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861427.extforms.netsuite.com Open in urlscan Pro
2.19.96.41  Public Scan

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URL: https://861427.extforms.netsuite.com/app/site/hosting/scriptlet.nl?script=customscript_exo_pay_invoice&deploy=customdeploy_exo_pay_in...
Submission: On February 27 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <div class="row">
    <div class="col-md-6 mb-3">
      <label for="invoice">Invoice number</label>
      <input class="form-control" type="text" id="invoice" name="invoice" placeholder="INV123" pattern="\s*(inv|INV)[0-9]+\s*" required="">
    </div>
    <div class="col-md-6 mb-3">
      <label for="amount">Original Amount</label>
      <input class="form-control" type="text" id="amount" name="amount" placeholder="$100.00" pattern="\s*\$?[0-9,]+(\.[0-9][0-9])?\s*" required="">
    </div>
  </div>
  <input type="hidden" name="compid" value="861427">
  <input type="hidden" name="h" value="1a2a86cde29bf99abf6e">
  <input type="hidden" name="script" value="customscript_exo_pay_invoice">
  <input type="hidden" name="deploy" value="customdeploy_exo_pay_invoice">
  <button class="btn btn-primary btn-lg btn-block" type="submit">Lookup Invoice</button>
</form>

Text Content

Invoice number
Original Amount
Lookup Invoice