booking.bwt.dk.linux21.wannafindserver.dk Open in urlscan Pro
185.21.40.113  Public Scan

Form analysis
2 forms found in the DOM

<form>
  <div class="grid grid-cols-2 md:grid-cols-4 gap-2 mb-4">
    <div class="border p-2 text-center hover:border-[#005D8F] rounded cursor-pointer "><img class="m-auto" src="https://shop1158.sfstatic.io/upload_dir/pics/Booking/perla.webp" alt="">
      <h3 class="text-md font-semibold my-2">PERLA</h3>
    </div>
    <div class="border p-2 text-center hover:border-[#005D8F] rounded cursor-pointer "><img class="m-auto" src="https://shop1158.sfstatic.io/upload_dir/pics/Booking/perlaone.webp" alt="">
      <h3 class="text-md font-semibold my-2">PERLA ONE</h3>
    </div>
    <div class="border p-2 text-center hover:border-[#005D8F] rounded cursor-pointer "><img class="m-auto" src="https://shop1158.sfstatic.io/upload_dir/pics/Booking/aqalife.webp" alt="">
      <h3 class="text-md font-semibold my-2">AQA LIFE</h3>
    </div>
    <div class="border p-2 text-center hover:border-[#005D8F] rounded cursor-pointer "><img class="m-auto" src="https://shop1158.sfstatic.io/upload_dir/pics/Booking/basic.webp" alt="">
      <h3 class="text-md font-semibold my-2">AQA BASIC</h3>
    </div>
  </div>
  <div class="grid grid-cols-1 gap-2 mb-2"><label class="block text-gray-700 text-sm font-bold">Hvad er problemet med dit anlæg?</label><select id="fejl" class="w-full border p-2" name="error"></select></div>
  <div></div><button type="button" disabled="" class="text-white px-4 py-2 rounded bg-[#005D8F] hover:bg-sky-700 disabled:bg-[#666B6E]">Næste</button>
</form>

<form>
  <div class="grid grid-cols-2 gap-2">
    <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Fornavn *</label><input type="text" name="firstName" class="w-full border p-2 text-sm md:text-base " autocomplete="given-name" value=""></div>
    <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Efternavn *</label><input type="text" name="lastName" class="w-full border p-2 text-sm md:text-base " autocomplete="family-name" value=""></div>
  </div>
  <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Email *</label><input type="email" name="email" class="w-full border p-2 text-sm md:text-base " autocomplete="email" value=""></div>
  <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Telefonnummer *</label>
    <div class="grid grid-cols-10"><input type="text" name="phone" disabled="" class="col-span-2 md:col-span-1 w-full border p-2 text-sm md:text-base" value="+45"><input type="text" name="phone" autocomplete="tel"
        class="col-span-8 md:col-span-9 w-full border p-2 text-sm md:text-base " value=""></div>
  </div>
  <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Adresse *</label><input type="text" name="address" class="w-full p-2 border " autocomplete="address-line1" value="">
    <ul role="list" class="divide-y divide-gray-200 px-2 "></ul>
  </div>
  <div class="grid grid-cols-2 gap-2">
    <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">By *</label><input type="text" name="city" class="w-full border p-2 text-sm md:text-base " autocomplete="address-level2" value=""></div>
    <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2">Postnummer *</label><input type="text" name="postalCode" class="w-full border p-2 text-sm md:text-base " autocomplete="postal-code" value=""></div>
  </div>
  <div class="mb-2 md:mb-4"><label class="block text-gray-700 text-sm font-bold mb-2" title="Du finder registreringsmærkaten med en ottecifret kode direkte på dit BWT-anlæg.">Produktkode *</label><input type="text" name="serialNumber"
      class="w-full border p-2 text-sm md:text-base " value=""></div><button type="button" class="text-white px-4 py-2 mr-4 rounded bg-[#666B6E]">Tilbage</button><button type="button" disabled=""
    class="text-white px-4 py-2 rounded bg-[#005D8F] hover:bg-sky-700 disabled:bg-[#666B6E]">Næste</button>
</form>

Text Content

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BESTIL BWT SERVICETEKNIKER

1

Fejltype

Hvilket anlæg ønsker du at bestille en tekniker til?


PERLA


PERLA ONE


AQA LIFE


AQA BASIC

Hvad er problemet med dit anlæg?

Næste

2

Kontaktinformation

Fornavn *
Efternavn *
Email *
Telefonnummer *

Adresse *
By *
Postnummer *
Produktkode *
TilbageNæste

3

Tryghedsaftale




TilbageNæste

4

Dato og Tid

April 2024

MoTuWeThFrSaSu2526272829303112345678910111213141516171819202122232425262728293012345

Vælg en dato for at se ledige tider

Jeg accepterer at BWT må kontakte mig telefonisk, hvis der er en ledig tid før
den valgte dato

TilbageBestil