dk.deductprize.com Open in urlscan Pro
2606:4700:30::6812:3a43  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="post" id="ccForm" target="_top">
  <input type="hidden" name="form1" value="submit">
  <div class="form-block">
    <div class="form-block__half">
      <i class="far fa-check-circle"></i>
      <input type="text" class="half text-uppercase" placeholder="Fornavn" name="firstname" value="">
    </div>
    <div class="form-block__half mla">
      <i class="far fa-check-circle"></i>
      <input type="text" class="mla text-uppercase" placeholder="Efternavn" name="lastname" value="">
    </div>
    <div class="form-block__full">
      <i class="far fa-check-circle"></i>
      <input type="text" class="w100 form-block__full text-uppercase" name="address" placeholder="Adresse" value="">
    </div>
    <div class="form-block__half">
      <i class="far fa-check-circle"></i>
      <input type="tel" class="text-uppercase" placeholder="Postnummer" name="postcode" value="">
    </div>
    <div class="form-block__half mla">
      <i class="far fa-check-circle"></i>
      <input type="text" class="half text-uppercase" placeholder="By" name="city" value="">
    </div>
    <div class="form-block__full">
      <i class="far fa-check-circle"></i>
      <input class="text-uppercase w100" placeholder="Telefon" type="tel" name="telephone" value="">
    </div>
    <div class="form-block__full">
      <input class="form-block__full text-uppercase" placeholder="E-Mail" type="text" name="email" value="">
    </div>
  </div>
  <div class="form-content">
    <div class="form-content__title"> Din Ordre </div>
    <ul class="form-content__table">
      <li>Betaling</li>
      <li><span>Samlet</span><span>10.00kr</span></li>
    </ul>
    <div class="form-content__card">
      <div class="form-content__card-title"></div>
      <div class="form-content__card-content">
        <p>Betal med kreditkort</p>
        <img class="cards img-fluid" src="https://discount-nation.com/images/paycards.png">
      </div>
      <hr>
      <div class="form-check d-flex">
        <input type="checkbox" class="form-check-input" checked="" style="margin-right: 5px;">
        <label class="form-check-label" for="exampleCheck1"></label>
      </div>
    </div>
  </div>
  <input type="submit" class="button btn-txt submit-btn" value="NÆSTE" id="submit">
</form>

Text Content

Din Ordre
 * Betaling
 * Samlet10.00kr

Betal med kreditkort

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