www.kneeldescribehabit.za.com
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107.172.59.168
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URL:
http://www.kneeldescribehabit.za.com/Wpdidk/0hMFlngM6HXHThITnFyWlw7-DFOWdjbtsLv5tKWb0hL.8LfotlZqocVM91wZ-gWZLi8DBm_AUVIybxVU1umTCNi
Submission: On April 21 via manual — Scanned from DE
Submission: On April 21 via manual — Scanned from DE
Form analysis
1 forms found in the DOMPOST
<form role="form" method="post">
<div class="form-group">
<!-- <label for="email">Email address:</label>-->
<!-- <input type="email" class="form-control" id="email">-->
</div>
<div class="form-group">
<div class="col-sm-5 pull-left"><label for="pwd">Please Enter 3 Symbols</label>
<img src="/captcha.php" alt="captcha image">
</div>
<div class="col-sm-7 pull-right"><input type="text" name="captcha" size="3″ maxlength=" 3″="" class="form-control"></div>
</div>
<div class="form-group" style="padding-top:75px;">
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</form>
Text Content
E-MAIL UNSUBSCRIBE WE ARE SORRY TO SEE YOU LEAVE. YOUR EMAIL WILL BE REMOVED FROM OUR MAILING LIST WITHIN 48 HOURS. PLEASE FILL OUT THE BELOW CAPTCHA TO PROVE THAT YOU ARE HUMAN. THANK YOU! PLEASE ENTER 3 SYMBOLS SUBMIT