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Submitted URL: http://srikandi.com/
Effective URL: https://srikandi.com/
Submission: On May 22 via api from US — Scanned from DE
Effective URL: https://srikandi.com/
Submission: On May 22 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://srikandi.com/home/test_drive
<form action="https://srikandi.com/home/test_drive" method="post" accept-charset="utf-8">
<div class="row">
<div class="col-lg-12 mb-30">
<h1><b>FORMULIR TEST DRIVE</b></h1>
<p>Lengkapi formulir data diri ini untuk mendaftar test drive mobil Mitsubishi Motors pilihan Anda.<br>Pendaftaran akan dikonfirmasi oleh tim kami.</p>
</div>
<div class="col-lg-12 mb-30">
<div class="swiper-container testDriveCar swiper-container-horizontal">
<div class="swiper-wrapper" id="testDriveCar">
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/eclipse-ross.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpander-black.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/pajero.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/xpandernew.jpeg" alt="" class="img-responsive"></div>-->
<!--<div class="swiper-slide"><img src="https://srikandi.com/assets/upload/test-drive/outlander.jpeg" alt="" class="img-responsive"></div>-->
<!---->
</div>
<!-- Add Arrows -->
<div class="swiper-pagination"></div>
<div class="swiper-button-next swiper-button-white swiper-button-disabled"></div>
<div class="swiper-button-prev swiper-button-white swiper-button-disabled"></div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<label for="inputNama">Nama*</label><br><input type="text" name="name" value="" id="inputNama" required="" class="form-testdrive" placeholder="Isikan nama Anda">
</div>
<div class="form-group">
<label for="inputEmail">Email*</label><br><input type="text" name="email" value="" id="inputEmail" required="" class="form-testdrive" placeholder="Isikan email Anda">
<label for="email_confirm" class="form-confirm">Email Confirmation*</label><br><input type="text" name="email_confirm" value="" id="email_confirm" class="form-testdrive form-confirm" placeholder="Email Confirmation">
</div>
<div class="form-group">
<label for="inputPhone">No. Telephone/HP *</label><br><input type="text" name="phone" value="" required="" id="inputPhone" class="form-testdrive" placeholder="Isikan nomor telephone/HP Anda">
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<label for="pilihShowroom">Referensi Dealer*</label><br><select name="outlet" class="form-testdrive" id="pilihShowroom" required="">
<option value="" selected="selected">- Pilih -</option>
<option value="Panglima Sudirman - Surabaya">Panglima Sudirman - Surabaya</option>
<option value="Wiyung - Surabaya">Wiyung - Surabaya</option>
<option value="Mampang - Jakarta Selatan">Mampang - Jakarta Selatan</option>
<option value="Sunter - Jakarta Utara">Sunter - Jakarta Utara</option>
<option value="Cakung - Jakarta Timur">Cakung - Jakarta Timur</option>
<option value="Samanhudi - Jakarta Pusat">Samanhudi - Jakarta Pusat</option>
<option value="Soekarno-Hatta - Bandung">Soekarno-Hatta - Bandung</option>
<option value="Cipondoh - Tangerang">Cipondoh - Tangerang</option>
<option value="Pelajar Pejuang '45 - Bandung">Pelajar Pejuang '45 - Bandung</option>
<option value="Cianjur">Cianjur</option>
<option value="Cikampek">Cikampek</option>
<option value="Sumedang">Sumedang</option>
<option value="Purwakarta">Purwakarta</option>
<option value="Subang">Subang</option>
<option value="Indramayu">Indramayu</option>
<option value="Sukabumi">Sukabumi</option>
<option value="Pelabuhan Ratu">Pelabuhan Ratu</option>
<option value="Pecindilan - Surabaya">Pecindilan - Surabaya</option>
<option value="Gresik">Gresik</option>
<option value="Ciledug - Tangerang">Ciledug - Tangerang</option>
<option value="Mojokerto">Mojokerto</option>
<option value="Tuban">Tuban</option>
<option value="Pontianak">Pontianak</option>
<option value="Singkawang">Singkawang</option>
<option value="Sungai Bangkong, Pontianak">Sungai Bangkong, Pontianak</option>
<option value="Sintang">Sintang</option>
<option value="Ketapang">Ketapang</option>
<option value="Sampit">Sampit</option>
<option value="Pangkalan Bun">Pangkalan Bun</option>
<option value="Ciwidey">Ciwidey</option>
<option value="Lamongan">Lamongan</option>
<option value="Sanggau">Sanggau</option>
<option value="Putussibau">Putussibau</option>
<option value="Alam Sutera - Serpong, Tangerang">Alam Sutera - Serpong, Tangerang</option>
<option value="Pondok Cabe - Tangerang">Pondok Cabe - Tangerang</option>
<option value="Pos Pengumben - Jakarta Barat">Pos Pengumben - Jakarta Barat</option>
<option value="Cikokol - Tangerang">Cikokol - Tangerang</option>
<option value="Karawang">Karawang</option>
<option value="Cikupa - Tangerang">Cikupa - Tangerang</option>
<option value="Bojonegoro">Bojonegoro</option>
<option value="Palangka Raya">Palangka Raya</option>
<option value="Lenteng Agung - Jakarta Selatan">Lenteng Agung - Jakarta Selatan</option>
<option value="Warung Buncit - Jakarta Selatan">Warung Buncit - Jakarta Selatan</option>
<option value="Singkawang Utara">Singkawang Utara</option>
<option value="Gading Sedayu - Jakarta Timur">Gading Sedayu - Jakarta Timur</option>
<option value="Depok">Depok</option>
</select>
</div>
<div class="form-group">
<label for="inputTipeKendaraan">Tipe Kendaraan</label><br><input type="text" name="vehicle" value="" id="inputTipeKendaraan" class="form-testdrive" placeholder="Misal: Xpander (tidak wajib)">
</div>
</div>
<div class="col-lg-12">
<div class="form-group">
<label for="inputPesan">Pesan</label><br><textarea name="message" cols="40" rows="3" class="form-testdrive" id="inputPesan" placeholder="Isikan pesan Anda"></textarea>
</div>
</div>
<div class="col-lg-12 text-center">
<input type="submit" name="mysubmit" value="Kirim" class="input-testdrive" id="contact-submit">
</div>
</div>
</form>Text Content
* PRODUCTS * BROCHURE * COMPANY * NETWORK * NEWS & EVENTS * NEWS * EVENTS * CAREERS * CONTACT US ☰ × PRODUCTS BROCHURE COMPANY NETWORK NEWS EVENTS CAREERS CONTACT US EXPLORE OUR CARS * PASSENGER CARS * LIGHT COMMERCIAL VEHICLES * COMMERCIAL VEHICLES * ELECTRIC VEHICLE OUTLANDER PHEV NEW PAJERO SPORT NEW XPANDER NEW XPANDER CROSS XFORCE PAJERO SPORT ELITE LIMITED EDITION XPANDER CROSS ELITE LIMITED EDITION TRITON L300 CANTER FUSO TRACTOR HEAD L100 EV -------------------------------------------------------------------------------- NEWS & EVENT MITSUBISHI FUSO SEMAKIN MEMPERKUAT “FULL SUPPORT SOLUTION” PADA AJANG INDONESIA COLD CHAIN EXPO 2024 21 Mei 2024 MOBIL KELUARGA YANG TENAGANYA TAK PERNAH HABIS, NYAMAN, DAN BANYAK FITURNYA 21 Mei 2024 VARIAN TERBATAS MITSUBISHI PAJERO SPORT DAN MITSUBISHI XPANDER CROSS DILUNCURKAN! 21 Mei 2024 MITSUBISHI FUSO SEMAKIN MEMPERKUAT “FULL SUPPORT SOLUTION” PADA AJANG INDONESIA COLD CHAIN EXPO 2024 21 Mei 2024 MOBIL KELUARGA YANG TENAGANYA TAK PERNAH HABIS, NYAMAN, DAN BANYAK FITURNYA 21 Mei 2024 VARIAN TERBATAS MITSUBISHI PAJERO SPORT DAN MITSUBISHI XPANDER CROSS DILUNCURKAN! 21 Mei 2024 -------------------------------------------------------------------------------- UPCOMING EXHIBITION MEI 22 PAMERAN LOTTE GROSIR PASAR REBO JAKARTA TIMUR 22 Mei 2024 - 31 Mei 2024 JAKARTA TIMUR Jalan Lingkar Luar Selatan Kav 6 Jakarta Timur - 13750 Produk : CANTER FE 71 SEE MORE FORMULIR TEST DRIVE Lengkapi formulir data diri ini untuk mendaftar test drive mobil Mitsubishi Motors pilihan Anda. Pendaftaran akan dikonfirmasi oleh tim kami. Nama* Email* Email Confirmation* No. Telephone/HP * Referensi Dealer* - Pilih - Panglima Sudirman - Surabaya Wiyung - Surabaya Mampang - Jakarta Selatan Sunter - Jakarta Utara Cakung - Jakarta Timur Samanhudi - Jakarta Pusat Soekarno-Hatta - Bandung Cipondoh - Tangerang Pelajar Pejuang '45 - Bandung Cianjur Cikampek Sumedang Purwakarta Subang Indramayu Sukabumi Pelabuhan Ratu Pecindilan - Surabaya Gresik Ciledug - Tangerang Mojokerto Tuban Pontianak Singkawang Sungai Bangkong, Pontianak Sintang Ketapang Sampit Pangkalan Bun Ciwidey Lamongan Sanggau Putussibau Alam Sutera - Serpong, Tangerang Pondok Cabe - Tangerang Pos Pengumben - Jakarta Barat Cikokol - Tangerang Karawang Cikupa - Tangerang Bojonegoro Palangka Raya Lenteng Agung - Jakarta Selatan Warung Buncit - Jakarta Selatan Singkawang Utara Gading Sedayu - Jakarta Timur Depok Tipe Kendaraan Pesan PRODUCTS * Outlander PHEV * New Pajero Sport * New Xpander * New Xpander Cross * XFORCE * Pajero Sport Elite Limited Edition * Xpander Cross Elite Limited Edition * Triton * L300 * Canter * Fuso * Tractor Head * L100 EV ABOUT US * Profil Perusahaan * Cari Dealer * Contact Us CONTACT NUMBER Jakarta - Mampang Phone: +62 21 7918 8888 Surabaya - Pecindilan Phone: +62 31 3771 000 Jawa Barat - Bandung Phone: +62 22 5403 000 Kalimantan Barat - Pontianak Phone: +62 561 581 111 Kalimantan Tengah - Palangkaraya Phone : +62 536 427 8888 * srikandi group * srikandi.group * @SRIKANDIdotCOM * Tokopedia SRIKANDI Mitsubishi * Tokopedia FUSO SRIKANDI Copyright © 2024 Srikandi.com All Rights Reserved Melangkah Terus, Melayani Lebih Baik