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Submitted URL: http://matt-steinbach.com/
Effective URL: https://www.c21.ca/matt.steinbach
Submission: On April 27 via api from US — Scanned from DE
Effective URL: https://www.c21.ca/matt.steinbach
Submission: On April 27 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form role="form" id="contactMeForm" class="form-horizontal" novalidate="true">
<div class="form-group">
<div class="col-sm-9">
<input id="footerContact_wms_ec_your_name" type="text" class="form-control col-sm-10" name="wms_ec_your_name" placeholder="your name">
</div>
<div class="col-sm-3">
<span class="glyphicon form-control-feedback" aria-hidden="true"></span>
<span class="help-block with-errors">Name looks great.</span>
</div>
</div>
<div class="form-group">
<div class="col-sm-9">
<input id="footerContact_wms_ec_your_email" type="email" class="form-control" name="wms_ec_your_email" placeholder="*your email" data-error="A valid email is required." pattern="[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$" required="">
</div>
<div class="col-sm-3">
<span class="glyphicon form-control-feedback" aria-hidden="true"></span>
<span class="help-block with-errors">Looks like a valid email.</span>
</div>
</div>
<div class="form-group">
<div class="col-sm-9">
<input id="footerContact_wms_ec_your_phone" type="text" pattern="^\(?([0-9]{3})\)?[-.]?([0-9]{3})[-.]?([0-9]{4})$" name="wms_ec_your_phone" class="form-control" placeholder="your phone">
</div>
<div class="col-sm-3">
<span class="glyphicon form-control-feedback" aria-hidden="true"></span>
</div>
</div>
<div class="form-group">
<div class="col-sm-9">
<textarea id="footerContact_wms_ec_message" class="form-control" name="wms_ec_message" placeholder="*type your message or question" data-error="A comment is required. Please be as detailed as you can." required=""></textarea>
</div>
<div class="col-sm-3">
<span class="glyphicon form-control-feedback" aria-hidden="true"></span>
<span class="help-block with-errors">The more detail the better.</span>
</div>
</div>
<input type="hidden" name="wms_ec_recipient_email" value="corporate@century21.ca">
<div class="input-yenoh" style="position: absolute; left: -9999px;">
<input tabindex="-1" type="checkbox" name="accept" class="yenoh yenoh-1 yenoh-y" checked="checked">
<input tabindex="-1" type="checkbox" name="terms" class="yenoh yenoh-2 yenoh-n">
<input tabindex="-1" type="checkbox" name="check" class="yenoh yenoh-3 yenoh-set-y">
</div>
<div class="form-group form-group-submit clearfix">
<div class="col-sm-9">
<button id="footerContact_submit" type="submit" class="btn btn-primary btn-block disabled">Send</button>
</div>
</div>
</form>Text Content
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