payments.trccompanies.com Open in urlscan Pro
40.71.11.133  Public Scan

URL: https://payments.trccompanies.com/
Submission: On November 09 via api from US — Scanned from US

Form analysis 2 forms found in the DOM

POST

<form method="post" style="display:none">
  <table>
    <tbody>
      <tr>
        <td>First Name: </td>
        <td><input type="text" id="txtFirstName1" name="FirstName"></td>
      </tr>
      <tr>
        <td>Last Name: </td>
        <td><input type="text" id="txtLastName1" name="LastName"></td>
      </tr>
      <tr>
        <td></td>
        <td><input type="submit" value="Submit" formaction="/?handler=Submit"></td>
      </tr>
    </tbody>
  </table>
  <hr>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8EugRar5UL5FgM9KoH6Lp_Kqb72MTI8y4D3rCARFsFqYJbr4NfoJOWmyihLnYJZKxotL3XKdL3Imfb7NaIHqEgzpaEVC8ihvBIpjX5KLTzUClEPp2lIsbGVs6knc2DpkR2yf5OPO8rp7tsCA-gORdcQ">
</form>

POST create-post

<form id="form1" method="post" action="create-post">
  <table width="1320px" bgcolor="white" align="center" border="0" cellpadding="0" cellspacing="0">
    <tbody>
      <tr style="display:none">
        <td>
          <table width="1320px" border="0" align="center" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td colspan="3"></td>
              </tr>
              <tr style="background-color:black;" border="0" align="center" cellpadding="0" cellspacing="0">
                <td width="70px"></td>
                <td align="left">
                  <table width="180" border="0" cellspacing="0" cellpadding="0">
                    <tbody>
                      <tr>
                        <td height="5"></td>
                      </tr>
                      <tr>
                        <td><a href="https://www.spidasoftware.com"><img src="images/Spida_Software_Logo.png" alt="" width="170" height="50" border="0"></a></td>
                      </tr>
                      <tr>
                        <td height="5"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
                <td width="799" valign="top">
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <td height="30">
          <table width="990" border="0" align="center" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td width="10"></td>
                <td width="180">
                  <table width="180" border="0" cellspacing="0" cellpadding="0">
                    <tbody>
                      <tr>
                        <td height="20"></td>
                      </tr>
                      <tr>
                        <td><a href="http://www.trcsolutions.com/"><img src="images/trc_logo.png" alt="" width="180" height="78" border="0"></a></td>
                      </tr>
                      <tr>
                        <td height="10"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
                <td width="799" valign="top">
                  <table width="799" border="0" cellspacing="0" cellpadding="0">
                    <tbody>
                      <tr>
                        <td valign="top">
                          <table width="799" border="0" cellspacing="0" cellpadding="0">
                            <tbody>
                              <tr>
                                <td height="30"></td>
                                <td>
                                  <table width="250" border="0" align="right" cellpadding="0" cellspacing="0">
                                    <tbody>
                                      <tr>
                                        <td></td>
                                        <td width="15"></td>
                                        <td></td>
                                        <td width="15"></td>
                                        <td></td>
                                        <td width="15"></td>
                                        <td></td>
                                      </tr>
                                    </tbody>
                                  </table>
                                </td>
                                <td width="20"></td>
                              </tr>
                            </tbody>
                          </table>
                        </td>
                      </tr>
                      <tr>
                        <td height="82"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <td height="20">
        </td>
      </tr>
      <tr>
        <td>
          <table width="750" border="0" align="center" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table width="750" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#F0F0F0" class="Table-Gray-Border">
                    <tbody>
                      <tr>
                        <td height="20"></td>
                      </tr>
                      <tr>
                        <td>
                          <table width="650" border="0" align="center" cellpadding="0" cellspacing="0">
                            <tbody>
                              <tr>
                                <td><span class="Blue_Paragraph_Heading">General Information:</span></td>
                              </tr>
                              <tr>
                                <td>
                                  <div class="Gray_Solid_Line"></div>
                                </td>
                              </tr>
                              <tr>
                                <td>
                                  <p class="Black_Paragraph_Text">TRC has partnered with PayPal to offer their lab clients the ability to pay for the services online. This new payment feature will be available for $5,000 (maximum) per transaction
                                    when specified contractually or with the prior approval of Dawn Dostie</p>
                                  <p class="Black_Paragraph_Text">
                                    <strong>For additional information, please contact: </strong><br> Portia Harrison <br> E: <a href="mailto:Pharrison@trccompanies.com" class="Content_Links">Pharrison@trccompanies.com</a> &nbsp;<br> P: (919)819-8822
                                  </p>
                                </td>
                              </tr>
                            </tbody>
                          </table>
                        </td>
                      </tr>
                      <tr>
                        <td height="10"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <td bgcolor="white">
          <table width="748" border="0" align="center" cellpadding="0" cellspacing="0" class="Table-Gray-Border">
            <tbody>
              <tr>
                <td>
                  <table width="65" border="0" align="center" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td>
                          <br>
                          <table width="748" border="0" cellpadding="0" cellspacing="0" bgcolor="#F0F0F0">
                            <tbody>
                              <tr>
                                <td align="center" class="Black_Paragraph_Text" style="margin-top:20px"> Date:</td>
                                <td width="450" align="left" style="width: 300px;padding-bottom:5px">
                                  <input type="text" id="txtdate" readonly="readonly" value="11/9/2023" 12:00:00="" am="" runat="server" name="date" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td align="center" class="Black_Paragraph_Text"> First Name</td>
                                <td width="450" align="left" style="width: 300px;padding-bottom:5px">
                                  <input type="text" id="txtFirstName" name="FirstName" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Last Name</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtLastName" name="LastName" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Company Name</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtCompany" name="Company" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Country</td>
                                <td width="450" align="left" class="style5" style="padding-bottom:5px">
                                  <select autopostback="true" name="Country" id="Select1" title="Select account location" style="width:271px" runat="server" class="auto-style1" onchange="MakeStateHidden(this)">
                                    <option value="US">US</option>
                                    <option value="Canada">Canada</option>
                                  </select>
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Street Address</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtStreetAddress" name="StreetAddress" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> City</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtCity" name="City" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> State</td>
                                <td width="450" align="left" class="style5" style="padding-bottom:5px">
                                  <select name="state" id="stateUS" onchange="UpdateState(this)" title="Select account location" style="width: 271px" runat="server" class="Black_Paragraph_Text">
                                    <option value=" "> Select State </option>
                                    <option value="AL">Alabama</option>
                                    <option value="AK">Alaska</option>
                                    <option value="AZ">Arizona</option>
                                    <option value="AR">Arkansas</option>
                                    <option value="CA">California</option>
                                    <option value="CO">Colorado</option>
                                    <option value="CT">Connecticut</option>
                                    <option value="DE">Delaware</option>
                                    <option value="DC">District of Columbia</option>
                                    <option value="FL">Florida</option>
                                    <option value="GA">Georgia</option>
                                    <option value="HI">Hawaii</option>
                                    <option value="ID">Idaho</option>
                                    <option value="IL">Illinois</option>
                                    <option value="IN">Indiana</option>
                                    <option value="IA">Iowa</option>
                                    <option value="KS">Kansas</option>
                                    <option value="KY">Kentucky</option>
                                    <option value="LA">Louisiana</option>
                                    <option value="ME">Maine</option>
                                    <option value="MD">Maryland</option>
                                    <option value="MA">Massachusetts</option>
                                    <option value="MI">Michigan</option>
                                    <option value="MN">Minnesota</option>
                                    <option value="MS">Mississippi</option>
                                    <option value="MO">Missouri</option>
                                    <option value="MT">Montana</option>
                                    <option value="NE">Nebraska</option>
                                    <option value="NV">Nevada</option>
                                    <option value="NH">New Hampshire</option>
                                    <option value="NJ">New Jersey</option>
                                    <option value="NM">New Mexico</option>
                                    <option value="NY">New York</option>
                                    <option value="NC">North Carolina</option>
                                    <option value="ND">North Dakota</option>
                                    <option value="OH">Ohio</option>
                                    <option value="OK">Oklahoma</option>
                                    <option value="OR">Oregon</option>
                                    <option value="PA">Pennsylvania</option>
                                    <option value="RI">Rhode Island</option>
                                    <option value="SC">South Carolina</option>
                                    <option value="SD">South Dakota</option>
                                    <option value="TN">Tennessee</option>
                                    <option value="TX">Texas</option>
                                    <option value="UT">Utah</option>
                                    <option value="VT">Vermont</option>
                                    <option value="VA">Virginia</option>
                                    <option value="WA">Washington</option>
                                    <option value="WV">West Virginia</option>
                                    <option value="WI">Wisconsin</option>
                                    <option value="WY">Wyoming</option>
                                  </select>
                                  <select name="stateCanada" id="stateCanada" onchange="UpdateState(this)" title="Select account location" runat="server" class="Black_Paragraph_Text" style="display: none;width: 271px">
                                    <option value=" "> Select State </option>
                                    <option value="AB">Alberta</option>
                                    <option value="BC">British Columbia</option>
                                    <option value="MB">Manitoba</option>
                                    <option value="NB">New Brunswick</option>
                                    <option value="NL">Newfoundland and Labrador</option>
                                    <option value="NS">Nova Scotia</option>
                                    <option value="ON">Ontario</option>
                                    <option value="PE">Prince Edward Island</option>
                                    <option value="QC">Quebec</option>
                                    <option value="SK">Saskatchewan</option>
                                    <option value="NT">Northwest Territories</option>
                                    <option value="NU">Nunavut</option>
                                    <option value="YT">Yukon</option>
                                  </select>
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Zip Code</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtZipcode" name="Zipcode" style="width: 271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Phone Number</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtTel1" maxlength="3" name="Tel1" style="width:75px">
                                  <input type="text" id="txtTel2" maxlength="3" name="Tel2" style="width:75px">
                                  <input type="text" id="txtTel3" maxlength="4" name="Tel3" style="width:110px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Email Address</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="email" id="txtEmail" name="Email" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> TRC invoice or project number</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtReference" name="Reference" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Amount (USD)</td>
                                <td width="450" align="left" style="padding-bottom:5px">
                                  <input type="text" id="txtAmount" name="Amount" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td width="200" align="center" class="Black_Paragraph_Text"> Paypal Customer?</td>
                                <td width="450" align="left">
                                  <input runat="server" type="radio" id="radPaypalYes" onclick="return showhideccinfo('1');" text="Have a Paypal Account?" name="radPaypal" cssclass="Black_Paragraph_Text"> Have a Paypal Account?<br>
                                  <input runat="server" type="radio" id="radPaypalNo" onclick="return showhideccinfo('0');" text="Don't have a paypal Account?" name="radPaypal" cssclass="Black_Paragraph_Text"> Don't have a paypal Account? <br>
                                </td>
                              </tr>
                              <tr style="display:none">
                                <td width="200" align="left" class="Black_Paragraph_Text"> </td>
                                <td width="450" align="left" class="style5" style="padding-bottom:5px">
                                  <input type="text" id="txtCompany" name="Company" style="width:271px">
                                </td>
                              </tr>
                              <tr>
                                <td colspan="2">
                                  <table width="650" border="0" cellpadding="0" cellspacing="0" class="style1" id="tblCC" style="display: none;">
                                    <tbody>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"><span class="style6"><strong>Credit Card Information</strong></span>
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text" style="width: 195px"> Card Number</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input type="text" id="txtCreditCard" name="CreditCard" style="width:271px">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Payment Types</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <select autopostback="true" name="CCType" id="dropdownCCType" title="Select account location" style="width:271px" runat="server" class="auto-style1" onchange="MakeStateHidden(this)">
                                            <option value=""></option>
                                            <option value="Amex">American Express</option>
                                            <option value="Discover">Discover</option>
                                            <option value="MasterCard">Master Card</option>
                                            <option value="Visa">Visa</option>
                                          </select>
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Expiration Date</td>
                                        <td width="450" align="left" class="Black_Paragraph_Text" style="width: 419px;padding-bottom:5px"> mm&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; yyyy<br>
                                          <input id="txtExpMonth" name="month" style="width:45px" maxlength="2" cssclass="Black_Paragraph_Text"> / <input id="txtExpYear" name="year" style="width:61px" maxlength="4" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> CSC</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input id="txtCSC" name="cvv" maxlength="7" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center">
                                          <span class="Black_Paragraph_Text"><strong>Billing Information</strong></span>
                                          <input type="checkbox" id="chkBillingAddress" name="chkBillingAddress" value="Same as Above?" onclick="return CopyBillingAddress();">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Card Holder First Name </td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input id="txtCardHolderFirstName" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Card Holder Last Name</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input id="txtCardHolderLastName" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Country</td>
                                        <td width="450" align="left" class="style5" style="padding-bottom:5px">
                                          <select name="Select2" id="Select2" title="Select account location" runat="server" class="auto-style1" onchange="MakeStateHidden1(this)">
                                            <option value="US">US</option>
                                            <option value="Canada">Canada</option>
                                          </select>
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Street Address</td>
                                        <td width="450" align="left" style="width: 419px; padding-bottom:5px">
                                          <input id="txtBillStreetAddress" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> City</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input id="txtBillCity" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> State</td>
                                        <td width="450" align="left" class="style5" style="padding-bottom:5px">
                                          <select name="stateUS1" id="stateUS1" onchange="UpdateState1(this)" title="Select account location" style="width:331px" runat="server" class="Black_Paragraph_Text">
                                            <option value=" "> Select State </option>
                                            <option value="AL">Alabama</option>
                                            <option value="AK">Alaska</option>
                                            <option value="AZ">Arizona</option>
                                            <option value="AR">Arkansas</option>
                                            <option value="CA">California</option>
                                            <option value="CO">Colorado</option>
                                            <option value="CT">Connecticut</option>
                                            <option value="DE">Delaware</option>
                                            <option value="DC">District of Columbia</option>
                                            <option value="FL">Florida</option>
                                            <option value="GA">Georgia</option>
                                            <option value="HI">Hawaii</option>
                                            <option value="ID">Idaho</option>
                                            <option value="IL">Illinois</option>
                                            <option value="IN">Indiana</option>
                                            <option value="IA">Iowa</option>
                                            <option value="KS">Kansas</option>
                                            <option value="KY">Kentucky</option>
                                            <option value="LA">Louisiana</option>
                                            <option value="ME">Maine</option>
                                            <option value="MD">Maryland</option>
                                            <option value="MA">Massachusetts</option>
                                            <option value="MI">Michigan</option>
                                            <option value="MN">Minnesota</option>
                                            <option value="MS">Mississippi</option>
                                            <option value="MO">Missouri</option>
                                            <option value="MT">Montana</option>
                                            <option value="NE">Nebraska</option>
                                            <option value="NV">Nevada</option>
                                            <option value="NH">New Hampshire</option>
                                            <option value="NJ">New Jersey</option>
                                            <option value="NM">New Mexico</option>
                                            <option value="NY">New York</option>
                                            <option value="NC">North Carolina</option>
                                            <option value="ND">North Dakota</option>
                                            <option value="OH">Ohio</option>
                                            <option value="OK">Oklahoma</option>
                                            <option value="OR">Oregon</option>
                                            <option value="PA">Pennsylvania</option>
                                            <option value="RI">Rhode Island</option>
                                            <option value="SC">South Carolina</option>
                                            <option value="SD">South Dakota</option>
                                            <option value="TN">Tennessee</option>
                                            <option value="TX">Texas</option>
                                            <option value="UT">Utah</option>
                                            <option value="VT">Vermont</option>
                                            <option value="VA">Virginia</option>
                                            <option value="WA">Washington</option>
                                            <option value="WV">West Virginia</option>
                                            <option value="WI">Wisconsin</option>
                                            <option value="WY">Wyoming</option>
                                            <option value="AB">Alberta</option>
                                            <option value="BC">British Columbia</option>
                                            <option value="MB">Manitoba</option>
                                            <option value="NB">New Brunswick</option>
                                            <option value="NL">Newfoundland and Labrador</option>
                                            <option value="NS">Nova Scotia</option>
                                            <option value="ON">Ontario</option>
                                            <option value="PE">Prince Edward Island</option>
                                            <option value="QC">Quebec</option>
                                            <option value="SK">Saskatchewan</option>
                                            <option value="NT">Northwest Territories</option>
                                            <option value="NU">Nunavut</option>
                                            <option value="YT">Yukon</option>
                                          </select>
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Zip Code</td>
                                        <td width="450" align="left" style="width: 419px; padding-bottom:5px">
                                          <input id="txtBillZipCode" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Phone Number</td>
                                        <td width="450" align="left" style="width: 419px; padding-bottom:5px">
                                          <input id="txtBillTel1" maxlength="3" style="width:75px" cssclass="Black_Paragraph_Text">- <input id="txtBillTel2" maxlength="3" style="width:75px" cssclass="Black_Paragraph_Text">- <input id="txtBillTel3"
                                            maxlength="4" style="width:110px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr>
                                        <td width="200" align="center" class="Black_Paragraph_Text"> Email Address</td>
                                        <td width="450" align="left" style="width: 419px;padding-bottom:5px">
                                          <input id="txtBillEmail" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                      <tr style="display:none">
                                        <td width="200" align="center" class="Black_Paragraph_Text"> </td>
                                        <td width="450" align="left" style="width: 419px; padding-bottom:5px">
                                          <input id="stateselectBill" maxlength="25" style="width:331px" cssclass="Black_Paragraph_Text">
                                        </td>
                                      </tr>
                                    </tbody>
                                  </table>
                                </td>
                              </tr>
                              <tr>
                                <td width="200"></td>
                                <td>
                                  <div class="g-recaptcha" data-sitekey="6LfjKmMUAAAAABlIafuoiEUSbcZ_IHDrufoVbt8k">
                                    <div style="width: 304px; height: 78px;">
                                      <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-ml5oo5pdw2m2" frameborder="0" scrolling="no"
                                          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                                          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LfjKmMUAAAAABlIafuoiEUSbcZ_IHDrufoVbt8k&amp;co=aHR0cHM6Ly9wYXltZW50cy50cmNjb21wYW5pZXMuY29tOjQ0Mw..&amp;hl=en&amp;v=fGZmEzpfeSeqDJiApS_XZ4Y2&amp;size=normal&amp;cb=78hghi6q47xv"></iframe>
                                      </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
                                        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
                                    </div><iframe style="display: none;"></iframe>
                                  </div>
                                </td>
                              </tr>
                              <tr>
                                <td width="200">&nbsp;</td>
                                <td width="450">&nbsp;</td>
                              </tr>
                              <tr>
                                <td width="200">
                                  <asp:hiddenfield id="hdnordertotal" runat="server"></asp:hiddenfield>
                                </td>
                                <td width="450">
                                  <input type="submit" id="test123" src="paypal.png" value="Submit" style="display:none">
                                  <img src="paypal.png" id="test345" onclick="return Validateform();">
                                </td>
                              </tr>
                              <tr>
                                <td width="200">&nbsp;</td>
                                <td width="450">&nbsp;</td>
                              </tr>
                            </tbody>
                          </table>
                        </td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <input id="testHide" name="testHide" style="display:none" runat="server" value="0">
          <script language="javascript" type="text/javascript">
            function CopyBillingAddress() {
              debugger;
              document.getElementById("txtCardHolderFirstName").value = document.getElementById("txtFirstName").value;
              document.getElementById("txtCardHolderLastName").value = document.getElementById("txtLastName").value;
              document.getElementById("txtBillStreetAddress").value = document.getElementById("txtStreetAddress").value;
              document.getElementById("txtBillCity").value = document.getElementById("txtCity").value;
              //document.getElementById("stateselectBill").value = document.getElementById("stateselect").value;
              document.getElementById("stateUS1").selectedIndex = document.getElementById("stateUS").selectedIndex;
              document.getElementById("txtBillZipCode").value = document.getElementById("txtZipcode").value;
              document.getElementById("txtBillTel1").value = document.getElementById("txtTel1").value;
              document.getElementById("txtBillTel2").value = document.getElementById("txtTel2").value;
              document.getElementById("txtBillTel3").value = document.getElementById("txtTel3").value;
              document.getElementById("txtBillEmail").value = document.getElementById("txtEmail").value;
              document.getElementById("Select2").value = document.getElementById("Select1").value;
              document.getElementById("Select2").selectedIndex = document.getElementById("Select1").selectedIndex;
              document.getElementById("stateUS1").selectedIndex = document.getElementById("stateUS").selectedIndex;
              document.getElementById("stateCanada1").selectedIndex = document.getElementById("stateCanada").selectedIndex;
              var rValue = document.getElementById("Select2").value;
              //alert(rValue);
              if (rValue == "US") {
                document.getElementById("stateUS1").style.display = "block";
                document.getElementById("stateCanada1").style.display = "none";
              } else {
                document.getElementById("stateUS1").style.display = "none";
                document.getElementById("stateCanada1").style.display = "block";
              }
            }

            function Makehidden() {
              document.getElementById("tblCC").style.display = "none";
            }

            function UpdateState(val) {
              var rValue = val.options[val.selectedIndex].text;
              document.getElementById("stateselect").value = rValue;
            }

            function UpdateState1(val) {
              var rValue = val.options[val.selectedIndex].text;
              document.getElementById("stateselectBill").value = rValue;
            }

            function MakeStateHidden(val) {
              var rValue = val.options[val.selectedIndex].text;
              if (rValue == "US") {
                document.getElementById("stateUS").style.display = "block";
                document.getElementById("stateCanada").style.display = "none";
              } else {
                document.getElementById("stateUS").style.display = "none";
                document.getElementById("stateCanada").style.display = "block";
              }
            }

            function MakeStateHidden1(val) {
              var rValue = val.options[val.selectedIndex].text;
              if (rValue == "US") {
                document.getElementById("stateUS1").style.display = "block";
                document.getElementById("stateCanada1").style.display = "none";
              } else {
                document.getElementById("stateUS1").style.display = "none";
                document.getElementById("stateCanada1").style.display = "block";
              }
            }

            function showhideccinfo(val) {
              if (val == "1") {
                //alert("hi");
                document.getElementById("tblCC").style.display = "none";
              }
              if (val == "0") {
                //alert("hi1");
                document.getElementById("tblCC").style.display = "";
              }
            }

            function Validateform() {
              debugger;
              if (document.getElementById("txtFirstName").value == "") {
                alert("Please enter First name");
                return false;
              }
              if (document.getElementById("txtLastName").value == "") {
                alert("Please enter Last name");
                return false;
              }
              if (document.getElementById("txtStreetAddress").value == "") {
                alert("Please enter Street Address");
                return false;
              }
              if (document.getElementById("txtCity").value == "") {
                alert("Please enter City Name");
                return false;
              }
              if (document.getElementById("stateUS").value == " ") {
                alert("Please enter State");
                return false;
              }
              if (document.getElementById("txtZipcode").value == "") {
                alert("Please enter Zip Code");
                return false;
              }
              if (document.getElementById("txtTel1").value == "" || document.getElementById("txtTel2").value == "" || document.getElementById("txtTel3").value == "") {
                alert("Please enter valid Telephone Number");
                return false;
              }
              if (document.getElementById("txtEmail").value == "") {
                alert("Please enter valid Email-id");
                return false;
              }
              if (document.getElementById("txtReference").value == "") {
                alert("Please enter TRC Reference Number");
                return false;
              }
              if (document.getElementById("txtAmount").value == "") {
                alert("Please enter valid Amount");
                return false;
              }
              if (document.getElementById("radPaypalNo").checked == false && document.getElementById("radPaypalYes").checked == false) {
                alert("Please select Paypal Account Type");
                return false;
              }
              if (document.getElementById("radPaypalNo").checked == true) {
                if (document.getElementById("txtCreditCard").value == "") {
                  alert("Please enter valid Credit Card Number");
                  return false;
                }
                if (document.getElementById("dropdownCCType").value == "") {
                  alert("Please select a credit card Type");
                  return false;
                }
                if (document.getElementById("txtExpMonth").value == "") {
                  alert("Please enter credit card Expiration Month");
                  return false;
                }
                if (document.getElementById("txtExpYear").value == "") {
                  alert("Please enter credit card Expiration Year");
                  return false;
                }
                if (document.getElementById("txtCSC").value == "") {
                  alert("Please enter credit card Security Code");
                  return false;
                }
                if (document.getElementById("txtCardHolderFirstName").value == "") {
                  alert("Please enter First name for Billing address");
                  return false;
                }
                if (document.getElementById("txtCardHolderLastName").value == "") {
                  alert("Please enter Last name for Billing address");
                  return false;
                }
                if (document.getElementById("txtBillStreetAddress").value == "") {
                  alert("Please enter Billing street address");
                  return false;
                }
                if (document.getElementById("txtBillCity").value == "") {
                  alert("Please enter Billing address city");
                  return false;
                }
                //if (document.getElementById("stateselectBill").value == "") {
                //    alert("Please enter Billing address state");
                //    return false;
                //}
                if (document.getElementById("txtBillZipCode").value == "") {
                  alert("Please enter Billing Zip code");
                  return false;
                }
                if (document.getElementById("txtBillTel1").value == "" || document.getElementById("txtBillTel2").value == "" || document.getElementById("txtBillTel3").value == "") {
                  alert("Please enter valid Billing Telephone Number");
                  return false;
                }
                if (document.getElementById("txtBillEmail").value == "") {
                  alert("Please enter Billing Email-id");
                  return false;
                }
              }
              document.getElementById("testHide").value = document.getElementById("radPaypalYes").checked;
              document.getElementById("test123").click();
              return true;
            }
          </script>
          <!-- Replace "test" with your own sandbox Business account app client ID -->
          <!--<script src="https://www.paypal.com/sdk/js?client-id=test&currency=USD"></script>-->
          <!-- Set up a container element for the button -->
          <!--<div id="paypal-button-container"></div>
    <script>
        paypal.Buttons({
            // Order is created on the server and the order id is returned
            createOrder() {
                return fetch("/my-server/create-paypal-order", {
                    method: "POST",
                    headers: {
                        "Content-Type": "application/json",
                    },
                    // use the "body" param to optionally pass additional order information
                    // like product skus and quantities
                    body: JSON.stringify({
                        cart: [
                            {
                                sku: "YOUR_PRODUCT_STOCK_KEEPING_UNIT",
                                quantity: "YOUR_PRODUCT_QUANTITY",
                            },
                        ],
                    }),
                })
                    .then((response) => response.json())
                    .then((order) => order.id);
            },
            // Finalize the transaction on the server after payer approval
            onApprove(data) {
                return fetch("/my-server/capture-paypal-order", {
                    method: "POST",
                    headers: {
                        "Content-Type": "application/json",
                    },
                    body: JSON.stringify({
                        orderID: data.orderID
                    })
                })
                    .then((response) => response.json())
                    .then((orderData) => {
                        // Successful capture! For dev/demo purposes:
                        console.log('Capture result', orderData, JSON.stringify(orderData, null, 2));
                        const transaction = orderData.purchase_units[0].payments.captures[0];
                        alert(`Transaction ${transaction.status}: ${transaction.id}\n\nSee console for all available details`);
                        // When ready to go live, remove the alert and show a success message within this page. For example:
                        // const element = document.getElementById('paypal-button-container');
                        // element.innerHTML = '<h3>Thank you for your payment!</h3>';
                        // Or go to another URL:  window.location.href = 'thank_you.html';
                    });
            }
        }).render('#paypal-button-container');
    </script>-->
          <footer class="border-top footer text-muted">
            <div class="container"> © 2023 - PaypalCore - <a href="/Home/Privacy">Privacy</a>
            </div>
          </footer>
          <script src="/lib/jquery/dist/jquery.min.js"></script>
          <script src="/lib/bootstrap/dist/js/bootstrap.bundle.min.js"></script>
          <script src="/js/site.js?v=4q1jwFhaPaZgr8WAUSrux6hAuh0XDg9kPS3xIVq36I0"></script>
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Index

First Name: Last Name:

--------------------------------------------------------------------------------

General Information:


TRC has partnered with PayPal to offer their lab clients the ability to pay for
the services online. This new payment feature will be available for $5,000
(maximum) per transaction when specified contractually or with the prior
approval of Dawn Dostie

For additional information, please contact:
Portia Harrison
E: Pharrison@trccompanies.com  
P: (919)819-8822




Date: First Name Last Name Company Name Country US Canada Street Address City
State Select State Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan
Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey
New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon
Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah
Vermont Virginia Washington West Virginia Wisconsin Wyoming Select State Alberta
British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia
Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut
Yukon Zip Code Phone Number Email Address TRC invoice or project number Amount
(USD) Paypal Customer? Have a Paypal Account?
Don't have a paypal Account?


Credit Card Information Card Number Payment Types American Express Discover
Master Card Visa Expiration Date mm             yyyy
/ CSC Billing Information Card Holder First Name Card Holder Last Name Country
US Canada Street Address City State Select State Alabama Alaska Arizona Arkansas
California Colorado Connecticut Delaware District of Columbia Florida Georgia
Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland
Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada
New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio
Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee
Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta
British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia
Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut
Yukon Zip Code Phone Number - - Email Address


       

© 2023 - PaypalCore - Privacy