appletreelaw.legl.com Open in urlscan Pro
172.67.71.217  Public Scan

Submitted URL: https://appletreelaw.legl.com/
Effective URL: https://appletreelaw.legl.com/pay/checkout/
Submission: On April 01 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form>
  <input type="hidden" name="csrfmiddlewaretoken" value="rwmn2Thsgu64TTehjI38gDg2k1KGyJtS727Pk8wPrGgth4pIXfQWQailP2yyn8MA">
  <input data-is-payer-form-valid="" type="hidden" name="is_payer_form_valid" value="false">
  <input type="hidden" name="is_payer_form" value="true">
  <div class="payment-item-container">
    <legl-payments-accordion class="remove-padding" company-currency="GBP" company-locale="en-GB" data-payer-details="" form="" show-alpha="">
      <section slot="title" class="title-margins">
        <span class="heading-text"> Your details </span>
      </section>
      <section slot="icon-alpha" class="title-margins">
        <i class="legl-icon-chevron-down dropdown-icon"></i>
      </section>
      <section slot="icon-beta" class="title-margins">
        <i class="legl-icon-chevron-right dropdown-icon"></i>
      </section>
      <section slot="content-alpha" class="details-input">
        <div id="your-details">
          <lds-input id="id_first_name" name="first_name" autocomplete="given-name" value="" label="First name" data-cy-first-name="" class="form-field lds-input" shows-feedback-for="" type="text" placeholder="">
            <label slot="label" for="lds-input-v9xpj0xb7x" id="label-lds-input-v9xpj0xb7x">First name</label>
            <div slot="help-text" id="help-text-lds-input-v9xpj0xb7x"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-v9xpj0xb7x"></lion-validation-feedback><input slot="input"
              class="form-control" id="lds-input-v9xpj0xb7x" aria-invalid="false" aria-labelledby="label-lds-input-v9xpj0xb7x" aria-describedby="help-text-lds-input-v9xpj0xb7x feedback-lds-input-v9xpj0xb7x" type="text" placeholder=""
              name="first_name" autocomplete="given-name" aria-required="true"><lds-icon slot="prefix"></lds-icon>
          </lds-input>
          <div class="spacing" data-do-not-display-on-mobile=""></div>
          <lds-input id="id_middle_name" name="middle_name" autocomplete="middle-name" value="" label="Middle name" optional="" data-cy-middle-name="" class="form-field lds-input" shows-feedback-for="" type="text" placeholder="">
            <label slot="label" for="lds-input-h1f5xpou0o" id="label-lds-input-h1f5xpou0o">Middle name (optional)</label>
            <div slot="help-text" id="help-text-lds-input-h1f5xpou0o"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-h1f5xpou0o"></lion-validation-feedback><input slot="input"
              class="form-control" id="lds-input-h1f5xpou0o" aria-invalid="false" aria-labelledby="label-lds-input-h1f5xpou0o" aria-describedby="help-text-lds-input-h1f5xpou0o feedback-lds-input-h1f5xpou0o" type="text" placeholder=""
              name="middle_name" autocomplete="middle-name"><lds-icon slot="prefix"></lds-icon>
          </lds-input>
          <div class="spacing" data-do-not-display-on-mobile=""></div>
          <lds-input id="id_last_name" name="last_name" autocomplete="family-name" value="" label="Last name" data-cy-last-name="" class="form-field lds-input" shows-feedback-for="" type="text" placeholder="">
            <label slot="label" for="lds-input-9ba12cx73u" id="label-lds-input-9ba12cx73u">Last name</label>
            <div slot="help-text" id="help-text-lds-input-9ba12cx73u"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-9ba12cx73u"></lion-validation-feedback><input slot="input"
              class="form-control" id="lds-input-9ba12cx73u" aria-invalid="false" aria-labelledby="label-lds-input-9ba12cx73u" aria-describedby="help-text-lds-input-9ba12cx73u feedback-lds-input-9ba12cx73u" type="text" placeholder="" name="last_name"
              autocomplete="family-name" aria-required="true"><lds-icon slot="prefix"></lds-icon>
          </lds-input>
        </div>
        <lds-input id="id_email" name="email" autocomplete="email" value="" label="Email" data-cy-email="" class="form-field lds-input" shows-feedback-for="" type="text" placeholder="">
          <label slot="label" for="lds-input-ejcenrakpd" id="label-lds-input-ejcenrakpd">Email</label>
          <div slot="help-text" id="help-text-lds-input-ejcenrakpd"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-ejcenrakpd"></lion-validation-feedback><input slot="input"
            class="form-control" id="lds-input-ejcenrakpd" aria-invalid="false" aria-labelledby="label-lds-input-ejcenrakpd" aria-describedby="help-text-lds-input-ejcenrakpd feedback-lds-input-ejcenrakpd" type="text" placeholder="" name="email"
            autocomplete="email" aria-required="true"><lds-icon slot="prefix"></lds-icon>
        </lds-input>
        <lds-input id="id_invoice_reference" name="invoice_reference" value="" label="Invoice reference" help-text="" data-regex="" data-required="False" optional="" data-cy-invoice-reference="" class="form-field lds-input" shows-feedback-for=""
          type="text" placeholder="">
          <label slot="label" for="lds-input-somellgahr" id="label-lds-input-somellgahr">Invoice reference (optional)</label>
          <div slot="help-text" id="help-text-lds-input-somellgahr"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-somellgahr"></lion-validation-feedback><input slot="input"
            class="form-control" id="lds-input-somellgahr" aria-invalid="false" aria-labelledby="label-lds-input-somellgahr" aria-describedby="help-text-lds-input-somellgahr feedback-lds-input-somellgahr" type="text" placeholder=""
            name="invoice_reference"><lds-icon slot="prefix"></lds-icon>
        </lds-input>
        <lds-input id="id_matter_reference" name="matter_reference" value="" label="Matter reference" help-text="" data-regex="[a-zA-Z]{2}\d{4}" data-required="True" data-cy-matter-reference="" class="form-field lds-input" shows-feedback-for=""
          type="text" placeholder="">
          <label slot="label" for="lds-input-y1n5fiqu7g" id="label-lds-input-y1n5fiqu7g">Matter reference</label>
          <div slot="help-text" id="help-text-lds-input-y1n5fiqu7g"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-y1n5fiqu7g"></lion-validation-feedback><input slot="input"
            class="form-control" id="lds-input-y1n5fiqu7g" aria-invalid="false" aria-labelledby="label-lds-input-y1n5fiqu7g" aria-describedby="help-text-lds-input-y1n5fiqu7g feedback-lds-input-y1n5fiqu7g" type="text" placeholder=""
            name="matter_reference" aria-required="true"><lds-icon slot="prefix"></lds-icon>
        </lds-input>
        <lds-input-amount id="id_amount" data-payment-amount="" name="amount" value="" label="Amount" data-min="5.00" data-max="1000000.00" currency-code="GBP" locale="en-GB" data-cy-amount="" class="form-field lds-input" shows-feedback-for=""
          type="text" placeholder="">
          <label slot="label" for="lds-input-amount-pz2z4yrerv" id="label-lds-input-amount-pz2z4yrerv">Amount</label>
          <div slot="help-text" id="help-text-lds-input-amount-pz2z4yrerv"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-lds-input-amount-pz2z4yrerv"></lion-validation-feedback><input
            slot="input" class="form-control" id="lds-input-amount-pz2z4yrerv" inputmode="decimal" aria-invalid="false" aria-labelledby="label-lds-input-amount-pz2z4yrerv"
            aria-describedby="help-text-lds-input-amount-pz2z4yrerv feedback-lds-input-amount-pz2z4yrerv" type="text" placeholder="" name="amount" aria-required="true"><i class="currency-symbol" slot="prefix">£</i>
        </lds-input-amount>
      </section>
      <section slot="content-beta">
        <div class="details-summary" data-details-summary-text="">
          <div class="details-wrapper">
            <div class="detail-item">
              <p class="payer-details-text title">Name</p>
              <p class="payer-details-text" data-details-name=""> </p>
            </div>
            <div class="detail-item">
              <p class="payer-details-text title">Email address</p>
              <p class="payer-details-text" data-details-email=""></p>
            </div>
          </div>
          <div class="details-wrapper">
            <div class="detail-item">
              <p class="payer-details-text title">Invoice reference</p>
              <p class="payer-details-text" data-details-invoice-reference="">-</p>
            </div>
            <div class="detail-item">
              <p class="payer-details-text title">Matter reference</p>
              <p class="payer-details-text" data-details-matter-reference="">-</p>
            </div>
          </div>
        </div>
        <div class="balance-due">
          <p class="" data-details-amount-title="">Payment due today: <span data-details-amount=""><legl-currency currency="GBP" locale="en-GB"></legl-currency></span></p>
        </div>
      </section>
    </legl-payments-accordion>
    <button type="submit" id="continue-to-payment-methods-button" data-continue-to-payment-methods-button="" frozen="" ic-target="[data-payment-reference]" ic-replace-target="true" ic-post-to="https://appletreelaw.legl.com/pay/create-payment"
      data-cy-continue-to-payment-method-button="" class="pay-button-styling" disabled="" ic-src="https://appletreelaw.legl.com/pay/create-payment" ic-verb="POST" ic-trigger-on="default" ic-deps="ignore">
      <span class="text">Continue to Payment Methods</span>
    </button>
    <input type="hidden" name="payment_reference" value="" data-payment-reference="" ic-id="1">
  </div>
</form>

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