delivery.lalamove.com
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18.141.53.210
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URL:
https://delivery.lalamove.com/forms/PH2edd42fe44d74342af3079897383c4f4
Submission: On April 11 via api from SG — Scanned from SG
Submission: On April 11 via api from SG — Scanned from SG
Form analysis
1 forms found in the DOM<form class="css-snwb2z">
<div class="css-110v0dg"><img src="https://van-static.lalamove.com/delivery-form/446849/assets/gift-box-3c78bb4a.svg" alt="Gift box" width="120px" height="120px">
<h4 class="css-161gp9e">abellana is preparing your delivery</h4>
<p class="css-1h26btx">Provide your complete delivery details for a smooth delivery experience.</p>
</div>
<div class="css-ragapb">
<p class="css-4pz0np">Contact details</p>
<div>
<div class="css-1c409b7"><label for=":r8:" class="css-eyzpal">Name</label><input id=":r8:" name="name" class="css-3gxqox" value=""></div>
</div>
<div>
<div class="css-1c409b7"><span class="css-1dhndw5">+63</span><label for=":r9:" class="css-1r8lxr9">Phone number</label><input id=":r9:" type="tel" name="phoneNumber" class="css-1284gk" value=""></div>
</div>
</div>
<div class="css-ragapb">
<p class="css-4pz0np">Address details</p>
<div>
<div class="css-1c409b7"><label for=":rc:" class="css-eyzpal">Address</label><input id=":rc:" name="address" autocomplete="off" aria-autocomplete="list" aria-expanded="false" aria-haspopup="listbox" role="combobox" class="css-3gxqox" value="">
</div>
</div>
<div>
<div class="css-1c409b7"><label for=":re:" class="css-eyzpal">Floor or unit number (optional)</label><input id=":re:" type="text" name="houseNumber" class="css-3gxqox" value=""></div>
</div>
</div>
<div class="css-ragapb">
<p class="css-4pz0np">Delivery instructions (optional)</p>
<div>
<div class="css-108kdau"><label for="remarks" sx="[object Object]"></label><textarea id="remarks" maxlength="250" placeholder="Add delivery instructions here" name="remarks" class="css-6v8cb6"></textarea><label for="remarks"
class="css-x5ucay"><span>250 characters left</span></label></div>
</div>
</div><button type="button" disabled="" data-app-btn-type="solid" class="css-7wop4b">
<div class="css-d63nld"><span class="css-sg5rdd">Review Details</span></div>
</button>
</form>
Text Content
ABELLANA IS PREPARING YOUR DELIVERY Provide your complete delivery details for a smooth delivery experience. Contact details Name +63Phone number Address details Address Floor or unit number (optional) Delivery instructions (optional) 250 characters left Review Details