www.zip-quotes.ua838268.serversignin.com Open in urlscan Pro
138.201.211.238  Public Scan

Form analysis
1 forms found in the DOM

POST ./files/formloom-page0.php

<form action="./files/formloom-page0.php" method="post" id="page0-ydfl-form" class="" enctype="multipart/form-data">
  <div class="form-body">
    <div class="ydfl-header">
    </div>
    <div class="frm-row">
      <!-- OUR FORM ELEMENTS WILL GO HERE -->
      <div class="section colm colm12" id="fl-page0-1">
        <label for="item_1" class="field-label">Name <span class="ydfl-required-symbol">*</span></label>
        <label class="field prepend-icon"><input type="text" name="form[item_1]" id="fl-item-1" class="gui-input  required" value="" placeholder="Name"><label class="field-icon"><i class="fa fa-user"></i></label>
        </label>
      </div><!-- end section -->
      <div class="section colm colm12" id="fl-page0-2">
        <label for="item_2" class="field-label">Email <span class="ydfl-required-symbol">*</span></label>
        <label class="field prepend-icon"><input type="email" name="form[item_2]" id="fl-item-2" class="gui-input  required" value="" placeholder="Email"><label class="field-icon"><i class="fa fa-envelope"></i></label>
          <span class="input-hint">This could indicate BATHROOM</span>
        </label>
      </div><!-- end section -->
      <div class="section colm colm12" id="fl-page0-3">
        <label for="item_3" class="field-label">Subject <span class="ydfl-required-symbol">*</span></label>
        <label class="field prepend-icon"><input type="text" name="form[item_3]" id="fl-item-3" class="gui-input  required" value="" placeholder="Subject"><label class="field-icon"><i class="fa fa-tag"></i></label>
          <span class="input-hint">This is a subject SUB-TEXT could be TOILETS</span>
        </label>
      </div><!-- end section -->
      <div class="section colm colm12" id="fl-page0-4">
        <label for="item_4" class="field-label">Message <span class="ydfl-required-symbol">*</span></label>
        <label class="field prepend-icon"><textarea name="form[item_4]" id="fl-item-4" class="gui-textarea  required" placeholder="Message"></textarea><label class="field-icon"><i class="fa fa-comments"></i></label>
          <span class="input-hint">MESSAGE SUB-TITLE</span>
        </label>
      </div><!-- end section -->
      <div class="section colm colm12" id="fl-page0-5">
        <button type="submit" style="width:100%;" id="fl-item-5" class="button btn-primary ydfl-submit">Submit</button>
        <span class="input-hint">THIS is the Subtext on SUBMIT - Toilet leaks!</span>
      </div>
      <div class="section colm colm12">
        <div class="form-results" style="display:none;"></div>
      </div>
    </div><!-- end .frm-row section -->
    <div class="ydfl-footer">
    </div>
  </div><!-- end .form-body section -->
</form>

Text Content

 * FormLoom3
 * Bathroom
 * Bathroom Reno
 * Attach picture


RENOVATIONS


WHERE POOPING IS A PLEASURE !





Name *
Email * This could indicate BATHROOM
Subject * This is a subject SUB-TEXT could be TOILETS
Message * MESSAGE SUB-TITLE
Submit THIS is the Subtext on SUBMIT - Toilet leaks!






© 2016 Paul Shuster