payments.experttranslators.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST payment_set.cfm

<form action="payment_set.cfm" id="payment_form" method="post">
  <h1 class="text-center">Credit Card Authorization Form </h1> <br>
  <div class="row">
    <div class="col-md-12">
      <p>I hereby authorize Expert Translators to process my credit or debit card for all charges related to a requested translation job or any other associated task performed by Expert Translators.</p>
      <br>
    </div>
    <div class="col-md-12">
      <div class="form-group">
        <label>Contact Name <span class="text-danger">*</span></label>
        <input type="text" name="reg_name" class="form-control" required="" value="">
      </div>
      <div class="form-group">
        <label>Email <span class="text-danger">*</span></label>
        <input type="email" name="reg_email" class="form-control" required="" value="">
      </div>
      <div class="form-group">
        <label>Estimate / Job Number</label>
        <input type="text" name="description" class="form-control" placeholder="" maxlength="22">
      </div>
      <div class="form-group">
        <label>Card Holder Name <span class="text-danger">*</span></label>
        <input type="text" name="cardholder_name" class="form-control" required="" value="">
      </div>
    </div>
    <div class="col-md-12">
      <div class="form-group">
        <label>Credit Card Details <span class="text-danger">*</span></label>
        <div id="card-element" class="form-control StripeElement StripeElement--empty">
          <div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
            <iframe name="__privateStripeFrame2926" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
              src="https://js.stripe.com/v3/elements-inner-card-95d5b06b50c1328f069602a0c0560d88.html#wait=false&amp;mids[guid]=NA&amp;mids[muid]=NA&amp;mids[sid]=NA&amp;rtl=false&amp;componentName=card&amp;keyMode=live&amp;apiKey=pk_live_51JyLd1Ez4OSKPHAoEtQTGJZZc0yAKoYRHH8BwhzOct3LyvmewLKbtI9yYL2PFaXVqjhJSfQcUcC1VbIBXtdhTly800gxLatihU&amp;referrer=https%3A%2F%2Fpayments.experttranslators.com%2F&amp;controllerId=__privateStripeController2921"
              title="Secure card payment input frame"
              style="border: none !important; margin-top: -0.398438px; margin-right: 0px !important; margin-bottom: 0px !important; margin-left: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
              class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
              style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
          </div>
        </div>
      </div>
    </div>
    <div class="col-md-12">
      <div id="card-errors" role="alert"></div>
    </div>
  </div>
  <br>
  <input type="hidden" name="stripe_token" value="">
  <input type="hidden" name="stripe_response" value="">
  <div class="row text-center">
    <button type="submit" class="btn btn-primary btn-lg pay_btn"> Submit Authorization </button>
  </div> <br> <br>
  <p>You may cancel this authorization at any time by contacting us. This authorization will remain in effect until canceled.</p>
  <p>Please note you will be charged an additional 3.7% credit card fee by using this payment method. Thank you!</p> <br>
  <div class="row text-center" style="margin-bottom:10px;">
    <img src="images/security_on.png" alt="Security ON" style="width:200px;">
  </div>
</form>

Text Content

CREDIT CARD AUTHORIZATION FORM


I hereby authorize Expert Translators to process my credit or debit card for all
charges related to a requested translation job or any other associated task
performed by Expert Translators.


Contact Name *
Email *
Estimate / Job Number
Card Holder Name *
Credit Card Details *



Submit Authorization



You may cancel this authorization at any time by contacting us. This
authorization will remain in effect until canceled.

Please note you will be charged an additional 3.7% credit card fee by using this
payment method. Thank you!