101.0.84.26
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101.0.84.26
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Submission Tags: krdtest
Submission: On January 06 via api from JP — Scanned from JP
Submission Tags: krdtest
Submission: On January 06 via api from JP — Scanned from JP
Form analysis
1 forms found in the DOM<form class="modal-dialog">
<div class="modal-content">
<div class="modal-header"> <button type="button" class="close" data-dismiss="modal">×</button>
<h4 class="modal-title"><i class="fa fa-users"></i> Refer a Friend</h4>
</div>
<div class="modal-body">
<p>Please fill out the form below to send this to a friend.</p> <input type="text" placeholder="Your Name (required)" class="form-control" value="" name="from_name"> <br> <input type="text" placeholder="Your Email (required)"
class="form-control" value="" name="from_email"> <br> <input type="text" placeholder="Your Friends Name (required)" class="form-control" value="" name="to_name"> <br> <input type="text" placeholder="Your Friends Email (required)"
class="form-control" value="" name="to_email"> <br> <textarea class="form-control" name="message" placeholder="Your Message (optional)" style="height:105px"></textarea>
</div>
<div class="modal-footer"> <button type="button" class="btn btn-primary">Submit</button> </div>
</div>
</form>
Text Content
Toggle navigation * * * EXPLORE MELTON CITY * MENU * Explore Melton City * What's On * Special Offers * Eating & Drinking * See & Do * Outdoors * Conferences & Receptions * Arts * Shopping * Accommodation * Itineraries * Getting Around * Melbourne's West * Contact Us * Refer a Friend * App Feedback * Search * * ICON KEY * Family Friendly * Healthy Eating * Accessibility * Allergy Aware * Breast Feeding Friendly EXPLORE MELTON CITY WHAT'S ON SPECIAL OFFERS EATING & DRINKING SEE & DO OUTDOORS CONFERENCES & RECEPTIONS SHOPPING ACCOMMODATION ARTS WELCOME TO MELTON CITY! Explore the region with this app, save your favourite places and plan your day with the itinerary. Ok, Got It. BUSINESS UPDATE Due to the current Covid 19- Restrictions, Some business hours may have altered hours and booking requirements, please contact them through the app for more details. Dismiss × Close × REFER A FRIEND Please fill out the form below to send this to a friend. Submit