invoicesystem.netcluesdemo.com Open in urlscan Pro
172.86.180.19  Public Scan

Form analysis
1 forms found in the DOM

POST https://invoicesystem.netcluesdemo.com/contact-us

<form method="POST" action="https://invoicesystem.netcluesdemo.com/contact-us" accept-charset="UTF-8" class="nqform" id="contact_form" novalidate="novalidate"><input name="_token" type="hidden" value="YLrxO0mLsGxsAuhcMAbdFzgVcmxyq5ug2EqqRd0E">
  <input id="back_url" name="back_url" type="hidden" value="https://invoicesystem.netcluesdemo.com">
  <div class="row">
    <div class="col-md-12 text-right">
      <div class="required mb-xs-5" aria-required="true">* Denotes Required Inputs</div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <input class="form-control nq-input" placeholder="Name*" id="first_name_c" autocomplete="off" maxlength="100" onpaste="return false;" ondrop="return false;" name="first_name_c" type="text">
      </div>
    </div>
    <div class="col-sm-6" style="display:none;">
      <div class="form-group">
        <input class="form-control nq-input" placeholder="Middle Name*" id="middle_name_c" autocomplete="off" maxlength="100" onpaste="return false;" ondrop="return false;" name="middle_name_c" type="text">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <input id="phone_number" placeholder="Phone" class="form-control nq-input" name="phone_number_c" maxlength="20" onpaste="return false;" ondrop="return false;" onkeypress="javascript: return KeycheckOnlyPhonenumber(event);" type="text">
      </div>
    </div>
    <div class="col-sm-12">
      <div class="form-group">
        <input class="form-control nq-input" placeholder="Email*" id="contact_email" autocomplete="off" maxlength="100" onpaste="return false;" ondrop="return false;" name="contact_email" type="email">
      </div>
    </div>
    <div class="col-sm-12">
      <div class="form-group">
        <textarea class="form-control nq-textarea" placeholder="Message" rows="3" maxlength="600" id="user_message" spellcheck="true" name="user_message" cols="50"></textarea>
      </div>
    </div>
    <div class="col-sm-8">
      <div class="form-group mb-sm-0">
        <div id="recaptcha1" class="g-recaptcha"></div>
        <div class="capphitcha" data-sitekey="6LdABa0gAAAAAIhLDGutVXsayJfJdOko5pPQYjh3">
        </div>
      </div>
    </div>
    <div class="col-sm-4 contact-btn">
      <div class="form-group mb-sm-0">
        <button type="submit" class="btn btn-primary" title="Send">Send</button>
      </div>
    </div>
  </div>
</form>

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122-123, Cannon Place, North Sound Road,
Industrial Park, George town, KY1-1208, Cayman Islands

1 (345) 123 7894
sales@netclues.com
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CONTACT INFORMATION

A:

122-123, Cannon Place, North Sound Road,
Industrial Park, George town, KY1-1208, Cayman Islands

P:

1 (345) 123 7894

E:

sales@netclues.com


CONTACT

* Denotes Required Inputs






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