www.paymentuk.bilyanagolf.com Open in urlscan Pro
78.129.165.211  Public Scan

Form analysis
1 forms found in the DOM

Name: CCGir — POST https://payments.securetrading.net/process/payments/choice

<form id="CCGir" name="CCGir" action="https://payments.securetrading.net/process/payments/choice" method="post">
  <fieldset style="border: 0px solid #eee;">
    <label>Title</label>
    <select id="billingprefixname" name="billingprefixname" class="large-input" onfocus="satirBoya(1)">
      <option value="">Select</option>
      <option value="Mr">Mr</option>
      <option value="Mrs">Mrs</option>
      <option value="Miss">Miss</option>
      <option value="Dr">Dr</option>
      <option value="Ms">Ms</option>
      <option value="Prof">Prof</option>
      <option value="Rev">Rev</option>
    </select>
    <label>Name</label>
    <input value="" type="text" id="billingfirstname" name="billingfirstname" class="text-input large-input validate[required,length[0,100]]" onfocus="satirBoya(2)">
    <label>Surname</label>
    <input value="" type="text" id="billinglastname" name="billinglastname" class="text-input large-input validate[required,length[0,100]]" onfocus="satirBoya(3)">
    <label>Address</label>
    <input value="" type="text" id="billingpremise" name="billingpremise" class="text-input large-input validate[optinal,length[0,100]]" onfocus="satirBoya(4)">
    <label>E-mail</label>
    <input value="" type="text" id="billingemail" name="billingemail" class="text-input large-input validate[required,custom[email]]" onfocus="satirBoya(5)">
    <label>Booking Reference</label>
    <input value="" type="text" id="orderreference" name="orderreference" class="text-input medium-input validate[required,length[0,20]]" onfocus="satirBoya(6)"> (on your confirmation email) <!--
                                    <label style="background-color: red;font-size:14px;">Payment</label>
                                    <input type="text" id="booking_payment" name="booking_payment" class="auto text-input medium-input validate[required,length[0,12]]" style="text-align: right;" onfocus="satirBoya(7)" value="0" onfocus="sec('booking_payment')" />
									-->
    <br>
    <label style="background-color: red;font-size:14px;">PAYMENT TYPE </label>
    <select id="card_tur" name="card_tur" class="large-input validate[required] select" onfocus="satirBoya(7)">
      <option value="CreditCard" selected="">Credit Card</option>
      <option value="Debit">Debit Card</option>
    </select>
    <!--
                                    <div style="padding:8px;display:inline-block;background-color: red;font-size:14px;width:200px;">
                                    <input type="radio" id="card_tur1" name="card_tur1" value="CreditCard" class="validate[required] radio" onfocus="satirBoya(7)" checked="" /> Credit Card
                                    <input type="radio" id="card_tur1" name="card_tur1" value="Debit" class="validate[required] radio" onfocus="satirBoya(8)"/> Debit Card
                                    </div>
                                    -->
    <br>
    <!--
                                    <label style="background-color: red;font-size:14px;">2% Bank Comission</label>
                                    <input value="" type="text" id="booking_card_fees" name="booking_card_fees" class="auto text-input medium-input" style="text-align: right;"  value="0" onfocus="satirBoya(9)" readonly disabled="disabled"/> Only Credit Card
                                    -->
    <label style="background-color: red;font-size:14px;">Total Amount</label>
    <input value="" type="text" id="mainamount" name="mainamount" class="auto text-input medium-input" style="text-align: right;" onfocus="satirBoya(8)" maxlength="6" autocomplete="off">&nbsp;GBP(£) <br>
    <label>Payment Terms</label>
    <input type="checkbox" id="pay_term" name="pay_term" class="validate[required] checkbox">&nbsp;I accept the <a href="#" id="TC">Terms and Conditions</a>
    <label>Online Sales Information</label>
    <input type="checkbox" id="osi_term" name="osi_term" class="validate[required] checkbox">&nbsp;I accept the <a href="#" id="OSI">Online Sales Information</a>
    <input type="hidden" name="version" id="version" value="1">
    <input type="hidden" name="sitereference" id="sitereference" value="bilyanagolf49495">
    <input type="hidden" name="currencyiso3a" id="currencyiso3a" value="GBP">
    <input type="hidden" name="booking_card_fees" id="booking_card_fees" value="0" class="auto text-input medium-input" style="text-align: right;" onfocus="satirBoya(9)" readonly="" disabled="disabled" maxlength="6" autocomplete="off">
    <div align="center">
      <button id="PayNowCC" type="submit" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false"><span class="ui-button-text">Continue</span></button>&nbsp;
      <a href="#" id="promptClose" onclick="$.validationEngine.closePrompt('.formError',true)" style="display: none;">[ Close all Prompt ]</a>
    </div>
  </fieldset>
</form>

Text Content

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Title Select Mr Mrs Miss Dr Ms Prof Rev Name Surname Address E-mail Booking
Reference (on your confirmation email)
PAYMENT TYPE Credit Card Debit Card
Total Amount  GBP(£)
Payment Terms  I accept the Terms and Conditions Online Sales Information  I
accept the Online Sales Information
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