Utama
<form action="//submit.form" id="NewsletterSubscription100" method="post" onsubmit="return ValidateForm(this);">
<script type="text/javascript">
function ValidateForm(frm) {
if (frm.Name.value == "") { alert('Mohon isi nama anda.'); frm.Name.focus(); return false; }
if (frm.Birthplace.value == "") { alert('Mohon isi tempat lahir anda.'); frm.Birthplace.focus(); return false; }
if (frm.Birthdate.value == "Pilih") { alert('Mohon isi tanggal lahir anda.'); frm.Birthdate.focus(); return false; }
if (frm.Birthdate2.value == "Pilih") { alert('Mohon isi bulan lahir anda.'); frm.Birthdate2.focus(); return false; }
if (frm.Birthdate3.value == "") { alert('Mohon isi tahun lahir anda.'); frm.Birthdate3.focus(); return false; }
if (frm.Nationality.value == "") { alert('Mohon isi kewarganegaraan anda.'); frm.Nationality.focus(); return false; }
if (frm.Job.value == "") { alert('Mohon isi pekerjaan anda.'); frm.Job.focus(); return false; }
if (frm.JobAddress.value == "") { alert('Mohon isi alamat perusahaan tempat anda bekerja.'); frm.JobAddress.focus(); return false; }
if (frm.JobPhone.value == "") { alert('Mohon isi nomor telepon perusahaan tempat anda bekerja.'); frm.JobPhone.focus(); return false; }
if (frm.Salary.value == "") { alert('Mohon isi penghasilan anda.'); frm.Salary.focus(); return false; }
if (frm.Address.value == "") { alert('Mohon isi alamat domisili anda.'); frm.Address.focus(); return false; }
if (frm.Phone.value == "") { alert('Mohon isi nomor telepon rumah anda.'); frm.Phone.focus(); return false; }
if (frm.Mobile.value == "") { alert('Mohon isi nomor ponsel anda.'); frm.Mobile.focus(); return false; }
if (frm.FromEmailAddress.value == "") { alert('Mohon isi alamat email anda.'); frm.FromEmailAddress.focus(); return false; }
if (frm.FromEmailAddress.value.indexOf("@") < 1 || frm.FromEmailAddress.value.indexOf(".") < 1) { alert('Tolong masukkan alamat email anda dengan benar.'); frm.FromEmailAddress.focus(); return false; }
if (frm.Message.value == "") {alert('Mohon isi pesan yang ingin anda sampaikan.');frm.Message.focus();return false;}
return true; }
</script>
<div style="text-align: center;">
<span style="font-size: x-large;">Form Pendaftaran</span></div>
<br />
<table width="100%;" align="center">
<tbody>
<tr><td><u><span style="font-size: large;">Data Pribadi</span></u></td></tr>
<tr><td><label for="Name">Nama Depan</label> <br />
<input maxlength="50" name="Name" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="LastName">Nama Belakang</label> <br />
<input maxlength="50" name="LastName" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Gender">Jenis Kelamin</label> <br />
<input checked="checked" name="Gender" type="radio" value="Pria" /> Pria
<input name="Gender" type="radio" value="Wanita" /> Wanita</td></tr>
<tr><td><label for="Birthplace">Tempat Lahir</label> <br />
<input maxlength="50" name="Birthplace" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Birthdate">Tanggal Lahir</label><br />
<select name="Birthdate"><option value="Pilih">Pilih</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select><label for="Birthdate2"></label>- <select name="Birthdate2"><option value="Pilih">Pilih</option>
<option value="Januari">Januari</option>
<option value="Februari">Februari</option>
<option value="Maret">Maret</option>
<option value="April">April</option>
<option value="Mei">Mei</option>
<option value="Juni">Juni</option>
<option value="Juli">Juli</option>
<option value="Agustus">Agustus</option>
<option value="September">September</option>
<option value="Oktober">Oktober</option>
<option value="November">November</option>
<option value="Desember">Desember</option>
</select><label for="Birthdate3"></label> -
<input max="2017" maxlength="50" min="1950" name="Birthdate3" style="width: 90px;" type="number" /></td></tr>
<tr><td><label for="Nationality">Kewarganegaraan</label> <br />
<input maxlength="50" name="Nationality" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Education">Pendidikan Terakhir</label> <br />
<input checked="checked" name="Salary" type="radio" value="SD/SEDERAJAT" /> SD/SEDERAJAT<br />
<input name="Salary" type="radio" value="SMP/SEDERAJAT" /> SMP/SEDERAJAT<br />
<input name="Salary" type="radio" value="SMA/SEDERAJAT" /> SMA/SEDERAJAT<br />
<input name="Salary" type="radio" value="DIPLOMA" /> DIPLOMA<br />
<input name="Salary" type="radio" value="S1" /> S1<br />
<input name="Salary" type="radio" value="S2" /> S2<br />
<input name="Salary" type="radio" value="S3" /> S3 </td></tr>
<tr><td><u><span style="font-size: large;">Data Pekerjaan</span></u></td></tr>
<tr><td><label for="Job">Pekerjaan</label> <br />
<input maxlength="50" name="Job" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="JobAddress">Alamat Perusahaan</label> <br />
<input maxlength="50" name="JobAddress" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="JobPhone">Nomor Telepon Perusahaan</label> <br />
<input maxlength="50" name="JobPhone" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Salary">Penghasilan Bulanan</label> <br />
<input checked="checked" name="Salary" type="radio" value="< Rp 1.000.000" /> < Rp 1.000.000<br />
<input name="Salary" type="radio" value="Rp 1.000.000 - Rp 2.499.999" /> Rp 1.000.000 - Rp 2.499.999<br />
<input name="Salary" type="radio" value="Rp 2.500.000 - Rp 4.999.999" /> Rp 2.500.000 - Rp 4.999.999<br />
<input name="Salary" type="radio" value="Rp 5.000.000 - Rp 9.999.999" /> Rp 5.000.000 - Rp 10.000.000<br />
<input name="Salary" type="radio" value="> Rp 10.000.000" /> > Rp 10.000.000 </td></tr>
<tr><td><u><span style="font-size: large;">Kontak</span></u></td></tr>
<tr><td><label for="Phone">Nomor Telepon Rumah</label> <br />
<input maxlength="50" name="Phone" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Mobile">Nomor Ponsel</label> <br />
<input maxlength="50" name="Mobile" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Address">Alamat Domisili</label> <br />
<input maxlength="50" name="Address" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="FromEmailAddress">Alamat Email</label> <br />
<input maxlength="50" name="FromEmailAddress" style="width: 290px;" type="text" /></td></tr>
<tr><td><label for="Message">Pesan</label><br />
<textarea cols="38" name="Message" rows="5" style="height: 100 px;" wrap="hard">(/textarea)</td></tr>
<tr><td><script src="https://www.100forms.com/js/FORMKEY:MY3RN65JU78A/SEND:XXXX@XXXX.com" type="text/javascript"></script>
<input name="skip_Reset" type="reset" value="RESET" /><input id="skip_Submit" name="skip_Submit" type="submit" value="DAFTAR" />
</td></tr>
</tbody></table>
</form>
Komisi titik pertumbuhan (per poin) :
Sponsor 900
G1. 80
G2. 80
G3. 80
G4. 80
G5. 80
G6. 70
G7. 70
G8. 70
G9. 70
G10 70
G11 50
G12 50
G13 50
G14 50
G15 50
G16 50
G17 50
Jumlah : 2000
G = Generasi
Komisi belanja ulang (Repeat Order = RO) (per poin) :
Pribadi 150
G1. 150
G2. 150
G3. 150
G4. 125
G5. 125
G6. 125
G7. 125
G8. 125
G9. 100
G10 100
G11 100
G12 100
G13 75
G14 75
G15 75
G16 75
G17 75
Jumlah : 2000
G = Generasi
Total margin yg dikeluarkan perusahaan :
- komisi titik/RO: 2000
- bonus prngkat: 375
- margin MS&S: 625
Jumlah : 3000
Bonus Peringkat / royalti (per poin pertumbuhan dan per poin RO) :
- Basic 40
- Silver 40
- Gold 45
- Ruby 55
- Emerald 60
- Diamond 65
- Prabu 70
Jumlah : 375