fgmacademydentistica.fgmdentalgroup.com Open in urlscan Pro
54.209.111.103  Public Scan

Form analysis
2 forms found in the DOM

GET /external/support/mail

<form data-type="html" id="suport-email" enctype="multipart/form-data" action="/external/support/mail" accept-charset="UTF-8" data-remote="true" method="get"><input name="utf8" type="hidden" value="✓">
  <div class="name-support">
    <span> Nome </span>
    <div class="name">
      <input type="text" name="external_user_name" id="external_user_name" value="" class="form-control">
    </div>
  </div>
  <div class="email-support">
    <span> E-mail </span>
    <div class="e-mail">
      <input type="text" name="external_user_email" id="external_user_email" value="" class="form-control" placeholder="exemplo@email.com" required="required">
    </div>
  </div>
  <div class="telephone-support">
    <span> Telefone </span>
    <div class="telephone">
      <input type="text" name="external_user_phone" id="external_user_phone" value="" class="form-control" placeholder="(__) ____-____" required="required">
    </div>
  </div>
  <div class="message-support">
    <span>
      <label required="required" for="message_text">Mensagem:</label>
    </span>
    <div class="message">
      <textarea name="message_text" id="message_text" placeholder="Digite aqui sua mensagem." data-limit="1000" data-limit-input="message_text_limit_number" required="required" class="form-control"></textarea>
      <div id="message_text_limit" style="float: right; font-size: 12px; font-style: italic">
        <span id="message_text_limit_number">0</span> caracteres restantes.
      </div>
    </div>
    <div id="mail_myself_checkbox">
      <input type="checkbox" name="send_copy" id="send_copy" value="1">
      <label for="send_copy">Desejo receber uma cópia do e-mail</label>
    </div>
  </div>
  <div class="actions-support-mail">
    <input type="submit" name="commit" value="Enviar" class="inline green_btn confirmationss" data-disable-with="Enviar">
    <div class="loading">
      <img src="/assets/ajaxloader-2d3cc67cc453d82fa7d932c50f1f914ac43023bb1b251e5ae9c0256c97f0f54d.gif" alt="Ajaxloader">
    </div>
  </div>
  <div class="na-jzylbucdpsrexh_1712098056">
    <style media="screen">
      .na-jzylbucdpsrexh_1712098056 {
        display: none;
      }
    </style><label for="na-jzylbucdpsrexh">If you are a human, ignore this field</label><input type="text" name="na-jzylbucdpsrexh" id="na-jzylbucdpsrexh" autocomplete="off" tabindex="-1" class="form-control">
  </div>
</form>

POST /users/login

<form id="login-user" class="new_user" action="/users/login" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="XPZRT9oqOZhKlD9ofwZkJxw60uUwSYShdEbjRFix8OcT4QT2H7mafiu0fgozG9YtvQIfW1jiDQ/tPdSBEacEIA=="><input value="true" type="hidden" name="user[remember_me]" id="user_remember_me">
  <input value="sessions" type="hidden" name="user[origin_controller]" id="user_origin_controller">
  <div class="field full no-padding">
    <input placeholder="Login" class="form-control" type="text" value="" name="user[email]" id="user_email">
  </div>
  <div class="field full no-padding">
    <input placeholder="Senha" type="password" name="user[password]" id="user_password">
  </div>
  <div class="field full no-padding">
    <button class="full btn btn-primary" id="user_submit" type="submit"> Entrar </button>
  </div>
  <a class="mobile_register_button" href="/users/password/new" id="forgot-password">
Esqueci minha senha
</a>
  <a class="mobile_register_button" href="/users/confirmation/new" id="resend-confirmation">
Reenviar e-mail de confirmação
</a>
  <hr>
  <div class="mobile-login-options">
    <a class="btn btn-primary ghost" href="/users/sign_up" id="register_button">
Registre-se
</a>
  </div>
</form>

Text Content

 * 


Logar Cadastrar-se


MODO ADMINISTRADOR





{{msg}}

OK
Entrar Cadastre-se


ENVIAR E-MAIL AO ADMINISTRADOR

Nome

E-mail

Telefone

Mensagem:
0 caracteres restantes.
Desejo receber uma cópia do e-mail

If you are a human, ignore this field


Entrar
Esqueci minha senha Reenviar e-mail de confirmação

--------------------------------------------------------------------------------

Registre-se