athalladepot.my.id Open in urlscan Pro
103.178.175.71  Public Scan

Form analysis
2 forms found in the DOM

POST https://athalladepot.my.id/order/ax_do_check

<form autocomplete="off" method="post" action="https://athalladepot.my.id/order/ax_do_check" id="check_order_form">
  <div class="form-group">
    <div class="input-group">
      <input class="form-control " type="search" placeholder="Order Number" aria-label="Invoice" id="txt_order" name="txt_order">
      <div class="input-group-append">
        <button class="btn btn-default" type="submit">
          <i class="fas fa-search"></i>
        </button>
      </div>
    </div>
  </div>
</form>

POST https://athalladepot.my.id/public_ord.php

<form id="order_form" method="post" action="https://athalladepot.my.id/public_ord.php">
  <div class="mb-3">
    <label for="nama" class="form-label">Nama</label>
    <input type="text" class="form-control" id="nama" name="nama" required="">
  </div>
  <div class="mb-3">
    <label for="alamat" class="form-label">Alamat</label>
    <textarea type="text" class="form-control" id="alamat" name="alamat" required=""></textarea>
  </div>
  <div class="mb-3">
    <label for="no_hp" class="form-label">No HP</label>
    <input type="text" class="form-control" id="no_hp" name="no_hp" required="">
  </div>
  <div class="mb-3">
    <label for="jumlah_pesanan" class="form-label">Jumlah Pesanan</label>
    <input type="number" class="form-control" id="jumlah_pesanan" name="jumlah_pesanan" required="">
  </div>
  <button type="submit" class="btn btn-primary">Submit</button>
</form>

Text Content

Athalla Depot Air Minum

ATHALLA DEPOT AIR MINUM

Ruko Terminal Kabupaten Sukoharjo
0813 2979 5591 - 0898 2371 401

Depot Isi Ulang Air Mineral

CHECK ORDER


Order Form


PLACE YOUR ORDER

Nama
Alamat
No HP
Jumlah Pesanan
Submit