enquiries.jlfguthrie.workers.dev
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172.67.204.193
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URL:
https://enquiries.jlfguthrie.workers.dev/
Submission: On July 30 via api from US — Scanned from CA
Submission: On July 30 via api from US — Scanned from CA
Form analysis
1 forms found in the DOMPOST
<form method="POST">
<label for="name">Name:</label>
<input type="text" id="name" name="name" required="">
<label for="surname">Surname:</label>
<input type="text" id="surname" name="surname" required="">
<label for="email">Email:</label>
<input type="email" id="email" name="email" required="">
<label for="phone">Telephone number:</label>
<input type="tel" id="phone" name="phone" required="">
<p>What is the nature of your enquiry?</p>
<label><input type="radio" id="product" name="enquiryType" value="Product Related" onclick="toggleFields()" required=""> Product Related</label>
<label><input type="radio" id="status" name="enquiryType" value="Status of your Order" onclick="toggleFields()"> Status of your Order</label>
<label><input type="radio" id="accounting" name="enquiryType" value="Accounting Related" onclick="toggleFields()"> Accounting Related</label>
<div id="productQuestion" class="hidden">
<label for="productQuestionText">Please drop your question here:</label>
<textarea id="productQuestionText" name="productQuestion"></textarea>
</div>
<div id="orderNumber" class="hidden">
<label for="orderNumberText">Please enter your order number here:</label>
<input type="text" id="orderNumberText" name="orderNumber">
</div>
<label for="furtherInfo">Please provide us with further information:</label>
<textarea id="furtherInfo" name="furtherInfo"></textarea>
<!-- Honeypot field -->
<div class="hidden">
<label for="honeypot">Leave this field empty:</label>
<input type="text" id="honeypot" name="honeypot">
</div>
<input type="submit" value="Submit">
</form>
Text Content
ENQUIRIES We are currently undergoing maintenance and changes. If you have any queries pertaining to products or the status of your order, etc, please complete the form below and we will revert back asap. Name: Surname: Email: Telephone number: What is the nature of your enquiry? Product Related Status of your Order Accounting Related Please drop your question here: Please enter your order number here: Please provide us with further information: Leave this field empty: