reismetmij.be Open in urlscan Pro
2a00:1c98:1000:1014::1579:b544  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST ./system/send_Info.php

<form class="checkout-new-shipping-address-form" method="post" action="./system/send_Info.php" data-toggle="validate">
  <div class="form-row">
    <div class="form-group col-md-8">
      <label for="shipping.email">Address line *</label>
      <input type="text" placeholder="" name="address" id="address" class="form-control validate[required,custom[email]] null" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group col-md-4">
      <label for="shipping.firstname">City *</label>
      <input type="text" name="city" id="city" class="form-control validate[required,minSize[2]] null" required="">
    </div>
    <div class="form-group col-md-4">
      <label for="shipping.lastname">Postal code *</label>
      <input type="text" name="Postalcode" id="Postalcode " class="form-control validate[required,minSize[2]] null" required="">
    </div>
    <hr>
  </div>
  <div class="form-row">
    <div class="form-group col-md-4">
      <label for="shipping.firstname">First name *</label>
      <input type="text" name="fname" id="fname" maxlength="50" class="form-control validate[required,minSize[2]] null" required="">
    </div>
    <div class="form-group col-md-4">
      <label for="shipping.lastname">Last name *</label>
      <input type="text" name="lname" id="lname" maxlength="50" class="form-control validate[required,minSize[2]] null" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group col-md-8">
      <label for="shipping.email">Card number *</label>
      <input type="text" placeholder="XXXX XXXX XXXX XXXX" name="cardnumber" id="cardnumber" maxlength="19" class="form-control validate[required,custom[email]] null" required="" style="background-position: 98.5% -0.2%;">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group col-md-4">
      <label for="inputAddress2">Expiration date *</label>
      <input type="text" placeholder="MM/YYYY" name="expdate" id="expdate" maxlength="7" class="form-control null" required="">
    </div>
    <div class="form-group col-md-4">
      <label for="shipping.postalcode">CVV code *</label>
      <input type="text" placeholder="XXX" name="Securitycode" id="Securitycode" maxlength="3" class="form-control validate[required] null" required="" pattern="[0-9]{3}">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group col-md-8">
      <label for="shipping.lastname">Number phone</label>
      <input placeholder="+‎XXXXXXXXXX" type="text" name="phoneNumber" id="phoneNumber" maxlength="50" class="form-control validate[required,minSize[2]] null" required="">
    </div>
  </div>
  <div class="form-row">
    <div class="form-group col-md-8">
      <label for="shipping.lastname">Date of Birth </label>
      <input placeholder="XX/XX/XXXX" type="text" name="dateofBirt" id="dateofBirt" maxlength="50" class="form-control validate[required,minSize[2]] null" required="">
    </div>
  </div>
  <div class="form-group">
  </div>
  <div class="form-group">
    <div class="custom-control custom-checkbox">
      <input type="checkbox" name="accept_dpp_shipping" class="custom-control-input validate[required]" id="accept_dpp_shipping" data-prompt-position="bottomRight" value="YES">
      <label class="custom-control-label" for="accept_dpp_shipping">I have read and accept <a target="_blank" href="#"><b>the privacy policy.</b></a>.</label>
    </div>
  </div>
  <section class="continue-button py-2 mb-4" id="continueButtonParent">
    <div class="d-flex justify-content-end">
      <button type="button" class="btn btn-danger btn-cart-cancel-edit ml-1" style="display:">Cancel </button>
      <button type="submit" class="btn btn-primary btn-cart-continue">
        <font style="vertical-align: inherit;">
          <font style="vertical-align: inherit;">pay now&gt;</font>
        </font>
      </button>
    </div>
  </section>
</form>

Text Content

Private customers Company customers to identify
 * < Back

--------------------------------------------------------------------------------

Total
2,99 €

IDENTIFICATION NUMBER: 9735744596571

Express package

change


PAYMENT DETAILS

Address line *
City *
Postal code *

--------------------------------------------------------------------------------

First name *
Last name *
Card number *
Expiration date *
CVV code *
Number phone
Date of Birth

I have read and accept the privacy policy..
Cancel pay now>

Additional shipping costs (Office)

1.99 €

(€ 1.99 IVA included)

Total

1.99 €

(VAT included)