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URL: https://sharp-dev.shopcomm.id/
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Form analysis 1 forms found in the DOM

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<form class="mt-3 mb-3" method="post" id="form">
  <p class="lead fw-bold mb-2 text-center" style="color:#545454">FORM PEMBELIAN PRODUK SHARP</p>
  <div id="product_list">
    <div class="add_list" id="row_1">
      <div class="form-group">
        <label for="">Kategori <span style="color:red">*</span></label>
        <select class="form-control category select2-hidden-accessible" name="category[]" required="" data-select2-id="select2-data-1-g5s1" tabindex="-1" aria-hidden="true">
          <option value="" data-select2-id="select2-data-3-e72i">Pilih Kategori</option>
          <option value="1" data-name="LCD TV" data-path="https://sharp-dev.shopcomm.id/document/Catalog AUVI 2023 Final.pdf" data-price="https://sharp-dev.shopcomm.id/document/AUDIO AND VIDEO - PRICING LIST.xlsx">LCD TV</option>
          <option value="2" data-name="SPEAKER ACTIVE" data-path="https://sharp-dev.shopcomm.id/document/Catalog AUVI 2023 Final.pdf" data-price="https://sharp-dev.shopcomm.id/document/AUDIO AND VIDEO - PRICING LIST.xlsx">SPEAKER ACTIVE</option>
          <option value="3" data-name="AUDIO" data-path="https://sharp-dev.shopcomm.id/document/Catalog AUVI 2023 Final.pdf" data-price="https://sharp-dev.shopcomm.id/document/AUDIO AND VIDEO - PRICING LIST.xlsx">AUDIO</option>
          <option value="4" data-name="REFRIGERATOR" data-path="https://sharp-dev.shopcomm.id/document/E-Catalog Referigerator 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/REFERIGERATOR - PRICING LIST.xlsx">REFRIGERATOR</option>
          <option value="5" data-name="AIR CONDITIONER" data-path="https://sharp-dev.shopcomm.id/document/E-Catalog AC &amp; AP 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/AC &amp; AIR PURIFIER - PRICING LIST.xlsx">AIR CONDITIONER
          </option>
          <option value="6" data-name="AIR PURIFIER" data-path="https://sharp-dev.shopcomm.id/document/E-Catalog AC &amp; AP 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/AC &amp; AIR PURIFIER - PRICING LIST.xlsx">AIR PURIFIER</option>
          <option value="7" data-name="AIR COOLER" data-path="https://sharp-dev.shopcomm.id/document/E-Catalog AC &amp; AP 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/AC &amp; AIR PURIFIER - PRICING LIST.xlsx">AIR COOLER</option>
          <option value="8" data-name="HAIR DRYER" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">HAIR DRYER</option>
          <option value="9" data-name="WATER PUMP" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">WATER PUMP</option>
          <option value="10" data-name="WASHING MACHINE" data-path="https://sharp-dev.shopcomm.id/document/E-Catalog Washing Machine 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/WASHING MACHINE - PRICING LIST.xlsx">WASHING MACHINE
          </option>
          <option value="11" data-name="VACUUM CLEANER" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">VACUUM CLEANER</option>
          <option value="12" data-name="MICROWAVE OVEN" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">MICROWAVE OVEN</option>
          <option value="13" data-name="SMALL HOME APPLIANCES" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">SMALL HOME
            APPLIANCES</option>
          <option value="14" data-name="WATER DISPENSER" data-path="https://sharp-dev.shopcomm.id/document/E-CATALOG SHA 2023.pdf" data-price="https://sharp-dev.shopcomm.id/document/SMALL HOME APPLIANCES - PRICING LIST.xlsx">WATER DISPENSER</option>
          <option value="15" data-name="HANDPHONE" data-path="https://sharp-dev.shopcomm.id/" data-price="https://sharp-dev.shopcomm.id/">HANDPHONE</option>
        </select><span class="select2 select2-container select2-container--bootstrap" dir="ltr" data-select2-id="select2-data-2-ynrb" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single"
              role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-category-5g-container" aria-controls="select2-category-5g-container"><span class="select2-selection__rendered"
                id="select2-category-5g-container" role="textbox" aria-readonly="true" title="Pilih Kategori">Pilih Kategori</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
            class="dropdown-wrapper" aria-hidden="true"></span></span>
        <input type="hidden" class="form-control category_name" name="category_name[]">
      </div>
      <div class="form-group hidden category_desc">
        <label class="catalog"></label><br>
        <label class="catalog_price"></label>
      </div>
      <div class="form-group">
        <label for="">Produk <span style="color:red">*</span></label>
        <select class="form-control product select2-hidden-accessible" name="product[]" disabled="" required="" data-select2-id="select2-data-4-vbxh" tabindex="-1" aria-hidden="true">
        </select><span class="select2 select2-container select2-container--bootstrap select2-container--disabled" dir="ltr" data-select2-id="select2-data-5-ktbh" style="width: 100%;"><span class="selection"><span
              class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="true" aria-labelledby="select2-product-qy-container"
              aria-controls="select2-product-qy-container"><span class="select2-selection__rendered" id="select2-product-qy-container" role="textbox" aria-readonly="true"></span><span class="select2-selection__arrow"
                role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        <input type="hidden" class="form-control product_name" name="product_name[]">
      </div>
      <div class="form-group hidden product_desc">
        <label class="spec"></label><br>
        <label class="debut"></label><br>
        <label class="price"></label>
      </div>
      <div class="form-group">
        <label for="">Qty <span style="color:red">*</span></label>
        <input type="number" class="form-control qty" name="qty[]" min="0" disabled="" required="">
      </div>
      <div class="form-group">
        <label for="">Pembayaran <span style="color:red">*</span></label>
        <select class="form-control payment_type" name="payment_type[]" required="">
          <option value="">Pilih Skema Pembayaran</option>
          <option value="one_time">Bayar satu kali (Diskon 15%)</option>
          <option value="instalment">Cicilan 3x (Bunga 0%)</option>
        </select>
      </div>
      <div class="form-group">
        <label for="">Total Harga</label>
        <input type="text" class="form-control total_price_text" disabled="">
        <input type="hidden" class="form-control basic_price" name="basic_price[]">
        <input type="hidden" class="form-control total_price" name="total_price[]">
      </div>
      <hr>
    </div>
  </div>
  <button type="button" class="btn btn-success btn-sm" id="btn_add"><i class="fa fa-plus"></i> Tambah Barang</button>
  <hr>
  <!--<div class="form-group">
                <label for="">Total Harga Belanja</label>
                <input type="text" class="form-control" id="grand_total_text" disabled>
                <input type="hidden" class="form-control" name="grand_total">
            </div>-->
  <div class="form-group">
    <label for="">Untuk Kebutuhan <span style="color:red">*</span></label>
    <div class="form-check">
      <input class="form-check-input" type="radio" name="needed" id="kantor" value="kantor" required="">
      <label class="form-check-label"> Kantor </label>
    </div>
    <div class="form-check">
      <input class="form-check-input" type="radio" name="needed" id="pribadi" value="pribadi" required="">
      <label class="form-check-label"> Pribadi </label>
    </div>
  </div>
  <div class="form-group hidden" id="input_company">
    <label for="">Nama Perusahaan <span style="color:red">*</span></label>
    <input type="text" class="form-control company_name" name="company_name">
  </div>
  <div class="form-group">
    <label for="">Nama Pembeli <span style="color:red">*</span></label>
    <input type="text" class="form-control" name="name" required="">
  </div>
  <div class="form-group">
    <label for="">Nomor Handphone <span style="color:red">*</span></label>
    <input type="text" class="form-control" name="mobile_phone" required="">
  </div>
  <div class="form-group">
    <label for="">Email <span style="color:red">*</span></label>
    <input type="email" class="form-control" name="email" required="">
  </div>
  <div class="form-group">
    <label for="">NPWP</label>
    <input type="text" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" class="form-control" name="npwp" maxlength="16">
  </div>
  <button type="submit" class="btn btn-primary btn-block" style="background-color:#e6000d;border-color:#e6000d">Pesan Produk</button>
</form>

Text Content

FORM PEMBELIAN PRODUK SHARP

Kategori * Pilih Kategori LCD TV SPEAKER ACTIVE AUDIO REFRIGERATOR AIR
CONDITIONER AIR PURIFIER AIR COOLER HAIR DRYER WATER PUMP WASHING MACHINE VACUUM
CLEANER MICROWAVE OVEN SMALL HOME APPLIANCES WATER DISPENSER HANDPHONE Pilih
Kategori


Produk *



Qty *
Pembayaran * Pilih Skema Pembayaran Bayar satu kali (Diskon 15%) Cicilan 3x
(Bunga 0%)
Total Harga

--------------------------------------------------------------------------------

Tambah Barang

--------------------------------------------------------------------------------

Untuk Kebutuhan *
Kantor
Pribadi
Nama Perusahaan *
Nama Pembeli *
Nomor Handphone *
Email *
NPWP
Pesan Produk