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HTML 

              
                <head>
<script src='https://cdnjs.cloudflare.com/ajax/libs/jquery/3.5.1/jquery.min.js' type='text/javascript'></script>
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.15.1/css/all.min.css" />
<link href="https://fonts.googleapis.com/css2?family=Padauk:wght@700&display=swap" rel="stylesheet"/>
</head>

<body>
<div class='popup-wrapper' id='buyWhatsApp'>
<div class='popup-container'>
<div class='container-contact100'>
<div class='wrap-contact100'>
<h2 class='title-beli'>
  <span class='data-form-title'>
<i class='fab fa-whatsapp'></i> Pesan via <b>WhatsApp</b></span>
</h2>

<!--=== HTML Form WhatsApp | @rian_seo ===-->
<div class='data-form validate-form' id='whatsapp'>
<ul class='orderBank'>
<!--=== HTML Pilihan Produk ===-->
<section class='tabs'>  
<!--=== HTML Pilihan (1) ===-->
<input checked='checked' class='tab-selector-1' id='tab-1' name='radio-set' type='radio'/>  
<label class='tab-label-1' for='tab-1'>Produk 1</label>  
<!--=== HTML Pilihan (2) ===-->
<input class='tab-selector-2' id='tab-2' name='radio-set' type='radio'/>  
<label class='tab-label-2' for='tab-2'>Produk 2</label>
<!--=== HTML Pilihan (3) ===-->  
<input class='tab-selector-3' id='tab-3' name='radio-set' type='radio'/>  
<label class='tab-label-3' for='tab-3'>Produk 3</label>
<!--=== HTML Data Produk ===-->
<div class='content'>
<!--=== HTML Produk (1) ===-->
<div class='content-1'>
  <span><b>Nama Produk :</b></span><span>Baju</span>
  <span><b>Warna Produk :</b></span><span>Biru</span>
  <span><b>Ukuran Produk :</b></span><span> M</span>
</div>
<!--=== HTML Produk (2) ===-->
<div class='content-2'>
  <span><b>Nama Produk :</b></span><span>Celana</span>
  <span><b>Warna Produk :</b></span>
  <span>Merah</span>
  <span><b>Ukuran Produk :</b></span>
  <span>XL</span>
</div>
<!--=== HTML Produk (3) ===-->
<div class='content-3'>
  <span><b>Nama Produk :</b></span><span>Sepatu</span>
  <span><b>Warna Produk :</b></span><span>Putih</span>
  <span><b>Ukuran Produk :</b></span><span>40</span>
</div>
</div>
</section>
</ul>

<!--=== HTML Pilihan Pembayaran ===-->
<input class='tujuan' id='noAdmin' type='hidden'/>
<label class='formWhatsApp'>
<i class='fa fa-angle-down'></i>
<select class='licensi wajib' placeholder='Pembayaran'>
<option hidden='hidden' selected='selected' value='default'>Pilih Pembayaran</option>
<!--=== HTML Data Pembayaran ===-->
<optgroup label='Pilih Pembayaran'>
<option value='Nama Bank 1 | 1234567'>Nama Bank 1 | 123456789</option>
<option value='Nama Bank 2 | 123456789'>Nama Bank 2 | 123456789</option>
</optgroup>
</select>
</label>

<!--=== HTML Table Form Pesanan ===-->
<div class='gridWhatsApp'>
<label class='item'>
<!--=== From Nama ===-->
<i class='fa fa-user-circle'></i>
<input class='nama wajib' placeholder='Nama..' type='text'/>
</label>
<label class='item'>
<!--=== From Email ===-->
  <i class='fa fa-envelope'></i>
<input class='email wajib' placeholder='Email..' type='text'/>
</label>
</div>
<br/>
<!--=== HTML Table Form (2) ===-->
<div class='gridWhatsApp'>
<label class='item'>
<!--=== From Nomor WhatsApp ===-->
  <i class='fab fa-whatsapp'></i>
<input class='nomor wajib' placeholder='WhatsApp..' type='tel'/>
</label>
<label class='item'>
<!--=== From Nama Kota ===-->
  <i class='fa fa-university'></i>
<input class='kota wajib' placeholder='Kota..' type='url'/>
</label>
</div>
<!--=== HTML Opsi Form Produk ===-->
<label class='formWhatsApp'>
  <i class='fa fa-angle-down'></i>
<select class='pembayaran wajib' placeholder='Pembayaran'>
<option hidden='hidden' selected='selected' value='default'>Pilihan Produk</option>
<optgroup label='Pilihan Produk'>
<option value='Produk 1'>Produk 1</option>
<option value='Produk 2'>Produk 2</option>
<option value='Produk 3'>Produk 3</option>
</optgroup>
</select>
</label>
<label class='formWhatsApp'>
  <i class='fa fa-angle-down'></i>
<select class='informasi wajib' placeholder='Informasi'>
<option hidden='hidden' selected='selected' value='default'>Dapat Info dari?</option>
<optgroup label='Dapat Info dari?'>
<option value='Google'>Google</option>
<option value='Facebook'>Facebook</option>
<option value='Email'>WhatsApp</option>
<option value='Instagram'>Instagram</option>
<option value='Email'>Email</option>
</optgroup>
</select>
</label>
<div class='sendWhatsApp'>
<div class='sendWAcolor'>
<div class='sendWAbuttom'/>
<a class='sendWAclik submit' onclick='redirect(&apos;/p/terimakasih.html&apos;)'>Kirim</a>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</body>
!

CSS 

              
                body {font:600 16px Padauk,sans-serif}
#buyWhatsApp {position:relative;top:0;margin:0;}
#buyWhatsApp{background-color:rgba(0,0,0,0.5);position:fixed!important;display:flex!important;top:0;left:0;right:0;bottom:0;margin:0;width:100%;height:100%;overflow-y:auto;padding:10px 0;z-index:99999999999;-webkit-transition:.2s;-moz-transition:.2s;transition:.2s}
.formWhatsApp {position: relative;
    display: block;
    width: 100%;
    margin: 10px 0;
    padding: 0;}
.gridWhatsApp {grid-template-columns: 1fr 1fr;display: grid;grid-gap: 10px;}
.gridWhatsApp .item {
    position: relative;
    display: block;
    width: 100%;
    margin:0;
    padding: 0;
}
.gridWhatsApp .item input, .formWhatsApp select {position: relative;
    z-index: 1;font-family: Roboto,sans-serif;font-size:13px;
    border: none;outline:none;
    box-shadow: inset 0 -1px 0 0 rgba(0,0,0,.08);
    padding: 10px 15px;
    width: 100%;
    padding-left: 40px;
    background: 0 0;box-sizing: border-box;}
.gridWhatsApp .item i, .formWhatsApp i {
    position: absolute;
    z-index: 0;
    display: inline-block;
    vertical-align: top;
    width: 40px;
    text-align: center;
    font-size: 120%;
    height: auto;
    background: 0 0;
    box-shadow: none;
    top: 8px;
    left: 0;
    color: rgba(0,0,0,.2);
}
.formWhatsApp select {-webkit-appearance: none;
    -moz-appearance: none;
    -webkit-appearance: none;
    appearance:none;
  text-align:left;}
.orderBank {color:#626262;background: #f1f1f1;
    list-style: none;
    margin: 0 0 25px;
  padding: 13px 20px;}
  .orderBank i {font-size:90%}
input[type=&quot;radio&quot; i] {
    background-color: initial;
    cursor: default;
    -webkit-appearance: radio;
    box-sizing: border-box;
    margin: 3px 3px 0 5px;
    padding: initial;
    border: initial;
}
.tabs .tab-selector-1:checked~.content .content-1, .tabs .tab-selector-2:checked~.content .content-2, .tabs .tab-selector-3:checked~.content .content-3 {
    opacity: 1;
    display:grid;grid-gap:8px;
    height: auto;grid-template-columns:1fr 1fr;
    width: 100%;
    height: auto;
    padding: 10px;
}
.content-1, .content-2, .content-3 {
    position: relative;
    width: 0;display: flex;
    height: 0;
    box-sizing: border-box;
    top: 0;
    left: 0;
    z-index: 1;
    opacity: 0;
}
@media (min-width: 768px){
.popup-container, .container-contact100{width:calc(100% - 20px);}}
@media (max-width: 767px){
.popup-container, .container-contact100 {width:calc(100% - 20px);}}
.popup-container{display:block;margin:auto auto}
a.closeWhatsApp{display:block;color:#aaa;padding:0 20px;cursor:pointer;font-size:30px;font-weight:300;transition:.2s}
/* CSS POP-ICE */
.popup-form{margin:10px auto}
.popup-form h2{margin-bottom:5px;font-size:37px;text-transform:uppercase}
.popup-form .input-group{margin:10px auto}
.popup-form .input-group input{padding:17px;text-align:center;margin-bottom:10px;border-radius:3px;font-size:16px;display:block;width:100%}
.popup-form .input-group input:focus{outline-color:#fb8833}
.popup-form .input-group input[type=&quot;email&quot;]{border:0;position:relative}
.popup-form .input-group input[type=&quot;submit&quot;]{background-color:#fb8833;color:#fff;border:0;cursor:pointer}
.popup-form .input-group input[type=&quot;submit&quot;]:focus{box-shadow:inset 0 3px 7px 3px #ea7722}
/* FORM */
a:focus {outline: none !important;}
a:hover {text-decoration: none;}
p {font-size: 14px;line-height: 1.7;color: #666666;margin:0px;}
input, textarea {outline: none;border: none;}
input:focus::-webkit-input-placeholder {color: transparent;}
input:focus:-moz-placeholder {color: transparent;}
input:focus::-moz-placeholder {color: transparent;}
input:focus:-ms-input-placeholder {color: transparent;}
input::-webkit-input-placeholder {color: #adadad;}
input:-moz-placeholder {color: #adadad;}
input::-moz-placeholder {color: #adadad;}
input:-ms-input-placeholder {color: #adadad;}
textarea::-webkit-input-placeholder {color: #adadad;}
textarea:-moz-placeholder {color: #adadad;}
textarea::-moz-placeholder {color: #adadad;}
textarea:-ms-input-placeholder {color: #adadad;}
button {outline: none !important;border: none;background: transparent;}
button:hover {cursor: pointer;}
iframe {border: none !important;}
/* Contact */
.container-contact100{width:550px;margin:auto;display:block;padding:0;background:#fff;border-radius:4px}
.wrap-contact100{width:550px;overflow:hidden;padding:0;display:block;border-radius:4px}
.data-form{box-sizing: border-box;width:100%;background:#fff;margin:0;padding:0 20px;overflow-y:auto;display:block;max-height:calc(100vh - 80px)}
.title-beli{display:grid;width:100%;grid-template-columns:1fr auto;grid-column-gap:10px;margin:0;height:60px;line-height:60px;font-size:14px;background:#fff;font-weight:400}
.data-form-title{padding:0 20px;display:block;vertical-align:middle;white-space:nowrap;overflow:hidden;text-overflow:ellipsis;color:#444;font-size:110%}
.data-form-title .fa-whatsapp {color:#0CC243}
.rianseo-area{display:grid;grid-template-columns:1fr auto;grid-gap:10px;padding:20px;width:calc(100% + 40px);margin-left:-20px;margin-top:-20px;margin-bottom:20px}
/* Input */
.wrap-input100{width:100%;position:relative;padding:0;display:grid;grid-gap:10px;grid-template-columns:1fr 1fr;margin-bottom:10px}
.label-input100{font-family:Helvetica,sans-serif;font-size:13px;color:#666;font-weight:700;line-height:1.5;padding:0}
.input100{display:block;width:100%;background:transparent;border:0;font-size:13px;box-shadow:inset 0 -1px 0 0 rgba(0,0,0,.08);color:#333;line-height:1.2;padding:10px 0}
.focus-input100{position:absolute;display:block;width:100%;height:100%;top:0;left:0;pointer-events:none}
.focus-input100::before{content:&quot;&quot;;display:block;position:absolute;bottom:-2px;left:0;width:0;height:2px;-webkit-transition:all .4s;-o-transition:all .4s;-moz-transition:all .4s;transition:all .4s;background:#7f7f7f}
input.input100 {}
textarea.input100 {padding-top: 9px;padding-bottom: 13px;}
.input100:focus+.focus-input100::before {width: 100%;}
.has-val.input100+.focus-input100::before {width: 100%;}
/* Button */
.sendWhatsApp {display:-webkit-box;display:-webkit-flex;display:-moz-box;display:-ms-flexbox;display:flex;flex-wrap:wrap;justify-content:center;padding:0}
.sendWAcolor {width:100%;display:block;position:relative;z-index:1;overflow:hidden;margin:10px 0 15px 0}
.sendWAbuttom {position:relative;margin-bottom:10px;z-index:-1;-webkit-transition:all .4s;-o-transition:all .4s;-moz-transition:all .4s;transition:all .4s}
.sendWAclik{cursor:pointer;display:block!important;border:0;text-align:center!important;padding:10px 20px!important;font-size:105%;font-weight:700!important;background:#4CAF50;color:#fff!important;box-shadow:inset 0 -3px 0 0 rgba(0,0,0,.08)}
.sendWAcolor:hover .sendWAbuttom {left: 0;}
/* Responsive */
@media (max-width: 576px) {.wrap-contact100 {width:100%;display:block;}
.container-contact100 {width:100%;}
.sendWhatApp {padding:0;}}
!

JS 

              
                //<![CDATA[
$('#noAdmin').val('0858-8662-4531');// Nomor Tujuan
$('.whatsapp-btn').click(function () {
$('#whatsapp').toggleClass('toggle');});
// Fungsi Tombol Whatsapp Kirim!
		$('#whatsapp .submit').click(WhatsApp);
		$("#whatsapp input, #whatsapp textarea").keypress(function () {
			if (event.which == 13) WhatsApp();
		});
		var reg = /^([A-Za-z0-9_\-\.])+\@([A-Za-z0-9_\-\.])+\.([A-Za-z]{2,4})$/;
// Fungsi Data Tulisan yang dikirim
function WhatsApp() {
			var ph = '';
			if ($('#whatsapp .nama').val() == '') { // Cek Nama
				ph = $('#whatsapp .nama').attr('placeholder');
				alert('Silahkan tulis ' + ph);
				$('#whatsapp .nama').focus();
				return false;
			} else if ($('#whatsapp .email').val() == '') { // Cek email
				ph = $('#whatsapp .email').attr('placeholder');
				alert('Silahkan tulis ' + ph);
				$('#whatsapp .website').focus();
                return false;
            } else if ($('#whatsapp .nomor').val() == '') { // Cek nomor
                ph = $('#whatsapp .nomor').attr('placeholder');
                alert('Silahkan tulis ' + ph);
                $('#whatsapp .nomor').focus();
				return false;
            } else if ($('#whatsapp .kota').val() == '') { // Cek kota
                ph = $('#whatsapp .kota').attr('placeholder');
                alert('Silahkan tulis ' + ph);
                $('#whatsapp .email').focus();
				return false;
            } else if ($('#whatsapp .licensi').val() == '') { // Cek licensi
				ph = $('#whatsapp .licensi').attr('placeholder');
				alert('Silahkan pilih ' + ph);
				$('#whatsapp .licensi').focus();
				return false;
			} else if ($('#whatsapp .pembayaran').val() == '') { // Cek bayar
				ph = $('#whatsapp .pembayaran').attr('placeholder');
				alert('Silahkan pilih ' + ph);
				$('#whatsapp .pembayaran').focus();
				return false;
			} else if ($('#whatsapp .informasi').val() == '') { // Cek dari
				ph = $('#whatsapp .informasi').attr('placeholder');
				alert('Silahkan pilih ' + ph);
				$('#whatsapp .informasi').focus();
				return false;
			} else {
				// Check Device (Mobile/Desktop)
				var url_wa = 'https://web.whatsapp.com/send';
				if (/Android|webOS|iPhone|iPad|iPod|BlackBerry|IEMobile|Opera Mini/i.test(navigator.userAgent)) {
					url_wa = 'whatsapp://send/';
				}
				// Get Value
				var tujuan = $('#whatsapp .tujuan').val(),
					via_url = location.href,
                    licensi =$('#whatsapp .licensi').val(),
					nama = $('#whatsapp .nama').val(),
					email = $('#whatsapp .email').val(),
					nomor = $('#whatsapp .nomor').val(),
					kota = $('#whatsapp .kota').val(),
                    pembayaran = $('#whatsapp .pembayaran').val(),
					informasi = $('#whatsapp .informasi').val();
				$(this).attr('href', url_wa + '?phone=62 ' + tujuan + '&text=' +
               ' %2ALicensi%2A: ' + licensi + '%0A' +
               '_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _%0A' +
               ' %0A%2ANama%2A: ' + nama + 
               ' %0A%2AEmail%2A: ' + email + 
               ' %0A%2ANomor WhatsApp%2A: ' + nomor + 
               ' %0A%2AKota%2A: ' + kota + '%0A' +
               '_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _%0A%0A' +
               ' %0A%2AMetode Pembayaran%2A: ' + pembayaran + '%0A' +
               ' %0A%2ASaya dapat informasi dari%2A: ' + informasi + '%0A' + 
               ' %0A%2ADari%2A ' + via_url);
				var w = 960,
					h = 540,
					left = Number((screen.width / 2) - (w / 2)),
					tops = Number((screen.height / 2) - (h / 2)),
					popupWindow = window.open(this.href, '', 'toolbar=no, location=no, directories=no, status=no, menubar=no, scrollbars=yes, resizable=1, copyhistory=no, width=' + w + ', height=' + h + ', top=' + tops + ', left=' + left);
                popupWindow.focus();
				return false;
			}
		}//]]>
!
999px

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