mdirector-pages.com Open in urlscan Pro
62.97.140.39  Public Scan

Form analysis
1 forms found in the DOM

POST https://mdirector-pages.com/confirm

<form class="form-horizontal" action="https://mdirector-pages.com/confirm" method="post" role="form">
  <input name="__variants_id" id="__variants_id" value="473" type="hidden">
  <input name="__confirmation_url__" value="" type="hidden">
  <input name="__confirmation_sendparams__" value="0" type="hidden">
  <div class="js-fields">
    <div class="form-group form-group-col one-whole editor-form-group">
      <label class="control-label col-sm-3" for="" style="display: block;">Email</label>
      <div class="col-sm-9 js-control">
        <input data-querymap="" name="Email" placeholder="" class="form-control " data-val-message="El campo Email es obligatorio" type="text">
      </div>
    </div>
    <div class="form-group form-group-col one-whole editor-form-group">
      <label class="control-label col-sm-3" for="" style="display: block;">Nombre</label>
      <div class="col-sm-9 js-control">
        <input data-querymap="" name="Nombre" placeholder="" class="form-control " data-val-message="El campo Nombre es obligatorio" type="text">
      </div>
    </div>
    <div class="form-group form-group-col ed-is-required one-whole editor-form-group">
      <label class="control-label col-sm-3" for="" style="display: block;">Dia</label>
      <div class="col-sm-9 js-control">
        <select name="Dia" class="form-control js-items form-element-required" data-val-message="El campo Dia es obligatorio">
          <option value="">Selecciona...</option>
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
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          <option value="15">15</option>
          <option value="16">16</option>
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          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
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          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
        </select>
      </div>
    </div>
    <div class="form-group form-group-col one-whole editor-form-group">
      <div class="col-sm-9 js-control js-items predef-item">
        <label class="checkbox-terms checkbox-inline">
          <input name="Etiqueta 4" class="form-element-required js-terms" data-val-message="Debe aceptar los términos de uso" type="checkbox"> Acepto los <a href="http://youdomain.com/terms" target="_blank">términos y condiciones</a>
        </label>
      </div>
    </div>
  </div>
  <div class="editor-form-group form-group form-group-col one-whole">
    <!-- <label class="control-label col-sm-3"></label> -->
    <div style="display: none;" class="col-sm-12 js-control js-submit-wrapper">
      <button type="submit" class="btn btn-default js-submit">Enviar</button>
    </div>
  </div>
</form>

Text Content

Email

Nombre

Dia
Selecciona... 12345678910111213141516171819202122232425262728293031
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