nawalight.site
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139.162.42.165
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URL:
https://nawalight.site/
Submission: On November 05 via api from BE — Scanned from SG
Submission: On November 05 via api from BE — Scanned from SG
Form analysis
2 forms found in the DOMName: mc-embedded-subscribe-form — POST #
<form action="#" class="_contact-form" method="post" id="contact-form" name="mc-embedded-subscribe-form" target="_blank">
<div class="form-group mb-3">
<input type="email" class="form-control _field-email" name="email" id="email" placeholder="Enter your email" data-parsley-required="" data-parsley-length="[8, 191]">
</div>
<div class="form-group mb-3">
<input type="text" class="form-control _field-subject" name="subject" id="subject" placeholder="Enter your subject" data-parsley-required="" data-parsley-length="[3, 100]">
</div>
<div class="form-group mb-3">
<input type="number" class="form-control _field-phone" name="phone" id="phone" placeholder="Enter your phone" data-parsley-required="" data-parsley-length="[8, 50]">
</div>
<div class="form-group mb-3">
<textarea type="text" class="form-control _field-message" name="message" id="message" placeholder="Enter your messages" row="4" data-parsley-required="" data-parsley-length="[3, 2000]"></textarea>
</div>
<button type="submit" class="btn btn-solid sendMsg _send-message" id="mc-submit">Kirim Pesan</button>
</form>
<form action="" style="max-height: 362px; overflow: auto; overflow-x: hidden;" id="form_checkout">
<div class="form-group">
<div class="row">
<div class="col-12 col-md-6">
<h6 class="fw-bold card-title">Nama Lengkap</h6>
<input id="name" class="form-control" type="text" style="color: #777777;" data-parsley-required="" data-parsley-length="[3, 100]">
</div>
<div class="col-12 col-md-6">
<h6 class="fw-bold card-title">Nomor Telepon</h6>
<input id="no_tlp" class="form-control" type="text" style="color: #777777;" data-parsley-required="" data-parsley-length="[7, 50]">
</div>
<div class="col-12 col-md-6">
<h6 class="fw-bold card-title">Email</h6>
<input id="buyer_email" class="form-control" type="email" style="color: #777777;" data-parsley-required="" data-parsley-length="[3, 191]">
</div>
</div>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold card-title">Provinsi</h6>
<select id="_provinsi" style="width: 100%; color: #777777;" class="form-select provinsi is-digital-product-inner" data-parsley-required="">
<option hidden="" value="true">Pilih Provinsi...</option>
</select>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold">Kabupaten/Kota</h6>
<select id="_kota" style="width: 100%; color: #777777;" class="form-select kota is-digital-product-inner" data-parsley-required="">
<option hidden="" value="true">Pilih Kabupaten/Kota...</option>
</select>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold">Kecamatan</h6>
<select id="_kecamatan" style="width: 100%; color: #777777;" class="form-select kecamatan is-digital-product-inner" data-parsley-required="">
<option hidden="" value="true">Pilih Kecamatan...</option>
</select>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold">Nama Jalan, Gedung, No. Rumah</h6>
<textarea id="address" cols="30" rows="3" style="width: 100%; color: #777777;" class="form-control is-digital-product-inner" data-parsley-required="" data-parsley-length="[3, 191]"></textarea>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold">Kurir</h6>
<select id="_kurir" style="width: 100%; color: #777777;" class="form-select is-digital-product-inner" data-parsley-required="">
<option hidden="" value="true">Pilih Kurir...</option>
</select>
</div>
<div class="form-group is-digital-product">
<h6 class="fw-bold">Metode Pengiriman</h6>
<select id="_pengiriman" style="width: 100%; color: #777777;" class="form-select is-digital-product-inner" data-parsley-required="">
<option hidden="" value="true">Pilih Metode Pengiriman...</option>
</select>
</div>
</form>
Text Content
* Back * Home * promo * popular * produk * kontak kami WELCOME TO KONEKIOS PROTEIN STORE shop now SAVE 30% GYM DISKON 30% PROTEIN POWDER SPECIAL OFFER TERPOPULER 2021 HEALTHY TRENDS SPECIAL OFFER SPECIAL OFFER PRODUK SAFETY GUARANTEE Customer trust is our top priority 24 X 7 SERVICE Our professional support team is always ready to assist you 24/7 BEST PRODUCTS We always deliver the highest quality product possible KONTAK KAMI Kirim Pesan MENU Home Promo Populer Produk Kontak Kami STORE INFORMATION Margonda, Depok Whatsapp: +6282311888360 Email: email_kamu@gmail.com Built with Konekios © Koneksi.group × Produk Digital Previous Next DETAIL PRODUK KUANTITAS Kumpulan Link × CHECKOUT x KERANJANG SAYA ALAMAT SAYA NAMA LENGKAP NOMOR TELEPON EMAIL PROVINSI Pilih Provinsi... KABUPATEN/KOTA Pilih Kabupaten/Kota... KECAMATAN Pilih Kecamatan... NAMA JALAN, GEDUNG, NO. RUMAH KURIR Pilih Kurir... METODE PENGIRIMAN Pilih Metode Pengiriman... SUBTOTAL ONGKOS KIRIM TOTAL ESTIMASI DITERIMA Bayar PAYMENT x Toko Kamu Deskripsi toko kamu yang super duper keren Cari Tidak ada data Pergi ke Website Powered by SHARE WEBSITE × Copy to clipboard