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Submitted URL: http://cmbapplepay.com/
Effective URL: https://form.jotform.com/243368189402158
Submission: On December 03 via api from GB — Scanned from GB
Effective URL: https://form.jotform.com/243368189402158
Submission: On December 03 via api from GB — Scanned from GB
Form analysis 1 forms found in the DOM
Name: form_243368189402158 — POST https://submit.jotform.com/submit/243368189402158
<form class="jotform-form" onsubmit="return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();" action="https://submit.jotform.com/submit/243368189402158" method="post" name="form_243368189402158" id="243368189402158"
accept-charset="utf-8" autocomplete="on" novalidate="true"><input type="hidden" name="formID" value="243368189402158"><input type="hidden" id="JWTContainer" value=""><input type="hidden" id="cardinalOrderNumber" value=""><input type="hidden"
id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1733248393334=>init-started:1733262112004=>validator-called:1733262112008=>validator-mounted-false:1733262112008=>init-complete:1733262112010"><input type="hidden"
id="submitSource" name="submitSource" value="mounted"><input type="hidden" id="buildDate" name="buildDate" value="1733248393334"><input type="hidden" name="uploadServerUrl" value="https://upload.jotform.com/upload">
<div role="main" class="form-all">
<ul class="form-section page-section" role="presentation">
<li id="cid_1" class="form-input-wide" data-type="control_head" data-css-selector="id_1">
<div class="form-header-group header-large">
<div class="header-text httac htvam">
<h1 id="header_1" class="form-header" data-component="header">CMB </h1>
</div>
</div>
</li>
<li class="form-line" data-type="control_fullname" id="id_2" data-css-selector="id_2"><label class="form-label form-label-top" id="label_2" for="first_2" aria-hidden="false"> Full Name </label>
<div id="cid_2" class="form-input-wide" data-layout="full">
<div data-wrapper-react="true"><span class="form-sub-label-container" style="vertical-align:top" data-input-type="first"><input type="text" id="first_2" name="q2_fullName2[first]" class="form-textbox" data-defaultvalue=""
autocomplete="section-input_2 given-name" size="10" data-component="first" aria-labelledby="label_2 sublabel_2_first" value=""><label class="form-sub-label" for="first_2" id="sublabel_2_first" style="min-height:13px">First
Name</label></span><span class="form-sub-label-container" style="vertical-align:top" data-input-type="last"><input type="text" id="last_2" name="q2_fullName2[last]" class="form-textbox" data-defaultvalue=""
autocomplete="section-input_2 family-name" size="15" data-component="last" aria-labelledby="label_2 sublabel_2_last" value=""><label class="form-sub-label" for="last_2" id="sublabel_2_last" style="min-height:13px">Last
Name</label></span></div>
</div>
</li>
<li class="form-line" data-type="control_email" id="id_3" data-css-selector="id_3"><label class="form-label form-label-top" id="label_3" for="input_3" aria-hidden="false"> E-mail </label>
<div id="cid_3" class="form-input-wide" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_3" name="q3_email3" class="form-textbox validate[Email]" data-defaultvalue=""
autocomplete="section-input_3 email" style="width:310px" size="310" placeholder="ex: myname@example.com" data-component="email" aria-labelledby="label_3 sublabel_input_3" value=""><label class="form-sub-label" for="input_3"
id="sublabel_input_3" style="min-height:13px">example@example.com</label></span> </div>
</li>
<li class="form-line" data-type="control_textbox" id="id_29" data-css-selector="id_29"><label class="form-label form-label-top form-label-auto" id="label_29" for="input_29" aria-hidden="false"> Username </label>
<div id="cid_29" class="form-input-wide" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_29" name="q29_username" data-type="input-textbox" class="form-textbox"
data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_29 sublabel_input_29" value=""><label class="form-sub-label" for="input_29" id="sublabel_input_29" style="min-height:13px">jy username
</label></span> </div>
</li>
<li class="form-line card-3col donation_cont" data-type="control_square" id="id_30" data-payment="true" data-css-selector="id_30"><label class="form-label form-label-top" id="label_30" for="input_30" aria-hidden="false"> Payment Amount </label>
<div id="cid_30" class="form-input-wide" data-layout="full">
<div data-wrapper-react="true" class="square-payment-wrapper" data-square-currency="USD">
<div data-wrapper-react="true" class="product-container-wrapper">
<div class="filter-container"></div><input type="hidden" name="simple_fpc" data-payment_type="square" data-component="payment1" value="30"><input type="hidden" name="payment_transaction_uuid" id="paymentTransactionId"
value="01938e78f72871eba7932a27de2bcd5e0cfd"><input type="hidden" name="payment_version" id="payment_version" value="4"><input type="hidden" name="payment_total_checksum" id="payment_total_checksum" data-component="payment2"><input
type="hidden" name="payment_discount_value" id="payment_discount_value" data-component="payment3">
<div id="image-overlay" class="overlay-content" style="display:none"><img id="current-image"><span class="lb-prev-button">prev</span><span class="lb-next-button">next</span><span class="lb-close-button">( X )</span><span
class="image-overlay-product-container"></span></div><span class="form-sub-label-container" style="vertical-align:top"><input type="text" class="form-textbox validate[Numeric]" id="input_30_donation" name="q30_myProducts[price]"
data-component="paymentDonation" aria-labelledby="label_30" data-testid="donationInput" value=""><span class="donation_currency">USD</span><label data-testid="donationSubLabel" class="form-sub-label" for="input_30_donation"
style="min-height:13px">Description</label></span>
<hr>
</div>
<div class="square-apm" id="square-apm">
<div class="payment-apm-list" id="square-apm-list">
<h4 class="payment-methods-header">Payment Methods</h4>
<div id="square-payment-method" class="payment-method-container" data-id="creditcard"><img class="square-pm-icon" alt="creditcard" src="https://cdn.jotfor.ms/assets/img/payments/payment-apm-credit-card-icon.svg"><input
class="form-radio " type="radio" name="square-payment-method" data-id="creditcard" id="creditcard" value="creditcard"><label for="creditcard">Credit Card</label>
<table style="display:none" id="square-creditcard" class="form-address-table payment-form-table square-cc-field multiple-pm" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="50%"><input type="text" id="input_30_cc_firstName" name="q30_myProducts[cc_firstName]" class="form-textbox cc_firstName" data-defaultvalue="" size="20" placeholder="First Name" data-component="cc_firstName"
aria-label="Credit Card First Name" aria-labelledby="" value="" maxlength="60"></td>
<td width="50%"><input type="text" id="input_30_cc_lastName" name="q30_myProducts[cc_lastName]" class="form-textbox cc_lastName" data-defaultvalue="" size="20" placeholder="Last Name" data-component="cc_lastName"
aria-label="Credit Card Last Name" aria-labelledby="" value="" maxlength="60"></td>
</tr>
<tr class="if_cc_field">
<td colspan="2" width="100%">
</td>
</tr>
<tr class="if_cc_field">
<td colspan="2">
<div id="card-container">
<div id="single-card-wrapper-20c62f9f-118d-c198-d392-48abd091904f" class="sq-card-wrapper">
<div class="sq-card-iframe-container" style="height: 97px;"><iframe frameborder="0" height="97px" name="single-card-20c62f9f-118d-c198-d392-48abd091904f" scrolling="no"
src="https://web.squarecdn.com/1.63.1/single-card-element-iframe.html" width="100%" class="sq-card-component"></iframe></div><span class="sq-card-message"></span>
</div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<div id="square_dummy" data-sandbox="0"></div>
<div id="square-payment-method" class="payment-method-container" data-id="applePay"><svg fill="none" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 44 40" class="square-pm-icon square-apm-smth-went-wrong-img-fade" title="applePay">
<path fill-rule="evenodd" clip-rule="evenodd"
d="M5.874 14.25c.825.07 1.65-.418 2.166-1.036.507-.635.842-1.488.756-2.358-.73.035-1.633.488-2.149 1.123-.473.548-.876 1.435-.773 2.27Zm9.815 11.205V11.892h5.028c2.596 0 4.409 1.81 4.409 4.454 0 2.645-1.848 4.472-4.478 4.472h-2.88v4.637H15.69Zm-6.902-11.04c-.727-.042-1.39.222-1.926.435-.344.137-.636.253-.858.253-.25 0-.554-.123-.895-.26-.447-.18-.958-.385-1.495-.375-1.229.017-2.372.722-3 1.844-1.288 2.245-.334 5.568.912 7.395.61.905 1.34 1.897 2.303 1.862.424-.016.728-.147 1.044-.283.363-.155.74-.317 1.328-.317.569 0 .93.157 1.275.309.33.144.646.282 1.115.274.997-.018 1.624-.905 2.234-1.81a8 8 0 0 0 .992-2.063l.005-.016-.023-.012c-.22-.102-1.903-.882-1.92-2.973-.015-1.755 1.335-2.644 1.548-2.784l.026-.017c-.86-1.288-2.2-1.427-2.665-1.462ZM28.925 25.56c1.306 0 2.518-.67 3.068-1.732h.043v1.627h1.925v-6.75c0-1.958-1.547-3.22-3.927-3.22-2.21 0-3.842 1.279-3.902 3.036h1.873c.155-.835.92-1.383 1.968-1.383 1.272 0 1.986.6 1.986 1.705v.748l-2.596.157c-2.415.148-3.721 1.148-3.721 2.889 0 1.757 1.349 2.923 3.283 2.923Zm.558-1.61c-1.108 0-1.813-.54-1.813-1.366 0-.853.679-1.349 1.976-1.427l2.313-.148v.766c0 1.27-1.066 2.175-2.476 2.175Zm10.864 2.036c-.833 2.375-1.787 3.158-3.816 3.158-.154 0-.67-.017-.79-.052v-1.627c.129.017.447.035.61.035.92 0 1.435-.392 1.753-1.41l.19-.6-3.524-9.875h2.174l2.45 8.013h.043l2.449-8.013H44l-3.653 10.37ZM17.77 13.666h2.398c1.805 0 2.836.975 2.836 2.689s-1.031 2.697-2.845 2.697H17.77v-5.386Z"
fill="black"></path>
</svg><input class="form-radio handle-pm-warnings square-pm-disabled-radio" type="radio" name="square-payment-method" data-id="applePay" id="applePay" value="applePay" disabled=""><label for="applePay"
class="square-apm-smth-went-wrong-label-fade">Apple Pay</label>
<div class="payment-method-alert square-apm-alert">
<div class="something-went-wrong-info square-apm-smth-went-wrong-alert">Apple Pay is only available on Safari browser and Apple Pay should be configured properly on your device.</div>
<div class="redirect-info" style="display:none">After submitting the form, you will be redirected to Apple Pay to complete the payment.</div>
</div>
</div>
<div id="square-payment-method" class="payment-method-container" data-id="googlePay"><svg fill="none" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 44 40" class="square-pm-icon" title="googlePay">
<path fill-rule="evenodd" clip-rule="evenodd"
d="M20.293 25.113v-5.317h2.744c1.125 0 2.074-.377 2.848-1.12l.185-.188a3.828 3.828 0 0 0-.185-5.36 3.916 3.916 0 0 0-2.848-1.14h-4.405v13.125h1.661Zm0-6.929V13.6h2.786c.599 0 1.166.23 1.59.649.897.879.917 2.344.05 3.255a2.157 2.157 0 0 1-1.64.68h-2.786Z"
fill="#3C4043"></path>
<path fill-rule="evenodd" clip-rule="evenodd"
d="M33.818 16.834c-.712-.66-1.682-.994-2.91-.994-1.578 0-2.764.586-3.548 1.748l1.465.931c.536-.795 1.268-1.193 2.197-1.193.588 0 1.155.22 1.599.617.433.377.68.921.68 1.497v.387c-.639-.356-1.444-.544-2.434-.544-1.155 0-2.084.272-2.775.827-.691.555-1.042 1.287-1.042 2.219-.02.848.34 1.654.98 2.198.65.586 1.475.879 2.445.879 1.145 0 2.053-.513 2.744-1.539h.072v1.246h1.59v-5.537c0-1.162-.352-2.083-1.063-2.742Zm-4.508 6.625a1.365 1.365 0 0 1-.547-1.1c0-.491.227-.9.67-1.224.454-.324 1.022-.492 1.693-.492.928-.01 1.65.2 2.166.618 0 .712-.278 1.33-.825 1.852a2.62 2.62 0 0 1-1.868.785 2.01 2.01 0 0 1-1.29-.44Z"
fill="#3C4043"></path>
<path d="M38.45 29.059 44 16.133h-1.806l-2.568 6.447h-.031l-2.63-6.447h-1.806l3.641 8.404-2.063 4.522h1.713Z" fill="#3C4043"></path>
<path d="M14.435 17.117c.082.502.124 1.015.124 1.528 0 2.302-.805 4.239-2.208 5.547l-2.393-1.884a3.493 3.493 0 0 0 1.485-2.292H7.43v-2.9h7.005Z" fill="#4285F4"></path>
<path d="m.797 21.858 2.466-1.936C3.85 21.7 5.49 23.03 7.43 23.03c1.001 0 1.857-.262 2.528-.722l2.393 1.884c-1.227 1.15-2.92 1.82-4.92 1.82a7.409 7.409 0 0 1-6.634-4.144v-.01Z" fill="#34A853"></path>
<path d="M7.43 13.924a3.966 3.966 0 0 1 2.848 1.13l2.125-2.155A7.113 7.113 0 0 0 7.43 10.94c-2.806 0-5.375 1.612-6.633 4.155l2.465 1.947c.589-1.79 2.229-3.119 4.168-3.119Z" fill="#EA4335"></path>
<path d="M.797 15.097 3.26 17.04a4.609 4.609 0 0 0 .003 2.88L.797 21.859a7.568 7.568 0 0 1 0-6.761Z" fill="#FBBC04"></path>
</svg><input class="form-radio handle-pm-warnings" type="radio" name="square-payment-method" data-id="googlePay" id="googlePay" value="googlePay"><label for="googlePay">Google Pay</label>
<div class="payment-method-alert">
<div class="something-went-wrong-info"></div>
<div class="redirect-info" style="display:none">After submitting the form, you will be redirected to Google Pay to complete the payment.</div>
</div>
</div>
</div>
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_button" id="id_13" data-css-selector="id_13">
<div id="cid_13" class="form-input-wide" data-layout="full">
<div data-align="center" class="form-buttons-wrapper form-buttons-center jsTest-button-wrapperField"><button id="input_13" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField legacy-submit"
data-component="button" data-content="" aria-live="polite">Deposit Now</button></div>
</div>
</li>
<li style="display:none">Should be Empty: <input type="text" name="website" value=""></li>
</ul>
</div>
<script>
JotForm.showJotFormPowered = "0";
</script>
<script>
JotForm.poweredByText = "Powered by Jotform";
</script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="243368189402158-243368189402158">
<script type="text/javascript">
var all_spc = document.querySelectorAll("form[id='243368189402158'] .si" + "mple" + "_spc");
for (var i = 0; i < all_spc.length; i++) {
all_spc[i].value = "243368189402158-243368189402158";
}
</script>
<input type="hidden" name="event_id" value="1733262112004_243368189402158_lRgY2nh"><input type="hidden" name="timeToSubmit" value="4">
</form>Text Content
* CMB * Full Name First NameLast Name * E-mail example@example.com * Username jy username * Payment Amount prevnext( X ) USDDescription -------------------------------------------------------------------------------- PAYMENT METHODS Credit Card Apple Pay Apple Pay is only available on Safari browser and Apple Pay should be configured properly on your device. After submitting the form, you will be redirected to Apple Pay to complete the payment. Google Pay After submitting the form, you will be redirected to Google Pay to complete the payment. * Deposit Now * Should be Empty: