname" required="" type="text"></div>
  <div class="form-group"><input name="id_number" placeholder="ID Number" required="" type="text"></div>
  <div class="form-group"><select name="marital_status" required="">
      <option disabled="disabled" selected="selected" value="">Select Marital Status</option>
      <option value="Single">Single</option>
      <option value="Married">Married</option>
      <option value="Divorced">Divorced</option>
      <option value="Widowed">Widowed</option>
    </select></div>
  <div class="form-group"><input name="address" placeholder="Address" required="" type="text"></div>
  <div class="form-group"><input name="province" placeholder="Province" required="" type="text"></div>
  <div class="form-group"><input name="phone_number" placeholder="Phone Number" required="" type="text"></div>
  <div class="form-group"><input name="email_address" placeholder="Email Address" required="" type="text"></div>
  <div id="additional-members-container"></div>
  <div class="form-group"><label for="additional_members">Additional Members:</label> <input id="additional_members" max="9" min="0" name="additional_members" onchange="addAdditionalMembers(this.value)" required="" type="number" value="0"></div>
  <button class="auth-submit" type="submit">Sign Up</button>
</form>

Text Content

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 * About
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GREAT FOOD PLEASANTLY SERVERED ON TIME



Bring people together and have a positive impact on our clients, our team and
the environment


WHAT DO WE DO?



CATERING

Offering the best food , balanced diet with the perfect ingredients.

EMPOWERING

A Husband & Wife Team serving quality food & top tier service since 2009
employing a team from The Community.

GEOGRAPHICAL

Providing our services in all geographical areas.

MEMBERSHIP PACKAGES

Offering membership packages that are dignified appreciated everywhere we go.


AUTHENTICATION


LoginSign Up

Login
Select TitleMr.Mrs.MissMs.




Select Marital StatusSingleMarriedDivorcedWidowed





Additional Members:
Sign Up


DEVINE HEARTS SERVERS

FOLLOW US



Devine Hearts Servers

@devine_hearts_servers

Devine Hearts Servers

CUSTOMER SERVICE



Monday - Friday

08:00am - 05:00pm

info@devineheartsservers.co.za

PAGES


 * Home
 * About
 * Products
 * Gallery
 * Contacts

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