www.buygoods.com
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URL:
https://www.buygoods.com/secure/checkout.html?account_id=6382&screen=checkout_one&product_codename=3&redirect=aHR0cHM6Ly9...
Submission: On September 08 via api from IE — Scanned from DE
Submission: On September 08 via api from IE — Scanned from DE
Form analysis
3 forms found in the DOMName: coupon —
<form name="coupon" class="d-flex w-100">
<input id="coupon-code" name="discount_code" type="text" class="form-control" placeholder="" title="Coupon Code" required="">
<button type="button" id="redeem-coupon" onclick="AddCoupon()" class="btn btn-secondary">Redeem</button>
</form>
Name: checkout — POST
<form id="checkout" method="post" name="checkout" class="form needs-validation">
<input type="hidden" name="action" value="checkout">
<input type="hidden" name="payment_method" id="payment-type" value="creditcard">
<input type="hidden" name="salespage_url" value="https://www.buygoods.com/secure/checkout.html?account_id=6382&screen=checkout_one&product_codename=3&redirect=aHR0cHM6Ly90aGVuZXJ2b2dlbi5jb20vdXBzZWxsLWExLnBocA==&item=3&"
id="salespage_url">
<input type="hidden" name="product_codename" value="3" id="product_codename">
<input type="hidden" name="salestax_amount" id="salestax_amount" value="0.00">
<input type="hidden" name="extra_purchase" id="extra_purchase" value="">
<input type="hidden" name="extra_purchase_price" id="extra_purchase_price" value="0.00">
<input type="hidden" name="redirect" id="redirect_url" value="aHR0cHM6Ly90aGVuZXJ2b2dlbi5jb20vdXBzZWxsLWExLnBocA==">
<input type="hidden" name="flag_shipping_same_as_billing" id="flag_shipping_same_as_billing" value="1">
<div id="payment-type-options" class="form-group mb-3 position-relative">
<p class="h6 text-uppercase" data-translate="payment-method">Payment Method</p>
<label for="credit" id="credit-card-check" class="btn btn-light payment-type-card selected">
<i class="fa fa-credit-card-alt" aria-hidden="true"></i> Credit Card <input class="invisible" id="credit" type="radio"
onclick="document.getElementById('billing-fields').classList.remove('d-none');document.getElementById('paypal-info').classList.add('d-none');">
</label>
<label for="paypal" id="paypal-check" class="btn btn-light payment-type-paypal">
<i class="fa fa-paypal" aria-hidden="true"></i> PayPal <input class="invisible" id="paypal" type="radio"
onclick="document.getElementById('billing-fields').classList.add('d-none');document.getElementById('paypal-info').classList.remove('d-none');">
</label>
<p id="paypal-info" class="d-none"><small>You'll be forwarded to PayPal to complete your payment</small></p>
</div>
<p class="form-group mb-3 position-relative h5 text-uppercase"><i class="fas fa-user" aria-hidden="true"></i> Customer Information</p>
<div class="row">
<div class="form-group mb-3 position-relative col-md-7">
<input type="text" class="form-control" id="creditcards_name" name="creditcards_name" required="">
<span class="floating-label">Your Full Name</span>
<div class="name-validation invalid-feedback"> Full Name is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-5">
<input type="text" id="phone" class="form-control" name="phone" onkeypress="if ( isNaN( String.fromCharCode(event.keyCode) )) return false;" required="">
<span class="floating-label">Phone</span>
<div class="name-validation invalid-feedback"> Phone is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-12">
<input type="email" class="form-control" name="emailaddress" id="emailaddress" onblur="validateEmail(this)" required="">
<span class="floating-label">Email address</span>
<div id="email-validation" class="invalid-feedback"> Please enter a valid email address </div>
</div>
</div>
<p class="form-group mb-3 position-relative h5 text-uppercase"><i class="fas fa-address-card" aria-hidden="true"></i> Billing Information</p>
<div class="row">
<div class="form-group mb-3 position-relative col-md-12">
<input type="text" class="form-control pac-target-input" id="creditcards_address" name="creditcards_address" placeholder="" onfocus="geolocate()" required="" autocomplete="off">
<span class="floating-label">Your billing address</span>
<div class="address-validation invalid-feedback"> Billing address is required </div>
</div>
</div>
<div class="row">
<div class="form-group mb-3 position-relative col-md-6">
<select id="creditcards_country" onchange="updateCountry(this.value,this.id)" class="form-select" name="creditcards_country" required="">
<option value="">Please Select</option>
<option value="Australia">Australia</option>
<option value="Canada">Canada</option>
<option value="Ireland">Ireland</option>
<option value="New Zealand">New Zealand</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
</select>
<div class="country-validation invalid-feedback"> Country is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-6">
<div id="statewrapper">
<select class="form-select" id="creditcards_state" name="creditcards_state" onchange="calculateTaxes();" required="">
<option value="">Select State</option>
</select>
<div class="state-validation invalid-feedback"> State is required </div>
</div>
</div>
</div>
<div class="row">
<div class="form-group mb-3 position-relative col-md-5">
<input type="text" class="form-control" onblur="calculateTaxes();" id="creditcards_zip" name="creditcards_zip" required="">
<span class="floating-label">Zip Code</span>
<div class="zip-validation invalid-feedback"> Zip code is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-7">
<input type="text" class="form-control" id="creditcards_city" name="creditcards_city" required="">
<span class="floating-label">City</span>
<div class="city-validation invalid-feedback"> City is required </div>
</div>
</div>
<div id="shipping-fields">
<div id="shipping-checked" class="pt-2">
<input checked="checked" id="same-billing" onclick="document.getElementById('shipping-box').classList.toggle('d-none')" type="checkbox">
<label for="same-billing" style="vertical-align: text-bottom;"> Same shipping details</label>
</div>
<hr class="form-group">
<div id="shipping-box" class="d-none">
<p class="form-group mb-3 position-relative h5 text-uppercase"><i class="fas fa-shipping-fast" aria-hidden="true"></i> Shipping Information</p>
<div class="row">
<div class="form-group mb-3 position-relative col-md-12">
<input type="text" class="form-control pac-target-input" id="addresses_address" name="addresses_address" placeholder="" onfocus="geolocate()" autocomplete="off">
<span class="floating-label">Your Shipping Address</span>
<div class="address2-validation invalid-feedback"> Shipping address is required </div>
</div>
</div>
<div class="row">
<div class="form-group mb-3 position-relative col-md-6">
<select id="addresses_country" onchange="updateCountry(this.value,this.id);" class="form-select" name="addresses_country">
<option value="">Please Select</option>
<option value="Australia">Australia</option>
<option value="Canada">Canada</option>
<option value="Ireland">Ireland</option>
<option value="New Zealand">New Zealand</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
</select>
<div class="country2-validation invalid-feedback"> Country is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-6">
<div id="statewrapper_shipping">
<select class="form-select" id="addresses_state" name="addresses_state" onchange="calculateTaxes()">
<option value="">Select State</option>
</select>
<div class="state2-validation invalid-feedback"> State is required </div>
</div>
</div>
</div>
<div class="row">
<div class="form-group mb-3 position-relative col-md-5">
<input type="text" class="form-control" onblur="calculateTaxes();" id="addresses_zip" name="addresses_zip">
<span class="floating-label">Zip Code</span>
<div class="zip2-validation invalid-feedback"> Zip code is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-7">
<input type="text" class="form-control" id="addresses_city" name="addresses_city">
<span class="floating-label">City</span>
<div class="city2-validation invalid-feedback"> City is required </div>
</div>
</div>
</div>
</div>
<div id="billing-fields" class="row my-3 position-relative">
<p class="h5 form-group mb-3 text-uppercase"><i class="fas fa-credit-card" aria-hidden="true"></i> Payment Details <span class="col-md-12 form-group">
<img src="https://cdn.buygoods.com/assets/checkout/img/visa.svg" alt="Visa" width="30" height="21">
<img src="https://cdn.buygoods.com/assets/checkout/img/mastercard.svg" alt="Mastercard" width="30" height="21">
<img src="https://cdn.buygoods.com/assets/checkout/img/amex.svg" alt="Amex" width="30" height="21">
<img src="https://cdn.buygoods.com/assets/checkout/img/discover.svg" alt="Discover" width="30" height="21">
<img src="https://cdn.buygoods.com/assets/checkout/img/jcb.svg" alt="JCB" width="30" height="21">
</span></p>
<div id="payment-type-boleto" class="d-none mb-3">
<input id="boleto" onclick="document.getElementById('billing-fields').classList.toggle('d-none');document.getElementById('boleto-fields').classList.toggle('d-none');document.forms.checkout.document_number.toggleAttribute('required');"
type="checkbox">
<label for="boleto"><u> Pay with Boleto</u></label>
</div>
<div class="form-group mb-3 position-relative col-md-12">
<div class="fab type" aria-hidden="true">
<div></div>
</div>
<input type="tel" class="form-control" id="creditcards_cardnumber" name="creditcards_cardnumber" minlength="16" maxlength="19" onkeyup="jump(this,this.value,'expiry')" required="" data-cardinal-field="AccountNumber">
<span class="floating-label">Card number</span>
<div class="card-validation invalid-feedback"> Credit card number is required </div>
</div>
<label class="col-md-12">Card expiration date</label>
<div class="form-group mb-3 position-relative col-md-5">
<input type="text" id="expiry" class="form-control" placeholder="" onkeyup="jump(this,this.value,'cvv');" onblur="splitCard(this.value);" maxlength="7" autocomplete="off" required="">
<input type="hidden" id="creditcards_month" name="creditcards_month" value="">
<input type="hidden" id="creditcards_year" name="creditcards_year" value="">
<span class="floating-label">MM/YYYY</span>
<div class="ccv-validation invalid-feedback"> Expiration date is required </div>
</div>
<div class="form-group mb-3 position-relative col-md-5">
<input type="number" class="form-control" name="creditcards_ccv" id="cvv" title="CVV" maxlength="4" autocomplete="off" onkeypress="if ( isNaN( String.fromCharCode(event.keyCode) ) || this.value.length==4) return false;" placeholder=""
required="">
<div class="cvv-info" data-cvv="desktop">
<a href="https://www.buygoods.com/secure/checkout.html?sessid2=sessid2022981411748197&account_id=6382&screen=checkout_one&product_codename=3&redirect=aHR0cHM6Ly90aGVuZXJ2b2dlbi5jb20vdXBzZWxsLWExLnBocA==&item=3&" data-cvv-info=""><i class="fas fa-question-circle" aria-hidden="true"></i></a>
</div>
<span class="floating-label">CVV</span>
<div class="ccv-validation invalid-feedback"> Security code is required </div>
</div>
<div class="tooltip" data-tooltip="cvv">
<div class="tooltip-section visa bg-white">
<div class="tooltip-heading"> Visa, MasterCard, <br>Discover & JCB </div>
<div class="tooltip-body">
<div class="tooltip-content"> The 3 digits on the card's <strong>back</strong>. </div>
<img src="https://cdn.buygoods.com/assets/checkout/img/visa-cvv.jpg" width="150">
</div>
</div>
<div class="tooltip-section amex bg-white">
<div class="tooltip-heading"> American Express <br>
</div>
<div class="tooltip-body">
<div class="tooltip-content"> The 4 digits on the card's <strong>front</strong>. </div>
<img src="https://cdn.buygoods.com/assets/checkout/img/amex-cvv.jpg" width="150">
</div>
</div>
<div class="tooltip-close" data-tooltip-close="">
<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20" fill="currentColor">
<path fill-rule="evenodd" d="M4.293 4.293a1 1 0 011.414 0L10 8.586l4.293-4.293a1 1 0 111.414 1.414L11.414 10l4.293 4.293a1 1 0 01-1.414 1.414L10 11.414l-4.293 4.293a1 1 0 01-1.414-1.414L8.586 10 4.293 5.707a1 1 0 010-1.414z"
clip-rule="evenodd"></path>
</svg>
</div>
</div>
</div>
<div id="boleto-fields" class="d-none">
<div class="row">
<div class="form-group mb-3 position-relative col-md-8">
<input type="tel" class="form-control" id="document_number" name="document_number">
<span class="floating-label">Document Number</span>
<div class="doc-validation invalid-feedback"> Boleto number is required </div>
</div>
</div>
</div>
<div id="recurring-terms" class="my-3 d-none">
<label class="mb-2">Payment terms: <strong><small id="payment-terms"></small></strong></label>
<label for="recurring-check" class="small">
<input id="recurring-check" type="checkbox">
<small>By checking this box, you agree that your credit card will be charged the amount matching your selected package.</small></label>
</div>
<button id="submit" onclick="this.disabled=true;setTimeout(function(){onCheckout();}, 750);" class="btn btn-primary btn-lg w-100" type="button"><strong id="spinner">Buy Now »</strong></button>
<div id="encrypted" class="text-center mt-2 small">
<small><i class="fas fa-shield-alt" aria-hidden="true"></i> Secure 256 Bit Encrypted Connection</small>
</div>
<div class="d-inline-block my-3 w-100 text-center">
<a class="d-inline-block me-3 text-decoration-none" href="https://secure.trust-guard.com/privacy/13049" target="_blank">
<img src="https://cdn.buygoods.com/assets/checkout/img/trust-guard.png" alt="Trust Guard" width="70">
</a>
<a href="https://www.mcafeesecure.com/verify?host=buygoods.com" target="_blank">
<img src="https://cdn.buygoods.com/assets/checkout/img/mcafee.png" alt="Trust Guard" width="70">
</a>
</div>
</form>
<form>
<input type="hidden" name="JWTContainer" id="JWTContainer"
value="eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiIsImlzcyI6bnVsbCwianRpIjoiMjAyMjA5MDgxNDAxMzY4OTgiLCJpYXQiOjE2NjI2NDU2ODF9.eyJpc3MiOiI1YjQ0MTQwZjgyM2MxNjJjMWMwNmFlYWUiLCJqdGkiOiIyMDIyMDkwODE0MDEzNjg5OCIsIk9yZ1VuaXRJZCI6IjViM2ZhZTU5MDE3MjlkMjQyYzVkZmFkMSIsIlBheWxvYWQiOnsiT3JkZXJEZXRhaWxzIjp7Ik9yZGVyTnVtYmVyIjoiT1JERVItNjM4Mi0yMDIyMDkwODE0MDE3MTcwIiwiQW1vdW50IjoiMCIsIkN1cnJlbmN5Q29kZSI6Ijg0MCJ9fSwiT2JqZWN0aWZ5UGF5bG9hZCI6dHJ1ZSwiaWF0IjoxNjYyNjQ1NjgxLCJleHAiOjE2NjI2NTI1ODF9.XdSgiegHQdlHHSr4gHKDHAFJctRIux8M2xuDgSv6Ze8">
<input type="hidden" name="cardinal_order_number" id="cardinal_order_number" value="ORDER-6382-2022090814017170">
<input type="hidden" name="cardinal_response" id="cardinal_response" value="">
<input type="hidden" name="skip_kount_validation" id="skip_kount_validation" value="0">
</form>
Text Content
WAIT! THIS SPECIAL OFFER IS NOT GUARANTEED TO LAST BEYOND TODAY CLICK BELOW TO CLAIM YOUR EXCLUSIVE OFFER COMPLETE MY ORDER Having trouble? Contact us Order Details Nervogen Pro - 6 Bottles Normal Price $0.00 Your Price $294.00 Shipping & Handling $0.00 Taxes $0.00 Have a coupon code? Redeem COUPON DISCOUNT $0.00 Total (USD) $294.00 Secure Checkout Payment Method Credit Card PayPal You'll be forwarded to PayPal to complete your payment Customer Information Your Full Name Full Name is required Phone Phone is required Email address Please enter a valid email address Billing Information Your billing address Billing address is required Please Select Australia Canada Ireland New Zealand United Kingdom United States Country is required Select State State is required Zip Code Zip code is required City City is required Same shipping details -------------------------------------------------------------------------------- Shipping Information Your Shipping Address Shipping address is required Please Select Australia Canada Ireland New Zealand United Kingdom United States Country is required Select State State is required Zip Code Zip code is required City City is required Payment Details Pay with Boleto Card number Credit card number is required Card expiration date MM/YYYY Expiration date is required CVV Security code is required Visa, MasterCard, Discover & JCB The 3 digits on the card's back. American Express The 4 digits on the card's front. Document Number Boleto number is required Payment terms: By checking this box, you agree that your credit card will be charged the amount matching your selected package. Buy Now » Secure 256 Bit Encrypted Connection We put our hearts and souls into building BuyGoods as the most safe, friendly and reliable online shopping destination. You are protected by our 60 days no questions asked money back guarantee. Terms of purchase: * By placing an order, you acknowledge that you have read and accept our terms and conditions and refund policy * By entering your contact details on this form, you are giving us consent to contact you about this order * You are buying from BuyGoods (Customer Support: 302-404-2568). * Your purchase will appear on your bank statement under the name "BuyGoods". * The geographic location of your computer has been determined and recorded. All attempts at fraud will be prosecuted. * Information submitted by this payment process is handled within the constraints of our privacy policy. * BuyGoods is not a payment processor or bank. We strictly operate as an online retailer. * Please note that BuyGoods is not responsible for any potential financial losses, including exchange rates or foreign transaction fees. Copyright 2022 ©BuyGoods Inc, 1000 North West st. Suite #1200, Wilmington, DE, 19801, USA