microtechsolutionsglobal.com
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Submitted URL: http://microtechsolutionsglobal.com/paymentcheckout
Effective URL: https://microtechsolutionsglobal.com/paymentcheckout/
Submission: On March 04 via manual from US — Scanned from DE
Effective URL: https://microtechsolutionsglobal.com/paymentcheckout/
Submission: On March 04 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form method="post" id="form" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="row">
<div class="col-lg-7 col-md-7 col-sm-7 col-xs-12">
<div class="row">
<div class="col-lg-12">
<ol class="breadcrumb">
<li>
<h3><i class="fa fa-file-text-o"></i> Billing Details</h3>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-user"></i>
<input type="text" tabindex="1" class="form-control" id="b_fname" name="b_fname" required="" placeholder="First Name" data-bv-field="b_fname">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="b_fname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value with valid length</small><small class="help-block" data-bv-validator="notEmpty"
data-bv-for="b_fname" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your first name</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-phone"></i>
<input class="form-control" tabindex="3" id="b_mobile" name="b_mobile" type="tel" required="" placeholder="Mobile" data-bv-field="b_mobile">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="b_mobile" data-bv-result="NOT_VALIDATED" style="display: none;">your phone number has to be 10 digits</small><small class="help-block" data-bv-validator="notEmpty"
data-bv-for="b_mobile" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your phone number</small><small class="help-block" data-bv-validator="phone" data-bv-for="b_mobile" data-bv-result="NOT_VALIDATED"
style="display: none;">Please supply a vaild phone number</small><small class="help-block" data-bv-validator="integer" data-bv-for="b_mobile" data-bv-result="NOT_VALIDATED" style="display: none;">The value is not an integer</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-map-marker"></i>
<input class="form-control" id="b_address1" tabindex="5" name="b_address1" required="" placeholder="Billing Address Line 1" data-bv-field="b_address1">
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="b_address1" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-globe"></i>
<select name="b_country" tabindex="7" id="b_country" class="form-control" required="" data-bv-field="b_country">
<option value="">Billing Country</option>
<option value="US">United States</option>
<option value="GB">United Kingdom</option>
<option value="CA">Canada</option>
</select>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="b_country" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-university"></i>
<input class="form-control" id="b_city" tabindex="9" name="b_city" required="" placeholder="Billing City" data-bv-field="b_city">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="b_city" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value with valid length</small><small class="help-block" data-bv-validator="notEmpty"
data-bv-for="b_city" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your city</small>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-user"></i>
<input class="form-control" tabindex="2" id="b_lname" name="b_lname" required="" placeholder="Last Name" data-bv-field="b_lname">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="b_lname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value with valid length</small><small class="help-block" data-bv-validator="notEmpty"
data-bv-for="b_lname" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your last name</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-envelope"></i>
<input class="form-control" tabindex="4" type="email" id="b_email" name="b_email" required="" placeholder="Email" data-bv-field="b_email">
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="b_email" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your email address</small><small class="help-block" data-bv-validator="emailAddress"
data-bv-for="b_email" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply a valid email address</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-map-marker"></i>
<input class="form-control" tabindex="6" id="b_address2" name="b_address2" placeholder="Billing Address Line 2">
</div>
</div>
<div class="form-group">
<div id="display_bstate">
<div class="input-icon">
<i class="fa fa-globe"></i>
<select class="form-control" tabindex="8" id="b_state" name="b_state" required="" data-bv-field="b_state">
<option>Billing State</option>
</select>
</div>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="b_state" data-bv-result="NOT_VALIDATED" style="display: none;">Please select your state</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-ticket"></i>
<input class="form-control" id="b_zip" tabindex="10" name="b_zip" required="" placeholder="Billing Zipcode" data-bv-field="b_zip">
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="b_zip" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your zip code</small>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="checkbox">
<label>
<input tabindex="11" type="checkbox" id="mycheck" checked="checked" value="1">Shipping information is same as Billing information</label>
</div>
</div>
</div>
<div id="checkdiv" style="display:none;">
<div class="row">
<br>
<div class="col-lg-12">
<ol class="breadcrumb">
<li>
<h3><i class=" fa fa-truck"></i> Shipping Details</h3>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-6">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-user"></i>
<input type="text" class="form-control" name="s_fname" id="s_fname" placeholder="First Name">
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-phone"></i>
<input class="form-control" name="s_mobile" id="s_mobile" placeholder="Mobile">
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-map-marker"></i>
<input class="form-control" name="s_address1" id="s_address1" placeholder="Shipping Address Line 1">
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-globe"></i>
<select name="s_country" class="form-control" id="s_country">
<option value="">Shipping Country</option>
<option value="US">United States</option>
<option value="GB">United Kingdom</option>
<option value="CA">Canada</option>
</select>
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-university"></i>
<input class="form-control" name="s_city" id="s_city" placeholder="Shipping City">
</div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-user"></i>
<input class="form-control" name="s_lname" id="s_lname" placeholder="Last Name">
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-envelope"></i>
<input class="form-control" type="email" name="s_email" id="s_email" placeholder="Email" data-bv-field="s_email">
</div>
<small class="help-block" data-bv-validator="emailAddress" data-bv-for="s_email" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-map-marker"></i>
<input class="form-control" name="s_address2" id="s_address2" placeholder="Shipping Address Line 2">
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-globe"></i>
<select class="form-control" name="s_state" id="s_state">
<option>Shipping State</option>
</select>
</div>
</div>
<div class="form-group">
<div class="input-icon">
<i class="fa fa-ticket"></i>
<input class="form-control" name="s_zip" id="s_zip" placeholder="Shipping Zipcode">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-5 col-md-5 col-sm-5 col-xs-12">
<div class="row">
<div class="col-lg-12">
<ol class="breadcrumb">
<li>
<h3><i class=" fa fa-clone"></i> Product Details</h3>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-square"></i>
<select id="product" tabindex="12" name="product" class="form-control" required="" data-bv-field="product">
<option value="">Choose Product</option>
<option value="TS006*29.99*329">Quick Membership $29.99</option>
<option value="TS007*49.99*329">Quick Support 49.99</option>
<option value="TS008*99.99*329">Easy Problem 99.99</option>
<option value="TS009*149.99*329">Remote Tech Support 149.99</option>
<option value="TS010*199.99*329">Hard Problem 199.99</option>
<option value="TS024*249.99*329">Starter Plan 249.99</option>
<option value="TS025*299.99*329">Quick Fix 299.99</option>
<option value="TS026*319.99*329">Bronze Plan 1 319.99</option>
<option value="TS027*349.99*329">Bronze Plan 2 349.99</option>
<option value="TS028*399.99*329">Bronze Plus Plan 399.99</option>
<option value="TS029*449.99*329">Silver Plan 1 449.99</option>
<option value="TS030*499.99*329">Silver Plan 2 499.99</option>
</select>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="product" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
</div>
<input type="hidden" tabindex="13" value="1" id="qty" name="qty" min="1" max="50" class="form-control" data-bv-field="qty">
<div class="col-lg-6">
<div class="form-group">
<label>Product Unit Rate</label>
<div class="input-icon">
<i class="fa fa-square"></i>
<input type="text" readonly="readonly" value="0" id="rate" name="rate" class="form-control">
</div>
</div>
</div>
<div class="col-lg-6">
<div class="form-group">
<label>Total</label>
<div class="input-icon">
<i class="fa fa-bars"></i>
<input type="text" id="total" data-threeds="amount" name="total" readonly="readonly" value="0" class="form-control">
</div>
</div>
</div>
</div>
<div class="payment">
<div class="row">
<div class="col-lg-12">
<ol class="breadcrumb">
<li>
<h3><i class="fa fa-credit-card"></i> Payment Details <img src="pay.png" width="120px;" style="position: absolute; right: 15px;"></h3>
</li>
</ol>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="form-group">
<div class="input-icon">
<i class="fa fa-address-card"></i>
<input type="text" class="form-control" tabindex="14" data-threeds="pan" name="cardno" id="cardno" required="" placeholder="Card No." data-bv-field="cardno">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="cardno" data-bv-result="NOT_VALIDATED" style="display: none;">The customer card number has to be 14-16 digits</small><small class="help-block"
data-bv-validator="notEmpty" data-bv-for="cardno" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your Card Number</small><small class="help-block" data-bv-validator="integer" data-bv-for="cardno"
data-bv-result="NOT_VALIDATED" style="display: none;">The value is not an integer</small>
</div>
</div>
<div class="col-lg-4 col-xs-7">
<div class="form-group">
<label>Card Expiry *</label>
<div class="input-icon">
<i class="fa fa-calendar"></i>
<br>
<select name="expirymonth" class="form-control" data-threeds="month" id="expirymonth" tabindex="15" style="width:100%;height:32px;" required="" data-bv-field="expirymonth">
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="expirymonth" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
</div>
<div class="col-lg-4 col-xs-5">
<div class="form-group">
<label> </label>
<select name="expiryyear" class="form-control" data-threeds="year" id="expiryyear" tabindex="16" style="width:100%; height:32px; " required="" data-bv-field="expiryyear">
<option value="22">2022</option>
<option value="23">2023</option>
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
<option value="33">2033</option>
<option value="34">2034</option>
<option value="35">2035</option>
<option value="36">2036</option>
<option value="37">2037</option>
<option value="38">2038</option>
<option value="39">2039</option>
<option value="40">2040</option>
<option value="41">2041</option>
<option value="42">2042</option>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="expiryyear" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
</div>
<div class="col-lg-4 col-xs-12">
<div class="form-group">
<label data-toggle="modal" data-target="#smallModal">CVV</label>
<div class="input-icon">
<i class="fa fa-ticket"></i>
<input type="password" name="cvv" tabindex="17" id="cvv" class="form-control" required="" data-bv-field="cvv">
</div>
<small class="help-block" data-bv-validator="stringLength" data-bv-for="cvv" data-bv-result="NOT_VALIDATED" style="display: none;">The card Security number has to be 3 or 4 digits</small><small class="help-block"
data-bv-validator="notEmpty" data-bv-for="cvv" data-bv-result="NOT_VALIDATED" style="display: none;">Please supply your card Security number</small>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="form-group">
<label>Description</label>
<textarea class="form-control" name="des" tabindex="18" id="des" required="" data-bv-field="des"></textarea>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="des" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value</small>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="checkbox">
<label><input id="mycheck" checked="checked" value="1" type="checkbox" name="remember"> I have read and agree to the website Terms & conditions.</label>
</div>
</div>
<div class="col-lg-12">
<div class="form-group" style="text-align: right; margin-top: 10px;">
<button type="submit" class="submit_btn" style=" background-image: none;background-color: #d82e2e; border-color: #ff4444; font-weight: 700; width: 100%;" tabindex="19" id="submit">Place Order</button>
</div>
</div>
</div>
</div>
<small class="help-block" data-bv-validator="greaterThan" data-bv-for="qty" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value greater than or equal to %s</small><small class="help-block" data-bv-validator="lessThan"
data-bv-for="qty" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a value less than or equal to %s</small>
</div>
</div>
</form>Text Content
× Close × Close Secure Transaction × SSL SECURITY SSL (Secure Sockets Layer) is the standard security technology for establishing an encrypted link between a web server and a browser. This link ensures that all data passed between the web server and browsers remain private and integral. SSL is an industry standard and is used by millions of websites in the protection of their online transactions with their customers. 1. BILLING DETAILS Please enter a value with valid lengthPlease supply your first name your phone number has to be 10 digitsPlease supply your phone numberPlease supply a vaild phone numberThe value is not an integer Please enter a value Billing Country United States United Kingdom Canada Please enter a value Please enter a value with valid lengthPlease supply your city Please enter a value with valid lengthPlease supply your last name Please supply your email addressPlease supply a valid email address Billing State Please select your state Please supply your zip code Shipping information is same as Billing information 1. SHIPPING DETAILS Shipping Country United States United Kingdom Canada Please enter a valid email address Shipping State 1. PRODUCT DETAILS Choose Product Quick Membership $29.99Quick Support 49.99Easy Problem 99.99Remote Tech Support 149.99Hard Problem 199.99Starter Plan 249.99Quick Fix 299.99Bronze Plan 1 319.99Bronze Plan 2 349.99Bronze Plus Plan 399.99Silver Plan 1 449.99Silver Plan 2 499.99 Please enter a value Product Unit Rate Total 1. PAYMENT DETAILS The customer card number has to be 14-16 digitsPlease supply your Card NumberThe value is not an integer Card Expiry * January February March April May June July August September October November December Please enter a value 202220232024202520262027202820292030203120322033203420352036203720382039204020412042 Please enter a value CVV The card Security number has to be 3 or 4 digitsPlease supply your card Security number Description Please enter a value I have read and agree to the website Terms & conditions. Place Order Please enter a value greater than or equal to %sPlease enter a value less than or equal to %s Powered By Managed By Secured By