cloudtally.tallycloud.net Open in urlscan Pro
2606:4700:3037::6815:178  Public Scan

URL: https://cloudtally.tallycloud.net/
Submission: On April 25 via api from US — Scanned from DE

Form analysis 15 forms found in the DOM

POST mail-form.php

<form class="login-signup-form" id="myForm" method="POST" action="mail-form.php" siq_id="autopick_7965">
  <input type="hidden" name="gclid" value="">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" id="fname" name="fname" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" id="email" name="email" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" id="phone" name="phone" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-location-pin"></span>
      </div>
      <input type="text" class="form-control" id="city" name="city" placeholder="City" required="">
    </div>
  </div>
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <a href="#" id="btn_sbmt" onclick="btn_change()" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3">Submit Now</a>
  <button id="btn_load" style="display:none;" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3">
    <i style="font-size: 26px;" class="fa fa-spinner fa-spin"></i>
  </button>
  <!--<button type="button" onclick="btn_change();" name="submit" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit">
                                        Submit Now
                                    </button>-->
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_9616">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <!--<table class="table table-bordered table-striped table-responsive-stack" id="tableOne">-->
      <table class="Table table table-bordered table-striped " id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th scope="col">No of users</th>
            <th scope="col">Price</th>
            <th scope="col">GST 18%</th>
            <th scope="col">Mode of payment</th>
            <th scope="col">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td data-label="No of users"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users4" name="users4" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select4(this.value),calculation4(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td data-label="Price"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price4" name="price4" value="2100" readonly="">
            </td>
            <td data-label="GST 18%"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst4" name="gst4" value="378" readonly="">
            </td>
            <td data-label="Mode of payment"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode4" onchange="mode_data4(this.value)" name="mode4">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!--<option value="2">Monthly</option>  -->
              </select>
              <br>
            </td>
            <td data-label="Total Payable Amount"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total4" name="total4" value="2478" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select4(mode) {
      /* if(mode=='1'){
           $("#mode4").val(2);
           $("#price4").val(175);
           $("#gst4").val(31.5); 
           $("#total4").val(206.5);
       }*/
    }

    function calculation4(user) {
      var price = $("#price4").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst4").val(gst);
      $("#total4").val(final);
    }

    function mode_data4(mode) {
      var user = $("#users4").val();
      /*if(user=='1'){
          $("#mode4").val(2); 
      }else{ }*/
      if (mode == '2') {
        $("#price4").val(175);
        var price = $("#price4").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst4").val(gst);
        $("#total4").val(final);
      } else {
        $("#mode4").val(1);
        $("#price4").val(2100);
        var price = $("#price4").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst4").val(gst);
        $("#total4").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname4" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email4" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone4" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company4" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" style="text-transform:uppercase" class="form-control" name="gst_no4" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address4" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin4" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <!--<div class="form-group">
                    <div class="input-group input-group-merge">
                        <div class="input-icon">
                            <span class=""></span>
                        </div>
                        <select style="width: 100px;" class="form-control" required name="country4">
                                <option value="">-Select Country-</option>
                                                         <option value="AF">Afghanistan</option>    
                                                       <option value="AX">Aland 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</option>    
                                                       <option value="BA">Bosnia And Herzegovina</option>    
                                                       <option value="BW">Botswana</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="IC">Canary Islands</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, Democratic Republic</option>    
                                                       <option value="CK">Cook Islands</option>    
                                                       <option value="CR">Costa Rica</option>    
                                                       <option value="CI">Cote D'Ivoire</option>    
                                                       <option value="HR">Croatia</option>    
                                                       <option value="CU">Cuba</option>    
                                                       <option value="CW">Curacao</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 &amp; 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="KR">Korea</option>    
                                                       <option value="XK">Kosovo</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">Libyan Arab Jamahiriya</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</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</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="AN">Netherlands Antilles</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">Palestine, State of</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">Reunion</option>    
                                                       <option value="RO">Romania</option>    
                                                       <option value="RU">Russian Federation</option>    
                                                       <option value="RW">Rwanda</option>    
                                                       <option value="BL">Saint Barthelemy</option>    
                                                       <option value="SH">Saint Helena</option>    
                                                       <option value="KN">Saint Kitts And Nevis</option>    
                                                       <option value="LC">Saint Lucia</option>    
                                                       <option value="MF">Saint Martin</option>    
                                                       <option value="PM">Saint Pierre And Miquelon</option>    
                                                       <option value="VC">Saint Vincent And 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="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 Sandwich Isl.</option>    
                                                       <option value="ES">Spain</option>    
                                                       <option value="LK">Sri Lanka</option>    
                                                       <option value="SD">Sudan</option>    
                                                       <option value="SS">South 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</option>    
                                                       <option value="TJ">Tajikistan</option>    
                                                       <option value="TZ">Tanzania</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 value="US">United States</option>    
                                                       <option value="UM">United States Outlying Islands</option>    
                                                       <option value="UY">Uruguay</option>    
                                                       <option value="UZ">Uzbekistan</option>    
                                                       <option value="VU">Vanuatu</option>    
                                                       <option value="VE">Venezuela</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>
                        
                    </div>
                </div>-->
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state4">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city4" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type4" value="4">
  <input type="hidden" class="form-control" name="server_ip4" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit4" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_1824">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users2" name="users2" value="10" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" onblur="mode_select2(this.value),calculation2(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price2" name="price2" value="24999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst2" name="gst2" value="4499.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode2" onchange="mode_data2(this.value)" name="mode2">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total2" name="total2" value="29498.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select2(mode) {
      if (parseInt(mode) < parseInt(10)) {
        alert("Users Not Allowed Less Than 10");
        $("#users2").val(10);
        $("#mode2").val(1);
      }
    }

    function calculation2(user) {
      var mode = $("#mode2").val();
      if (parseInt(user) > parseInt(10)) {
        if (mode == '2') {
          var users = parseInt(user) - parseInt(10);
          var base_price = parseInt(299) * parseFloat(users);
          var price = $("#price2").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        } else {
          var users = parseInt(user) - parseInt(10);
          var base_price = parseInt(2999) * parseFloat(users);
          var price = $("#price2").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        }
      } else {
        $("#price2").val(24999);
        var price = $("#price2").val();
        var gst = ((price * 18) / 100).toFixed(2);
        var final = (parseFloat(gst) + parseFloat(price)).toFixed(2);
        $("#mode2").val(1);
        $("#gst2").val(gst);
        $("#total2").val(final);
      }
    }

    function mode_data2(mode) {
      var user = $("#users2").val();
      if (parseInt(user) > parseInt(10)) {
        if (mode == '2') {
          var users = parseInt(user) - parseInt(10);
          var base_price = parseInt(299) * parseFloat(users);
          $("#price2").val(2499);
          var price = $("#price2").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        } else {
          var users = parseInt(user) - parseInt(10);
          var base_price = parseInt(2999) * parseFloat(users);
          $("#price2").val(24999);
          var price = $("#price2").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        }
      } else {
        if (mode == '2') {
          $("#price2").val(2499);
          var price = $("#price2").val();
          var gst = ((price * 18) / 100).toFixed(2);
          var final = (parseFloat(price) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        } else {
          $("#price2").val(24999);
          var price = $("#price2").val();
          var gst = ((price * 18) / 100).toFixed(2);
          var final = (parseFloat(price) + parseFloat(gst)).toFixed(2);
          $("#gst2").val(gst);
          $("#total2").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname2" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email2" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone2" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company2" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no2" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address2" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin2" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state2">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city2" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type2" value="3">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit2" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_4939">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users1" name="users1" value="5" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" onblur="mode_select1(this.value),calculation1(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price1" name="price1" value="13999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst1" name="gst1" value="2519.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode1" onchange="mode_data1(this.value)" name="mode1">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total1" name="total1" value="16518.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select1(mode) {
      if (parseInt(mode) < parseInt(5)) {
        alert("Users Not Allowed Less Than 5");
        $("#users1").val(5);
        $("#mode1").val(1);
      }
    }

    function calculation1(user) {
      var mode = $("#mode1").val();
      if (parseInt(user) > parseInt(5)) {
        if (mode == '2') {
          var users = parseInt(user) - parseInt(5);
          var base_price = parseInt(299) * parseFloat(users);
          var price = $("#price1").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        } else {
          var users = parseInt(user) - parseInt(5);
          var base_price = parseInt(2999) * parseFloat(users);
          var price = $("#price1").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        }
      } else {
        $("#price1").val(13999);
        var price = $("#price1").val();
        var gst = ((price * 18) / 100).toFixed(2);
        var final = (parseFloat(gst) + parseFloat(price)).toFixed(2);
        $("#mode1").val(1);
        $("#gst1").val(gst);
        $("#total1").val(final);
      }
    }

    function mode_data1(mode) {
      var user = $("#users1").val();
      if (parseInt(user) > parseInt(5)) {
        if (mode == '2') {
          var users = parseInt(user) - parseInt(5);
          var base_price = parseInt(299) * parseFloat(users);
          $("#price1").val(1399);
          var price = $("#price1").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        } else {
          var users = parseInt(user) - parseInt(5);
          var base_price = parseInt(2999) * parseFloat(users);
          $("#price1").val(13999);
          var price = $("#price1").val();
          var tot = parseFloat(base_price) + parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        }
      } else {
        if (mode == '2') {
          $("#price1").val(1399);
          var price = $("#price1").val();
          var gst = ((price * 18) / 100).toFixed(2);
          var final = (parseFloat(price) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        } else {
          $("#price1").val(13999);
          var price = $("#price1").val();
          var gst = ((price * 18) / 100).toFixed(2);
          var final = (parseFloat(price) + parseFloat(gst)).toFixed(2);
          $("#gst1").val(gst);
          $("#total1").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname1" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email1" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone1" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company1" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no1" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address1" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin1" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state1">
        <option value="">-Select State-</option>
        <option value="2">ANDAMAN AND NICOBAR ISLANDS</option>
        <option value="4">ANDHRA PRADESH</option>
        <option value="6">ARUNACHAL PRADESH</option>
        <option value="8">ASSAM</option>
        <option value="10">BIHAR</option>
        <option value="12">CHANDIGARH</option>
        <option value="14">CHHATTISGARH</option>
        <option value="16">DADRA AND NAGAR HAVELI</option>
        <option value="18">DAMAN AND DIU</option>
        <option value="20">DELHI</option>
        <option value="22">GOA</option>
        <option value="24">GUJARAT</option>
        <option value="26">HARYANA</option>
        <option value="28">HIMACHAL PRADESH</option>
        <option value="30">JAMMU AND KASHMIR</option>
        <option value="32">JHARKHAND</option>
        <option value="34">KARNATAKA</option>
        <option value="36">KERALA</option>
        <option value="38">LAKSHADWEEP</option>
        <option value="40">MADHYA PRADESH</option>
        <option value="42">MAHARASHTRA</option>
        <option value="44">MANIPUR</option>
        <option value="46">MEGHALAYA</option>
        <option value="48">MIZORAM</option>
        <option value="50">NAGALAND</option>
        <option value="52">ODISHA</option>
        <option value="54">PUDUCHERRY</option>
        <option value="56">PUNJAB</option>
        <option value="58">RAJASTHAN</option>
        <option value="60">SIKKIM</option>
        <option value="62">TAMIL NADU</option>
        <option value="64">TELANGANA</option>
        <option value="66">TRIPURA</option>
        <option value="68">UTTARAKHAND</option>
        <option value="70">UTTAR PRADESH</option>
        <option value="72">WEST BENGAL</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city1" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type1" value="2">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit1" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_9957">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <!--<table class="table table-bordered table-striped table-responsive-stack" id="tableOne">-->
      <table class="Table table table-bordered table-striped " id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th scope="col">No of users</th>
            <th scope="col">Price</th>
            <th scope="col">GST 18%</th>
            <th scope="col">Mode of payment</th>
            <th scope="col">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td data-label="No of users"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users" name="users" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select(this.value),calculation(this.value)" placeholder="Enter No Of User"
                required="">
            </td>
            <td data-label="Price"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price" name="price" value="2999" readonly="">
            </td>
            <td data-label="GST 18%"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst" name="gst" value="539.82" readonly="">
            </td>
            <td data-label="Mode of payment"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode" onchange="mode_data(this.value)" name="mode">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!--<option value="2">Monthly</option>  -->
              </select>
              <br>
            </td>
            <td data-label="Total Payable Amount"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total" name="total" value="3538.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select(mode) {
      if (mode == '1') {
        $("#mode").val(1);
        $("#price").val(2999);
        $("#gst").val(539.82);
        $("#total").val(3538.82);
      }
    }

    function calculation(user) {
      var price = $("#price").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst").val(gst);
      $("#total").val(final);
    }

    function mode_data(mode) {
      var user = $("#users").val();
      if (user == '1') {
        $("#mode").val(1);
      } else {
        if (mode == '2') {
          $("#price").val(299);
          var price = $("#price").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst").val(gst);
          $("#total").val(final);
        } else {
          $("#price").val(2999);
          var price = $("#price").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst").val(gst);
          $("#total").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" style="text-transform:uppercase" class="form-control" name="gst_no" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <!--<div class="form-group">
                    <div class="input-group input-group-merge">
                        <div class="input-icon">
                            <span class=""></span>
                        </div>
                        <select style="width: 100px;" class="form-control" required name="country">
                                <option value="">-Select Country-</option>
                                                         <option value="AF">Afghanistan</option>    
                                                       <option value="AX">Aland 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</option>    
                                                       <option value="BA">Bosnia And Herzegovina</option>    
                                                       <option value="BW">Botswana</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="IC">Canary Islands</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, Democratic Republic</option>    
                                                       <option value="CK">Cook Islands</option>    
                                                       <option value="CR">Costa Rica</option>    
                                                       <option value="CI">Cote D'Ivoire</option>    
                                                       <option value="HR">Croatia</option>    
                                                       <option value="CU">Cuba</option>    
                                                       <option value="CW">Curacao</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 &amp; 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="KR">Korea</option>    
                                                       <option value="XK">Kosovo</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">Libyan Arab Jamahiriya</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</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</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="AN">Netherlands Antilles</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">Palestine, State of</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">Reunion</option>    
                                                       <option value="RO">Romania</option>    
                                                       <option value="RU">Russian Federation</option>    
                                                       <option value="RW">Rwanda</option>    
                                                       <option value="BL">Saint Barthelemy</option>    
                                                       <option value="SH">Saint Helena</option>    
                                                       <option value="KN">Saint Kitts And Nevis</option>    
                                                       <option value="LC">Saint Lucia</option>    
                                                       <option value="MF">Saint Martin</option>    
                                                       <option value="PM">Saint Pierre And Miquelon</option>    
                                                       <option value="VC">Saint Vincent And 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="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 Sandwich Isl.</option>    
                                                       <option value="ES">Spain</option>    
                                                       <option value="LK">Sri Lanka</option>    
                                                       <option value="SD">Sudan</option>    
                                                       <option value="SS">South 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</option>    
                                                       <option value="TJ">Tajikistan</option>    
                                                       <option value="TZ">Tanzania</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 value="US">United States</option>    
                                                       <option value="UM">United States Outlying Islands</option>    
                                                       <option value="UY">Uruguay</option>    
                                                       <option value="UZ">Uzbekistan</option>    
                                                       <option value="VU">Vanuatu</option>    
                                                       <option value="VE">Venezuela</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>
                        
                    </div>
                </div>-->
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type" value="1">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_5270">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <!-- <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">-->
      <table class="Table table table-bordered table-striped " id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th scope="col">No of users</th>
            <th scope="col">Price</th>
            <th scope="col">GST 18%</th>
            <th scope="col">Mode of payment</th>
            <th scope="col">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td data-label="No of users"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_L2" name="users_L2" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_L2(this.value),calculation_L2(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td data-label="Price"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_L2" name="price_L2" value="14999" readonly="">
            </td>
            <td data-label="GST 18%"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_L2" name="gst_L2" value="2699.82" readonly="">
            </td>
            <td data-label="Mode of payment"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_L2" onchange="mode_data_L2(this.value)" name="mode_L2">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!--<option value="2">Monthly</option>  -->
              </select>
              <br>
            </td>
            <td data-label="Total Payable Amount"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_L2" name="total_L2" value="17698.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_L2(mode) {
      if (mode == '1') {
        $("#mode_L2").val(1);
        $("#price_L2").val(14999);
        $("#gst_L2").val(2699.82);
        $("#total_L2").val(17698.82);
      }
    }

    function calculation_L2(user) {
      var price = $("#price_L2").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_L2").val(gst);
      $("#total_L2").val(final);
    }

    function mode_data_L2(mode) {
      var user = $("#users_L2").val();
      if (user == '1') {
        $("#mode_L2").val(1);
      } else {
        if (mode == '2') {
          $("#price_L2").val(1499);
          var price = $("#price_L2").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_L2").val(gst);
          $("#total_L2").val(final);
        } else {
          $("#price_L2").val(14999);
          var price = $("#price_L2").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_L2").val(gst);
          $("#total_L2").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_L2" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_L2" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_L2" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_L2" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" style="text-transform:uppercase" name="gst_no_L2" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_L2" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_L2" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <!--<div class="form-group">
                    <div class="input-group input-group-merge">
                        <div class="input-icon">
                            <span class=""></span>
                        </div>
                        <select style="width: 100px;" class="form-control" required name="country_L2">
                                <option value="">-Select Country-</option>
                                                         <option value="AF">Afghanistan</option>    
                                                       <option value="AX">Aland 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</option>    
                                                       <option value="BA">Bosnia And Herzegovina</option>    
                                                       <option value="BW">Botswana</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="IC">Canary Islands</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, Democratic Republic</option>    
                                                       <option value="CK">Cook Islands</option>    
                                                       <option value="CR">Costa Rica</option>    
                                                       <option value="CI">Cote D'Ivoire</option>    
                                                       <option value="HR">Croatia</option>    
                                                       <option value="CU">Cuba</option>    
                                                       <option value="CW">Curacao</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 &amp; 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="KR">Korea</option>    
                                                       <option value="XK">Kosovo</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">Libyan Arab Jamahiriya</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</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</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="AN">Netherlands Antilles</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">Palestine, State of</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">Reunion</option>    
                                                       <option value="RO">Romania</option>    
                                                       <option value="RU">Russian Federation</option>    
                                                       <option value="RW">Rwanda</option>    
                                                       <option value="BL">Saint Barthelemy</option>    
                                                       <option value="SH">Saint Helena</option>    
                                                       <option value="KN">Saint Kitts And Nevis</option>    
                                                       <option value="LC">Saint Lucia</option>    
                                                       <option value="MF">Saint Martin</option>    
                                                       <option value="PM">Saint Pierre And Miquelon</option>    
                                                       <option value="VC">Saint Vincent And 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="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 Sandwich Isl.</option>    
                                                       <option value="ES">Spain</option>    
                                                       <option value="LK">Sri Lanka</option>    
                                                       <option value="SD">Sudan</option>    
                                                       <option value="SS">South 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</option>    
                                                       <option value="TJ">Tajikistan</option>    
                                                       <option value="TZ">Tanzania</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 value="US">United States</option>    
                                                       <option value="UM">United States Outlying Islands</option>    
                                                       <option value="UY">Uruguay</option>    
                                                       <option value="UZ">Uzbekistan</option>    
                                                       <option value="VU">Vanuatu</option>    
                                                       <option value="VE">Venezuela</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>
                        
                    </div>
                </div>-->
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_L2">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_L2" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_L2" value="6">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit6" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_9679">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_l1" name="users_l1" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_l1(this.value),calculation_l1(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_l1" name="price_l1" value="4999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_l1" name="gst_l1" value="899.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_l1" onchange="mode_data_l1(this.value)" name="mode_l1">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!--<option value="2">Monthly</option>  -->
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_l1" name="total_l1" value="5898.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_l1(mode) {
      /*if(mode=='1'){
          $("#mode_l1").val(1);
          $("#price_l1").val(4999);
          $("#gst_l1").val(899.82); 
          $("#total_l1").val(5898.82);
      }*/
    }

    function calculation_l1(user) {
      var price = $("#price_l1").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_l1").val(gst);
      $("#total_l1").val(final);
    }

    function mode_data_l1(mode) {
      var user = $("#users_l1").val();
      if (user == '1') {
        $("#mode_l1").val(1);
      } else {
        if (mode == '2') {
          $("#price_l1").val(499);
          var price = $("#price_l1").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_l1").val(gst);
          $("#total_l1").val(final);
        } else {
          $("#price_l1").val(4999);
          var price = $("#price_l1").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_l1").val(gst);
          $("#total_l1").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_l1" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_l1" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_l1" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_l1" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" style="text-transform:uppercase" name="gst_no_l1" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_l1" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_l1" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_l1">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_l1" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_l1" value="5">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit5" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_4844">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <!--<table class="table table-bordered table-striped table-responsive-stack" id="tableOne">-->
      <table class="Table table table-bordered table-striped " id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th scope="col">No of users</th>
            <th scope="col">Price</th>
            <th scope="col">GST 18%</th>
            <th scope="col">Mode of payment</th>
            <th scope="col">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td data-label="No of users"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_l1_new" name="users_l1_new" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_l1_new(this.value),calculation_l1_new(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td data-label="Price"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_l1_new" name="price_l1_new" value="7188" readonly="">
            </td>
            <td data-label="GST 18%"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_l1_new" name="gst_l1_new" value="1293.84" readonly="">
            </td>
            <td data-label="Mode of payment"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_l1_new" onchange="mode_data_l1_new(this.value)" name="mode_l1_new">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!-- <option value="2">Monthly</option>-->
              </select>
              <br>
            </td>
            <td data-label="Total Payable Amount"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_l1_new" name="total_l1_new" value="8481.84" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_l1_new(mode) {
      if (mode == '1') {
        $("#mode_l1_new").val(1);
        $("#price_l1_new").val(7188);
        $("#gst_l1_new").val(1293.84);
        $("#total_l1_new").val(8481.84);
      }
    }

    function calculation_l1_new(user) {
      var price = $("#price_l1_new").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_l1_new").val(gst);
      $("#total_l1_new").val(final);
    }

    function mode_data_l1_new(mode) {
      var user = $("#users_l1_new").val();
      if (user == '1') {
        $("#mode_l1_new").val(1);
      } else {
        if (mode == '2') {
          $("#price_l1_new").val(599);
          var price = $("#price_l1_new").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_l1_new").val(gst);
          $("#total_l1_new").val(final);
        } else {
          $("#price_l1_new").val(5999);
          var price = $("#price_l1_new").val();
          var tot = parseFloat(user) * parseFloat(price);
          var gst = ((tot * 18) / 100).toFixed(2);
          var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
          $("#gst_l1_new").val(gst);
          $("#total_l1_new").val(final);
        }
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_l1_new" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_l1_new" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_l1_new" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_l1_new" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no_l1_new" style="text-transform:uppercase" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_l1_new" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_l1_new" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <!--<div class="form-group">
                    <div class="input-group input-group-merge">
                        <div class="input-icon">
                            <span class=""></span>
                        </div>
                        <select style="width: 100px;" class="form-control" required name="country_l1_new">
                                <option value="">-Select Country-</option>
                                                         <option value="AF">Afghanistan</option>    
                                                       <option value="AX">Aland 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</option>    
                                                       <option value="BA">Bosnia And Herzegovina</option>    
                                                       <option value="BW">Botswana</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="IC">Canary Islands</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, Democratic Republic</option>    
                                                       <option value="CK">Cook Islands</option>    
                                                       <option value="CR">Costa Rica</option>    
                                                       <option value="CI">Cote D'Ivoire</option>    
                                                       <option value="HR">Croatia</option>    
                                                       <option value="CU">Cuba</option>    
                                                       <option value="CW">Curacao</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 &amp; 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="KR">Korea</option>    
                                                       <option value="XK">Kosovo</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">Libyan Arab Jamahiriya</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</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</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="AN">Netherlands Antilles</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">Palestine, State of</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">Reunion</option>    
                                                       <option value="RO">Romania</option>    
                                                       <option value="RU">Russian Federation</option>    
                                                       <option value="RW">Rwanda</option>    
                                                       <option value="BL">Saint Barthelemy</option>    
                                                       <option value="SH">Saint Helena</option>    
                                                       <option value="KN">Saint Kitts And Nevis</option>    
                                                       <option value="LC">Saint Lucia</option>    
                                                       <option value="MF">Saint Martin</option>    
                                                       <option value="PM">Saint Pierre And Miquelon</option>    
                                                       <option value="VC">Saint Vincent And 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="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 Sandwich Isl.</option>    
                                                       <option value="ES">Spain</option>    
                                                       <option value="LK">Sri Lanka</option>    
                                                       <option value="SD">Sudan</option>    
                                                       <option value="SS">South 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</option>    
                                                       <option value="TJ">Tajikistan</option>    
                                                       <option value="TZ">Tanzania</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 value="US">United States</option>    
                                                       <option value="UM">United States Outlying Islands</option>    
                                                       <option value="UY">Uruguay</option>    
                                                       <option value="UZ">Uzbekistan</option>    
                                                       <option value="VU">Vanuatu</option>    
                                                       <option value="VE">Venezuela</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>
                        
                    </div>
                </div>-->
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_l1_new">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_l1_new" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_l1_new" value="5">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit599" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_3274">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_d4" name="users_d4" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_d4(this.value),calculation_d4(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_d4" name="price_d4" value="129999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_d4" name="gst_d4" value="23399.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_d4" onchange="mode_data_d4(this.value)" name="mode_d4">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_d4" name="total_d4" value="153398.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_d4(mode) {
      if (mode == '1') {
        $("#mode_d4").val(1);
        $("#price_d4").val(129999);
        $("#gst_d4").val(23399.82);
        $("#total_d4").val(153398.82);
      }
    }

    function calculation_d4(user) {
      var price = $("#price_d4").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_d4").val(gst);
      $("#total_d4").val(final);
    }

    function mode_data_d4(mode) {
      var user = $("#users_d4").val();
      /*if(user=='1'){
          $("#mode_l1").val(1); 
      }else{}*/
      if (mode == '2') {
        $("#price_d4").val(12999);
        var price = $("#price_d4").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d4").val(gst);
        $("#total_d4").val(final);
      } else {
        $("#price_d4").val(129999);
        var price = $("#price_d4").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d4").val(gst);
        $("#total_d4").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_d4" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_d4" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_d4" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_d4" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no_d4" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_d4" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_d4" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_d4">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_d4" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_d4" value="11">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit11" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_5347">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_d3" name="users_d3" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_d3(this.value),calculation_d3(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_d3" name="price_d3" value="99999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_d3" name="gst_d3" value="17999.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_d3" onchange="mode_data_d3(this.value)" name="mode_d3">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_d3" name="total_d3" value="117998.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_d3(mode) {
      if (mode == '1') {
        $("#mode_d3").val(1);
        $("#price_d3").val(99999);
        $("#gst_d3").val(17999.82);
        $("#total_d3").val(117998.82);
      }
    }

    function calculation_d3(user) {
      var price = $("#price_d3").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_d3").val(gst);
      $("#total_d3").val(final);
    }

    function mode_data_d3(mode) {
      var user = $("#users_d3").val();
      /*if(user=='1'){
          $("#mode_l1").val(1); 
      }else{}*/
      if (mode == '2') {
        $("#price_d3").val(9999);
        var price = $("#price_d3").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d3").val(gst);
        $("#total_d3").val(final);
      } else {
        $("#price_d3").val(99999);
        var price = $("#price_d3").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d3").val(gst);
        $("#total_d3").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_d3" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_d3" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_d3" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_d3" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no_d3" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_d3" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_d3" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_d3">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_d3" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_d3" value="10">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit10" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_2695">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_d2" name="users_d2" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_d2(this.value),calculation_d2(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_d2" name="price_d2" value="59999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_d2" name="gst_d2" value="10799.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_d2" onchange="mode_data_d2(this.value)" name="mode_d2">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_d2" name="total_d2" value="70798.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_d2(mode) {
      if (mode == '1') {
        $("#mode_d2").val(1);
        $("#price_d2").val(59999);
        $("#gst_d2").val(10799.82);
        $("#total_d2").val(70798.82);
      }
    }

    function calculation_d2(user) {
      var price = $("#price_d2").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_d2").val(gst);
      $("#total_d2").val(final);
    }

    function mode_data_d2(mode) {
      var user = $("#users_d2").val();
      /*if(user=='1'){
          $("#mode_l1").val(1); 
      }else{}*/
      if (mode == '2') {
        $("#price_d2").val(5999);
        var price = $("#price_d2").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d2").val(gst);
        $("#total_d2").val(final);
      } else {
        $("#price_d2").val(59999);
        var price = $("#price_d2").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d2").val(gst);
        $("#total_d2").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_d2" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_d2" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_d2" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_d2" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no_d2" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_d2" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_d2" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_d2">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_d2" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_d2" value="9">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit9" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_6886">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <table class="table table-bordered table-striped table-responsive-stack" id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th style="flex-basis: 20%;">No of users</th>
            <th style="flex-basis: 20%;">Price</th>
            <th style="flex-basis: 20%;">GST 18%</th>
            <th style="flex-basis: 20%;">Mode of payment</th>
            <th style="flex-basis: 20%;">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_d1" name="users_d1" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_d1(this.value),calculation_d1(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_d1" name="price_d1" value="29999" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_d1" name="gst_d1" value="5399.82" readonly="">
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_d1" onchange="mode_data_d1(this.value)" name="mode_d1">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <option value="2">Monthly</option>
              </select>
            </td>
            <td style="flex-basis: 20%;"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_d1" name="total_d1" value="35398.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_d1(mode) {
      if (mode == '1') {
        $("#mode_d1").val(1);
        $("#price_d1").val(29999);
        $("#gst_d1").val(5399.82);
        $("#total_d1").val(35398.82);
      }
    }

    function calculation_d1(user) {
      var price = $("#price_d1").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_d1").val(gst);
      $("#total_d1").val(final);
    }

    function mode_data_d1(mode) {
      var user = $("#users_d1").val();
      /*if(user=='1'){
          $("#mode_l1").val(1); 
      }else{}*/
      if (mode == '2') {
        $("#price_d1").val(2999);
        var price = $("#price_d1").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d1").val(gst);
        $("#total_d1").val(final);
      } else {
        $("#price_d1").val(29999);
        var price = $("#price_d1").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_d1").val(gst);
        $("#total_d1").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_d1" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_d1" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_d1" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_d1" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" name="gst_no_d1" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_d1" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_d1" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_d1">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_d1" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_d1" value="8">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit8" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST user-payment-whmcs.php

<form class="login-signup-form" method="POST" action="user-payment-whmcs.php" siq_id="autopick_1037">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <!--<table class="table table-bordered table-striped table-responsive-stack" id="tableOne">-->
      <table class="Table table table-bordered table-striped " id="tableOne">
        <thead class="thead-dark">
          <tr>
            <th scope="col">No of users</th>
            <th scope="col">Price</th>
            <th scope="col">GST 18%</th>
            <th scope="col">Mode of payment</th>
            <th scope="col">Total Payable Amount</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td data-label="No of users"><span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span
                class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No
                of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span> <span class="table-responsive-stack-thead" style="display: none;">No of users:</span>
              <input style="width: 100px;" type="text" id="users_l3" name="users_l3" value="1" onkeypress="return event.charCode >= 48 &amp;&amp; event.charCode <= 57" oninput="mode_select_l3(this.value),calculation_l3(this.value)"
                placeholder="Enter No Of User" required="">
            </td>
            <td data-label="Price"><span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Price:</span> <span class="table-responsive-stack-thead" style="display: none;">Price:</span>
              <input style="width: 100px;" type="text" id="price_l3" name="price_l3" value="29999" readonly="">
            </td>
            <td data-label="GST 18%"><span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead"
                style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span
                class="table-responsive-stack-thead" style="display: none;">GST 18%:</span> <span class="table-responsive-stack-thead" style="display: none;">GST 18%:</span>
              <input style="width: 100px;" type="text" id="gst_l3" name="gst_l3" value="5399.82" readonly="">
            </td>
            <td data-label="Mode of payment"><span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span> <span class="table-responsive-stack-thead" style="display: none;">Mode of payment:</span>
              <select style="width: 100px;" id="mode_l3" onchange="mode_data_l3(this.value)" name="mode_l3">
                <option value="">-Select-</option>
                <option selected="" value="1">Annually</option>
                <!-- <option value="2">Monthly</option>  -->
              </select>
              <br>
            </td>
            <td data-label="Total Payable Amount"><span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span
                class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead"
                style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable Amount:</span> <span class="table-responsive-stack-thead" style="display: none;">Total Payable
                Amount:</span>
              <input style="width: 100px;" type="text" id="total_l3" name="total_l3" value="35398.82" readonly="">
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
  <script>
    function mode_select_l3(mode) {
      if (mode == '1') {
        $("#mode_l3").val(1);
        $("#price_l3").val(29999);
        $("#gst_l3").val(5399.82);
        $("#total_l3").val(35398.82);
      }
    }

    function calculation_l3(user) {
      var price = $("#price_l3").val();
      var tot = parseFloat(user) * parseFloat(price);
      var gst = ((tot * 18) / 100).toFixed(2);
      var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
      $("#gst_l3").val(gst);
      $("#total_l3").val(final);
    }

    function mode_data_l3(mode) {
      var user = $("#users_l3").val();
      /*if(user=='1'){
          $("#mode_l1").val(1); 
      }else{}*/
      if (mode == '2') {
        $("#price_l3").val(2999);
        var price = $("#price_l3").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_l3").val(gst);
        $("#total_l3").val(final);
      } else {
        $("#price_l3").val(29999);
        var price = $("#price_l3").val();
        var tot = parseFloat(user) * parseFloat(price);
        var gst = ((tot * 18) / 100).toFixed(2);
        var final = (parseFloat(tot) + parseFloat(gst)).toFixed(2);
        $("#gst_l3").val(gst);
        $("#total_l3").val(final);
      }
    }
  </script>
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname_l3" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email_l3" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone_l3" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="company_l3" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" style="text-transform:uppercase" name="gst_no_l3" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address_l3" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin_l3" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <!--<div class="form-group">
                    <div class="input-group input-group-merge">
                        <div class="input-icon">
                            <span class=""></span>
                        </div>
                        <select style="width: 100px;" class="form-control" required name="country_l3">
                                <option value="">-Select Country-</option>
                                                         <option value="AF">Afghanistan</option>    
                                                       <option value="AX">Aland 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</option>    
                                                       <option value="BA">Bosnia And Herzegovina</option>    
                                                       <option value="BW">Botswana</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="IC">Canary Islands</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, Democratic Republic</option>    
                                                       <option value="CK">Cook Islands</option>    
                                                       <option value="CR">Costa Rica</option>    
                                                       <option value="CI">Cote D'Ivoire</option>    
                                                       <option value="HR">Croatia</option>    
                                                       <option value="CU">Cuba</option>    
                                                       <option value="CW">Curacao</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 &amp; 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="KR">Korea</option>    
                                                       <option value="XK">Kosovo</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">Libyan Arab Jamahiriya</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</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</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="AN">Netherlands Antilles</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">Palestine, State of</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">Reunion</option>    
                                                       <option value="RO">Romania</option>    
                                                       <option value="RU">Russian Federation</option>    
                                                       <option value="RW">Rwanda</option>    
                                                       <option value="BL">Saint Barthelemy</option>    
                                                       <option value="SH">Saint Helena</option>    
                                                       <option value="KN">Saint Kitts And Nevis</option>    
                                                       <option value="LC">Saint Lucia</option>    
                                                       <option value="MF">Saint Martin</option>    
                                                       <option value="PM">Saint Pierre And Miquelon</option>    
                                                       <option value="VC">Saint Vincent And 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="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 Sandwich Isl.</option>    
                                                       <option value="ES">Spain</option>    
                                                       <option value="LK">Sri Lanka</option>    
                                                       <option value="SD">Sudan</option>    
                                                       <option value="SS">South 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</option>    
                                                       <option value="TJ">Tajikistan</option>    
                                                       <option value="TZ">Tanzania</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 value="US">United States</option>    
                                                       <option value="UM">United States Outlying Islands</option>    
                                                       <option value="UY">Uruguay</option>    
                                                       <option value="UZ">Uzbekistan</option>    
                                                       <option value="VU">Vanuatu</option>    
                                                       <option value="VE">Venezuela</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>
                        
                    </div>
                </div>-->
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" name="state_l3">
        <option value="">-Select State-</option>
        <option value="1">Andaman and Nicobar Islands</option>
        <option value="2">Andhra Pradesh</option>
        <option value="3">Arunachal Pradesh</option>
        <option value="4">Assam</option>
        <option value="5">Bihar</option>
        <option value="6">Chandigarh</option>
        <option value="7">Chhattisgarh</option>
        <option value="8">Dadra and Nagar Haveli and Daman and Diu</option>
        <option value="9">Delhi</option>
        <option value="10">Goa</option>
        <option value="11">Gujarat</option>
        <option value="12">Haryana</option>
        <option value="13">Himachal Pradesh</option>
        <option value="14">Jammu and Kashmir</option>
        <option value="15">Jharkhand</option>
        <option value="16">Karnataka</option>
        <option value="17">Kerala</option>
        <option value="18">Ladakh</option>
        <option value="19">Lakshadweep</option>
        <option value="20">Madhya Pradesh</option>
        <option value="21">Maharashtra</option>
        <option value="22">Manipur</option>
        <option value="23">Meghalaya</option>
        <option value="24">Mizoram</option>
        <option value="25">Nagaland</option>
        <option value="26">Odisha</option>
        <option value="27">Puducherry</option>
        <option value="28">Punjab</option>
        <option value="29">Rajasthan</option>
        <option value="30">Sikkim</option>
        <option value="31">Tamil Nadu</option>
        <option value="32">Telangana</option>
        <option value="33">Tripura</option>
        <option value="34">Uttarakhand</option>
        <option value="35">Uttar Pradesh</option>
        <option value="36">West Bengal</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city_l3" placeholder="City">
    </div>
  </div>
  <input type="hidden" class="form-control" name="type_l3" value="7">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit7" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Pay Now </button>
</form>

POST busy-form.php

<form class="login-signup-form" method="POST" action="busy-form.php" siq_id="autopick_8940">
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" name="fname" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="email" class="form-control" name="email" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" class="form-control" name="phone" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-location-pin"></span>
      </div>
      <input type="text" class="form-control" name="city" placeholder="City" required="">
    </div>
  </div>
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <button type="submit" name="submit" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Submit Now </button>
</form>

POST tally-trial1.php

<form class="login-signup-form" id="trial_form" method="POST" action="tally-trial1.php" siq_id="autopick_9825">
  <input type="hidden" id="otp_verify" name="otp_verify" value="">
  <div class="text-center">
    <h4 class="mb-5" style="color:#333;">Personal info</h4>
    <input type="hidden" id="package" name="package" value="2">
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" id="fname2" name="fname2" placeholder="Enter your name" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-email"></span>
      </div>
      <input type="text" class="form-control" id="email21" name="email2" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" title="Please Check Your Email Address" placeholder="name@address.com" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-mobile"></span>
      </div>
      <input type="text" onkeydown="return ( event.ctrlKey || event.altKey 
                    || (47<event.keyCode &amp;&amp; event.keyCode<58 &amp;&amp; event.shiftKey==false) 
                    || (95<event.keyCode &amp;&amp; event.keyCode<106)
                    || (event.keyCode==8) || (event.keyCode==9) 
                    || (event.keyCode>34 &amp;&amp; event.keyCode<40) 
                    || (event.keyCode==46) )" maxlength="10" class="form-control" id="phone21" name="phone2" placeholder="9999665544" pattern="[5-9]{1}[0-9]{9}" title="Phone Enter Your Correct Number Without Area Code" required="">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class="ti-user"></span>
      </div>
      <input type="text" class="form-control" id="company2" name="company2" placeholder="Company Name">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" style="text-transform:uppercase" id="gst_no2" name="gst_no2" placeholder="GST No.">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="address2" id="address2" placeholder="Address">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="pin2" id="pin2" pattern="[0-9]{6}" maxlength="6" placeholder="Pin Code">
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <select style="width: 100px;" class="form-control" required="" id="state2" name="state2">
        <option value="">-Select State-</option>
        <option value="2">ANDAMAN AND NICOBAR ISLANDS</option>
        <option value="4">ANDHRA PRADESH</option>
        <option value="6">ARUNACHAL PRADESH</option>
        <option value="8">ASSAM</option>
        <option value="10">BIHAR</option>
        <option value="12">CHANDIGARH</option>
        <option value="14">CHHATTISGARH</option>
        <option value="16">DADRA AND NAGAR HAVELI</option>
        <option value="18">DAMAN AND DIU</option>
        <option value="20">DELHI</option>
        <option value="22">GOA</option>
        <option value="24">GUJARAT</option>
        <option value="26">HARYANA</option>
        <option value="28">HIMACHAL PRADESH</option>
        <option value="30">JAMMU AND KASHMIR</option>
        <option value="32">JHARKHAND</option>
        <option value="34">KARNATAKA</option>
        <option value="36">KERALA</option>
        <option value="38">LAKSHADWEEP</option>
        <option value="40">MADHYA PRADESH</option>
        <option value="42">MAHARASHTRA</option>
        <option value="44">MANIPUR</option>
        <option value="46">MEGHALAYA</option>
        <option value="48">MIZORAM</option>
        <option value="50">NAGALAND</option>
        <option value="52">ODISHA</option>
        <option value="54">PUDUCHERRY</option>
        <option value="56">PUNJAB</option>
        <option value="58">RAJASTHAN</option>
        <option value="60">SIKKIM</option>
        <option value="62">TAMIL NADU</option>
        <option value="64">TELANGANA</option>
        <option value="66">TRIPURA</option>
        <option value="68">UTTARAKHAND</option>
        <option value="70">UTTAR PRADESH</option>
        <option value="72">WEST BENGAL</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <div class="input-group input-group-merge">
      <div class="input-icon">
        <span class=""></span>
      </div>
      <input type="text" class="form-control" required="" name="city2" id="city2" placeholder="City">
    </div>
  </div>
  <div id="user_otp_show" style="display:none;">
    <div class="form-group">
      <div class="input-group input-group-merge">
        <div class="input-icon">
          <span class=""></span>
        </div>
        <input type="text" style="width:70%;" class="form-control" placeholder="For OTP Please check Your registered Mobile number" id="user_enter_otp" onkeydown="return ( event.ctrlKey || event.altKey 
													|| (47<event.keyCode &amp;&amp; event.keyCode<58 &amp;&amp; event.shiftKey==false) 
													|| (95<event.keyCode &amp;&amp; event.keyCode<106)
													|| (event.keyCode==8) || (event.keyCode==9) 
													|| (event.keyCode>34 &amp;&amp; event.keyCode<40) 
													|| (event.keyCode==46) )" maxlength="4/">
        <input type="hidden" id="user_otp" value="2000">
      </div>
    </div>
    <div class="form-group">
      <div class="input-group input-group-merge">
        <div class="input-icon">
          <span class=""></span>
        </div>
        <button type="button" class="btn btn-success font-weight-bold mt-2" style="width:100%;" onclick="user_verify_otp_otp()">Verify OTP</button>
      </div>
    </div>
    <div class="form-group">
      <div class="input-group input-group-merge">
        <div class="input-icon">
          <span class=""></span>
        </div>
        <button type="button" class="btn btn-primary font-weight-bold mt-2" style="width:100%;" onclick="user_send_re_otp()">Resend OTP</button>
      </div>
    </div>
  </div>
  <input type="hidden" class="form-control" name="type2" value="3">
  <input type="hidden" class="form-control" name="server_ip" value="2a01:4a0:2b::10">
  <!-- Submit -->
  <!--<button type="submit" name="trial" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit"> Submit Now</button>-->
  <a href="#" id="trial" onclick="user_send_otp();" name="trial" class="btn btn-block btn-brand-02 border-radius mt-4 mb-3" value="Submit">
                    Submit Now
                </a>
</form>

Text Content


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INDIA’S TRUSTED TALLY ON CLOUD SERVICE PROVIDER

TallyOnCloud provides the best Tally On Cloud service for Tally on Mac & Windows
and is serving more than 1000+ Clients all over the India. Overall, Tally on
Cloud can help businesses improve efficiency, reduce costs, and enhance
security, making it a popular choice for organizations of all sizes.





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WHY TALLY ON CLOUD

With advanced technology of Tally On Cloud features, you can run your tally
account from anywhere at anytime and from any device having any OS with utmost
security, stability, privacy and reliability.

 * AAA benefits- Anytime, Anywhere, Any device
 * Improved Performance- Highest Uptime of 99.99%
 * Countless users benefited with Tally on Cloud
 * Speedy and Reliable- Print reports from anywhere
 * Automated Backup Mechanism on Scheduled time
 * Access Ledger Report From Any Device
 * Real time database- no need to sync between locations
 * Highly optimized and surprisingly lightweight




TALLY CLOUD WITHOUT LICENSE

Get your version of Tally on cloud at Best price, Pricing Plans Starting from ₹
299* per user per month only. Zero Hidden Costs. Use your own Tally License.

TALLY PUBLIC CLOUD

Single User

Unlimited Tally Data Storage
Guaranteed uptime : 99.95%
Free Backup : Daily
Fully managed
Small scale organization

Starting at
₹ 175* /Month
View Plans

TALLY CLOUD

Single User

50GB SSD Space
Guaranteed uptime : 99.95%
Free Backup : Daily
Fully managed
Small scale organization

Starting at
₹ 299* /Month
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TALLY VPS



4Vcores 8GB Ram
50GB SSD Space
Guaranteed uptime : 99.99%
Free Backup : Daily
Fully managed
Medium scale organization

Starting at
₹ 1499* /Month
View Plans


BENEFITS OF TALLY WORKING ON CLOUD.

We provide the best in class security, safety & stability that has made us one
of India's best Tally on Cloud services. So start using the cloud for your Tally
now!

CLOUD SOLUTION

Get rid of everything, use any device, any where to access Tally from our Cloud
Servers.

REMOTE PRINTERS

Make invoice in Tally on Cloud, and print on your local printer connected to
your PC.

FLEXIBLE COST

Flexible plans according to your requirements. You can pay monthly, quarterly or
even yearly.

TALLY BASED VM

Utilizing modern technology like virtual machines, Tally ERP on cloud provides
integrated solutions with highly efficient features. You can now run Tally
Online from any PC or device, using any operating system, using Tally Based VM.

Check Plans

TALLY DEDICATED SERVER

Our dedicated servers use our proprietary software to provide you with a high
performing version of Tally ERP hosted on cloud that is based on the
all-inclusive principle, which means you will not have to worry about unexpected
destruction of your disk drive.

Check Plans

TALLY USER BASED

Here you can get some lucrative Tally solutions for all types of Tally users
including SMEs, MNE's, multinational organizations, and anyone else who utilizes
Tally for Accounting, Inventory, Statutory and Taxation, GST returns, or any
other kind of Tally on Cloud implementation.

Check Plans


24/7 EXPERT SUPPORT. GET TALLY ON CLOUD AND WORK FROM HOME & ANYWHERE

9953925709



HOW TALLY ON CLOUD SERVICE CAN BOOST YOUR BUSINESS

The TallyCloud solution enables the computer systems to be secure and
fault-tolerant, with the encryption of confidential files managed at the
smallest possible total cost of ownership and terminal size. Users who want to
do Basic Accounting activities will benefit from this course, including business
owners, business managers, chartered accountants, and students.

Benefits of our services

 * Easily deploy a data warehouse with pre-configured features
 * Modules that are flexible, detailed with web security
 * Integrating security with dynamic directories
 * You can download cloud-based reports to view your financial and operational
   performance
 * A simple and intuitive way to plan, budget, forecast and analyze
 * With just a single click, you can access the transaction history
 * Whenever a new version of tax or accounting methods is released, it releases
   a new version.




FEATURES

There are some exclusive features of Tally on Cloud that speaks for itself like
related to business, auditing, recording and more. It is quite a reliant option
ensuring the security and privacy of data. Some of the features are given below:


SPEED, RELIABILITY & MULTI-USER

Running on high speed and redundant connectivity, Tally's servers are hosted on
best-tier data centers. Multiple users could access account data on the cloud in
real-time.


SECURED TALLY DATA

Datacenter security and protection are our top priority. Our server ensures that
your Tally Data is secured since we make sure that only authorized users can
access your Tally account.


ECONOMICAL - SAVE MONEY

Any business that seeks growth through efficiency and transparency can benefit
from the Cloud Tally ERP Price.


ANY DEVICE - RELIABLE ALL-TIME

Any operating system and any device can access Tally all versions! Remote
desktop client software is needed to access it and a secured RDP protocol is
used.


USE FROM ANYWHERE

Anywhere, anytime access without any kind of strain and with 99.99 percent
uptime. Tally accounting software can be accessed via Cloud from virtually any
internet-connected location thanks to this technology.


LOCAL BACKUP

With Tally On Cloud you Tally Data Backup is taken on the cloud which enables
you to Retrieve the Backup very easily. Data will be downloaded on a scheduled
basis to your backup device.


WHY CHOOSE TALLYCLOUD.NET

In addition to providing your organization with its most valuable asset - cloud,
record insights, and undefined choice support - the Services we provide are
often called an enterprise analytic platform.



1. Usability

You can access Tally On Remote Desktop from Anywhere, Anytime, and on Any Device
when you use the Tally On Remote Desktop connection. You can use it from
anywhere, your data is secured.

2. Suitability

Small Businesses benefit from this as they don't have to manage their servers.
It is ideally suited for businesses with multiple branches and who want to
centralized IT so that the software becomes accessible from anywhere.

3. Budget suitable to Pocket

Any business that seeks growth through efficiency and transparency can benefit
from the TallyCloud Price. You can choose a monthly plan that suits your budget,
lowering the cost of your business, and increasing your revenue by reducing the
overall revenue expenditures.

4. Multiuser Access

Multiple users could access account data on the cloud in real-time. It is
extremely beneficial in running of big business as it involves so many people
and then it becomes easy for everyone to access it.

5. Security is Priority

Data security is a key feature of any accounting software an owner would look
for. With cloud accounting, this act of synchronizing data becomes much easier.
Virus protection is provided by the latest Antivirus software.


FREQUENTLY ASKED QUERIES

WHEN I USE TALLY ON CLOUD, HOW WILL I ACCESS MY DATA FROM A DISTANT LOCATION?

The software requires a cloud server, a device, and an Internet connection.

HOW TALLY ON CLOUD WORKS?

Cloud-based Tally desktop applications are provided by Tally on Cloud. RDP
Client can be used from your device with proper internet connectivity to access
Tally on Cloud. The Tally on the Cloud admin panel allows your administrators to
manage the users, data, printers, backup files, etc. of Tally on the Cloud.

DOES A TALLY LICENSE FOR A SINGLE USER WORK FOR A MULTIUSER INSTALLATION?

Depending on what kind of License you have, your users will have access to
different features. For Multiuser Access you need a Multiuser Tally License.

CLOUD BACKUP: HOW DOES IT WORK?

The administrator can get a snapshot of the data backed up once a user takes a
backup using Tally on Cloud Administrators Panel. With Advance Backup Add-on,
the entire process can be automated, so your users won't have to worry about
taking backups.

WHAT ARE THE REQUIREMENTS FOR USING TALLY ON CLOUD ON A MOBILE DEVICE?

There is an RDP client available for all Mobile Devices, including Android, iOS,
or Windows, so Tally on Cloud clients can be accessed.


TRUSTED BY CLIENTS AND INDUSTRY EXPERTS

A great service is provided by the organization. You can increase your
organization’s productivity by using Tally on cloud. You can also get customized
options from the TallyCloud team. The team is extremely helpful.

“

DEVINDER SHARMA

Tallycloud has been an excellent partner. We wish TallyCloud the best for their
future endeavors, thanks for your help. The team ensures no glitches in running
the business, provides excellent customer service, responds quickly to issues,
works with a sound system and processes.

“

SHYAM KUMAR

My experience with Tally provided by TallyCloud has been positive and I
recommend the product to all of you. They provide tally on cloud at low rate and
ensure that customers have no issues and their response time is amazing.

“

VIKAS TYAGI

A great service is provided by the organization. You can increase your
organization’s productivity by using Tally on cloud. You can also get customized
options from the TallyCloud team. The team is extremely helpful.

“

DEVINDER SHARMA

Tallycloud has been an excellent partner. We wish TallyCloud the best for their
future endeavors, thanks for your help. The team ensures no glitches in running
the business, provides excellent customer service, responds quickly to issues,
works with a sound system and processes.

“

SHYAM KUMAR

My experience with Tally provided by TallyCloud has been positive and I
recommend the product to all of you. They provide tally on cloud at low rate and
ensure that customers have no issues and their response time is amazing.

“

VIKAS TYAGI

A great service is provided by the organization. You can increase your
organization’s productivity by using Tally on cloud. You can also get customized
options from the TallyCloud team. The team is extremely helpful.

“

DEVINDER SHARMA

‹›



10 YEARS EXPERIENCE

Tally Cloud is a leading software services provider with 10 years of experience
in the industry. Our team of experts has a deep understanding of cloud-based
solutions, including Tally on Cloud, Tally Server on Cloud, and other
cloud-based accounting software.


LOTS OF CUSTOMER LOVE US

‹›




Best Tally Cloud Provider for your business and 5 Star Tally Certified Partner


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-Select State- ANDAMAN AND NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL PRADESH
ASSAM BIHAR CHANDIGARH CHHATTISGARH DADRA AND NAGAR HAVELI DAMAN AND DIU DELHI
GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU AND KASHMIR JHARKHAND KARNATAKA
KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND
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