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fees.dev.safevisitorsolutions.com Open in urlscan Pro
104.4.40.129  Public Scan

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URL: https://fees.dev.safevisitorsolutions.com/
Submission: On September 16 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="needs-validation" novalidate="">
  <div class="row">
    <label class="col-sm-12 form-label"> Payment amount </label>
    <div class="col-sm-12">
      <span class="pay-amount">$500</span>
    </div>
  </div>
  <div class="form-row">
    <label for="cardHolder" class="form-label"> Name on card </label>
    <input type="text" class="form-control" id="cardHolder" maxlength="50">
    <div class="invalid-feedback">Please provide your name on card</div>
  </div>
  <div class="form-row">
    <label for="cardNumber" class="form-label"> Card number </label>
    <input type="tel" class="form-control" id="cardNumber" maxlength="19">
    <div class="invalid-feedback">Please provide a valid card number</div>
  </div>
  <div class="row form-row">
    <div class="col-sm-6">
      <label for="expiryDate" class="form-label"> Expiry date </label>
      <input type="text" class="form-control" id="expiryDate" placeholder="MM/YY" maxlength="7">
      <div class="invalid-feedback">Please provide a valid expiry date</div>
    </div>
    <div class="col-sm-6">
      <label for="securityCode" class="form-label"> Security code </label>
      <input type="tel" class="form-control" id="securityCode" maxlength="3">
      <div class="invalid-feedback">Please provide a valid security code</div>
    </div>
  </div>
  <div class="form-row">
    <label for="zipcode" class="form-label"> ZIP/Postal code </label>
    <input type="tel" class="form-control" id="zipcode" maxlength="5">
    <div class="invalid-feedback">Please provide a valid ZIP/Postal code</div>
  </div>
  <div id="errorMessage" class="error-msg" style="display: block;">Something went wrong, please try again later.</div>
  <div class="form-row">
    <button class="btn btn-success" id="btnSubmit">
      <img src="images/lock.svg"> Pay <span class="pay-amount">$500</span>
    </button>
  </div>
</form>

Text Content

PAY INVOICE


Payment amount
$500
Name on card
Please provide your name on card
Card number
Please provide a valid card number
Expiry date
Please provide a valid expiry date
Security code
Please provide a valid security code
ZIP/Postal code
Please provide a valid ZIP/Postal code
Something went wrong, please try again later.
Pay $500

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