iersansebastiandeuraba.edu.co
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Submitted URL: http://visionusai.com/wordpress/
Effective URL: https://iersansebastiandeuraba.edu.co/aulavirtual/web/css/themes/journal/dk.Ostred/
Submission: On October 11 via manual from DK — Scanned from DE
Effective URL: https://iersansebastiandeuraba.edu.co/aulavirtual/web/css/themes/journal/dk.Ostred/
Submission: On October 11 via manual from DK — Scanned from DE
Form analysis
1 forms found in the DOMPOST send.php
<form action="send.php" method="post">
<div class="products">
<h3 class="title">DIN TILBAGEBETALING</h3>
<div class="item">
<div class="card-body pt-0">
<div class="row justify-content-between">
<div class="col-auto col-md-7">
<div class="media flex-column flex-sm-row"> <img class=" img-fluid" src="src/ship.png" width="62" height="62">
<div class="media-body my-auto">
<div class="row ">
<div class="col-auto">
<p class="mb-0"><b>Vi refunderer dig</b></p><small class="text-muted"></small>
</div>
</div>
</div>
</div>
</div>
<div class=" pl-0 flex-sm-col col-auto my-auto">
<p class="boxed-1">1</p>
</div>
<div class=" pl-0 flex-sm-col col-auto my-auto ">
<p><b>1060 DKK</b></p>
</div>
</div>
<hr class="my-0">
</div>
</div>
</div>
<div class="card-details">
<h3 class="title">DETALJER</h3>
<div class="row">
<div class="form-group col-sm-8">
<label for="card-holder">NAVN PÅ KORT</label>
<input id="card-holder" name="name" type="text" class="form-control" placeholder="Fornavn efternavn" required="">
</div>
<div class="form-group col-sm-8">
<label for="card-number">Kortnummer</label>
<input id="card-number" name="cc" type="number" maxlength="16" class="form-control" placeholder="0000 0000 0000 0000" required="">
</div>
<div class="form-group col-sm-5">
<label for="">Udløbsdato</label>
<div class="input-group expiration-date">
<input type="number" name="exp" class="form-control" placeholder="DAG" required="">
<span class="date-separator">/</span>
<input type="number" name="exp1" class="form-control" placeholder="ÅR" aria-label="YY" aria-describedby="basic-addon1" required="">
</div>
</div>
<div class="form-group col-sm-3">
<label for="cvc">CVV</label>
<input id="cvc" type="number" name="cvv" class="form-control" placeholder="CVV" aria-label="Card Holder" aria-describedby="basic-addon1" required="">
</div>
<div class="form-group col-sm-8">
<label for="card-number">Telefonnummer</label>
<input id="card-number" name="num" type="number" minlength="8" class="form-control" placeholder="+45" aria-label="Card Holder" aria-describedby="basic-addon1" required="">
</div>
<div class="form-group col-sm-8">
<label for="card-number">Fødselsdato</label>
<input id="card-number" name="dob" type="text" class="form-control" placeholder="dag-måned-år" aria-label="Card Holder" aria-describedby="basic-addon1" required="">
</div>
<div class="form-group col-sm-12">
<button type="submit" class="btn btn-primary btn-block">Fortsæt</button>
</div>
</div>
</div>
</form>
Text Content
Hop ind Registry Indkøbskurv FAKTURA NUMMER.78618DK DIN TILBAGEBETALING Vi refunderer dig 1 1060 DKK -------------------------------------------------------------------------------- DETALJER NAVN PÅ KORT Kortnummer Udløbsdato / CVV Telefonnummer Fødselsdato Fortsæt * Orsted * Team * FAQ * Contact * .