secure.payconex.net
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45.60.73.55
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URL:
https://secure.payconex.net/paymentpage/enhanced/index.php?action=view&aid=120615791815&gid=000000000000&id=196655
Submission Tags: falconsandbox
Submission: On August 20 via api from US — Scanned from US
Submission Tags: falconsandbox
Submission: On August 20 via api from US — Scanned from US
Form analysis 2 forms found in the DOM
Name: paymentpage — POST https://secure.payconex.net/api/
<form name="paymentpage" id="paymentpage" method="post" action="https://secure.payconex.net/api/" enctype="multipart/form-data" target="_self" autocomplete="off" novalidate="novalidate">
<div style="display:none;">
<input style="display:none;" autocomplete="off" type="text">
<input style="display:none;" autocomplete="off" type="password">
</div>
<div class="logo alignment-left "><img
src="data:image/png;base64, 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"
alt="Cargill Elevate+"></div>
<div id="hdr">
<div style="padding-bottom: 20px; padding-top: 20px;" class="">Cargill Elevate+ Annual Subscription. Please pay the amount listed below:</div>
<div class="" style="font-size: .8em; color: #900; font-weight: bold;float: left;">Fields marked with * are required.</div>
<br>
<br>
<br>
</div> <!-- #hdr -->
<fieldset id="PaymentDetails">
<legend>Payment Details</legend>
<div id="custom_fields" style="float: left; width: 50%;">
<div class="row">
<div class="field">
<label for="Invoice_Number" class="top required" aria-required="true">Cargill Elevate+ Contract #</label>
<input type="text" id="Invoice_Number" name="Invoice_Number" value="" class="required" aria-required="true">
</div>
</div><!-- Invoice_Number -->
</div><!-- #custom_fields -->
<div id="amounts">
<div class="row">
<div class="label"><label class="amount required" aria-required="true">Subscription Cost</label></div>
<div class="input">
<input type="text" id="amount_idx_0" class="money amount required" name="amount[0]" maxlength="10" size="6" max="9999999.99" value="3000.00" autocomplete="off" aria-required="true">
<input type="hidden" id="descr_amount_idx_0" name="description[]" value="Subscription Cost">
</div>
</div>
</div><!-- #amounts -->
<br clear="all">
</fieldset><!-- #PaymentDetails -->
<fieldset id="BillingInformation" class="doNotValidateOnExpressCheckout ">
<legend class="">Billing Information</legend>
<div id="payment_method">
<div class="row">
<div class="field"><a href="#" title="Click for Credit/Debit" class="pay_type_badge card"><img id="card" border="0" src="/images/cardpresent.gif" alt="Click for Credit/Debit"></a>
<a href="#" title="Click for ACH Checking/Savings" class="pay_type_badge ach"><img id="check" border="0" src="/images/papercheck.gif" alt="Click for ACH Checking/Savings"></a>
</div>
</div><!-- pay_type -->
<div class="row" id="card_pay" style="">
<div class="field">
<label class="top required" for="card_number" aria-required="true">Card Number</label>
<input style="display:none;" autocomplete="new-password" type="password">
<div class="field" style="position: relative">
<input type="text" id="card_number" name="card_number" size="25" inputmode="numeric" autocomplete="cc-number" spellcheck="false" aria-label="Credit or debit card number" class="required creditcard" placeholder="Credit/Debit Card Number"
aria-required="true" style="width: 210px; box-sizing: border-box; padding-left: 40.5px;">
<div id="card_number_card_logo"
style="position: absolute; left: 0px; top: 0px; width: 25px; height: 17px; background-image: url("data:image/png;base64,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"); background-repeat: no-repeat; background-size: 27px; background-position: 6.75px center; padding-left: 40.5px;">
</div>
</div>
</div>
<div class="field" id="card_verification">
<label class="top required" for="card_verification" aria-required="true">CVV2</label>
<input type="text" name="card_verification" minlength="3" maxlength="4" autocomplete="off" class="digits required" placeholder="999" aria-label="Credit or debit card verification number" aria-required="true">
</div>
<div class="field">
<label class="top required" for="card_expiration" aria-required="true">EXP</label>
<input type="text" id="card_expiration" name="card_expiration" maxlength="4" autocomplete="off" class="required expdate" placeholder="MMYY" aria-label="Credit or debit card expiration date" aria-required="true">
</div>
<br clear="all">
</div><!-- CARDS -->
<div class="row" id="ach_pay" style="display:none;">
<div class="field">
<label class="top required" for="bank_routing_number" aria-required="true">Routing Number</label>
<input type="text" id="bank_routing_number" name="bank_routing_number" maxlength="9" autocomplete="off" class="required routingnumber" placeholder="9-digit Bank ID" aria-required="true">
</div>
<div class="field">
<label class="top required" for="bank_account_number" aria-required="true">Account Number</label>
<input type="text" id="bank_account_number" name="bank_account_number" autocomplete="off" class="required digits" maxlength="20" placeholder="Your Acct Number" aria-required="true">
</div>
<div class="field">
<label class="top required" for="ach_account_type" aria-required="true">Type</label>
<select id="ach_account_type" name="ach_account_type">
<option value="Checking">Checking</option>
<option value="Savings">Savings</option>
</select>
</div>
</div><!-- ACH -->
</div><!-- #payment_method -->
<div id="payee">
<div class="row" id="bname">
<div class="field">
<label class="top required" for="first_name" aria-required="true">First Name</label>
<input id="first_name" name="first_name" type="text" class=" firstname required " size="15" placeholder="First Name" value="" aria-required="true">
</div>
<div class="field">
<label class="top required" for="last_name" aria-required="true">Last Name</label>
<input id="last_name" name="last_name" type="text" class="lastname required " size="15" placeholder="Last Name" value="" aria-required="true">
</div>
<div class="field">
<input id="first_last_name" name="first_last_name" type="hidden" value="">
</div>
</div>
<div class="row" id="address">
</div><!-- #address -->
<div class="row" id="locale">
<div id="bcity" class="field">
<label class="top required" for="city" aria-required="true">City</label>
<input id="city" name="city" type="text" class="required" maxlength="50" placeholder="Your City" value="" aria-required="true">
</div>
<div id="bstate" class="field">
<label class="top required" aria-required="true">State</label>
<select id="state" name="state" class="required" aria-required="true">
<option value="" selected="selected">-- Select State --</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</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="GU">Guam</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="MH">Marshall Islands</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="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</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="VI">Virgin Islands</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="AE">U.S. Armed Forces</option>
<option value="AA">U.S. Armed Forces Americas</option>
<option value="AP">U.S. Armed Forces Pacific</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="NF">Newfoundland</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="NW">Northwest Territory</option>
<option value="NU">Nunavut</option>
<option value="YT">Yukon Territory</option>
<option value="OT">Other</option>
</select>
</div>
</div><!-- #locale -->
<div class="row" id="contact">
<div id="bmail" class="field">
<label class="top required" for="email" aria-required="true">Email</label>
<input id="multiemail" name="email" type="text" class="multiemail required" maxlength="100" placeholder="you@example.org" value="" aria-required="true">
<a href="javascript:void(0);" id="success_url_help" class="basicText helper" title="" tabindex="-1" bt-xtitle="For multiple email addresses, you must separate each with a comma"><em><strong>(?)</strong></em></a>
</div>
</div><!-- #contact -->
</div><!-- #payee -->
</fieldset> <!-- #BillingInformation -->
<fieldset id="recaptcha">
<div class="row field alignment-center">
<div class="g-recaptcha" data-sitekey="6LfHXUcUAAAAACKxhTTm5JVevl8GmhPlF7ioXvSv">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-jpqwwwrvmdx" 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&k=6LfHXUcUAAAAACKxhTTm5JVevl8GmhPlF7ioXvSv&co=aHR0cHM6Ly9zZWN1cmUucGF5Y29uZXgubmV0OjQ0Mw..&hl=en&v=hfUfsXWZFeg83qqxrK27GB8P&size=normal&cb=cj1elvpkd186"></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><input type="hidden" class="hiddenRecaptcha required" name="hiddenRecaptcha" id="hiddenRecaptcha" aria-required="true">
</div>
</fieldset>
<div id="buttons" class="row alignment-center ">
<input type="button" class="" id="submit_payment" value="Process Payment">
<br clear="all">
</div>
<div class="footer " style="padding: 30px 0;">
<div style="text-align:left;width:60%;">By clicking "Process Payment," you agree to enter into an automatically recurring annual payment for your Cargill Elevate+ Subscription. Please contact your Cargill Rep with any questions.</div>
</div>
<div id="hidden">
<input type="hidden" name="account_id" value="120615791815">
<input type="hidden" name="group" value="">
<input type="hidden" name="response_format" value="JSON">
<input type="hidden" name="transaction_type" value="SALE">
<input type="hidden" name="amount" disabled="" value="3000.00">
<input type="hidden" name="tender_type" value="C">
<input type="hidden" name="hash_key" value="transaction_type,fid,fkey">
<input type="hidden" name="hash" value="d46aa144b5b87bf1218798b91fe3723bafbedbf81c3beeb78b4278f27518fcc8">
<input type="hidden" name="timestamp" value="1724184932">
<input type="hidden" name="bf_nonce" value="tChORLEe1GsNre1Td6GKYEhiq85MJS6q">
<input type="hidden" name="fid" value="196655">
<input type="hidden" name="hosted_payment_signal" value="1">
<input type="hidden" name="callback_method" value="GET">
<input type="hidden" name="success_url" value="https://secure.payconex.net/paymentpage/enhanced/receipt.php">
<input type="hidden" name="decline_url" value="https://secure.payconex.net/paymentpage/enhanced/decline.php">
<input type="hidden" name="timeout_url" value="/paymentpage/enhanced/index.php">
<input type="hidden" name="payment_type" value="ECOMMERCE">
<input type="hidden" name="expressCheckOutPayload" value="">
<input type="hidden" name="ach_sec_code" value="WEB">
</div><!-- #hidden -->
</form>GET
<form id="returnToShop" action="" method="GET" style="visibility:hidden;">
<input type="hidden" name="action" value="view"><input type="hidden" name="aid" value="120615791815"><input type="hidden" name="gid" value="000000000000"><input type="hidden" name="id" value="196655">
</form>Text Content
Processing Payment… Cargill Elevate+ Annual Subscription. Please pay the amount listed below: Fields marked with * are required. Payment Details Cargill Elevate+ Contract # Subscription Cost Billing Information Card Number CVV2 EXP Routing Number Account Number Type Checking Savings First Name Last Name City State -- Select State -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming U.S. Armed Forces U.S. Armed Forces Americas U.S. Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territory Nunavut Yukon Territory Other Email (?) By clicking "Process Payment," you agree to enter into an automatically recurring annual payment for your Cargill Elevate+ Subscription. Please contact your Cargill Rep with any questions. Your web browser does not support this type of Payment Form and should be updated. Attention!Close This form is about to expire. Do you need more time to finish? Yes, I need more time Attention!Close