moshlife.com Open in urlscan Pro
23.227.38.32  Public Scan

URL: https://moshlife.com/pages/contact
Submission: On January 22 via manual from IN — Scanned from CA

Form analysis 3 forms found in the DOM

Name: dropdownform

<form name="dropdownform" id="dropdownform_0">
  <div class="price-slider"><input type="hidden" name="product_id_0" class="product_id_0" value="8007251591409"><a href="javascript:void(0);" class="accordion"><h3 class="display_title_0">Champion the  Cause</h3></a>
    <div class="panel">
      <div class="easy_donation_ztpl">
        <p class="product-image product-image_0"><img id="ztpl-product-image" src="https://cdn.shopify.com/s/files/1/0518/1194/2554/products/1698701950_WAM-CC-logo-4C-to-benefit_959d100d-95eb-4b5d-8cf9-136ecf273859.png?v=1698964173"
            style="width: 100px;"></p>
        <p class="display_description display_description_0">Join us in championing brain health research through the Women’s Alzheimer’s Movement at Cleveland Clinic. A portion of each MOSH purchase and any additional donations support crucial
          research initiatives. Every order placed is good for you and good for the world.</p>
      </div>
      <div><select name="donation_amount" id="donation_amount_0" class="donationamount">
          <option value="44035295838449">$1</option>
          <option value="44035295871217">$5</option>
          <option value="44035295903985">$10</option>
          <option value="44035295936753">$20</option>
          <option id="click_drop_down" value="other">Other Amount</option>
        </select><input type="number" name="dropdown_textbox" id="dropdown_textbox_0" class="dropdown_textbox" step="any" min="1" onkeypress="preventNonNumericalInput(event)" style="display:none;"><input type="submit" name="donate" value="Donate"
          class="btn button frontbutton">
        <div class="loaderDiv_0" style="display:none;"><img src="https://zestardshop.com/shopifyapp/easy_donation/public/image/loader.svg"></div>
      </div>
    </div>
  </div>
</form>

POST /cart/add

<form action="/cart/add" method="post" enctype="multipart/form-data" data-product-form="43940460003569">
  <input type="hidden" name="id" value="43940460003569">
  <button type="submit" class="text-[16px] py-[15px] px-[20px] min-w-[unset] m-0 inline-block w-auto leading-[1] no-underline text-center whitespace-nowrap rounded-[32px] bg-dark text-white font-special font-[700] uppercase">Add to cart</button>
</form>

POST /contact#contact_form

<form method="post" action="/contact#contact_form" id="contact_form" accept-charset="UTF-8" class="contact-form" data-validation-required=""><input type="hidden" name="form_type" value="contact"><input type="hidden" name="utf8" value="✓">
  <div class="float-left w-full">
    <input type="text"
      class="w-full mb-[16px] pt-[16px] px-[24px] pb-[15px] bg-white rounded-[32px] border-[2px] border-white text-left placeholder:font-special placeholder:font-[700] placeholder:text-[1.25rem] placeholder:leading-[1.25rem] placeholder:text-black"
      name="contact[name]" id="contactFormName" placeholder="Name" value="">
  </div>
  <div class="float-left w-full md:w-1/2">
    <div class="required-indicator relative" data-required-field-wrapper="">
      <input type="email"
        class="w-full md:w-[98%] mb-[16px] pt-[16px] px-[24px] pb-[15px] bg-white rounded-[32px] border-[2px] border-white text-left placeholder:font-special placeholder:font-[700] placeholder:text-[1.25rem] placeholder:leading-[1.25rem] placeholder:text-black"
        name="contact[email]" id="contactFormEmail" placeholder="Email" value="" spellcheck="false" autocomplete="off" autocapitalize="off" data-required-field="valid email is required"
        data-required-field-pattern="^\w+([.-/+/-]?\w+)*@\w+([.-]?\w+)*(\.\w{2,3})+$">
      <span></span>
    </div>
  </div>
  <div class="float-left w-full md:w-1/2">
    <input type="tel"
      class="w-full md:w-[98%] md:ml-[2%] mb-[16px] pt-[16px] px-[24px] pb-[15px] bg-white rounded-[32px] border-[2px] border-white text-left placeholder:font-special placeholder:font-[700] placeholder:text-[1.25rem] placeholder:leading-[1.25rem] placeholder:text-black"
      name="contact[phone]" id="contactFormPhone" placeholder="Phone" value="" pattern="[0-9\-]*">
  </div>
  <div class="float-left w-full">
    <div class="required-indicator relative" data-required-field-wrapper="">
      <textarea rows="6" required=""
        class="w-full mb-[16px] pt-[16px] px-[24px] pb-[15px] bg-white rounded-[32px] border-[2px] border-white text-left placeholder:font-special placeholder:font-[700] placeholder:text-[1.25rem] placeholder:leading-[1.25rem] placeholder:text-black"
        name="contact[body]" id="contactFormMessage" placeholder="Message" data-required-field="message is required"></textarea>
      <span></span>
    </div>
  </div>
  <div class="float-left w-full">
  </div>
  <div class="float-left w-full">
    <button type="submit" title="Send" aria-label="Send" class="block text-center transition-all mx-auto py-4 px-[26px] w-fit bg-dark hover:bg-yellow text-white hover:text-dark rounded-full font-primary  md:mt-[24px] mx-auto !w-full md:!w-[248px]">
      <span class="font-bold font-special text-[1.25rem] uppercase font-special"> Send </span>
    </button>
  </div>
</form>

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Free Shipping on Orders Over $50 Try Our Newest Flavors - Shop Now 🌱 NEW! Party
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CHAMPION THE CAUSE


CHAMPION THE CAUSE

Join us in championing brain health research through the Women’s Alzheimer’s
Movement at Cleveland Clinic. A portion of each MOSH purchase and any additional
donations support crucial research initiatives. Every order placed is good for
you and good for the world.

$1$5$10$20Other Amount



CHAMPION THE CAUSE

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MINDFUL MORNINGS TRIAL PACK
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