itwc.ca Open in urlscan Pro
64.140.127.167  Public Scan

Form analysis
1 forms found in the DOM

Name: WebToLeadForm — POST https://crm.itwc.ca/index.php?entryPoint=WebToLeadCapture

<form id="WebToLeadForm" action="https://crm.itwc.ca/index.php?entryPoint=WebToLeadCapture" method="POST" name="WebToLeadForm">
  <input id="first_name" type="text" name="first_name" placeholder="First Name">
  <input id="last_name" type="text" name="last_name" placeholder="Last Name">
  <input id="webtolead_email1" type="text" name="webtolead_email1" onchange="validateEmailAdd();" placeholder="john.doe@gmail.com">
  <input id="title" type="text" name="title" placeholder="Job Title">
  <input id="account_name" type="text" name="account_name" placeholder="Company Name">
  <input id="phone_work" type="text" name="phone_work" placeholder="Office Phone">
  <textarea id="description" type="text" name="description" placeholder="Message" class="contact-desc"></textarea>
  <div class="g-recaptcha" id="rcaptcha" style="margin-left: 90px;" data-sitekey="6Lc-af8SAAAAAGLD_zmavu1109M__6f-I_vKuvGm">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc-af8SAAAAAGLD_zmavu1109M__6f-I_vKuvGm&amp;co=aHR0cHM6Ly9pdHdjLmNhOjQ0Mw..&amp;hl=en&amp;v=M-QqaF9xk6BpjLH22uHZRhXt&amp;size=normal&amp;cb=rawj1dc1azy2" width="304" height="78"
          role="presentation" name="a-4erm0tvmdsia" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></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>
  <span id="captcha" style="margin-left:100px;color:red"></span><br>
  <a href="javascript: get_action();" class="contact-submit">Submit </a><br><br>
  <input id="campaign_id" type="hidden" name="campaign_id" value="6a89b35e-5e27-d9bd-c14e-5a562dc13cbf">
  <input id="redirect_url" type="hidden" name="redirect_url" value="https://www.itwc.ca/contact-thank-you.php">
  <input id="assigned_user_id" type="hidden" name="assigned_user_id" value="1">
  <input id="team_id" type="hidden" name="team_id" value="1">
  <input id="team_set_id" type="hidden" name="team_set_id" value="Global">
  <input id="req_id" type="hidden" name="req_id" value="last_name;">
</form>

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