clinicaprevenga.com.comercializadoraelguabalsas.com Open in urlscan Pro
96.126.120.186  Public Scan

Form analysis
1 forms found in the DOM

POST contact.php

<form id="main-offer-form" action="contact.php" method="post" novalidate="novalidate">
  <h2 class="text-primary">Interesado en este dominio?</h2>
  <hr>
  <div class="form-group">
    <input type="text" name="name" id="name" class="form-control" placeholder="Nombre Completo (Requerido)">
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <input type="email" name="email" class="form-control" placeholder="Email (Requerido)">
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <input type="text" name="phone" class="form-control" placeholder="Celular (Requerido)">
      </div>
    </div>
  </div>
  <div class="form-group">
    <input type="number" name="price" class="form-control" min="0" placeholder="Oferta en USD? (Requerido)">
  </div>
  <div class="form-group">
    <textarea name="comments" class="form-control" placeholder="Mensaje (opcional)"></textarea>
  </div>
  <div class="form-group">
    <div id="recaptcha" class="g-recaptcha" data-sitekey="6LfUKtMUAAAAAJ4E4dU_aPnJ0gYTh8ypts053DY_" data-callback="onSubmit" data-size="invisible">
      <div class="grecaptcha-badge" data-style="bottomright"
        style="width: 256px; height: 60px; display: block; transition: right 0.3s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
        <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-y685trvkayz3" frameborder="0" scrolling="no"
            sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LfUKtMUAAAAAJ4E4dU_aPnJ0gYTh8ypts053DY_&amp;co=aHR0cHM6Ly9jbGluaWNhcHJldmVuZ2EuY29tLmNvbWVyY2lhbGl6YWRvcmFlbGd1YWJhbHNhcy5jb206NDQz&amp;hl=de&amp;v=hfUfsXWZFeg83qqxrK27GB8P&amp;size=invisible&amp;cb=816fs9wdtq27"></iframe>
        </div>
        <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div>
  </div>
  <button type="submit" class="btn text-white btn-lg bg-primary btn-block">Hacer Oferta</button>
</form>

Text Content

CLINICAPREVENGA.COM AVAILABLE FOR SALE

For instantly purchase. Please make an order.

Buy now for $1987 usd

+573155398055

Whatsapp


INTERESADO EN ESTE DOMINIO?

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Hacer Oferta