niftydigitalagency.com.ison.me
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URL:
https://niftydigitalagency.com.ison.me/
Submission: On May 28 via api from US — Scanned from DE
Submission: On May 28 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form role="form" autocomplete="off" id="form_1">
<div class="form-body">
<div>
<div ref="component" class="formio-component formio-component-form formio-component-label-hidden" id="ekec52">
<div novalidate="" ref="webform" class="formio-form">
<div ref="component" class="form-group has-feedback formio-component formio-component-textfield formio-component-firstName required" id="e184dfi">
<label id="l-e184dfi-firstName" for="e184dfi-firstName" class="col-form-label field-required" ref="label"> First Name </label>
<div ref="element">
<input aria-required="true" aria-labelledby="l-e184dfi-firstName" id="e184dfi-firstName" value="" spellcheck="true" lang="en" class="form-control" type="text" name="data[firstName]" ref="input" aria-invalid="false">
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
<div ref="component" class="form-group has-feedback formio-component formio-component-email formio-component-email required" id="ey425d">
<label id="l-ey425d-email" for="ey425d-email" class="col-form-label field-required" ref="label"> Email </label>
<div ref="ed33fqv" id="email_container_ed33fqv" class="email_container">
<div class="labelRow " style="border-bottom: none;">
<div class="input-group" style="width: 100%;"><input autocomplete="off" type="email" class="form-control " placeholder="" value=""></div>
</div>
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
<div ref="component" class="form-group has-feedback formio-component formio-component-url formio-component-url required" id="eue8l6v">
<label id="l-eue8l6v-url" for="eue8l6v-url" class="col-form-label field-required" ref="label"> Website URL </label>
<div ref="element">
<input aria-required="true" aria-labelledby="l-eue8l6v-url" id="eue8l6v-url" value="" spellcheck="true" lang="en" class="form-control" type="text" name="data[url]" ref="input" aria-invalid="false">
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
<div ref="component" class="form-group has-feedback formio-component formio-component-checkbox formio-component-optinEmail required" id="e6gc4rn">
<div class="form-check checkbox">
<label class="field-required form-check-label">
<input aria-required="true" checked="true" value="1" lang="en" class="form-check-input" type="checkbox" name="data[optinEmail]" ref="input" aria-invalid="false">
<span>I agree to recieve marketing emails to the email address provided</span>
</label>
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
<div ref="component" class="form-group has-feedback formio-component formio-component-button formio-component-submit form-group" id="ex6pe5">
<button lang="en" class="btn btn-primary btn-md" type="submit" name="data[submit]" ref="button" disabled="disabled"> GET DEMO </button>
<div ref="buttonMessageContainer">
<span ref="buttonMessage" class="help-block"></span>
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
</div>
<div class="formio-errors invalid-feedback" ref="messageContainer"></div>
</div>
</div>
</div>
</form>
Text Content
FREE DENTIST DEMO CUSTOMIZED FOR YOUR BUSINESS WEBSITE, LANDING PAGE, OR BLOG! Engage with the ChatBot for FREE! and expierence how your business can grow by automating... ✔️ Patient Acquisition & Retention ✔️ Efficient Appointment Booking ✔️ Enhancing Patient Experience ✔️ Marketing & Brand Building * All you have to deo is Enter the following information below and we'll take care of the rest: First Name Email Website URL I agree to recieve marketing emails to the email address provided GET DEMO