www.agonygrimace.sa.com Open in urlscan Pro
2606:4700:3037::6815:5345  Public Scan

Form analysis
1 forms found in the DOM

POST

<form role="form" method="post">
  <div class="form-group">
    <!--    <label for="email">Email address:</label>-->
    <!--    <input type="email" class="form-control" id="email">-->
  </div>
  <div class="form-group">
    <div class="col-sm-5 pull-left"><label for="pwd">Please Enter 3 Symbols</label>
      <img src="/captcha.php" alt="captcha image">
    </div>
    <div class="col-sm-7 pull-right"><input type="text" name="captcha" size="3″ maxlength=" 3″="" class="form-control"></div>
  </div>
  <div class="form-group" style="padding-top:75px;">
    <button type="submit" class="btn btn-primary">Submit</button>
  </div>
</form>

Text Content

E-MAIL UNSUBSCRIBE

WE ARE SORRY TO SEE YOU LEAVE. YOUR EMAIL WILL BE REMOVED FROM OUR MAILING LIST
WITHIN 48 HOURS. PLEASE FILL OUT THE BELOW CAPTCHA TO PROVE THAT YOU ARE HUMAN.

THANK YOU!

PLEASE ENTER 3 SYMBOLS

SUBMIT