pay.uviba.com Open in urlscan Pro
2606:4700:3034::6815:145 Public Scan

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Submitted URL:
http://pay.uviba.com/
Effective URL:
https://pay.uviba.com/
Submission: On December 29 via api (December 29th 2022, 3:13:31 am UTC) from US — Scanned from DE

Form analysis
4 forms found in the DOM

<form style="display: none;" class="signInForm">
  <div style="width: 100%;height: 20px;border-bottom: 1px solid #afb7c4;text-align: center;margin-bottom: 13px;">
    <span style="font-size: 17px;background-color: white;padding: 0 10px;color: #afb7c4;position: relative;top: 6px;">or</span>
  </div>
  <div class="server_messagesx"></div>
  <div class="row">
    <div class="label">Email address </div>
    <input autofocus="" style="cursor: text;" name="email" id="newlog_mail" type="text" placeholder="your email or username" required="">
  </div>
  <div class="row">
    <div class="label">Password</div>
    <input style="cursor: text;" name="password" id="newlog_pass" type="password" placeholder="your password" required="">
  </div>
  <input style="
    margin-top: 10px;
" class="common-Button common-Button--default" id="newlog_submit" type="submit" value="Sign in">
</form>

<form class="signUpForm">
  <div style="width: 100%;height: 20px;border-bottom: 1px solid #afb7c4;text-align: center;margin-bottom: 13px;">
    <span style="font-size: 17px;background-color: white;padding: 0 10px;color: #afb7c4;position: relative;top: 6px;">or</span>
  </div>
  <div class="server_messagesx"></div>
  <div class="row">
    <div class="label">Full name</div>
    <input style="cursor: text;" name="fullname" id="new_fullname" type="text" placeholder="Alex Smith" required="">
  </div>
  <div class="row">
    <div class="label">Email address</div>
    <input style="cursor: text;" name="email" id="new_email" type="text" placeholder="jane.diaz@email.com" required="">
  </div>
  <div class="row">
    <div class="label">Password <div tabindex="-1" duty="show" onclick="
event.preventDefault();event.stopPropagation();
var duty = $(this).attr('duty');
var new_type;
if(duty=='hide'){
	$(this).attr('duty','show');
	$(this).html('Show');
	new_type='password';
	
}else if(duty=='show'){
	$(this).attr('duty','hide');
	$(this).html('Hide');
	new_type='text';
}
var input_elem = $('#new_password');
input_elem.after('<input type=\''+new_type+'\' id=\''+input_elem.attr('id')+'\' name=\''+input_elem.attr('name')+'\' value=\''+safe(input_elem.val())+'\' style=\''+input_elem.attr('style')+'\' class=\''+input_elem.attr('class')+'\' placeholder=\''+input_elem.attr('placeholder')+'\' />');
input_elem.remove(); trackx('password_show_click');
	" class="bluef nbutton0 deepclick" style="
    border: 1px solid #ccc;
    background: #f6f7f9;
    border-radius: 2px;
    padding: 2px 5px;
    border-radius: 0px;
    box-sizing: content-box;
    font-size: 12px;
    -webkit-font-smoothing: antialiased;
    font-weight: bold;
    padding: 4px 8px;
    position: relative;
    text-align: center;
    text-shadow: none;
    vertical-align: middle;
    transition: 200ms cubic-bezier(.08,.52,.52,1) background-color, 200ms cubic-bezier(.08,.52,.52,1) box-shadow, 200ms cubic-bezier(.08,.52,.52,1) transform;
    color: #4b4f56;
    margin-right: 7px;cursor: pointer;display: inline;
">Show</div>
    </div>
    <input style="cursor: text;" name="password" id="new_password" type="password" placeholder="new password" required="">
  </div>
  <div style="
    font-size: 12px;
    margin: 6px 0px;
    color: #152646;
">By creating a new account you agree to our <a target="_blank" onclick="trackx('modal_clicked_privacylink');" class="common-Link" href="https://www.uviba.com/privacy">Privacy Policies</a>,
    <a target="_blank" onclick="trackx('modal_clicked_refundpolicylink');" class="common-Link" href="https://www.uviba.com/refund">Refund Policy</a>,
    <a target="_blank" onclick="trackx('modal_clicked_refundlink');" class="common-Link" href="https://www.uviba.com/disclaimer">Disclaimer Statement</a> &amp;
    <a target="_blank" onclick="trackx('modal_clicked_termslink');" class="common-Link" href="https://www.uviba.com/terms">Terms &amp; Conditions</a></div>
  <input onclick="trackx('create_account_clicked');" class="common-Button common-Button--default" id="newreg_submit" type="submit" style="
    margin-top: 10px;
" value="Create An Account">
</form>

<form role="form" data-form_num="1">
  <h4>Confirm your order</h4> ... <div class="form-group mb-3">
    <label>Total:</label>
    <div style="font-size: 20px; font-weight: 500">10.00 USD</div>
  </div>
  <div class="text-center">
    <div class="uviPay-button mt-4" data-amount="1000" data-email="test@harvard.edu" data-public_key="pk_test_092896ddb928834ac61b69ba2f2585c5" data-description="Donate to Harvard" data-name="Harvard"
      data-image="https://www.harvard.edu/sites/default/files/user13/harvard_shield_wreath.png" data-submit-ajax="1" rendered="1" data-form_num="1" style="display: none;"></div><button onclick="uviPay_openPaymentModal(1);event.preventDefault();"
      class="uviPay-Paybutton uviPay-button mt-4" data-form_num="1"><span>Pay by Card<img src="https://www.uviba.com/favicon-16x16.png" style="    border-radius: 100%;    position: absolute;    top: 12px;    left: 11px;display:none;"><img
          src="https://www.uviba.com/favicon-16x16.png" style="    border-radius: 100%;    position: absolute;    top: 12px;    right: 11px;display:none;"></span></button>
  </div>
</form>

POST https://formspree.io/support@uviba.com

<form role="form" action="https://formspree.io/support@uviba.com" method="POST">
  <div style="
    width: 100%;
">
    <label style="width: 100%;" class="form-control-label">Your first name <input type="text" name="first" class="form-control bluef_text uvipay_input" placeholder="John">
    </label>
    <label style="width: 100%;" class="form-control-label">Your last name <input type="text" name="last" class="form-control bluef_text uvipay_input" placeholder="Smith">
    </label>
    <label style="width: 100%;" class="form-control-label">Your work email <input type="email" name="_replyto" class="form-control bluef_text uvipay_input" placeholder="john.smith@example.com">
    </label>
    <label style="width: 100%;" class="form-control-label">Company website <input type="text" name="website" class="form-control bluef_text uvipay_input" placeholder="https://example.com">
    </label>
    <label style="width: 100%;" class="form-control-label">Country <select name="country_code" style="
    background: white;
    padding: 5px;
    border-radius: 2px;
    cursor: pointer;
" class="uvipay_input bluef_text">
        <option value="AF">Afghanistan</option>
        <option value="AX">Åland Islands</option>
        <option value="AL">Albania</option>
        <option value="DZ">Algeria</option>
        <option value="AS">American Samoa</option>
        <option value="AD">Andorra</option>
        <option value="AO">Angola</option>
        <option value="AI">Anguilla</option>
        <option value="AQ">Antarctica</option>
        <option value="AG">Antigua and Barbuda</option>
        <option value="AR">Argentina</option>
        <option value="AM">Armenia</option>
        <option value="AW">Aruba</option>
        <option value="AU">Australia</option>
        <option value="AT">Austria</option>
        <option value="AZ">Azerbaijan</option>
        <option value="BS">Bahamas</option>
        <option value="BH">Bahrain</option>
        <option value="BD">Bangladesh</option>
        <option value="BB">Barbados</option>
        <option value="BY">Belarus</option>
        <option value="BE">Belgium</option>
        <option value="BZ">Belize</option>
        <option value="BJ">Benin</option>
        <option value="BM">Bermuda</option>
        <option value="BT">Bhutan</option>
        <option value="BO">Bolivia, Plurinational State of</option>
        <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
        <option value="BA">Bosnia and Herzegovina</option>
        <option value="BW">Botswana</option>
        <option value="BV">Bouvet Island</option>
        <option value="BR">Brazil</option>
        <option value="IO">British Indian Ocean Territory</option>
        <option value="BN">Brunei Darussalam</option>
        <option value="BG">Bulgaria</option>
        <option value="BF">Burkina Faso</option>
        <option value="BI">Burundi</option>
        <option value="KH">Cambodia</option>
        <option value="CM">Cameroon</option>
        <option value="CA">Canada</option>
        <option value="CV">Cape Verde</option>
        <option value="KY">Cayman Islands</option>
        <option value="CF">Central African Republic</option>
        <option value="TD">Chad</option>
        <option value="CL">Chile</option>
        <option value="CN">China</option>
        <option value="CX">Christmas Island</option>
        <option value="CC">Cocos (Keeling) Islands</option>
        <option value="CO">Colombia</option>
        <option value="KM">Comoros</option>
        <option value="CG">Congo</option>
        <option value="CD">Congo, the Democratic Republic of the</option>
        <option value="CK">Cook Islands</option>
        <option value="CR">Costa Rica</option>
        <option value="CI">Côte d'Ivoire</option>
        <option value="HR">Croatia</option>
        <option value="CU">Cuba</option>
        <option value="CW">Curaçao</option>
        <option value="CY">Cyprus</option>
        <option value="CZ">Czech Republic</option>
        <option value="DK">Denmark</option>
        <option value="DJ">Djibouti</option>
        <option value="DM">Dominica</option>
        <option value="DO">Dominican Republic</option>
        <option value="EC">Ecuador</option>
        <option value="EG">Egypt</option>
        <option value="SV">El Salvador</option>
        <option value="GQ">Equatorial Guinea</option>
        <option value="ER">Eritrea</option>
        <option value="EE">Estonia</option>
        <option value="ET">Ethiopia</option>
        <option value="FK">Falkland Islands (Malvinas)</option>
        <option value="FO">Faroe Islands</option>
        <option value="FJ">Fiji</option>
        <option value="FI">Finland</option>
        <option value="FR">France</option>
        <option value="GF">French Guiana</option>
        <option value="PF">French Polynesia</option>
        <option value="TF">French Southern Territories</option>
        <option value="GA">Gabon</option>
        <option value="GM">Gambia</option>
        <option value="GE">Georgia</option>
        <option value="DE">Germany</option>
        <option value="GH">Ghana</option>
        <option value="GI">Gibraltar</option>
        <option value="GR">Greece</option>
        <option value="GL">Greenland</option>
        <option value="GD">Grenada</option>
        <option value="GP">Guadeloupe</option>
        <option value="GU">Guam</option>
        <option value="GT">Guatemala</option>
        <option value="GG">Guernsey</option>
        <option value="GN">Guinea</option>
        <option value="GW">Guinea-Bissau</option>
        <option value="GY">Guyana</option>
        <option value="HT">Haiti</option>
        <option value="HM">Heard Island and McDonald Islands</option>
        <option value="VA">Holy See (Vatican City State)</option>
        <option value="HN">Honduras</option>
        <option value="HK">Hong Kong</option>
        <option value="HU">Hungary</option>
        <option value="IS">Iceland</option>
        <option value="IN">India</option>
        <option value="ID">Indonesia</option>
        <option value="IR">Iran, Islamic Republic of</option>
        <option value="IQ">Iraq</option>
        <option value="IE">Ireland</option>
        <option value="IM">Isle of Man</option>
        <option value="IL">Israel</option>
        <option value="IT">Italy</option>
        <option value="JM">Jamaica</option>
        <option value="JP">Japan</option>
        <option value="JE">Jersey</option>
        <option value="JO">Jordan</option>
        <option value="KZ">Kazakhstan</option>
        <option value="KE">Kenya</option>
        <option value="KI">Kiribati</option>
        <option value="KP">Korea, Democratic People's Republic of</option>
        <option value="KR">Korea, Republic of</option>
        <option value="KW">Kuwait</option>
        <option value="KG">Kyrgyzstan</option>
        <option value="LA">Lao People's Democratic Republic</option>
        <option value="LV">Latvia</option>
        <option value="LB">Lebanon</option>
        <option value="LS">Lesotho</option>
        <option value="LR">Liberia</option>
        <option value="LY">Libya</option>
        <option value="LI">Liechtenstein</option>
        <option value="LT">Lithuania</option>
        <option value="LU">Luxembourg</option>
        <option value="MO">Macao</option>
        <option value="MK">Macedonia, the former Yugoslav Republic of</option>
        <option value="MG">Madagascar</option>
        <option value="MW">Malawi</option>
        <option value="MY">Malaysia</option>
        <option value="MV">Maldives</option>
        <option value="ML">Mali</option>
        <option value="MT">Malta</option>
        <option value="MH">Marshall Islands</option>
        <option value="MQ">Martinique</option>
        <option value="MR">Mauritania</option>
        <option value="MU">Mauritius</option>
        <option value="YT">Mayotte</option>
        <option value="MX">Mexico</option>
        <option value="FM">Micronesia, Federated States of</option>
        <option value="MD">Moldova, Republic of</option>
        <option value="MC">Monaco</option>
        <option value="MN">Mongolia</option>
        <option value="ME">Montenegro</option>
        <option value="MS">Montserrat</option>
        <option value="MA">Morocco</option>
        <option value="MZ">Mozambique</option>
        <option value="MM">Myanmar</option>
        <option value="NA">Namibia</option>
        <option value="NR">Nauru</option>
        <option value="NP">Nepal</option>
        <option value="NL">Netherlands</option>
        <option value="NC">New Caledonia</option>
        <option value="NZ">New Zealand</option>
        <option value="NI">Nicaragua</option>
        <option value="NE">Niger</option>
        <option value="NG">Nigeria</option>
        <option value="NU">Niue</option>
        <option value="NF">Norfolk Island</option>
        <option value="MP">Northern Mariana Islands</option>
        <option value="NO">Norway</option>
        <option value="OM">Oman</option>
        <option value="PK">Pakistan</option>
        <option value="PW">Palau</option>
        <option value="PS">Palestinian Territory, Occupied</option>
        <option value="PA">Panama</option>
        <option value="PG">Papua New Guinea</option>
        <option value="PY">Paraguay</option>
        <option value="PE">Peru</option>
        <option value="PH">Philippines</option>
        <option value="PN">Pitcairn</option>
        <option value="PL">Poland</option>
        <option value="PT">Portugal</option>
        <option value="PR">Puerto Rico</option>
        <option value="QA">Qatar</option>
        <option value="RE">Réunion</option>
        <option value="RO">Romania</option>
        <option value="RU">Russian Federation</option>
        <option value="RW">Rwanda</option>
        <option value="BL">Saint Barthélemy</option>
        <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
        <option value="KN">Saint Kitts and Nevis</option>
        <option value="LC">Saint Lucia</option>
        <option value="MF">Saint Martin (French part)</option>
        <option value="PM">Saint Pierre and Miquelon</option>
        <option value="VC">Saint Vincent and the Grenadines</option>
        <option value="WS">Samoa</option>
        <option value="SM">San Marino</option>
        <option value="ST">Sao Tome and Principe</option>
        <option value="SA">Saudi Arabia</option>
        <option value="SN">Senegal</option>
        <option value="RS">Serbia</option>
        <option value="SC">Seychelles</option>
        <option value="SL">Sierra Leone</option>
        <option value="SG">Singapore</option>
        <option value="SX">Sint Maarten (Dutch part)</option>
        <option value="SK">Slovakia</option>
        <option value="SI">Slovenia</option>
        <option value="SB">Solomon Islands</option>
        <option value="SO">Somalia</option>
        <option value="ZA">South Africa</option>
        <option value="GS">South Georgia and the South Sandwich Islands</option>
        <option value="SS">South Sudan</option>
        <option value="ES">Spain</option>
        <option value="LK">Sri Lanka</option>
        <option value="SD">Sudan</option>
        <option value="SR">Suriname</option>
        <option value="SJ">Svalbard and Jan Mayen</option>
        <option value="SZ">Swaziland</option>
        <option value="SE">Sweden</option>
        <option value="CH">Switzerland</option>
        <option value="SY">Syrian Arab Republic</option>
        <option value="TW">Taiwan, Province of China</option>
        <option value="TJ">Tajikistan</option>
        <option value="TZ">Tanzania, United Republic of</option>
        <option value="TH">Thailand</option>
        <option value="TL">Timor-Leste</option>
        <option value="TG">Togo</option>
        <option value="TK">Tokelau</option>
        <option value="TO">Tonga</option>
        <option value="TT">Trinidad and Tobago</option>
        <option value="TN">Tunisia</option>
        <option value="TR">Turkey</option>
        <option value="TM">Turkmenistan</option>
        <option value="TC">Turks and Caicos Islands</option>
        <option value="TV">Tuvalu</option>
        <option value="UG">Uganda</option>
        <option value="UA">Ukraine</option>
        <option value="AE">United Arab Emirates</option>
        <option value="GB">United Kingdom</option>
        <option selected="true" value="US">United States</option>
        <option value="UM">United States Minor Outlying Islands</option>
        <option value="UY">Uruguay</option>
        <option value="UZ">Uzbekistan</option>
        <option value="VU">Vanuatu</option>
        <option value="VE">Venezuela, Bolivarian Republic of</option>
        <option value="VN">Viet Nam</option>
        <option value="VG">Virgin Islands, British</option>
        <option value="VI">Virgin Islands, U.S.</option>
        <option value="WF">Wallis and Futuna</option>
        <option value="EH">Western Sahara</option>
        <option value="YE">Yemen</option>
        <option value="ZM">Zambia</option>
        <option value="ZW">Zimbabwe</option>
      </select>
    </label>
    <label style="width: 100%;" class="form-control-label">Select a monthly amount <select name="monthly_amount" style="
    background: white;
    padding: 5px;
    border-radius: 2px;
    cursor: pointer;
" class="uvipay_input bluef_text">
        <option selected="" disabled="" value="">Select a monthly amount</option>
        <option value="{&quot;tier&quot;:&quot;none&quot;,&quot;text&quot;:&quot;None, just getting started&quot;,&quot;lower_bound&quot;:0}"> None, just getting started </option>
        <option value="{&quot;index&quot;:0,&quot;total&quot;:5,&quot;text&quot;:&quot;Less than $50,000&quot;,&quot;lower_bound&quot;:0}">Less than $50,000</option>
        <option value="{&quot;index&quot;:1,&quot;total&quot;:5,&quot;text&quot;:&quot;$50,000 to $100,000&quot;,&quot;lower_bound&quot;:5000000}">$50,000 to $100,000</option>
        <option value="{&quot;index&quot;:2,&quot;total&quot;:5,&quot;text&quot;:&quot;$100,000 to $1,000,000&quot;,&quot;lower_bound&quot;:10000000}">$100,000 to $1,000,000</option>
        <option value="{&quot;index&quot;:3,&quot;total&quot;:5,&quot;text&quot;:&quot;$1,000,000 to $10,000,000&quot;,&quot;lower_bound&quot;:100000000}">$1,000,000 to $10,000,000</option>
        <option value="{&quot;index&quot;:4,&quot;total&quot;:5,&quot;text&quot;:&quot;More than $10,000,000&quot;,&quot;lower_bound&quot;:1000000000}">More than $10,000,000</option>
      </select>
    </label>
    <label style="width: 100%;" class="form-control-label">Your message <textarea name="message" class="form-control bluef_text uvipay_input" placeholder="Message"></textarea>
    </label>
  </div>
  <div class="text-center">
    <button onclick="
var  myform = $(this).closest('form');
success_form(myform);
" type="button" class="btn btn-primary my-4">Send Message</button>
  </div>
</form>

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CONTACT FORM

Your first name Your last name Your work email Company website Country
Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla
Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria
Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin
Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon
Canada Cape Verde Cayman Islands Central African Republic Chad Chile China
Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the
Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba
Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French
Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana
Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea
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