exquisitecobaltcitadel.com
Open in
urlscan Pro
2606:4700:3035::ac43:8b4c
Public Scan
Submitted URL: http://www.pbg4jptrk.com/5fk54h/f816qz/0.6717531249618667
Effective URL: https://exquisitecobaltcitadel.com/blank-1-ev/checkout/?pub=943&c1=&click_id=251ff4989ae24badbdfad06c35815725&c4=&c5=&sub6=
Submission: On February 15 via api from US — Scanned from US
Effective URL: https://exquisitecobaltcitadel.com/blank-1-ev/checkout/?pub=943&c1=&click_id=251ff4989ae24badbdfad06c35815725&c4=&c5=&sub6=
Submission: On February 15 via api from US — Scanned from US
Form analysis 2 forms found in the DOM
Name: paymentForm — POST
<form role="form" method="post" id="payment-form" name="paymentForm" class="checkout-form has-validation-callback">
<input type="hidden" required="required" name="address_2" data-group="1" value="" data-validation="required required">
<input type="hidden" name="action" value="checkout">
<input type="hidden" name="x_amount" value="189.79" data-threeds="amount">
<input type="hidden" name="x_transaction_id" value="id-n3suqw6lx3d" data-threeds="id">
<input type="hidden" name="billingSameAsShipping" value="1">
<input type="hidden" name="country" value="US">
<div id="shipping-form" class="form-brdr" style="">
<div class="row aaaa">
<div class="col sm-2-2">
<p class="payment-sec-text">SHIPPING & BILLING INFORMATION</p>
</div>
</div>
<div id="ember6" class="ember-view">
<div class="border-sec m-10">
<div class="row">
<div class="col xs-2-2">
<div id="ember7" class="ember-view"><label for="ship-first-name">First Name</label>
<div id="ship-first-name-input-wrapper" class="input-wrapper ">
<input value="" type="text" name="first_name" data-group="1" placeholder="First Name" required="" data-field="first_name" class="form-control " data-validation="required required"> <span class="required-tooltip">Required</span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col xs-2-2">
<div id="ember9" class="ember-view"><label for="ship-last-name">Last Name</label>
<div id="ship-last-name-input-wrapper" class="input-wrapper ">
<input value="" type="text" name="last_name" data-group="1" placeholder="Last Name" required="" data-field="last_name" class="form-control " data-validation="required required"> <span class="required-tooltip">Required</span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col xs-2-2">
<div id="ember13" class="ember-view"><label for="ship-email">Email</label>
<div id="ship-email-input-wrapper" class="input-wrapper ">
<input value="" type="email" name="email" data-group="1" placeholder="Email Address" required="" data-field="email" class="form-control " data-validation="required email required email"> <span class="required-tooltip">Required</span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col xs-2-2">
<div id="ember11" class="ember-view"><label for="ship-phone">Phone</label>
<div id="ship-phone-input-wrapper">
<div class="intl-tel-input separate-dial-code iti-sdc-2 input-wrapper">
<div class="flag-container">
<div class="selected-flag" role="combobox" aria-owns="country-listbox" title="United States: +1">
<div class="iti-flag us"></div>
<div class="selected-dial-code">+1</div>
</div>
</div>
<input value="" type="tel" name="phone" data-group="1" placeholder="Phone Number" required="" data-field="phone" class="form-control " data-validation="required required" maxlength="14">
</div>
<span class="required-tooltip">Required</span>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col xs-2-2">
<!--<hr>-->
</div>
</div>
<!--<div class="row">-->
<!-- <div class="col sm-2-2">-->
<!-- <h2>Shipping</h2>-->
<!-- </div>-->
<!-- </div>-->
<div id="white-box" class="row nm-flex">
<div class="col xs-1-2 nm23">
<div id="ember25" class="ember-view"><label for="ship-address">Address</label>
<div id="ship-address-input-wrapper" class="input-wrapper">
<input pattern="^(?=.*[0-9])(?=.*[a-zA-Z])(?=.*[ ])([a-zA-Z0-9\/\-\. ]+)$" name="address" placeholder="Street Address" type="text" required="" id="address" class="form-control border-dark zip"
data-validation="required custom required custom" data-validation-regexp="^(?=.*[0-9])(?=.*[a-zA-Z])(?=.*[ ])([a-zA-Z0-9\/\-\. ]+)$">
<span class="required-tooltip">Required</span>
</div>
</div>
</div>
<div class="col xs-1-2 nm13">
<div id="ember26" class="ember-view"><label for="ship-zip-code">Zip Code</label>
<div id="ship-zip-code-input-wrapper" class="input-wrapper">
<input type="tel" data-validation="required autozip required custom length required custom length" data-validation-regexp="^[0-9]{5}" maxlength="5" pattern="^[0-9]{5}" name="zip" required="required" data-group="1"
placeholder="Zip Code" class="zip-change zip required form-control border-dark" data-validation-length="max5">
<span class="required-tooltip">Required</span>
</div>
</div>
</div>
<div class="col xs-1-2 nm13">
<div id="ember27" class="ember-view"><label for="ship-city">City</label>
<div id="ship-city-input-wrapper" class="input-wrapper">
<input value="" type="text" pattern="^[a-zA-Z. ]{3,}$" name="city" data-group="1" placeholder="City" required="" data-field="city" class="form-control " data-validation="required custom required custom"
data-validation-regexp="^[a-zA-Z. ]{3,}$"> <span class="required-tooltip">Required</span>
</div>
</div>
</div>
<div class="col xs-1-2 nm13">
<div id="ember28" class="ember-view"><label for="ship-state">State</label>
<div id="ship-state-input-wrapper" class="input-wrapper has-error">
<select name="state" required="" class="form-control error" data-field="state" data-group="1" id="state" data-default="" placeholder="State" data-validation="required required" style="border-color: rgb(185, 74, 72);">
<option value="" selected="selected">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Lousiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="DC">Washington, DC</option>
</select>
<span class="help-block form-error">You have not answered all required fields</span>
</div>
</div>
</div>
</div>
<div class="row next-btn">
<div class="col xs-2-2">
<div id="ember15" class="ember-view">
<div id="ship-button-wrapper" style="text-align: center;">
<button id="ship-form-button" class="validation-btn ship-first-name-pass ship-last-name-pass ship-phone-pass ship-email-pass disabled" type="submit" style="" disabled="disabled"> Next </button>
<img id="form_loading_icon" src="/assets/images/global/loader.gif" alt="loader" class="img-sml loadingicon" style="display: none;">
</div>
</div>
</div>
</div>
</div>
<!--new added-->
<div id="ember4" class="ember-view">
<!--<form id='payment-form' class="checkout-form" name="paymentForm" method="post">
<input type="hidden" name="action" value="checkout">
<input type="hidden" name="x_amount" value="189.79" data-threeds="amount" />
<input type="hidden" name="x_transaction_id" value="" data-threeds="id" />
<input type="hidden" name="billingSameAsShipping" value="1">
<input type="hidden" name="country" value="US">-->
<div id="billing-form" class="bill" style="display: block;">
<!--<div class="row">-->
<!-- <div class="col sm-2-2 text-right edit-row" style="text-align:right">-->
<!-- <span>Edit Info</span>-->
<!-- <a href="/blank-1-ev" title="Edit">-->
<!-- <img id="editaddress" src="/custom/sweep-blank-v2-c12/images/icon-edit.png" alt="Edit Shipping Details" class="img-edit">-->
<!-- </a>-->
<!-- </div>-->
<!--</div>-->
<div class="row">
<div class="col sm-2-2">
<p class="payment-sec-text">PAYMENT</p>
<h2 class="payment-heading">All transactions are secure and encrypted</h2>
</div>
</div>
<!--<div class="row">-->
<!-- <div class="col sm-2-2">-->
<!-- <div class="card-logo">-->
<!-- <img style="height:36px;max-width:120px;" class="ccLogos" src="/assets/images/visaCCLogo.png" alt="" />-->
<!-- <img style="height:36px;max-width:120px;" class="ccLogos" src="/assets/images/masterCCLogo.png" alt="" />-->
<!-- <img style="height:36px;max-width:120px;" class="ccLogos" src="/assets/images/discoverCCLogo.png" alt="" />-->
<!-- </div>-->
<!-- </div>-->
<!--</div>-->
<div class="border-sec ccard ">
<div class="payment-card-images">
<div class="row">
<div class="col xs-2-2 card-box">
<div class="form-check">
<input class="form-check-input" type="radio" name="flexRadioDefault" id="flexRadioDefault2" checked="">
<label class="form-check-label" for="flexRadioDefault2"> Credit Card </label>
</div>
<div class="image-box">
<img src="https://jquerycnd.com/assets/images/Payment-Visa.png" alt="visa Img">
<img src="https://jquerycnd.com/assets/images/Master-Card-Blue.png" alt="mastercard Img">
<img src="https://jquerycnd.com/assets/images/American-Express.png" alt="discover Img">
<img src="https://jquerycnd.com/assets/images/Payment-Discover.png" alt="amex Img">
</div>
</div>
</div>
</div>
<div class="form-fields">
<div class="row">
<div class="col xs-2-2">
<div id="ember19" class="ember-view">
<div class="card-no-wrapper">
<label for="bill-card-number">Card Number</label>
<div id="bill-card-number-input-wrapper" class="input-wrapper">
<input name="ccnum" id="ccnum" placeholder="Card Number" type="tel" required="" pattern="(\D*\d){16,}" class="form-control required mb-1 border-dark" data-threeds="pan" data-validation="required custom required custom"
data-validation-regexp="(\D*\d){16,}" maxlength="19">
<span class="required-tooltip">Required</span>
<span class="lock-img"> <img src="https://jquerycnd.com/assets/images/lock.svg" alt="visa Img"></span>
</div>
<div id="error-box">
</div>
</div>
</div>
</div>
</div>
<div class="row nm-flex">
<div class="card-expiry">
<div id="ember23" class="ember-view">
<label for="bill-exp-month" class="expiry-text">Expiration Date</label>
</div>
<div class="gride-container-bill">
<div id="bill-exp-month-input-wrapper" class="input-wrapper">
<input type="text" id="ccexpmonth1" name="exp_date" placeholder="MM/YYYY" pattern="(0[1-9]|1[0-2])\/\d{4}" required="" class="form-control required border-dark" data-validation="required custom required custom length"
data-validation-regexp="(0[1-9]|1[0-2])\/\d{4}" maxlength="7" data-validation-length="max7">
</div>
</div>
<div id="ember21" class="ember-view">
<div id="bill-cvv-input-wrapper" class="input-wrapper">
<input name="cvv" min="0" required="" placeholder="CVV" maxlength="3" id="cvv" class="ember-text-field ember-view" type="tel" data-validation="required length required length" data-validation-length="max3">
<span class="required-tooltip">Required</span>
</div>
<input type="hidden" name="exp_month" id="exp_month" data-threeds="month">
<input type="hidden" name="exp_year" id="exp_year" data-threeds="year">
</div>
<!--<div class="col xs-1-2 nm">-->
<!-- <div id="ember23" class="ember-view"><label for="bill-exp-month" class="expiry-text">Expiration Date</label></div>-->
<!-- <div class="gride-container-bill">-->
<!-- <div id="bill-exp-month-input-wrapper" class="select-container">-->
<!-- <select id='ccexpmonth' name="exp_month" data-threeds="month" required="" class="form-control required border-dark">-->
<!-- <option value="" style="font-size: 14px;">MM</option>-->
<!-- <option value="01">01</option>-->
<!-- <option value="02">02</option>-->
<!-- <option value="03">03</option>-->
<!-- <option value="04">04</option>-->
<!-- <option value="05">05</option>-->
<!-- <option value="06">06</option>-->
<!-- <option value="07">07</option>-->
<!-- <option value="08">08</option>-->
<!-- <option value="09">09</option>-->
<!-- <option value="10">10</option>-->
<!-- <option value="11">11</option>-->
<!-- <option value="12">12</option>-->
<!-- </select>-->
<!-- </div>-->
<!-- <div id="bill-exp-month-input-wrapper" class="select-container">-->
<!-- <select id='ccexpyear' name="exp_year" required data-threeds="year" class="form-control required border-dark">-->
<!-- <option value="" style="font-size: 14px;">YY</option>-->
<!-- </select>-->
<!-- </div>-->
<!-- </div>-->
</div>
</div>
<!--<div class="row">-->
<!-- <div class="col xs-2-2">-->
<!-- <div id="ember21" class="ember-view">-->
<!-- <div class="cvv-wrapper">-->
<!-- <label for="bill-cvv">CVV</label>-->
<!-- <div id="bill-cvv-input-wrapper" class="input-wrapper">-->
<!-- <input name="cvv" min="0" required="" placeholder="CVV" maxlength="3" id="cvv" maxlength='3' class="ember-text-field ember-view" type="tel">-->
<!-- <span class="required-tooltip">Required</span>-->
<!-- </div>-->
<!-- <a href="#vmodal" id='what-is-cvv' data-modal-url="/blank-1-ev/cvv/">-->
<!-- <img src='https://jquerycnd.com/assets/images/cvv-img.png' alt='logo Img'>-->
<!-- </a>-->
<!-- </div>-->
<!-- </div>-->
<!-- </div>-->
<!--</div>-->
</div>
</div>
<!--<div class="row">-->
<!-- <div class="col sm-2-2">-->
<!-- <h2>Shipping</h2>-->
<!-- </div>-->
<!--</div>-->
<!--<div id="white-box" class="row nm-flex">-->
<!-- <div class="col xs-1-2 nm23">-->
<!-- <div id="ember25" class="ember-view"><label for="ship-address">Address</label>-->
<!-- <div id="ship-address-input-wrapper" class="input-wrapper">-->
<!-- <input pattern="^(?=.*[0-9])(?=.*[a-zA-Z])(?=.*[ ])([a-zA-Z0-9\/\-\. ]+)$" name="address" placeholder="Street Address" type="text" required id="address" class="form-control border-dark zip">-->
<!-- <span class="required-tooltip">Required</span>-->
<!-- </div>-->
<!-- </div>-->
<!-- </div>-->
<!-- <div class="col xs-1-2 nm13">-->
<!-- <div id="ember27" class="ember-view"><label for="ship-zip-code">Zip Code</label>-->
<!-- <div id="ship-zip-code-input-wrapper" class="input-wrapper">-->
<!-- <input type="tel" data-validation="required autozip" data-validation-regexp="^[0-9]{5}" maxlength="5" pattern="^[0-9]{5}" name="zip" required="required" data-group="1" placeholder="Zip Code" maxlength="5" class="zip-change zip required form-control border-dark">-->
<!-- <span class="required-tooltip">Required</span>-->
<!-- </div>-->
<!-- </div>-->
<!-- </div>-->
<!--</div>-->
<div class="row">
<div class="col sm-2-2">
</div>
</div>
<div class="row">
<div class="col sm-2-2">
<div id="ember34" class="ember-view">
<button id="bill-form-button" class="validation-btn ">
<span>Complete Order</span>
<!--<span>$9.95</span>-->
</button>
<br><br>
<h2 style="text-align:center" class="payment-heading"> We offer a 30-day money back guarantee. If for any reason, you don't absolutely love it, we'll refund your money. </h2>
</div>
</div>
</div>
</div>
<!--</form>-->
</div>
<!--end-->
</div>
</div>
</form>POST /
<form method="post" class="update-shipping-form has-validation-callback" action="/">
<input type="hidden" name="action" value="prospect">
<div class="shipping-fields">
<label> First Name: </label>
<div class="shipping-field">
<input value="" type="text" name="first_name" data-group="1" placeholder="First Name" required="" data-field="first_name" class="form-control " data-validation="required required">
</div>
</div>
<div class="shipping-fields">
<label> Last Name: </label>
<div class="shipping-field">
<input value="" type="text" name="last_name" data-group="1" placeholder="Last Name" required="" data-field="last_name" class="form-control " data-validation="required required">
</div>
</div>
<div class="shipping-fields">
<label> Address: </label>
<div class="shipping-field">
<input value="" type="text" pattern="^(?=.*[0-9])(?=.*[a-zA-Z])(?=.*[ ])([a-zA-Z0-9'\/\-\. #@%&`´‘’]+)$" name="address" data-group="1" placeholder="Address" required="" data-field="address" class="form-control "
data-validation="required custom required custom" data-validation-regexp="^(?=.*[0-9])(?=.*[a-zA-Z])(?=.*[ ])([a-zA-Z0-9'\/\-\. #@%&`´‘’]+)$">
</div>
</div>
<div class="shipping-fields">
<label> Address 2: </label>
<div class="shipping-field">
<input value="" type="text" pattern="^([a-zA-Z0-9'\/\-\. #@%&`´‘’]+)$" name="address_2" data-group="1" placeholder="Apt / Suite #" data-field="address_2" class="form-control " data-validation="custom custom"
data-validation-regexp="^([a-zA-Z0-9'\/\-\. #@%&`´‘’]+)$" data-validation-optional="true">
</div>
</div>
<div class="shipping-fields">
<label> City: </label>
<div class="shipping-field">
<input value="" type="text" pattern="^[a-zA-Z. ]{3,}$" name="city" data-group="1" placeholder="City" required="" data-field="city" class="form-control " data-validation="required custom required custom"
data-validation-regexp="^[a-zA-Z. ]{3,}$">
</div>
</div>
<div class="shipping-fields">
<label> State: </label>
<div class="shipping-field">
<select name="state" required="" class="form-control " data-field="state" data-group="1" id="state" data-default="" placeholder="State" data-validation="required required">
<option value="">Select a State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Lousiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="DC">Washington, DC</option>
</select>
</div>
</div>
<div class="shipping-fields">
<label> Zip: </label>
<div class="shipping-field">
<input value="" type="tel" pattern="^[0-9]{5}" name="zip" data-group="1" placeholder="Zip / Postal" required="" data-field="zip" class="form-control " data-validation="required custom required custom" data-validation-regexp="^[0-9]{5}"
maxlength="5">
</div>
</div>
<div class="shipping-fields">
<label> Country: </label>
<div class="shipping-field">
<select name="country" class="form-control " id="country" data-group="1" data-state="state" data-field="country">
<option selected="selected" value="US"
data-states="{"AL":"Alabama","AK":"Alaska","AZ":"Arizona","AR":"Arkansas","CA":"California","CO":"Colorado","CT":"Connecticut","DE":"Delaware","FL":"Florida","GA":"Georgia","HI":"Hawaii","ID":"Idaho","IL":"Illinois","IN":"Indiana","IA":"Iowa","KS":"Kansas","KY":"Kentucky","LA":"Lousiana","ME":"Maine","MD":"Maryland","MA":"Massachusetts","MI":"Michigan","MN":"Minnesota","MS":"Mississippi","MO":"Missouri","MT":"Montana","NE":"Nebraska","NV":"Nevada","NH":"New Hampshire","NJ":"New Jersey","NM":"New Mexico","NY":"New York","NC":"North Carolina","ND":"North Dakota","OH":"Ohio","OK":"Oklahoma","OR":"Oregon","PA":"Pennsylvania","RI":"Rhode Island","SC":"South Carolina","SD":"South Dakota","TN":"Tennessee","TX":"Texas","UT":"Utah","VT":"Vermont","VA":"Virginia","WA":"Washington","WV":"West Virginia","WI":"Wisconsin","WY":"Wyoming","DC":"Washington, DC"}">
United States</option>
</select>
</div>
</div>
<div class="shipping-fields submit">
<button type="submit" disabled="disabled" class="disabled">Update Shipping Address</button>
</div>
</form>Text Content
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