billing.slimpayhub.com Open in urlscan Pro
18.195.224.47  Public Scan

Submitted URL: https://billing.slimpayhub.com/
Effective URL: https://billing.slimpayhub.com/en/?tid=83cefad4
Submission: On August 08 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 2 forms found in the DOM

POST #

<form action="#" method="post" id="checkoutForm" autocomplete="off">
  <fieldset class="product-section">
    <div id="products" class="">
      <div class="product no-image single custom-amount" id="product7813b8d3" data-id="7813b8d3" data-vat-rate="0.00" data-updated-at="1687027898" data-type="product">
        <div class="left">
          <input class="custom-name form-control product-name" type="text" value="" placeholder="Description" required="required">
          <div class="custom-price last-visible-child">
            <input class="custom-amount form-control app-comp-amount-field" type="text" placeholder="Open amount" inputmode="decimal" required="required">
            <div class="custom-currency">
              <button class="btn dropdown-toggle" type="button" id="currency-selection" data-toggle="dropdown" aria-haspopup="true" aria-expanded="true">
                <span data-currency-name="">CAD</span>&nbsp;&nbsp;<span class="caret"></span>
              </button>
              <ul class="dropdown-menu pull-right" aria-labelledby="currency-selection">
                <li><a href="javascript:void(0);" data-currency-id="86">CAD</a></li>
                <li><a href="javascript:void(0);" data-currency-id="2">EUR</a></li>
                <li><a href="javascript:void(0);" data-currency-id="4">GBP</a></li>
                <li><a href="javascript:void(0);" data-currency-id="3">USD</a></li>
                <li><a href="javascript:void(0);" data-currency-id="21">AUD</a></li>
                <li><a href="javascript:void(0);" data-currency-id="1">CHF</a></li>
              </ul>
            </div>
          </div>
          <input class="fixed-quantity quantity" value="1" type="hidden">
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset id="contact-details">
    <div class="contact-details">
      <legend class="contact">Contact details</legend>
      <div class="form-group col-xs-12"><label class="hide-label">Title</label>
        <select class=" form-control" id="title_2" name="formFields[2]">
          <option value="">Title</option>
          <option value="mister">Mr</option>
          <option value="miss">Ms</option>
        </select>
      </div>
      <div class="form-group col-xs-12 clearfix">
        <div class="col-xs-6"><label class="hide-label">First Name *</label>
          <input autocomplete="given-name" class=" form-control" id="forename_3" name="formFields[3]" type="text" placeholder="First Name *" required="required" value="">
        </div>
        <div class="col-xs-6"><label class="hide-label">Last Name *</label>
          <input autocomplete="family-name" class=" form-control" id="surname_4" name="formFields[4]" type="text" placeholder="Last Name *" required="required" value="">
        </div>
      </div>
      <div class="form-group col-xs-12">
        <div class="input-group"><label class="hide-label">Email *</label>
          <input autocomplete="email" class=" form-control" id="email_5" name="formFields[5]" type="email" placeholder="Email *" required="required" value="">
          <span class="input-group-addon"><i class="fa fa-envelope"></i></span>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset style="width: 920px; float: left;">
    <legend class="payment-details "> Payment details </legend>
    <div id="payment-details">
      <div class="psp-wrapper ">
        <div class="psp active psp-26 ">
          <label class="psp-radio">
            <input type="radio" data-identifier="Stripe" id="psp-26-542099722" name="pspId" tabindex="-1" value="26-542099722" checked="">
            <span class="outer psp-radio-span" tabindex="0"><span class="inner"></span></span>
          </label>
          <label class="psp-label" for="psp-26-542099722" data-original-title="" title="">
            <div class="psp-slick slick-initialized slick-slider">
              <div aria-live="polite" class="slick-list draggable">
                <div class="slick-track" role="listbox" style="opacity: 1; width: 497px; transform: translate3d(0px, 0px, 0px);"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_mastercard.svg" alt=""
                    data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true" data-original-title="" title="" class="slick-slide slick-current slick-active active" data-slick-index="0" aria-hidden="false" tabindex="-1"
                    role="option" aria-describedby="slick-slide00" style="width: 61px;"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_visa.svg" alt="" data-support-recurring-payment="1"
                    data-requires-3rd-party-cookie="0" data-html="true" data-original-title="" title="" class="slick-slide slick-active inactive" data-slick-index="1" aria-hidden="false" tabindex="-1" role="option" aria-describedby="slick-slide01"
                    style="width: 61px;"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_american_express.svg" alt="" data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true"
                    data-original-title="" title="" class="slick-slide slick-active inactive" data-slick-index="2" aria-hidden="false" tabindex="-1" role="option" aria-describedby="slick-slide02" style="width: 61px;"><img data-toggle="tooltip"
                    data-container="body" src="/Frontend/Images/CardIcons/card_apple_pay.svg" alt="" data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true"
                    data-original-title="Available for Safari as of iOS 10 or as of macOS Sierra." title="" class="payment-method-unavailable slick-slide slick-active inactive" data-slick-index="3" aria-hidden="false" tabindex="-1" role="option"
                    aria-describedby="slick-slide03" style="width: 61px;"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_sepa.svg" alt="" data-support-recurring-payment="1" data-requires-3rd-party-cookie="0"
                    data-html="true" data-original-title="" title="" class="slick-slide slick-active inactive" data-slick-index="4" aria-hidden="false" tabindex="-1" role="option" aria-describedby="slick-slide04" style="width: 61px;"><img
                    data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_giropay.svg" alt="" data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true" title=""
                    class="payment-method-unavailable inactive slick-slide slick-active" data-original-title="Only available in EUR currency." data-slick-index="5" aria-hidden="false" tabindex="-1" role="option" aria-describedby="slick-slide05"
                    style="width: 61px;"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_ideal.svg" alt="" data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true" title=""
                    class="payment-method-unavailable inactive slick-slide slick-active" data-original-title="Only available in EUR currency." data-slick-index="6" aria-hidden="false" tabindex="-1" role="option" aria-describedby="slick-slide06"
                    style="width: 61px;"></div>
              </div>
            </div>
          </label>
          <div class="psp-fields psp-26-542099722 psp-26" style="display: inline-block;">
            <script type="text/javascript">
              var StripeV2 = Stripe;
            </script>
            <div id="modal" class="modal fade" tabindex="-1" role="dialog">
              <div class="modal-dialog">
                <div class="modal-content">
                  <div class="modal-body" id="iframe-container">
                  </div>
                </div>
              </div>
            </div>
            <div id="payment-form-cc" style="display: block;">
              <div class="app-service-cardholder-data-frame" data-psp-id="26" data-psp-identifier="Payrexx_Payments" style=""><iframe src="https://checkout.payrexx.com/?pspId=26&amp;lang=en" scrolling="no" allowtransparency="true"
                  allowpaymentrequest="true" style="height: 190px;"></iframe></div>
            </div>
            <div id="payment-form-sepa" class="payment-input" style="display: none;">
              <div class="controls">
                <div class="form-group col-xs-12">
                  <div class="input-group"><label class="hide-label">Street &amp; No. *</label>
                    <input autocomplete="off" class="form-control app-service-autocomplete pac-target-input" id="street" type="text" placeholder="Street &amp; No. *">
                  </div>
                </div>
                <div class="form-group col-xs-12 clearfix">
                  <div class="col-xs-6">
                    <div class="input-group"><label class="hide-label">Zip code *</label>
                      <input autocomplete="off" class="form-control app-service-autocomplete" id="postcode" type="text" placeholder="Zip code *">
                    </div>
                  </div>
                  <div class="col-xs-6">
                    <div class="input-group"><label class="hide-label">City *</label>
                      <input autocomplete="off" class="form-control app-service-autocomplete" id="place" type="text" placeholder="City *">
                    </div>
                  </div>
                </div>
              </div>
              <div class="controls">
                <div class="span3 form-group col-xs-12">
                  <div class="input-group"><label class="hide-label">Country *</label>
                    <select class="form-control span3 app-service-autocomplete" id="country" autocomplete="off">
                      <option value="0">Country *</option>
                      <option value="1">Afghanistan</option>
                      <option value="241">Åland Islands</option>
                      <option value="2">Albania</option>
                      <option value="3">Algeria</option>
                      <option value="4">American Samoa</option>
                      <option value="5">Andorra</option>
                      <option value="6">Angola</option>
                      <option value="7">Anguilla</option>
                      <option value="8">Antarctica</option>
                      <option value="9">Antigua and Barbuda</option>
                      <option value="10">Argentina</option>
                      <option value="11">Armenia</option>
                      <option value="12">Aruba</option>
                      <option value="13">Australia</option>
                      <option value="14">Austria</option>
                      <option value="15">Azerbaijan</option>
                      <option value="16">Bahamas</option>
                      <option value="17">Bahrain</option>
                      <option value="18">Bangladesh</option>
                      <option value="19">Barbados</option>
                      <option value="20">Belarus</option>
                      <option value="21">Belgium</option>
                      <option value="22">Belize</option>
                      <option value="23">Benin</option>
                      <option value="24">Bermuda</option>
                      <option value="25">Bhutan</option>
                      <option value="26">Bolivia</option>
                      <option value="242">Bonaire, Sint Eustatius and Saba</option>
                      <option value="27">Bosnia and Herzegowina</option>
                      <option value="28">Botswana</option>
                      <option value="29">Bouvet Island</option>
                      <option value="30">Brazil</option>
                      <option value="31">British Indian Ocean Territory</option>
                      <option value="32">Brunei Darussalam</option>
                      <option value="33">Bulgaria</option>
                      <option value="34">Burkina Faso</option>
                      <option value="35">Burundi</option>
                      <option value="36">Cambodia</option>
                      <option value="37">Cameroon</option>
                      <option value="38">Canada</option>
                      <option value="39">Cape Verde</option>
                      <option value="40">Cayman Islands</option>
                      <option value="41">Central African Republic</option>
                      <option value="42">Chad</option>
                      <option value="43">Chile</option>
                      <option value="44">China</option>
                      <option value="45">Christmas Island</option>
                      <option value="46">Cocos (Keeling) Islands</option>
                      <option value="47">Colombia</option>
                      <option value="48">Comoros</option>
                      <option value="49">Congo</option>
                      <option value="50">Cook Islands</option>
                      <option value="51">Costa Rica</option>
                      <option value="53">Croatia</option>
                      <option value="54">Cuba</option>
                      <option value="244">Curacao</option>
                      <option value="55">Cyprus</option>
                      <option value="56">Czech Republic</option>
                      <option value="243">Democratic Republic of the Congo</option>
                      <option value="57">Denmark</option>
                      <option value="58">Djibouti</option>
                      <option value="59">Dominica</option>
                      <option value="60">Dominican Republic</option>
                      <option value="61">East Timor</option>
                      <option value="62">Ecuador</option>
                      <option value="63">Egypt</option>
                      <option value="65">Equatorial Guinea</option>
                      <option value="66">Eritrea</option>
                      <option value="67">Estonia</option>
                      <option value="68">Ethiopia</option>
                      <option value="69">Falkland Islands (Malvinas)</option>
                      <option value="70">Faroe Islands</option>
                      <option value="71">Fiji</option>
                      <option value="72">Finland</option>
                      <option value="73">France</option>
                      <option value="74">France, Metropolitan</option>
                      <option value="75">French Guiana</option>
                      <option value="76">French Polynesia</option>
                      <option value="77">French Southern Territories</option>
                      <option value="78">Gabon</option>
                      <option value="79">Gambia</option>
                      <option value="80">Georgia</option>
                      <option value="81">Germany</option>
                      <option value="82">Ghana</option>
                      <option value="83">Gibraltar</option>
                      <option value="84">Greece</option>
                      <option value="85">Greenland</option>
                      <option value="86">Grenada</option>
                      <option value="87">Guadeloupe</option>
                      <option value="88">Guam</option>
                      <option value="89">Guatemala</option>
                      <option value="90">Guinea</option>
                      <option value="91">Guinea-bissau</option>
                      <option value="92">Guyana</option>
                      <option value="93">Haiti</option>
                      <option value="94">Heard and Mc Donald Islands</option>
                      <option value="95">Honduras</option>
                      <option value="96">Hong Kong</option>
                      <option value="97">Hungary</option>
                      <option value="98">Iceland</option>
                      <option value="99">India</option>
                      <option value="100">Indonesia</option>
                      <option value="101">Iran (Islamic Republic of)</option>
                      <option value="102">Iraq</option>
                      <option value="103">Ireland</option>
                      <option value="245">Isle of Man</option>
                      <option value="104">Israel</option>
                      <option value="105">Italy</option>
                      <option value="52">Ivory Coast</option>
                      <option value="106">Jamaica</option>
                      <option value="107">Japan</option>
                      <option value="246">Jersey</option>
                      <option value="108">Jordan</option>
                      <option value="109">Kazakhstan</option>
                      <option value="110">Kenya</option>
                      <option value="111">Kiribati</option>
                      <option value="112">Korea, Democratic People's Republic of</option>
                      <option value="113">Korea, Republic of</option>
                      <option value="114">Kuwait</option>
                      <option value="115">Kyrgyzstan</option>
                      <option value="116">Lao People's Democratic Republic</option>
                      <option value="117">Latvia</option>
                      <option value="118">Lebanon</option>
                      <option value="119">Lesotho</option>
                      <option value="120">Liberia</option>
                      <option value="121">Libyan Arab Jamahiriya</option>
                      <option value="122">Liechtenstein</option>
                      <option value="123">Lithuania</option>
                      <option value="124">Luxembourg</option>
                      <option value="125">Macau</option>
                      <option value="126">Macedonia, The Former Yugoslav Republic of</option>
                      <option value="127">Madagascar</option>
                      <option value="128">Malawi</option>
                      <option value="129">Malaysia</option>
                      <option value="130">Maldives</option>
                      <option value="131">Mali</option>
                      <option value="132">Malta</option>
                      <option value="133">Marshall Islands</option>
                      <option value="134">Martinique</option>
                      <option value="135">Mauritania</option>
                      <option value="136">Mauritius</option>
                      <option value="137">Mayotte</option>
                      <option value="138">Mexico</option>
                      <option value="139">Micronesia, Federated States of</option>
                      <option value="140">Moldova, Republic of</option>
                      <option value="141">Monaco</option>
                      <option value="142">Mongolia</option>
                      <option value="247">Montenegro</option>
                      <option value="143">Montserrat</option>
                      <option value="144">Morocco</option>
                      <option value="145">Mozambique</option>
                      <option value="146">Myanmar</option>
                      <option value="147">Namibia</option>
                      <option value="148">Nauru</option>
                      <option value="149">Nepal</option>
                      <option value="150">Netherlands</option>
                      <option value="151">Netherlands Antilles</option>
                      <option value="152">New Caledonia</option>
                      <option value="153">New Zealand</option>
                      <option value="154">Nicaragua</option>
                      <option value="155">Niger</option>
                      <option value="156">Nigeria</option>
                      <option value="157">Niue</option>
                      <option value="158">Norfolk Island</option>
                      <option value="159">Northern Mariana Islands</option>
                      <option value="160">Norway</option>
                      <option value="161">Oman</option>
                      <option value="162">Pakistan</option>
                      <option value="163">Palau</option>
                      <option value="164">Panama</option>
                      <option value="165">Papua New Guinea</option>
                      <option value="166">Paraguay</option>
                      <option value="167">Peru</option>
                      <option value="168">Philippines</option>
                      <option value="169">Pitcairn</option>
                      <option value="170">Poland</option>
                      <option value="171">Portugal</option>
                      <option value="172">Puerto Rico</option>
                      <option value="173">Qatar</option>
                      <option value="174">Reunion</option>
                      <option value="175">Romania</option>
                      <option value="176">Russian Federation</option>
                      <option value="177">Rwanda</option>
                      <option value="178">Saint Kitts and Nevis</option>
                      <option value="179">Saint Lucia</option>
                      <option value="180">Saint Vincent and the Grenadines</option>
                      <option value="249">Saint-Barthélemy</option>
                      <option value="250">Saint-Martin</option>
                      <option value="64">Salvador</option>
                      <option value="181">Samoa</option>
                      <option value="182">San Marino</option>
                      <option value="183">Sao Tome and Prinpe</option>
                      <option value="184">Saudi Arabia</option>
                      <option value="185">Senegal</option>
                      <option value="240">Serbia</option>
                      <option value="186">Seychelles</option>
                      <option value="187">Sierra Leone</option>
                      <option value="188">Singapore</option>
                      <option value="251">Sint Maarten</option>
                      <option value="189">Slovakia (Slovak Republic)</option>
                      <option value="190">Slovenia</option>
                      <option value="191">Solomon Islands</option>
                      <option value="192">Somalia</option>
                      <option value="193">South Africa</option>
                      <option value="194">South Georgia and the South Sandwich Islands</option>
                      <option value="252">South Sudan</option>
                      <option value="195">Spain</option>
                      <option value="196">Sri Lanka</option>
                      <option value="197">St. Helena</option>
                      <option value="198">St. Pierre and Miquelon</option>
                      <option value="248">State of Palestine</option>
                      <option value="199">Sudan</option>
                      <option value="200">Suriname</option>
                      <option value="201">Svalbard and Jan Mayen Islands</option>
                      <option value="202">Swaziland</option>
                      <option value="203">Sweden</option>
                      <option value="204">Switzerland</option>
                      <option value="205">Syrian Arab Republic</option>
                      <option value="206">Taiwan</option>
                      <option value="207">Tajikistan</option>
                      <option value="208">Tanzania, United Republic of</option>
                      <option value="209">Thailand</option>
                      <option value="210">Togo</option>
                      <option value="211">Tokelau</option>
                      <option value="212">Tonga</option>
                      <option value="213">Trinidad and Tobago</option>
                      <option value="214">Tunisia</option>
                      <option value="215">Turkey</option>
                      <option value="216">Turkmenistan</option>
                      <option value="217">Turks and Caicos Islands</option>
                      <option value="218">Tuvalu</option>
                      <option value="219">Uganda</option>
                      <option value="220">Ukraine</option>
                      <option value="221">United Arab Emirates</option>
                      <option value="222">United Kingdom</option>
                      <option value="223">United States</option>
                      <option value="224">United States Minor Outlying Islands</option>
                      <option value="225">Uruguay</option>
                      <option value="226">Uzbekistan</option>
                      <option value="227">Vanuatu</option>
                      <option value="228">Vatican City State (Holy See)</option>
                      <option value="229">Venezuela</option>
                      <option value="230">Viet Nam</option>
                      <option value="231">Virgin Islands (British)</option>
                      <option value="232">Virgin Islands (U.S.)</option>
                      <option value="233">Wallis and Futuna Islands</option>
                      <option value="234">Western Sahara</option>
                      <option value="235">Yemen</option>
                      <option value="236">Yugoslavia</option>
                      <option value="237">Zaire</option>
                      <option value="238">Zambia</option>
                      <option value="239">Zimbabwe</option>
                    </select>
                  </div>
                </div>
              </div>
              <div class="controls">
                <div class="span3 form-group col-xs-12">
                  <div class="input-group"><label class="hide-label">Account holder *</label>
                    <label class="input-group-addon">
                      <i class="fa fa-user"></i>
                    </label>
                    <input class="sepa-holdername span3 form-control" type="text" size="20" placeholder="Account holder *">
                  </div>
                </div>
              </div>
              <div class="controls controls-row">
                <div class="form-group col-12">
                  <div class="input-group iban-element-group">
                    <label class="hide-label">IBAN *</label>
                    <span id="iban-element" class="sepa-iban form-control StripeElement StripeElement--empty">
                      <div class="__PrivateStripeElement"
                        style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
                          name="__privateStripeFrame4486" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
                          src="https://js.stripe.com/v3/elements-inner-iban-1c71f01fb3b5bff7bd2d88127c2360cb.html#betas[0]=payment_intent_beta_3&amp;wait=false&amp;mids[guid]=NA&amp;mids[muid]=NA&amp;mids[sid]=NA&amp;style[invalid][color]=%23303238&amp;style[invalid][:focus][color]=%23303238&amp;supportedCountries[0]=SEPA&amp;rtl=false&amp;componentName=iban&amp;keyMode=live&amp;apiKey=pk_live_51NEwnuJPFSIyfaOdSmVclbqlUUE2O78ActdTWUYhQdQnym03KvM9vyes3IN18k7zuFZ5Cm0VSCo8PV36U8aRG47E00XO6IcGBA&amp;referrer=https%3A%2F%2Fbilling.slimpayhub.com%2Fen%2F%3Ftid%3D83cefad4&amp;controllerId=__privateStripeController4481"
                          title="Secure IBAN input frame"
                          style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
                          class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
                          style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
                      </div>
                    </span>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="psp  psp-3 ">
          <label class="psp-radio">
            <input type="radio" data-identifier="Paypal" id="psp-3-1900927932" name="pspId" tabindex="-1" value="3-1900927932">
            <span class="outer psp-radio-span" tabindex="0"><span class="inner"></span></span>
          </label>
          <label class="psp-label" for="psp-3-1900927932" data-original-title="" title="">
            <div class="psp-slick slick-initialized slick-slider">
              <div aria-live="polite" class="slick-list draggable">
                <div class="slick-track" role="listbox" style="opacity: 1; width: 71px; transform: translate3d(0px, 0px, 0px);"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_paypal.svg" alt=""
                    data-support-recurring-payment="1" data-requires-3rd-party-cookie="0" data-html="true" data-original-title="" title="" class="slick-slide slick-current slick-active" data-slick-index="0" aria-hidden="false" tabindex="-1"
                    role="option" aria-describedby="slick-slide10" style="width: 61px;"></div>
              </div>
            </div>
          </label>
        </div>
        <div class="psp  psp-27 ">
          <label class="psp-radio">
            <input type="radio" data-identifier="PrePayment" id="psp-27-1230199125" name="pspId" tabindex="-1" value="27-1230199125">
            <span class="outer psp-radio-span" tabindex="0"><span class="inner"></span></span>
          </label>
          <label class="psp-label" for="psp-27-1230199125" data-original-title="" title="">
            <div class="psp-slick slick-initialized slick-slider">
              <div aria-live="polite" class="slick-list draggable">
                <div class="slick-track" role="listbox" style="opacity: 1; width: 71px; transform: translate3d(0px, 0px, 0px);"><img data-toggle="tooltip" data-container="body" src="/Frontend/Images/CardIcons/card_pre_payment.svg" alt=""
                    data-support-recurring-payment="0" data-requires-3rd-party-cookie="0" data-html="true" data-original-title="" title="" class="slick-slide slick-current slick-active" data-slick-index="0" aria-hidden="false" tabindex="-1"
                    role="option" aria-describedby="slick-slide20" style="width: 61px;"></div>
              </div>
            </div>
          </label>
          <div class="psp-fields psp-27-1230199125 psp-27" style="display: none;">Payment by prepayment<br></div>
        </div>
      </div>
      <div class="psp-info psp-26" style="display: inline-block;">
        <div class="text-center">All credit card transactions are handled safely. Please note that Payrexx does <b>not</b> store credit card information.</div>
      </div>
      <div class="psp-info psp-3" style="display: none;">
        <div class="text-center"> Click on the button below to complete the payment with PayPal. </div>
      </div>
    </div>
    <div id="pay">
      <button type="submit" name="submit" class="btn btn-success btn-payrexx pay-button pay-button-default" style="display: inline-block;">
        <div class="line-1">
          <i class="fa fa-shopping-cart"></i>
          <span class="pay-text">Pay</span>
        </div>
        <div class="line-2">
          <span data-value="currency" style="display: none;">CAD</span>
          <span data-value="amount" style="display: none;"></span>
        </div>
      </button>
      <button type="submit" name="submit" class="btn btn-success btn-payrexx pay-button pay-button-3" style="display: none;">
        <div class="line-1">
          <i class="fa"></i>
          <span class="pay-text">Go to PayPal</span>
        </div>
      </button>
    </div>
    <h2 class="secure-connection-info"><i class="fa fa-lock"></i> Secure connection with 256-bit SSL</h2>
  </fieldset>
</form>

POST

<form id="loginForm" method="post" role="form" autocomplete="off">
  <div class="input-group" style="margin-bottom: 10px;">
    <span class="input-group-addon">
      <i class="glyphicon glyphicon-user"></i>
    </span>
    <input class="form-control" id="login-username" name="USERNAME" placeholder="E-Mail address" type="text" value="">
  </div>
  <div class="input-group" style="margin-bottom: 10px;">
    <span class="input-group-addon">
      <i class="glyphicon glyphicon-lock"></i>
    </span>
    <input class="form-control" id="login-password" name="PASSWORD" placeholder="Password" type="password">
  </div>
  <div class="form-group input-group">
    <div class="checkbox">
      <label>
        <input id="login-remember" name="remember_me" type="checkbox" value="1"> Remember </label>
    </div>
  </div>
  <div class="form-group">
    <input class="btn btn-success btn-payrexx pay-button" name="login" id="submit" type="submit" value="Sign in" style="display: none;">
  </div>
  <div class="form-group">
    <a id="forget" href="#">Forgot password?</a>
  </div>
</form>

Text Content

ONLINE PAYMENT SYSTEM


SLIMSTAR

CAD  
 * CAD
 * EUR
 * GBP
 * USD
 * AUD
 * CHF

Contact details
Title TitleMrMs
First Name *
Last Name *
Email *
Payment details
Street & No. *
Zip code *
City *
Country * Country * Afghanistan Åland Islands Albania Algeria American Samoa
Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba
Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium
Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and
Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei
Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde
Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos
(Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba
Curacao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti
Dominica Dominican Republic East Timor Ecuador Egypt Equatorial Guinea Eritrea
Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France
France, Metropolitan French Guiana French Polynesia French Southern Territories
Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe
Guam Guatemala Guinea Guinea-bissau Guyana Haiti Heard and Mc Donald Islands
Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of)
Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic
of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho
Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau
Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives
Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico
Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro
Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue
Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua
New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar
Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia
Saint Vincent and the Grenadines Saint-Barthélemy Saint-Martin Salvador Samoa
San Marino Sao Tome and Prinpe Saudi Arabia Senegal Serbia Seychelles Sierra
Leone Singapore Sint Maarten Slovakia (Slovak Republic) Slovenia Solomon Islands
Somalia South Africa South Georgia and the South Sandwich Islands South Sudan
Spain Sri Lanka St. Helena St. Pierre and Miquelon State of Palestine Sudan
Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab
Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau
Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United
States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State
(Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.)
Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Account holder *
IBAN *


Payment by prepayment

All credit card transactions are handled safely. Please note that Payrexx does
not store credit card information.
Click on the button below to complete the payment with PayPal.
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CAD
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SECURE CONNECTION WITH 256-BIT SSL

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