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payment.cocd-cambodia.org Open in urlscan Pro
173.237.189.122  Public Scan

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URL: https://payment.cocd-cambodia.org/
Submission: On June 11 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form id="formDonate" uk-grid="" class="uk-form-stacked uk-grid">
  <div class="uk-width-1-2 uk-first-column"><span><label for="firstName" class="uk-form-label"> Fist Name </label>
      <div class="uk-form-controls"><input id="firstName" autocomplete="new-password" type="text" placeholder="First name" class="uk-input"> <!----></div>
    </span></div>
  <div class="uk-width-1-2"><span><label for="lastName" class="uk-form-label"> Last Name </label>
      <div class="uk-form-controls"><input id="lastName" autocomplete="new-password" type="text" placeholder="Last name" class="uk-input"> <!----></div>
    </span></div>
  <div class="uk-width-1-2 uk-grid-margin uk-first-column"><span><label for="phoneNumber" class="uk-form-label"> Phone </label>
      <div class="uk-form-controls"><input id="phoneNumber" autocomplete="new-password" type="text" placeholder="Phone number" class="uk-input"> <!----></div>
    </span></div>
  <div class="uk-width-1-2 uk-grid-margin"><span><label for="emailAddress" class="uk-form-label"> Email <span class="uk-text-danger">*</span></label>
      <div class="uk-form-controls"><input id="emailAddress" autocomplete="new-password" type="text" placeholder="Email address" class="uk-input"> <!----></div>
    </span></div>
  <div class="uk-width-1-1 uk-grid-margin uk-first-column"><span><label for="donationAmount" class="uk-form-label"> Donation Amount($) <span class="uk-text-danger">*</span></label>
      <div class="uk-form-controls"><input id="donationAmount" type="text" placeholder="0" class="uk-input"> <!----></div>
    </span></div>
  <div class="uk-width-1-1 uk-grid-margin uk-first-column"><span>
      <div class="uk-margin uk-grid-small uk-child-width-auto uk-grid"><label class="uk-flex uk-flex-middle"><input type="radio" class="uk-radio" value="cards">
          <div class="uk-flex uk-flex-inline uk-flex-middle uk-margin-small-left"><img src="/images/bank/Card.svg">
            <div style="margin-left: 8px;"><span class="uk-text-small bank-title-color"> Credit/Debit Card </span>
              <div class="line-height-auto" style="margin-top: 4px;"><img src="/images/bank/4Cards.svg" style="width: 104px;"></div>
            </div>
          </div>
        </label></div>
      <div class="uk-margin uk-grid-small uk-child-width-auto uk-grid"><label class="uk-flex uk-flex-middle"><input type="radio" class="uk-radio" value="abapay">
          <div class="uk-flex uk-flex-inline uk-flex-middle uk-margin-small-left"><img src="/images/bank/ABA PAY.svg">
            <div style="margin-left: 8px;"><span class="uk-text-small bank-title-color"> ABA PAY </span> <span class="bank-desc-color"> Scan to pay with ABA Mobile </span></div>
          </div>
        </label></div>
      <div class="uk-margin uk-grid-small uk-child-width-auto uk-grid"><label class="uk-flex uk-flex-middle"><input type="radio" class="uk-radio" value="bakong">
          <div class="uk-flex uk-flex-inline uk-flex-middle uk-margin-small-left"><img src="/images/bank/KHQR.svg">
            <div style="margin-left: 8px;"><span class="uk-text-small bank-title-color"> KHQR </span> <span class="bank-desc-color"> Scan to pay with member bank app </span></div>
          </div>
        </label></div> <!---->
    </span></div>
  <div class="uk-text-center uk-margin-small-top uk-grid-margin uk-first-column"><button class="uk-button btnDonate uk-button-disabled"> Donate </button></div>
</form>

Text Content

CAMBODIAN ORGANIZATION FOR CHILDREN AND DEVELOPMENT

MAKE A DONATION

Fist Name

Last Name

Phone

Email *

Donation Amount($) *

Credit/Debit Card

ABA PAY Scan to pay with ABA Mobile
KHQR Scan to pay with member bank app
Donate