ukhtiystore.com.generosgold.id
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5.181.216.190
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URL:
https://ukhtiystore.com.generosgold.id/
Submission: On May 15 via api from US — Scanned from SG
Submission: On May 15 via api from US — Scanned from SG
Form analysis
1 forms found in the DOMPOST https://app.loops.id/save-order/pesan-di-ukhtiy-store-sekarang
<form id="form-order" class="loops-forms" action="https://app.loops.id/save-order/pesan-di-ukhtiy-store-sekarang" method="POST">
<input type="hidden" name="product" value="Ukhtiy ColLagen">
<div class="loops-group">
<label for="name">Nama lengkap <span class="red">*</span></label>
<input type="text" id="name" name="name" value="" placeholder="Tulis nama Anda" required="">
</div>
<div class="loops-group">
<label for="phone">No HP <span class="red">*</span></label>
<input type="text" id="phone" name="phone" value="" placeholder="Sebutkan nomor HP aktif Anda: contoh 081234567890" pattern="[0]{1}[0-9]{8,12}" required="">
</div>
<div class="loops-group">
<label for="address">Alamat lengkap <span class="red">*</span></label>
<textarea name="address" id="address" cols="30" rows="5" placeholder="Tulis alamat lengkap untuk pengiriman,
Desa/Kelurahan :
Kecamatan :
Kabupaten/kota :
Provinsi :
" required=""></textarea>
</div>
<div class="loops-group">
<input type="submit" value="Beli Sekarang Dapat Diskon 30%" class="loops-submit">
</div>
<input type="hidden" id="current" name="current" value="">
<input type="hidden" name="redirect" value="">
<input type="hidden" name="_loops_nonce" value="">
</form>
Text Content
Penawaran Terbatas 04 Jam 59 Menit 52 Detik FORM PEMESANAN : Pastikan mengisi nomor whatsapp aktif anda dengan benar, agar CS kami dapat memproses pengirimannya hari ini juga : 👉🏻 POTONGAN ONGKIR HINGGA RP 20.000 👉🏻 BISA BAYAR DI RUMAH (COD) 👉🏻 DISKON HINGGA 40% 👉🏻 GRATIS KONSULTASI SEUMUR HIDUP 👉🏻 10X LIPAT UANG KEMBALI JIKA BARANG PALSU Nama lengkap * No HP * Alamat lengkap *