kyisc3.gq Open in urlscan Pro
2606:4700:3031::ac43:daca  Public Scan

Form analysis
2 forms found in the DOM

<form action="">
  <div class="input-group md-form form-sm form-2 pl-0">
    <input class="form-control my-0 py-1 red-border" type="text" placeholder="Search" aria-label="Search">
    <div class="input-group-append">
      <button class="input-group-text red lighten-3" id="basic-text1">
        <span class="lnr lnr-magnifier"></span>
      </button>
    </div>
  </div>
</form>

Name: contact-us — POST

<form method="post" name="contact-us" action="">
  <div class="row">
    <div class="col-md-12 form-group">
      <input type="text" class="form-control" id="name" name="name" placeholder="Name">
    </div>
    <div class="col-md-12 form-group">
      <input type="text" class="form-control" id="email" name="email" placeholder="Email">
    </div>
    <div class="col-md-12 form-group">
      <input type="number" class="form-control" id="phoneNumber" name="phoneNumber" placeholder="Phone">
    </div>
    <div class="col-md-12 form-group">
      <input type="text" class="form-control" id="websiteUrl" name="websiteUrl" placeholder="Website">
    </div>
    <div class="col-md-12 form-group">
      <textarea class="form-control" id="message" name="message" rows="6" placeholder="Your Message ..."></textarea>
    </div>
    <div class="col-md-12 text-center">
      <button class="btn btn-primary btn-shadow btn-lg" type="submit" name="submit">Send Message</button>
    </div>
  </div>
</form>

Text Content

ROXY

 * Home
 * About
 * Blog
 * Contact
 * 
 * 

×

Kuncen WB1, Wirobrajan 10010, DIY

(+68) 120034509

info@yourdomain.com

×



RO
XY














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