web.givex.com
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162.159.135.42
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Submitted URL: http://www.givex.com/
Effective URL: https://web.givex.com/
Submission: On May 06 via manual from IN — Scanned from DE
Effective URL: https://web.givex.com/
Submission: On May 06 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST /#gf_2
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name="input_cc11c322318a94a96128ff941f634386" value=""></div>
<div class="gform-body gform_body">
<div id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
<div id="field_2_6"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_2_6"><label class="gfield_label gform-field-label" for="input_2_6">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_6" id="input_2_6" type="text" value="" class="large" placeholder="First Name" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_2_7"
class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_2_7"><label class="gfield_label gform-field-label" for="input_2_7">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_7" id="input_2_7" type="text" value="" class="large" placeholder="Last Name" aria-required="true" aria-invalid="false"></div>
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<div id="field_2_1" class="gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_2_1"><label class="gfield_label gform-field-label" for="input_2_1">Newsletter Sign-up<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email"> <input name="input_1" id="input_2_1" type="email" value="" class="large" placeholder="Your Email" aria-required="true" aria-invalid="false"></div>
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data-js-reload="field_2_8">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Consent<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_consent"><input name="input_8.1" id="input_2_8_1" type="checkbox" value="1" aria-required="true" aria-invalid="false"> <label
class="gform-field-label gform-field-label--type-inline gfield_consent_label" for="input_2_8_1">By clicking the above button you are confirming that you agree with following our
<a href="https://web.givex.com/privacy-policy/">Privacy Policy.</a><span class="gfield_required gfield_required_asterisk">*</span></label><input type="hidden" name="input_8.2"
value="By clicking the above button you are confirming that you agree with following our <a href="https://web.givex.com/privacy-policy/">Privacy Policy.</a>" class="gform_hidden"><input type="hidden" name="input_8.3" value="7"
class="gform_hidden"></div>
</fieldset>
<div id="field_2_9" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_2_9"><label
class="gfield_label gform-field-label" for="input_2_9">Name</label>
<div class="ginput_container"><input name="input_9" id="input_2_9" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_2_9">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="image" src="/wp-content/themes/givex/template-parts/svg/submit.svg" id="gform_submit_button_2" class="gform_button button gform_image_button" alt="Submit"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
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<input type="hidden" name="gform_ajax" value="form_id=2&title=1&description=&tabindex=0&theme=gravity-theme"> <input type="hidden" class="gform_hidden" name="is_submit_2" value="1"> <input type="hidden" class="gform_hidden"
name="gform_submit" value="2"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden" class="gform_hidden" name="state_2"
value="WyJ7XCI4LjFcIjpcIjNiZDM3YzgxOWUwNmMxZWU4NTMwZDBkMWQ1ZWFjODA0XCIsXCI4LjJcIjpcImEzY2MxNDdmZjU4ODVjYjVkMjI0ZGY2ZjlkMzg0NmYxXCIsXCI4LjNcIjpcImMzNTY2ZjUxMmYzNmEyNjI0MjdkNjQ2YzdlYzVjNWZjXCJ9IiwiZmM4MGI4MmIzYzVmOWFmZDNhYWQ0YzJlNTFhYzIwNTMiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0"> <input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1"> <input
type="hidden" name="gform_field_values" value=""></div>
</form>Text Content
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