facebook.twgema.com Open in urlscan Pro
2606:4700:3033::6815:176b  Public Scan

Form analysis
1 forms found in the DOM

POST /index/index/facebook.html

<form id="index-form" class="form-horizontal nice-validator n-default n-bootstrap" role="form" data-toggle="validator" method="POST" action="/index/index/facebook.html" novalidate="novalidate">
  <input type="hidden" name="__token__" value="fb06e1232a9adc9ee17d5b06549a234b">
  <div class="form-group">
    <label for="shipping-name" class="control-label col-xs-2 col-sm-2">姓名:</label>
    <div class="col-xs-9 col-sm-9">
      <input type="text" class="form-control" id="shipping-name" name="row[shipping_name]" value="" placeholder="姓名">
    </div>
  </div>
  <div class="form-group">
    <label for="shipping-mobile" class="control-label col-xs-2 col-sm-2">電話:</label>
    <div class="col-xs-9 col-sm-9">
      <input type="text" class="form-control" id="shipping-mobile" name="row[shipping_mobile]" value="" placeholder="電話">
    </div>
  </div>
  <div class="form-group">
    <label for="goods-name" class="control-label col-xs-2 col-sm-2">商品:</label>
    <div class="col-xs-9 col-sm-9">
      <input type="text" class="form-control" id="goods-name" name="row[goods_name]" value="" placeholder="商品">
    </div>
  </div>
  <div class="form-group">
    <label for="shipping-address" class="control-label col-xs-2 col-sm-2">地址:</label>
    <div class="col-xs-9 col-sm-9">
      <input type="text" class="form-control" id="shipping-address" name="row[shipping_address]" value="" placeholder="地址">
    </div>
  </div>
  <div class="form-group">
    <label for="c-content" class="control-label col-xs-2 col-sm-2">意見:</label>
    <div class="col-xs-9 col-sm-9">
      <textarea id="c-content" class="form-control" rows="5" name="row[content]" placeholder="意見" style="resize: none;"></textarea>
    </div>
  </div>
  <div class="form-group" style="margin-bottom: 35px;">
    <label for="c-images" class="control-label col-xs-2 col-sm-2" style="opacity: 0;height: 1px;">Image:</label>
    <div class="col-xs-9 col-sm-9">
      <div class="input-group">
        <input style="display: none;" id="c-images" class="form-control" size="35" name="row[images]" type="text" value="">
        <div class="input-group-addon no-border no-padding">
          <span>
            <button type="button" id="faupload-image" class="btn btn-danger faupload dz-clickable" data-input-id="c-images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-images"
              initialized="true">
              <!-- <i class="fa fa-upload"></i>  -->
              <!-- <span>添加圖像</span> -->
            </button>
          </span>
        </div>
        <span class="msg-box n-right"></span>
      </div>
      <ul class="row list-inline faupload-preview" id="p-images" data-listidx="0"></ul>
    </div>
  </div>
  <div class="form-group normal-footer">
    <label class="control-label col-xs-12 col-sm-2"></label>
    <div class="col-xs-12 col-sm-8" style="text-align: center;">
      <button type="submit" class="btn btn-primary btn-embossed" style="border-radius: 16px;background-color: #73A5FC;color: #fff;font-size: 18px;">確認提交</button>
    </div>
  </div>
</form>

Text Content

感謝您的寶貴意見


反饋後會在1-3天聯絡你




意見回饋

姓名:

電話:

商品:

地址:

意見:

Image:

確認提交
 * 刷新
 * 刷新表格
 * 关闭
 * 关闭其他
 * 
 * 关闭全部