ppid.pacitankab.go.id Open in urlscan Pro
103.138.10.73  Public Scan

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1 forms found in the DOM

POST

<form class="newsletter-form" data-form-id="657c2a827835890c22f5215b" autocomplete="on" method="POST" novalidate="" onsubmit="return (function (form) {
  Y.use('squarespace-form-submit', 'node', function usingFormSubmit(Y) {
    (new Y.Squarespace.FormSubmit(form)).submit({
      formId: '657c2a827835890c22f5215b',
      collectionId: '657c304c67c46d3fd2ecf272',
      objectName: '4aa2d6b7001eaa0ffcc2'
    });
  });
  return false;
})(this);">
  <header class="newsletter-form-header">
    <h2 class="newsletter-form-header-title">SLOT KOITOTO</h2>
    <div class="newsletter-form-header-description">
      <pclass="" style="white-space:pre-wrap;">Segera daftar ID VIP Kalian Di SLOT KOITOTO dan Dapatkan Keuntungan Menarik Dengan ID VIP!<p></p>
      </pclass="">
    </div>
  </header>
  <div class="newsletter-form-body">
    <div class="newsletter-form-fields-wrapper form-fields" style="vertical-align: middle;">
      <div id="email-yui_3_17_2_1_1561398083951_4704" class="newsletter-form-field-wrapper form-item field email required" style="vertical-align: bottom;">
        <label class="newsletter-form-field-label title" for="email-yui_3_17_2_1_1561398083951_4704-field">Email Address</label>
        <input id="email-yui_3_17_2_1_1561398083951_4704-field" class="newsletter-form-field-element field-element" name="email" x-autocompletetype="email" autocomplete="email" type="email" spellcheck="false" placeholder="Email Address">
      </div>
    </div>
    <div data-animation-role="button" class="newsletter-form-button-wrapper submit-wrapper" style="vertical-align: middle;">
      <button class="
          newsletter-form-button
          sqs-system-button
          sqs-editable-button-layout
          sqs-editable-button-style
          sqs-editable-button-shape
          sqs-button-element--primary
        " type="submit" value="DAFTAR">
        <span class="newsletter-form-spinner sqs-spin light large"></span>
        <span class="newsletter-form-button-label">DAFTAR SLOT KOITOTO</span>
        <span class="newsletter-form-button-icon"></span>
      </button>
    </div>
    <div class="captcha-container sqs-form-rendered
        
        align-center
        
        " data-theme="light"></div>
  </div>
  <div class="newsletter-form-footnote"></div>
  <div class="hidden form-submission-text">Thank you!</div>
  <div class="hidden form-submission-html" data-submission-html=""></div>
</form>

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