showcase-dev.shopcomm.id Open in urlscan Pro
103.105.66.101  Public Scan

Form analysis
1 forms found in the DOM

POST https://showcase-dev.shopcomm.id/register

<form action="https://showcase-dev.shopcomm.id/register" method="POST" enctype="multipart/form-data">
  <input type="hidden" name="_token" value="DpYhOrHWFfHlh5mfbgQNAcLvsWsJNAC0ufz1QYZL" autocomplete="off">
  <div class="mb-3">
    <label for="name" class="form-label fw-semibold">Name</label>
    <input type="text" name="name" class="form-control mb-3" id="name" aria-describedby="nameHelp" placeholder="Your Name">
  </div>
  <div class="mb-3">
    <label for="company_name" class="form-label fw-semibold">Company</label>
    <input type="text" name="company_name" class="form-control mb-3" id="company_name" placeholder="Company Name">
  </div>
  <div class="mb-3">
    <label for="brand" class="form-label fw-semibold">Brand</label>
    <input type="text" name="brand" class="form-control mb-3" id="brand" placeholder="Brand Name">
  </div>
  <div class="mb-3">
    <label for="position" class="form-label fw-semibold">Position</label>
    <input type="text" name="position" class="form-control mb-3" id="position" aria-describedby="positionHelp" placeholder="Your Position">
  </div>
  <div class="mb-3">
    <label for="email" class="form-label fw-semibold">Email Address</label>
    <input type="email" name="email" class="form-control mb-3" id="email" aria-describedby="emailHelp" placeholder="Your Email" inputmode="email">
  </div>
  <div class="mb-3">
    <label for="phone_number" class="form-label fw-semibold">Phone Number</label>
    <input type="text" name="phone_number" class="form-control mb-3" id="phone_number" aria-describedby="phoneHelp" placeholder="Your Phone" inputmode="numeric">
  </div>
  <button type="submit" class="btn btn-primary mb-3">Submit </button>
</form>

Text Content

Registration
Please tell us a bit about yourself
Name
Company
Brand
Position
Email Address
Phone Number
Submit