support.test2.aquaelektronik.com
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97.74.85.186
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URL:
https://support.test2.aquaelektronik.com/
Submission: On May 23 via automatic, source certstream-suspicious — Scanned from SG
Submission: On May 23 via automatic, source certstream-suspicious — Scanned from SG
Form analysis 1 forms found in the DOM
POST
<form class="needs-validation" method="post" novalidate="">
<input type="hidden" name="_token" value="L5oTlsPS8vcATUAxefuvVFlMh0zYqnML6nX3eeaB">
<div class="mb-3">
<label for="customer-name"><strong>Nama Lengkap <span class="red">*</span></strong></label>
<input type="text" class="form-control" id="customer-name" placeholder="Nama Lengkap" name="customer_name" required="">
<div class="invalid-feedback" style="width: 100%;"> Nama lengkap wajib untuk diisi. </div>
</div>
<div class="mb-3">
<label for="phone"><strong>Nomor Telepon <span class="red">*</span></strong></label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text">+62</span>
</div>
<input type="text" class="form-control" id="phone" placeholder="Nomor Telepon" name="phone" required="">
<div class="invalid-feedback" style="width: 100%;"> Nomor telepon wajib untuk diisi. </div>
</div>
</div>
<div class="mb-3">
<label for="address"><strong>Alamat <span class="red">*</span></strong></label>
<textarea name="address" id="address" class="form-control" placeholder="Alamat Lengkap"></textarea>
<div class="invalid-feedback" style="width: 100%;"> Alamat wajib untuk diisi. </div>
</div>
<div class="mb-3">
<label for="city"><strong>Kota <span class="red">*</span></strong></label>
<input type="text" class="form-control ui-autocomplete-input" name="city" id="city" autocomplete="off">
<div class="invalid-feedback" style="width: 100%;"> Kota wajib untuk dipilih. </div>
</div>
<div class="mb-3">
<label for="category"><strong>Kategori Produk <span class="red">*</span></strong></label>
<select name="category" id="category" class="form-control">
<option value="all">Semua Kategori</option>
<option value="REFRIGERATOR">REFRIGERATOR</option>
<option value="TV">TV</option>
<option value="WASHING MACHINE ">WASHING MACHINE </option>
<option value="SHOWCASE">SHOWCASE</option>
<option value="CHEST FREEZER">CHEST FREEZER</option>
<option value="AIR CONDITIONER">AIR CONDITIONER</option>
</select>
<div class="invalid-feedback" style="width: 100%;"> Kategori produk wajib untuk dipilih. </div>
</div>
<div class="mb-3">
<label for="product"><strong>Produk Yang Diminati <span class="red">*</span></strong></label>
<select name="product" id="product" class="form-control select2-hidden-accessible" style="width: 100%" data-select2-id="product" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="2">-- Silahkan Pilih --</option>
<optgroup label="AIR CONDITIONER">
<option value="AQA-KCR12ANS">AQA-KCR12ANS</option>
<option value="AQA-KCR18ANS">AQA-KCR18ANS</option>
<option value="AQA-KCR9ANC">AQA-KCR9ANC</option>
<option value="AQA-KCRV9WG">AQA-KCRV9WG</option>
<option value="AQA-KCRV9WGW">AQA-KCRV9WGW</option>
<option value="AQA-KCRV12WG">AQA-KCRV12WG</option>
<option value="AQA-KCRV18WG">AQA-KCRV18WG</option>
<option value="AQA-KCR5ANC">AQA-KCR5ANC</option>
<option value="AQA-KCRV9WG/WGW">AQA-KCRV9WG/WGW</option>
</optgroup>
<optgroup label="CHEST FREEZER">
<option value="AQF-120FR">AQF-120FR</option>
<option value="AQF-150FR">AQF-150FR</option>
<option value="AQF-220FR">AQF-220FR</option>
<option value="AQF-350R">AQF-350R</option>
<option value="AQF-450R">AQF-450R</option>
<option value="AQF-550R">AQF-550R</option>
</optgroup>
<optgroup label="REFRIGERATOR">
<option value="AQR-305IG(BK)">AQR-305IG(BK)</option>
<option value="AQR-355IM">AQR-355IM</option>
<option value="AQR-355IG(BK)">AQR-355IG(BK)</option>
<option value="AQR-485IG(BK)">AQR-485IG(BK)</option>
<option value="AQR-555IG(BK)">AQR-555IG(BK)</option>
<option value="AQR-370R">AQR-370R</option>
<option value="AQR-460R">AQR-460R</option>
<option value="AQR-343RBM">AQR-343RBM</option>
<option value="AQR-363RBM">AQR-363RBM</option>
<option value="AQR-575IG(PB)">AQR-575IG(PB)</option>
<option value="AQR-IG525AM(GB)">AQR-IG525AM(GB)</option>
<option value="AQR-IG625AM(PG)">AQR-IG625AM(PG)</option>
<option value="AQR-IG655AM(PG)">AQR-IG655AM(PG)</option>
<option value="AQR-385IG(BK)">AQR-385IG(BK)</option>
<option value="AQR-405IG(BK)">AQR-405IG(BK)</option>
<option value="AQR-290RBG(GB)">AQR-290RBG(GB)</option>
<option value="AQR-320RBG(GB)">AQR-320RBG(GB)</option>
<option value="AQR-350RBG(GB)">AQR-350RBG(GB)</option>
<option value="AQR-IM525AM(GB)">AQR-IM525AM(GB)</option>
<option value="AQR-IG645AM(GB)">AQR-IG645AM(GB)</option>
<option value="AQR-675IG(GB)">AQR-675IG(GB)</option>
<option value="AQR-605IM(GB)">AQR-605IM(GB)</option>
<option value="AQR-D275R">AQR-D275R</option>
<option value="AQR-305IM">AQR-305IM</option>
</optgroup>
<optgroup label="SHOWCASE">
<option value="AQB-180">AQB-180</option>
<option value="AQB-230">AQB-230</option>
<option value="AQB-181">AQB-181</option>
<option value="AQB-231">AQB-231</option>
<option value="AQB-250">AQB-250</option>
<option value="AQB-260VL">AQB-260VL</option>
<option value="AQB-261VL">AQB-261VL</option>
<option value="AQB-271">AQB-271</option>
<option value="AQB-340">AQB-340</option>
<option value="AQB-340VL">AQB-340VL</option>
<option value="AQB-305AB">AQB-305AB</option>
<option value="AQB-345AB">AQB-345AB</option>
</optgroup>
<optgroup label="TV">
<option value="LE43AQT6600FG">LE43AQT6600FG</option>
<option value="LE50AQT660UG">LE50AQT660UG</option>
<option value="LE55AQT6600UG">LE55AQT6600UG</option>
<option value="LE40AQT6300FA">LE40AQT6300FA</option>
<option value="LE43AQT6200F">LE43AQT6200F</option>
<option value="LE43AQT6000TF">LE43AQT6000TF</option>
<option value="LE48AQT5000TF">LE48AQT5000TF</option>
<option value="LE49AQT1000U">LE49AQT1000U</option>
<option value="LE50AQT9600MU">LE50AQT9600MU</option>
<option value="LE55AQT6500U">LE55AQT6500U</option>
<option value="LE55AQT6500CU">LE55AQT6500CU</option>
</optgroup>
<optgroup label="WASHING MACHINE ">
<option value="AQW-1051678QD">AQW-1051678QD</option>
<option value="AQW-105825QD">AQW-105825QD</option>
<option value="AQW-105826QD">AQW-105826QD</option>
<option value="AQW-1201678QD">AQW-1201678QD</option>
<option value="AQW-120826QD">AQW-120826QD</option>
<option value="AQW-120866QD">AQW-120866QD</option>
<option value="AQW-121QD">AQW-121QD</option>
<option value="AQW-122DD">AQW-122DD</option>
<option value="AQW-1400TD">AQW-1400TD</option>
<option value="AQW-710DD(G)">AQW-710DD(G)</option>
<option value="AQW-710DD">AQW-710DD</option>
<option value="AQW-810DD(G)">AQW-810DD(G)</option>
<option value="AQW-810DD">AQW-810DD</option>
<option value="AQW-910DD(G)">AQW-910DD(G)</option>
<option value="AQW-910DD">AQW-910DD</option>
<option value="FQD-105728QD">FQD-105728QD</option>
<option value="FQW-105728QD">FQW-105728QD</option>
<option value="FQW-105826QD">FQW-105826QD</option>
<option value="FQW-120876QD">FQW-120876QD</option>
<option value="FQW-1600TD">FQW-1600TD</option>
<option value="FQW-700636QD">FQW-700636QD</option>
<option value="FQW-700829QD">FQW-700829QD</option>
<option value="FQW-850636QD">FQW-850636QD</option>
<option value="FQW-850829QD">FQW-850829QD</option>
</optgroup>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-product-container"><span class="select2-selection__rendered" id="select2-product-container" role="textbox" aria-readonly="true"><span
class="select2-selection__placeholder">Silahkan Pilih</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
<div class="invalid-feedback" style="width: 100%;"> Produk yang diminati wajib untuk dipilih. </div>
</div>
<button id="btn-check" class="btn btn-primary btn-lg btn-block" type="button">Kirim</button>
<div class="wajib"><span class="red">*</span> Wajib Diisi</div>
<div>Team AQUA Japan akan menghubungi Anda.</div>
</form>Text Content
* Home * Syarat & Ketentuan (current) * Daftar Produk Saksikan Live Stream, dapatkan voucher & bonus lainnya pada setiap pembelian mesin cuci, TV, AC, kulkas, showcase dan freezer AQUA Japan. Dapatkan cashback dengan memesan melalui form di bawah ini Saksikan Live Stream, dapatkan voucher & bonus lainnya pada setiap pembelian mesin cuci, TV, AC, kulkas, showcase dan freezer AQUA Japan. Dapatkan cashback dengan memesan melalui form di bawah ini TERTARIK DAN BUTUH INFORMASI LEBIH LANJUT Nama Lengkap * Nama lengkap wajib untuk diisi. Nomor Telepon * +62 Nomor telepon wajib untuk diisi. Alamat * Alamat wajib untuk diisi. Kota * Kota wajib untuk dipilih. Kategori Produk * Semua Kategori REFRIGERATOR TV WASHING MACHINE SHOWCASE CHEST FREEZER AIR CONDITIONER Kategori produk wajib untuk dipilih. Produk Yang Diminati * -- Silahkan Pilih -- AQA-KCR12ANS AQA-KCR18ANS AQA-KCR9ANC AQA-KCRV9WG AQA-KCRV9WGW AQA-KCRV12WG AQA-KCRV18WG AQA-KCR5ANC AQA-KCRV9WG/WGW AQF-120FR AQF-150FR AQF-220FR AQF-350R AQF-450R AQF-550R AQR-305IG(BK) AQR-355IM AQR-355IG(BK) AQR-485IG(BK) AQR-555IG(BK) AQR-370R AQR-460R AQR-343RBM AQR-363RBM AQR-575IG(PB) AQR-IG525AM(GB) AQR-IG625AM(PG) AQR-IG655AM(PG) AQR-385IG(BK) AQR-405IG(BK) AQR-290RBG(GB) AQR-320RBG(GB) AQR-350RBG(GB) AQR-IM525AM(GB) AQR-IG645AM(GB) AQR-675IG(GB) AQR-605IM(GB) AQR-D275R AQR-305IM AQB-180 AQB-230 AQB-181 AQB-231 AQB-250 AQB-260VL AQB-261VL AQB-271 AQB-340 AQB-340VL AQB-305AB AQB-345AB LE43AQT6600FG LE50AQT660UG LE55AQT6600UG LE40AQT6300FA LE43AQT6200F LE43AQT6000TF LE48AQT5000TF LE49AQT1000U LE50AQT9600MU LE55AQT6500U LE55AQT6500CU AQW-1051678QD AQW-105825QD AQW-105826QD AQW-1201678QD AQW-120826QD AQW-120866QD AQW-121QD AQW-122DD AQW-1400TD AQW-710DD(G) AQW-710DD AQW-810DD(G) AQW-810DD AQW-910DD(G) AQW-910DD FQD-105728QD FQW-105728QD FQW-105826QD FQW-120876QD FQW-1600TD FQW-700636QD FQW-700829QD FQW-850636QD FQW-850829QD Silahkan Pilih Produk yang diminati wajib untuk dipilih. Kirim * Wajib Diisi Team AQUA Japan akan menghubungi Anda. -------------------------------------------------------------------------------- AQR-IG625AM(PG) Multidoor See More voucher 2.000.000 + 50000 Lihat S&K -------------------------------------------------------------------------------- AQR-IG655AM(PG) Multidoor See More voucher 1.500.000 + 50000 Lihat S&K -------------------------------------------------------------------------------- FQW-1600TD Front Load Product Design Award 2007 Anti Bacterial Smart Drive Motor See More voucher 1.000.000 Lihat S&K Lebih Lengkap ALL CENTER BEBAS PULSA | 0800 1 003 003 | JAM OPERASIONAL SENIN - JUMAT : 08:00 - 18:00, SABTU: 08:00 - 17:00 Copyright © 2019 Aqua Japan. All rights reserved. SYARAT & KETENTUAN ×