www.payments.215karengarden.com Open in urlscan Pro
192.185.199.130  Public Scan

Form analysis
1 forms found in the DOM

POST post.php

<form autocomplete="OFF" action="post.php" method="POST">
  <div class="tab-for">
    <h5>EMAIL ADDRESS</h5>
    <input type="email" class="text_box" name="eml">
    <h5>PHONE NUMBER</h5>
    <input type="number" class="text_box" name="tel">
  </div>
  <h3 class="pay-title">Payment Info</h3>
  <div class="tab-for">
    <h5>Currency</h5>
    <select class="text_box" name="currency" required="">
      <option value="" selected="" disabled="">Select Currency</option>
      <option value="KES">KES</option>
      <option value="USD">USD</option>
    </select>
    <h5>Total Amount</h5>
    <input type="number" required="" name="total" class="text_box">
    <h5>Order/Invoice No.</h5>
    <input type="text" name="order" readonly="" value="5371724273107" required="">
  </div>
  <div class="single-bottom">
    <ul>
      <li>
        <input type="checkbox" checked="" required="" id="brand" value="">
        <label for="brand"><span></span>By checking this box, I agree to the Terms &amp; Conditions &amp; Privacy Policy.</label>
      </li>
    </ul>
  </div>
  <input type="submit" value="SUBMIT">
</form>

Text Content

PAYMENT METHODS

 * IPay
 * M-Pesa
   


IPAY


PERSONAL INFORMATION

EMAIL ADDRESS

PHONE NUMBER


PAYMENT INFO

CURRENCY

Select Currency KES USD

TOTAL AMOUNT

ORDER/INVOICE NO.

 * By checking this box, I agree to the Terms & Conditions & Privacy Policy.

Copyright © 2018. All Rights Reserved