ideolog.dripform.id Open in urlscan Pro
194.233.81.110  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST" id="form-init">
  <div class="px-6 py-3 bg-white">
    <div class="mb-3 "><label class="block text-md font-semibold text-gray-700 mb-3 flex" for="">Nama <span class="true text-red-400 ml-1">*</span></label> <input name="name" required=""
        class="focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent block appearance-none p-3 w-full max-w-full mb-1 text-base leading-normal bg-white text-gray-800 border-none ring-1 ring-gray-300 rounded" type="text"
        placeholder="Masukan Nama Anda"></div>
  </div>
  <div class="px-6 py-3 bg-undefined">
    <div class="mb-3 "><label class="block text-md font-semibold text-gray-700 mb-3 flex" for="">Email <span class="true text-red-400 ml-1">*</span></label> <input name="email" required=""
        class="focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent block appearance-none p-3 w-full max-w-full mb-1 text-base leading-normal bg-white text-gray-800 border-none ring-1 ring-gray-300 rounded" type="text"
        placeholder="Masukan Email Anda"></div>
  </div>
  <div class="px-6 py-3">
    <div class="mb-3"><label class="block text-md font-semibold text-gray-700 mb-3 flex" for="">No.WA <span class="text-red-400 ml-1 true">*</span></label>
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        </select> <input name="phone" required=""
          class="focus:outline-none focus:ring-2 focus:ring-green-500 focus:border-transparent block rounded-l-none appearance-none p-3 w-full max-w-full mb-1 text-base leading-normal bg-white text-gray-800 border-none ring-1 ring-gray-300 rounded"
          type="text" placeholder="Masukan No.Whatsapp"></div>
    </div>
  </div>
  <div class="px-6 py-3">
    <div><button type="submit" class="bg-green-500 w-full cursor-pointer text-lg mt-1 inline-flex items-center justify-center px-6 py-3 border border-transparent rounded-md shadow-sm text-base font-semibold text-white">
        <div class="">
          <div><svg xmlns="http://www.w3.org/2000/svg" class="h-6 w-6" fill="none" viewBox="0 0 24 24" stroke="currentColor">
              <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M17 8l4 4m0 0l-4 4m4-4H3"></path>
            </svg></div>
        </div> <span class="ml-1">Daftar Sekarang</span>
      </button>
      <div></div>
    </div>
  </div>
  <div class="px-0 py-0"><img src="https://setunggal.dripform.id/2b0a16d0-d384-4a59-a20c-ce44dec4116f.png" class="w-full" alt=""></div>
</form>

Text Content

Nama *
Email *
No.WA *
+
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Daftar Sekarang