www.ibizsoftinc.com Open in urlscan Pro
54.245.13.42  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST" id="requestForm" data-hs-cf-bound="true">
  <div class="modal-header bg-primary rounded-0">
    <h5 class="modal-title text-white " id="exampleModalLabel">Request for Consultation</h5>
    <button type="button" class="close text-white" data-dismiss="modal" aria-label="Close"> <span aria-hidden="true">×</span> </button>
  </div>
  <div class="modal-body p-5">
    <div class="row">
      <input type="hidden" name="subject" id="subject">
      <input type="hidden" name="submenu" id="submenu">
      <input type="hidden" name="mainmenu" id="mainmenu">
      <input type="hidden" name="demopageurl" id="demopageurl">
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">Business Name*</label>
          <input type="business-name" class="form-control rounded-0" id="orgname" name="orgname">
          <span id="orgerror" style="display:none;">Please enter business name</span>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">Country*</label>
          <select id="country" name="country" class="form-control rounded-0 countries">
            <option value="">Select Country</option>
          </select>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">First Name*</label>
          <input type="first-name" class="form-control rounded-0" id="fname" name="fname">
          <span id="fnameerror" style="display:none;">Please enter your first name</span>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">Last Name</label>
          <input type="phone" class="form-control rounded-0" id="lname" name="lname">
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">Phone*</label>
          <input type="last-name" class="form-control rounded-0" id="phone" name="phone">
          <span id="phoneerror" style="display:none;">Please enter you Phone Number</span>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <label for="exampleFormControlInput1">Email*</label>
          <input type="email" class="form-control rounded-0" id="email" name="email" placeholder="">
          <span id="emailerror" style="display:none;">Please enter your email id</span>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group">
          <div class="g-recaptcha" data-sitekey="6Lel0gETAAAAAM_1xn3-Lj_JFBcO6m261-oQtSJx"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="modal-footer">
    <button type="button" class="btn btn-primary" name="submit" id="submit" value="Submit">Submit</button>
    <button type="button" class="btn btn-secondary" data-dismiss="modal" onclick="resetForm();">Close</button>
  </div>
</form>

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