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Submitted URL: https://t.sidekickopen54.com/s3t/c/5/f18dQhb0V1-gmb8c7YDDW1M6vxk59hl3kW7_k2841CX6NGN35QwrVs1mg_W1Dhtcm6H4r2Wf197v5Y04?te=W3R5...
Effective URL: https://www.convergepay.com/hosted-payments/?ssl_txn_auth_token=bYwEykFFTtazaqpDgnOf%2FAAAAXV1cIj7
Submission: On March 10 via manual from US — Scanned from US
Effective URL: https://www.convergepay.com/hosted-payments/?ssl_txn_auth_token=bYwEykFFTtazaqpDgnOf%2FAAAAXV1cIj7
Submission: On March 10 via manual from US — Scanned from US
Form analysis
2 forms found in the DOMName: pmtMethodCtrl.mtdForm —
<form layout-padding="" name="pmtMethodCtrl.mtdForm" novalidate="" autocomplete="off" class="ng-pristine layout-padding ng-scope ng-invalid ng-invalid-required ng-valid-maxlength">
<div layout="row" layout-align="center center" class="layout-align-center-center layout-row">
<md-card id="id_section_order" class="hp-section flex-sm-80 flex-md-50 flex-lg-35 flex-gt-lg-30 flex _md">
<div layout="row" layout-align="start center" class="hp-section-header layout-align-start-center layout-row" md-colors="{background:'primary-400'}" style="background: rgb(75, 75, 75); color: rgba(0, 0, 0, 0.87);">
<h2 class="hp-section-header-text ng-binding" md-colors="{color:'primary-50'}" style="color: rgb(255, 255, 255);">Payment</h2>
</div>
<div style="margin: 20px 0;">
<!-- ngIf: pmtMethodCtrl.hasUserInput() -->
<div ng-if="pmtMethodCtrl.hasUserInput()" layout="row" layout-align="center center" class="hp-input-prompt ng-scope layout-align-center-center layout-row" translate="">Enter the required information in the fields below.</div>
<!-- end ngIf: pmtMethodCtrl.hasUserInput() -->
<!-- ngIf: pmtMethodCtrl.isServiceFee() -->
<div layout="row" layout-align="center center" class="layout-align-center-center layout-row">
<!-- ngIf: !pmtMethodCtrl.paymentPageData.amountEditable -->
<!-- ngIf: pmtMethodCtrl.paymentPageData.amountEditable -->
<div flex="90" ng-if="pmtMethodCtrl.paymentPageData.amountEditable" layout="row" layout-align="center start" class="ng-scope layout-align-center-start layout-row flex-90">
<label class="flex-50 hp-field-label ng-binding">Amount *</label>
<div class="flex layout-align-start-center layout-row" layout="row" layout-align="start center">
<div class="flex layout-row" layout="row">
<md-input-container md-no-float="" class="hp-input-short md-auto-horizontal-margin md-input-has-placeholder md-input-focused">
<input id="ssl_amount" name="ssl_amount" grv-add-validation="" maxlength="8" ng-model="pmtMethodCtrl.paymentFormData.paymentData['ssl_amount']" aria-label="Enter Amount" placeholder="e.g $1.00" required="" decimal-field=""
class="ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required ng-valid-maxlength" aria-invalid="true" aria-describedby="ssl_amount_message">
<div class="md-errors-spacer"></div><!-- ngIf: pmtMethodCtrl.mtdForm.ssl_amount.$touched || pmtMethodCtrl.mtdForm.ssl_amount.$dirty -->
</md-input-container>
<div style="margin-top:14px;" class="ng-binding"> USD</div>
</div>
</div>
</div><!-- end ngIf: pmtMethodCtrl.paymentPageData.amountEditable -->
</div>
<!-- ngIf: pmtMethodCtrl.isServiceFee() -->
<!-- ngIf: pmtMethodCtrl.isServiceFee() -->
<!-- ngIf: pmtMethodCtrl.isServiceFee() -->
<addtional-order-fields layout="column" class="ng-isolate-scope layout-column"><!-- ngRepeat: field in fields -->
<div layout="column" ng-repeat="field in fields" class="ng-scope layout-column">
<!-- ngIf: isFieldEnabled(field) -->
</div><!-- end ngRepeat: field in fields -->
<div layout="column" ng-repeat="field in fields" class="ng-scope layout-column">
<!-- ngIf: isFieldEnabled(field) -->
</div><!-- end ngRepeat: field in fields -->
<div layout="column" ng-repeat="field in fields" class="ng-scope layout-column">
<!-- ngIf: isFieldEnabled(field) -->
</div><!-- end ngRepeat: field in fields -->
<div layout="column" ng-repeat="field in fields" class="ng-scope layout-column">
<!-- ngIf: isFieldEnabled(field) -->
</div><!-- end ngRepeat: field in fields -->
<div layout="column" ng-repeat="field in fields" class="ng-scope layout-column">
<!-- ngIf: isFieldEnabled(field) -->
</div><!-- end ngRepeat: field in fields -->
</addtional-order-fields>
</div>
</md-card>
</div>
<hp-rich-text id="id_descriptive" rich-text="pmtMethodCtrl.setting.form.descriptive" class="ng-isolate-scope">
<div layout="row" layout-align="center center" class="layout-row layout-align-center-center" style="font-family:arial; font-size:16px;"><i><b>*For debit card use only. Credit cards are not accepted.</b></i></div>
</hp-rich-text>
<div layout="row" layout-align="center center" class="layout-align-center-center layout-row">
<button class="md-raised md-primary hp-button md-button md-ink-ripple" type="button" ng-transclude="" id="id_checkout" ng-disabled="pmtMethodCtrl.mtdForm.$invalid" ng-click="pmtMethodCtrl.gotoPaymentForm()" disabled="disabled">
<div translate="" class="ng-scope ng-binding">Continue</div>
</button>
</div>
<!-- ngIf: pmtMethodCtrl.hasPaymentExtensions -->
</form>
GET https://www.mungo.com/
<form id="paymentReturnFormCancel" action="https://www.mungo.com/" method="get" class="ng-pristine ng-valid">
<!-- ngRepeat: field in fields --><!-- ngIf: postData --><!-- end ngRepeat: field in fields --><!-- ngIf: postData --><!-- end ngRepeat: field in fields -->
</form>
Text Content
Cancel Payment 441 WESTERN LANE IRMO, SC 29063 (803) 749-9000 PAYMENTS@MUNGO.COM PAYMENT Enter the required information in the fields below. Amount * USD *For debit card use only. Credit cards are not accepted. Continue Secure Payment