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wmt-obf.riwiga.com Open in urlscan Pro
35.229.191.95  Public Scan

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URL: https://wmt-obf.riwiga.com/
Submission: On October 03 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form method="post" action="" id="form-ui">
  <div class="panel panel-border border-top panel-dark">
    <div class="panel-body bg-light">
      <div class="section-divider mb40" id="spy1">
        <span>出車單</span>
      </div>
      <!-- .section-divider -->
      <div class="alert-section hide alert-message">
        <div class="alert alert-micro alert-border-left alert-danger">
          <p class="alert-text"></p>
        </div>
      </div>
      <!-- <hr> -->
      <div class="row">
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="name" name="name" placeholder="姓名">
              <label for="name" class="field-icon">
                <i class="fa-solid fa-user"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="phone" name="phone" placeholder="聯絡電話">
              <label for="phone" class="field-icon">
                <i class="fa-solid fa-mobile"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon select">
              <select id="type" name="type">
                <option value="">請選擇預約行程</option>
                <option value="機場接送">機場接送</option>
                <option value="港口接送">港口接送</option>
                <option value="跨市區接送">跨市區接送</option>
                <option value="商務接送">商務接送</option>
                <option value="商務包車">商務包車</option>
                <option value="旅遊包車">旅遊包車</option>
                <option value="微搬家">微搬家</option>
                <option value="到府接送">到府接送</option>
                <option value="包車專車">包車專車</option>
              </select>
              <i class="arrow double"></i>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label for="datetimepicker1" class="field prepend-icon">
              <input type="text" id="datetimepicker1" name="datetimepicker1" class="gui-input" placeholder="預約時間">
              <label class="field-icon">
                <i class="fa-regular fa-calendar-days"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="pickup" name="pickup" placeholder="上車地點">
              <label for="pickup" class="field-icon">
                <i class="fa-solid fa-map-pin"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="dropoff" name="dropoff" placeholder="下車地點">
              <label for="dropoff" class="field-icon">
                <i class="fa-solid fa-location-dot"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="flight" name="flight" placeholder="航班編號">
              <label for="flight" class="field-icon">
                <i class="fa-solid fa-plane"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-6">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="number" name="number" placeholder="乘車人數" value="1">
              <label for="number" class="field-icon">
                <i class="fa-solid fa-users"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-6">
          <div class="section">
            <label class="field prepend-icon">
              <input type="text" class="gui-input" id="suitcase" name="suitcase" placeholder="行李數量" value="1">
              <label for="suitcase" class="field-icon">
                <i class="fa-solid fa-suitcase-rolling"></i>
              </label>
            </label>
          </div>
        </div>
        <div class="col-xs-12">
          <div class="section">
            <label class="field prepend-icon">
              <textarea class="gui-textarea" id="note" name="note" placeholder="備註(選填)"></textarea>
              <label for="note" class="field-icon">
                <i class="fa-solid fa-message"></i>
              </label>
            </label>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-xs-6">
          <botton class="btn btn-lg btn-dark btn-block" onclick="back()"><i class="fa-solid fa-reply"></i> 關閉</botton>
        </div>
        <div class="col-xs-6">
          <button type="button" class="btn btn-lg btn-dark btn-block btn-send" onclick="sendMessage()">傳送至 LINE@</button>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

出車單



請選擇預約行程 機場接送 港口接送 跨市區接送 商務接送 商務包車 旅遊包車 微搬家 到府接送 包車專車







關閉
傳送至 LINE@
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