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Submission #5737498 is currently offline

Submitted Aug 2nd 2018 10:43 AM by pch   (Current time: Jun 25th 2019 10:02 AM UTC)
http://forms3.createforms.com/103921/form_1_1.html

Verified: Is a phish

As verified by szakulec hmsec vlfdfgspt sekisanchi
Is a phish  
  100%  
Is NOT a phish  
  0%  
Server: 78df2cff97e8