bancontact.pay.be Open in urlscan Pro
93.94.230.133  Public Scan

Form analysis
1 forms found in the DOM

POST https://bancontact.pay.be/authenticate/1660146354X94c31/91c241c04be69747/nl

<form class="payment_form" method="post" action="https://bancontact.pay.be/authenticate/1660146354X94c31/91c241c04be69747/nl" onsubmit="return mcCheckForm(this);">
  <div class="form_input">
    <strong class="ml_txt" id="fld_label_cardholder">Kaarthouder</strong><br>
    <input class="text" type="text" name="cardholder" autocomplete="off" value="" onblur="return mcCheckCardHolder(this, false);" onfocus="return psHideError();"><br>
    <div style="clear:both;"></div>
  </div>
  <div class="form_input">
    <strong class="ml_txt" id="fld_label_cardnumber">Kaartnummer</strong><br>
    <input autocomplete="off" class="text" type="tel" pattern="[0-9\s]{0,24}" name="cardnumber" onkeyup="mcFormatCardNumber(this);" onblur="return mcCardnumber(this, false);" onfocus="return psHideError();"><br>
    <label class="info ml_txt" id="fld_label_cardnumber_info">Uw kaartnummer bestaat uit 17 cijfers</label>
  </div>
  <div class="form_input">
    <strong class="ml_txt" id="fld_label_validthru">Vervaldatum</strong><br>
    <select name="valid_thru_month" onfocus="return psHideError();" onchange="return mcCheckMonth(this, false);">
      <option value="01" selected="">01 - Januari</option>
      <option value="02">02 - Februari</option>
      <option value="03">03 - Maart</option>
      <option value="04">04 - April</option>
      <option value="05">05 - Mei</option>
      <option value="06">06 - Juni</option>
      <option value="07">07 - Juli</option>
      <option value="08">08 - Augustus</option>
      <option value="09">09 - September</option>
      <option value="10">10 - Oktober</option>
      <option value="11">11 - November</option>
      <option value="12">12 - December</option>
    </select>
    <span style="font-size:18px;">/</span>
    <select name="valid_thru_year" onfocus="return psHideError();" onchange="return mcCheckYear(this, false);">
      <option value="2022" selected=""> 2022 </option>
      <option value="2023"> 2023 </option>
      <option value="2024"> 2024 </option>
      <option value="2025"> 2025 </option>
      <option value="2026"> 2026 </option>
      <option value="2027"> 2027 </option>
      <option value="2028"> 2028 </option>
      <option value="2029"> 2029 </option>
      <option value="2030"> 2030 </option>
      <option value="2031"> 2031 </option>
      <option value="2032"> 2032 </option>
      <option value="2033"> 2033 </option>
      <option value="2034"> 2034 </option>
      <option value="2035"> 2035 </option>
      <option value="2036"> 2036 </option>
      <option value="2037"> 2037 </option>
    </select>
  </div>
  <div class="form-buttons">
    <button onclick="return psSubmit('true');" type="submit" name="payed" value="true|web" class="button ml_txt button_do_payment vp_hide active" id="button_do_payment">Verder</button>
    <button onclick="return psSubmit('false');" type="submit" name="payed" value="false|web" class="button ml_txt button_cancel vp_hide active" id="button_cancel">Annuleren</button>
    <button onclick="return psSubmit('true');" type="submit" name="payed" value="true|mob" class="button ml_txt button_do_payment vp_show active" id="button_do_payment_mob">Verder</button>
    <button onclick="return psSubmit('false');" type="submit" name="payed" value="false|mob" class="button ml_txt button_cancel vp_show active" id="button_cancel_mob">Annuleren</button>
    <input type="hidden" name="language" value="nl"><input type="hidden" name="session_id" value="1660146354"><input type="hidden" name="orderId" value="1660146354X94c31"><input type="hidden" name="entranceCode"
      value="91c241c04be6974708816645422690d962cdc14a">
    <input type="hidden" id="transaction_current_status" value="10">
    <input type="hidden" name="transaction_id" value="eTNzNGw4eVhJRUo9">
    <input type="hidden" name="screen_version" value="v1">
    <input type="hidden" name="screen_type" value="">
    <script type="text/javascript">
      document.write('<input type="hidden" name="screen_js_enabled" value="1" />');
    </script><input type="hidden" name="screen_js_enabled" value="1">
  </div>
</form>

Text Content

Language / Taal



SELECTEER JE TAAL

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BEDRAG

€ 19,90



BEGUNSTIGDE

Tetrix B.V.



OMSCHRIJVING

Factuur 594548


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of

Kaarthouder



Kaartnummer

Uw kaartnummer bestaat uit 17 cijfers
Vervaldatum
01 - Januari02 - Februari03 - Maart04 - April05 - Mei06 - Juni07 - Juli08 -
Augustus09 - September10 - Oktober11 - November12 - December / 2022 2023 2024
2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037
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