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52.17.119.105  Public Scan

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Submitted URL: https://trade-for-prize.com/
Effective URL: https://www.trade-for-prize.com/
Submission: On June 02 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: wf-form-request-form-2 — GET 

<form id="request" name="wf-form-request-form-2" data-name="request form" method="get" class="form" aria-label="request form">
  <h2 class="is__black-color is__center-align-text">Isilah formulir untuk mendapatkan hadiah Anda!</h2>
  <div class="form__fields-list">
    <div class="form__field-wrapper"><label for="email-fbs-registration-2" class="form__field-label">Email yang digunakan untuk pendaftaran FBS</label><input type="email" class="form__field w-input" maxlength="256" name="email-fbs-registration"
        data-name="email-fbs-registration" placeholder="" id="email-fbs-registration-2" required=""></div>
    <div class="form__field-wrapper"><label for="email-2" class="form__field-label">Apakah akun Anda sudah diverifikasi?</label><label for="email-3" class="form__field-description">(Anda harus terverifikasi untuk mengeklaim hadiah)</label>
      <div class="form__select-list"><label data-w-id="46bc7e2b-0767-a57c-690a-49a26ac92503" class="form__radio-button-field w-radio">
          <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="yes" name="verified" value="yes" data-name="verified" required=""
            style="opacity:0;position:absolute;z-index:-1"><span class="form__radio-button-label w-form-label" for="yes">Ya</span>
        </label><label data-w-id="411a07e4-016e-863d-cf8d-d817b0856c78" class="form__radio-button-field w-radio">
          <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="no" name="verified" value="no" data-name="verified"
            style="opacity:0;position:absolute;z-index:-1"><span class="form__radio-button-label w-form-label" for="no">Tidak</span>
        </label></div>
    </div>
    <div style="display:none" class="form__fields-list hidden-field">
      <div class="form__field-wrapper"><label for="email-2" class="form__field-label">Anda terhubung ke ID Partner</label><label for="Partner-Id-2" class="form__field-description">(Hanya lot yang diperdagangkan di akun yang terhubung ke ID Partner
          ini yang dihitung)</label><input type="text" class="form__field w-input" maxlength="256" name="Partner-Id" data-name="Partner Id" placeholder="" id="Partner-Id-2" required=""></div>
      <div class="form__field-wrapper"><label for="email-2" class="form__field-label">Pilih hadiah</label><label for="email-2" class="form__field-description">(Anda dapat memilih semua)</label>
        <div class="form__select-list select-prize"><label class="w-checkbox form__radio-button-field select-prize _5-lots id">
            <div class="w-checkbox-input w-checkbox-input--inputType-custom form__radio-button select-prize"></div><input type="checkbox" id="5-lots-checkbox" name="5-lots" data-name="5-lots" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label select-prize w-form-label" for="5-lots">Checkbox</span>
          </label><label id="10-lots-field" class="w-checkbox form__radio-button-field select-prize _10-lots id">
            <div class="w-checkbox-input w-checkbox-input--inputType-custom form__radio-button select-prize"></div><input type="checkbox" id="10-lots-checkbox" name="10-lots" data-name="10-lots" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label select-prize w-form-label" for="10-lots">Checkbox</span>
          </label><label id="100-lots-field" class="w-checkbox form__radio-button-field select-prize _100-lots id">
            <div class="w-checkbox-input w-checkbox-input--inputType-custom form__radio-button select-prize"></div><input type="checkbox" id="100-lots-checkbox" name="100-lots" data-name="100-lots" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label select-prize w-form-label" for="100-lots">Checkbox</span>
          </label></div>
      </div>
      <div id="size-field" class="form__field-wrapper"><label for="email-2" class="form__field-label">Ukuran</label>
        <div class="form__select-list"><label class="form__radio-button-field w-radio">
            <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="s" name="size" value="s" data-name="size" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label w-form-label" for="s">S</span>
          </label><label class="form__radio-button-field w-radio">
            <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="m" name="size" value="m" data-name="size" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label w-form-label" for="m">M</span>
          </label><label class="form__radio-button-field w-radio">
            <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="l" name="size" value="l" data-name="size" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label w-form-label" for="l">L</span>
          </label><label class="form__radio-button-field w-radio">
            <div class="w-form-formradioinput w-form-formradioinput--inputType-custom form__radio-button w-radio-input"></div><input type="radio" id="xl" name="size" value="xl" data-name="size" style="opacity:0;position:absolute;z-index:-1"><span
              class="form__radio-button-label w-form-label" for="xl">XL</span>
          </label></div>
      </div>
      <div id="w-node-_2d597c80-26a4-5967-775f-ddf413993df7-7b48f8dc" class="form__address-wrapper">
        <h3>Alamat Pengiriman</h3>
        <div class="form__address-grid">
          <div class="form__field-wrapper"><label for="shipping-city-2" class="form__field-label">Kota</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-city" data-name="shipping-city" placeholder=""
              id="shipping-city-2" required=""></div>
          <div class="form__field-wrapper"><label for="shipping-zip-code-2" class="form__field-label">Kode Pos</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-zip-code" data-name="shipping-zip-code" placeholder=""
              id="shipping-zip-code-2" required=""></div>
          <div class="form__field-wrapper"><label for="shipping-street-2" class="form__field-label">Jalan</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-street" data-name="shipping-street" placeholder=""
              id="shipping-street-2" required=""></div>
          <div class="form__field-wrapper"><label for="shipping-house-2" class="form__field-label">Rumah</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-house" data-name="shipping-house" placeholder=""
              id="shipping-house-2" required=""></div>
          <div class="form__field-wrapper"><label for="shipping-building-2" class="form__field-label">Bangunan</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-building" data-name="shipping-building" placeholder=""
              id="shipping-building-2" required=""></div>
          <div class="form__field-wrapper"><label for="shipping-apt-2" class="form__field-label">Apartemen</label><input type="text" class="form__field w-input" maxlength="256" name="shipping-apt" data-name="shipping-apt" placeholder=""
              id="shipping-apt-2" required=""></div>
        </div>
      </div>
      <div class="form__contacts-wrapper">
        <h3>Informasi Kontak</h3>
        <div class="form__address-grid">
          <div class="form__field-wrapper"><label for="contact-phone-2" class="form__field-label">Nomor telepon </label><input type="tel" class="form__field w-input" maxlength="256" name="contact-phone" data-name="contact-phone" placeholder=""
              id="contact-phone-2" required=""></div>
          <div class="form__field-wrapper"><label for="contact-email" class="form__field-label">Email</label><input type="email" class="form__field w-input" maxlength="256" name="contact-email" data-name="contact-email" placeholder=""
              id="contact-email" required=""></div>
          <div id="w-node-_4bc9ca43-644e-b619-bfb7-7e5a783ab433-7b48f8dc" class="form__field-wrapper"><label for="contact-name-2" class="form__field-label">Nama lengkap</label><input type="text" class="form__field w-input" maxlength="256"
              name="contact-name" data-name="contact-name" placeholder="" id="contact-name-2" required=""></div>
        </div>
      </div><label class="w-checkbox form__agree-checkbox">
        <div class="w-checkbox-input w-checkbox-input--inputType-custom form__checkbox"></div><input type="checkbox" id="agree-checkbox" name="agree-checkbox" data-name="agree-checkbox" required="" style="opacity:0;position:absolute;z-index:-1"><span
          class="form__checkbox-label w-form-label" for="agree-checkbox">Saya setuju dengan <a href="#" id="open-popup-button" data-w-id="98232be4-ccbf-c87a-8d09-fe38d06a77ee" class="text-link">Syarat dan Ketentuan</a> promosi Trading &amp;&nbsp;raih
          hadiah dari FBS.</span>
      </label>
    </div>
    <div class="form__language-field w-embed"><input type="hidden" id="formLanguage" name="formLanguage" value="id"></div>
  </div>
  <div style="display:none" class="form__submit-button-wrapper active"><input type="submit" value="Klaim hadiah" data-wait="Harap tunggu" data-w-id="3bb228a8-3274-d84d-7e13-8505d7f35aae" class="form__submit-button w-button">
    <div class="cta-button__arrow-wrap">
      <div data-w-id="07bba7ed-363c-a85a-7b7f-ff7720df6b5f" class="cta-button__arrow w-embed" style="transform: translate3d(0%, 0%, 0px) scale3d(1, 1, 1) rotateX(0deg) rotateY(0deg) rotateZ(0deg) skew(0deg, 0deg); transform-style: preserve-3d;"><svg
          width="100%" height="100%" viewBox="0 0 33 34" fill="none" xmlns="http://www.w3.org/2000/svg">
          <mask id="mask0_340_1975" style="mask-type:alpha" maskUnits="userSpaceOnUse" x="0" y="-1" width="34" height="35">
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            <path d="M10.3281 23.96L24.0027 10.2854" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"></path>
          </g>
        </svg></div>
      <div data-w-id="baba9c12-d61e-c2ba-ef88-74ce59109743" class="cta-button__clone w-embed" style="transform: translate3d(-100%, 100%, 0px) scale3d(1, 1, 1) rotateX(0deg) rotateY(0deg) rotateZ(0deg) skew(0deg, 0deg); transform-style: preserve-3d;">
        <svg width="100%" height="100%" viewBox="0 0 33 34" fill="none" xmlns="http://www.w3.org/2000/svg">
          <mask id="mask0_340_1975" style="mask-type:alpha" maskUnits="userSpaceOnUse" x="0" y="-1" width="34" height="35">
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        </svg></div>
    </div>
  </div>
</form>

Text Content

TRADING & RAIH HADIAH


PROMOSI SPESIAL UNTUK KLIEN IB


TRADING DI AKUN YANG TERHUBUNG DENGAN
MITRA ANDA. KUMPULKAN LOT. KLAIM HADIAHNYA.

Promosi ini hanya tersedia untuk pengguna yang terverifikasi.

Jumlah hadiahnya terbatas.

Satu hadiah hanya dapat diklaim satu kali.





ISILAH FORMULIR UNTUK MENDAPATKAN HADIAH ANDA!

Email yang digunakan untuk pendaftaran FBS
Apakah akun Anda sudah diverifikasi?(Anda harus terverifikasi untuk mengeklaim
hadiah)

Ya

Tidak
Anda terhubung ke ID Partner(Hanya lot yang diperdagangkan di akun yang
terhubung ke ID Partner ini yang dihitung)
Pilih hadiah(Anda dapat memilih semua)

Checkbox

Checkbox

Checkbox
Ukuran

S

M

L

XL


ALAMAT PENGIRIMAN

Kota
Kode Pos
Jalan
Rumah
Bangunan
Apartemen


INFORMASI KONTAK

Nomor telepon
Email
Nama lengkap

Saya setuju dengan Syarat dan Ketentuan promosi Trading & raih hadiah dari FBS.




TERIMA KASIH!
FORMULIR ANDA TELAH BERHASIL DIKIRIM

Oops! Something went wrong while submitting the form.


SYARAT DAN KETENTUAN

Untuk berpartisipasi dalam promosiini, akun trading Anda harus dihubungkan ke
salah satu mitra yang tercantum dibawah ini:

595545
30363386
3010967
31866456
31849473
11549226
444937
12815033
31864306
31866571
31886761
199481
495406
25829787
948102
16052408
180096
195003
429174
1017563
114544
11554205
148861
23636815
4344
2271574
225568
4576222
2997192
30885743
142297

Untuk menerima hadiah, Anda harustrading jumlah lot yang dibutuhkan pada akun
yang terhubung dengan mitra yangtercantum di atas.

Anda harus memberikan semuainformasi yang dibutuhkan dalam pengiriman untuk
menerima hadiah.

Meski Perusahaan biasanyamengirimkan hadiah dalam waktu satu bulan sejak tanggal
permintaan, perludiketahui bahwa pengiriman dapat tertunda karena faktor-faktor
yang berada diluar kendali kami.

FBS, bersama dengan rekanan,karyawan, dan afiliasinya, tidak bertanggung jawab
atas segala cacat,kerusakan, pencurian, keterlambatan, atau kehilangan yang
mungkin terjadiselama transit atau pengiriman hadiah, setelah hadiah tersebut
dibayarkan ataudikirim oleh perusahaan.