brachers-client.legl.com Open in urlscan Pro
2606:4700:20::ac43:47d9  Public Scan

Submitted URL: https://brachers-client.legl.com/
Effective URL: https://brachers-client.legl.com/pay/checkout/
Submission: On November 30 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <input type="hidden" name="csrfmiddlewaretoken" value="OG8ipriz7RwS0SqpnCsgcNxF5Z11f2FM3AwNs1W1ewfKRzpJTnSzppHYoyggFHf6">
  <input data-is-payer-form-valid="" type="hidden" name="is_payer_form_valid" value="false">
  <input type="hidden" name="is_payer_form" value="true">
  <div class="payment-item-container">
    <legl-payments-accordion class="remove-padding" data-payer-details="" form="" show-alpha="">
      <section slot="title" class="title-margins">
        <span class="heading-text"> Your details </span>
      </section>
      <section slot="icon-alpha" class="title-margins">
        <i class="legl-icon-chevron-down dropdown-icon"></i>
      </section>
      <section slot="icon-beta" class="title-margins">
        <i class="legl-icon-chevron-right dropdown-icon"></i>
      </section>
      <section slot="content-alpha" class="details-input">
        <div id="your-details">
          <div class="name-fields">
            <legl-input id="id_first_name" name="first_name" autocomplete="given-name" value="" label="Cardholder first name" data-cy-first-name="" class="form-field" shows-feedback-for="" type="text" placeholder="">
              <label slot="label" for="legl-input-wopzvxrfx9" id="label-legl-input-wopzvxrfx9">Cardholder first name</label>
              <div slot="help-text" id="help-text-legl-input-wopzvxrfx9"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-legl-input-wopzvxrfx9"></lion-validation-feedback><input slot="input"
                class="legl-form-control" id="legl-input-wopzvxrfx9" aria-invalid="false" aria-labelledby="label-legl-input-wopzvxrfx9" aria-describedby="help-text-legl-input-wopzvxrfx9 feedback-legl-input-wopzvxrfx9" type="text" placeholder=""
                name="first_name" autocomplete="given-name" aria-required="true">
            </legl-input>
            <div class="spacing" data-do-not-display-on-mobile=""></div>
            <legl-input id="id_middle_name" name="middle_name" autocomplete="middle-name" value="" label="Middle name (optional)" data-cy-middle-name="" class="form-field" shows-feedback-for="" type="text" placeholder="">
              <label slot="label" for="legl-input-6kt24sckrz" id="label-legl-input-6kt24sckrz">Middle name (optional)</label>
              <div slot="help-text" id="help-text-legl-input-6kt24sckrz"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-legl-input-6kt24sckrz"></lion-validation-feedback><input slot="input"
                class="legl-form-control" id="legl-input-6kt24sckrz" aria-invalid="false" aria-labelledby="label-legl-input-6kt24sckrz" aria-describedby="help-text-legl-input-6kt24sckrz feedback-legl-input-6kt24sckrz" type="text" placeholder=""
                name="middle_name" autocomplete="middle-name">
            </legl-input>
            <div class="spacing" data-do-not-display-on-mobile=""></div>
            <legl-input id="id_last_name" name="last_name" autocomplete="family-name" value="" label="Cardholder last name" data-cy-last-name="" class="form-field" shows-feedback-for="" type="text" placeholder="">
              <label slot="label" for="legl-input-fnzuxwlme1" id="label-legl-input-fnzuxwlme1">Cardholder last name</label>
              <div slot="help-text" id="help-text-legl-input-fnzuxwlme1"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-legl-input-fnzuxwlme1"></lion-validation-feedback><input slot="input"
                class="legl-form-control" id="legl-input-fnzuxwlme1" aria-invalid="false" aria-labelledby="label-legl-input-fnzuxwlme1" aria-describedby="help-text-legl-input-fnzuxwlme1 feedback-legl-input-fnzuxwlme1" type="text" placeholder=""
                name="last_name" autocomplete="family-name" aria-required="true">
            </legl-input>
          </div>
        </div>
        <legl-input id="id_email" name="email" autocomplete="email" value="" label="Email" data-cy-email="" class="form-field" shows-feedback-for="" type="text" placeholder="">
          <label slot="label" for="legl-input-thn356er0o" id="label-legl-input-thn356er0o">Email</label>
          <div slot="help-text" id="help-text-legl-input-thn356er0o"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-legl-input-thn356er0o"></lion-validation-feedback><input slot="input"
            class="legl-form-control" id="legl-input-thn356er0o" aria-invalid="false" aria-labelledby="label-legl-input-thn356er0o" aria-describedby="help-text-legl-input-thn356er0o feedback-legl-input-thn356er0o" type="text" placeholder=""
            name="email" autocomplete="email" aria-required="true">
        </legl-input>
        <legl-input id="id_matter_reference" name="matter_reference" value="" label="Your matter reference" infotext="" data-regex="[A-Za-z]{3}[0-9]{4}[.\/][0-9]{6}" data-required="True" data-cy-matter-reference="" class="form-field"
          shows-feedback-for="" type="text" placeholder="">
          <span slot="help-text" class="hint-text" id="help-text-legl-input-vlehnaxdxd">This is in the format of AAA1111.111111 OR AAA1111/111111</span>
          <label slot="label" for="legl-input-vlehnaxdxd" id="label-legl-input-vlehnaxdxd">Your matter reference</label><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback"
            id="feedback-legl-input-vlehnaxdxd"></lion-validation-feedback><input slot="input" class="legl-form-control" id="legl-input-vlehnaxdxd" aria-invalid="false" aria-labelledby="label-legl-input-vlehnaxdxd"
            aria-describedby="help-text-legl-input-vlehnaxdxd feedback-legl-input-vlehnaxdxd" type="text" placeholder="" name="matter_reference" aria-required="true"></legl-input>
        <legl-input id="id_custom_reference" name="custom_reference" value="" label="Additional Payment information (if any)" infotext="" data-regex="" data-required="False" data-cy-matter-reference="" class="form-field" shows-feedback-for=""
          type="text" placeholder="">
          <span slot="help-text" class="hint-text" id="help-text-legl-input-5ka9s3c25c">(E.g) state our client’s name if different to cardholder / brief details of reason for payment</span>
          <label slot="label" for="legl-input-5ka9s3c25c" id="label-legl-input-5ka9s3c25c">Additional Payment information (if any)</label><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback"
            id="feedback-legl-input-5ka9s3c25c"></lion-validation-feedback><input slot="input" class="legl-form-control" id="legl-input-5ka9s3c25c" aria-invalid="false" aria-labelledby="label-legl-input-5ka9s3c25c"
            aria-describedby="help-text-legl-input-5ka9s3c25c feedback-legl-input-5ka9s3c25c" type="text" placeholder="" name="custom_reference"></legl-input>
        <legl-input-amount id="id_amount" data-payment-amount="" name="amount" value="" label="Amount" data-min="5.00" data-max="10000.00" data-cy-amount="" class="form-field" shows-feedback-for="" type="text" placeholder="">
          <label slot="label" for="legl-input-amount-x1kz2yvhcv" id="label-legl-input-amount-x1kz2yvhcv">Amount</label>
          <div slot="help-text" id="help-text-legl-input-amount-x1kz2yvhcv"></div><lion-validation-feedback data-tag-name="lion-validation-feedback" slot="feedback" id="feedback-legl-input-amount-x1kz2yvhcv"></lion-validation-feedback><input
            slot="input" class="legl-form-control" id="legl-input-amount-x1kz2yvhcv" inputmode="decimal" aria-invalid="false" aria-labelledby="label-legl-input-amount-x1kz2yvhcv"
            aria-describedby="help-text-legl-input-amount-x1kz2yvhcv feedback-legl-input-amount-x1kz2yvhcv" type="text" placeholder="" name="amount" aria-required="true"><i class="currency-symbol" slot="prefix">£</i>
        </legl-input-amount>
      </section>
      <section slot="content-beta">
        <div class="details-summary" data-details-summary-text="">
          <div class="details-wrapper">
            <div class="detail-item">
              <p class="payer-details-text title">Cardholder name</p>
              <p class="payer-details-text" data-details-cardholder-name=""> </p>
            </div>
            <div class="detail-item">
              <p class="payer-details-text title">Email address</p>
              <p class="payer-details-text" data-details-email=""></p>
            </div>
          </div>
          <div class="details-wrapper">
            <div class="detail-item">
              <p class="payer-details-text title">Your matter reference</p>
              <p class="payer-details-text" data-details-matter-reference="">-</p>
            </div>
            <div class="detail-item">
              <p class="payer-details-text title">Additional Payment information (if any)</p>
              <p class="payer-details-text" data-details-custom-reference="">-</p>
            </div>
          </div>
        </div>
        <div class="balance-due">
          <p class="" data-details-amount-title="">Payment due today: <span data-details-amount="">£</span></p>
        </div>
      </section>
    </legl-payments-accordion>
    <button type="submit" id="continue-to-payment-methods-button" data-continue-to-payment-methods-button="" frozen="" ic-target="[data-payment-reference]" ic-replace-target="true" ic-post-to="https://brachers-client.legl.com/pay/create-payment"
      data-cy-continue-to-payment-method-button="" class="pay-button-styling" disabled="" ic-src="https://brachers-client.legl.com/pay/create-payment" ic-verb="POST" ic-trigger-on="default" ic-deps="ignore">
      <span class="text">Continue to Payment Methods</span>
    </button>
    <input type="hidden" name="payment_reference" value="" data-payment-reference="" ic-id="1">
  </div>
</form>

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01622 690691

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Brachers LLP

Somerfield House, 59 London Rd,
Maidstone ME16 8JH

www.brachers.co.uk

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Cardholder first name


Middle name (optional)


Cardholder last name

Email

This is in the format of AAA1111.111111 OR AAA1111/111111 Your matter reference
(E.g) state our client’s name if different to cardholder / brief details of
reason for payment Additional Payment information (if any) Amount

£

Cardholder name



Email address



Your matter reference

-

Additional Payment information (if any)

-

Payment due today: £

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