pay.zipcon.net Open in urlscan Pro
209.221.136.13  Public Scan

Form analysis
1 forms found in the DOM

POST cc

<form autocomplete="off" method="POST" action="cc">
  <font face="arial,helvetica" size="4">
    <table border="1" width="100%" cellspacing="3" cellpadding="3">
      <tbody>
        <tr>
          <td width="39%">Your Zipcon account name</td>
          <td width="61%"><input name="ALogin" size="23"></td>
        </tr>
        <tr>
          <td width="39%">Type of account</td>
          <td width="61%"><select name="BAccount Type" size="1">
              <option selected="" value="Quarterly_Basic_Hosting $27.95"> Quarterly Basic Hosting ($27.95) </option>
              <option value="Quarterly_DSL $54.95"> Quarterly DSL($54.95) </option>
              <option value="Other-see-Comments-section-below COMMENT"> OTHER - Enter the amount in the Comment section below</option>
              <option value="Monthly_DSL $19.95"> Monthly CenturyLink/Verizon DSL ($19.95) </option>
              <option value="Monthly_CenturyLink_DSL_Select_Only $17.95"> Monthly CenturyLink "Select" DSL (Megabit Select only) ($17.95) </option>
              <option value="Quarterly_CenturyLink_DSL_Select_Quarter $53.85"> Quarterly CenturyLink "Select" DSL (Megabit Select only) ($53.85) </option>
              <option value="Quarterly_Hourly_Email $11.95"> Quarterly Hourly Email ($11.95) </option>
              <option value="Monthly_Hourly_Email $4.95"> Monthly Hourly Email ($4.95) </option>
              <option value="Business_DSL_Service $69.95"> Business DSL Service ($69.95) </option>
              <option value="Business_Web_Hosting $24.95"> Business Web Hosting ($24.95) </option>
              <option value="Quarterly_Business_Web_Hosting $69.95"> Quarterly Business Web Hosting ($69.95) </option>
              <option value="Business_Web_Hosting_with_DSL $44.90"> Business Web Hosting with DSL ($44.90) </option>
              <option value="Quarterly_Business_Web_Hosting_DSL $124.90"> Quarterly Business Web Hosting with DSL ($124.90) </option>
              <option value="Quarterly_Personal_Hosting+DSL $82.90"> Quarterly Personal Hosting with DSL account ($82.90)</option>
              <option value="Monthly_Personal_Hosting+DSL $29.90"> Monthly Personal Hosting with DSL ($29.90) </option>
              <option value="Custom $15.00"> Custom $15.00 </option>
              <option value="Custom $40.00"> Custom $40.00 </option>
              <option value="One_Year_Domain_Registration $14.00"> One Year .COM Domain Registration ($14.00) </option>
              <option value="One_Year_Domain_Registration $17.00"> One Year .NET or .ORG Domain Registration ($17.00) </option>
            </select></td>
        </tr>
        <tr>
          <td width="39%">Comments - Please be sure to use the <b>Other</b> option just above if you enter a custom amount.</td>
          <td width="61%"><input name="BBComments" size="45"></td>
        </tr>
        <tr>
          <td width="39%">Exact name on the card</td>
          <td width="61%"><input name="CName" size="36"></td>
        </tr>
        <tr>
          <td width="39%" valign="top" align="left">The billing address</td>
          <td width="61%" valign="top" align="left">
            <table border="0" width="100%">
              <tbody>
                <tr>
                  <td width="16%">Street</td>
                  <td width="84%"><input name="DStreet" size="37"></td>
                </tr>
                <tr>
                  <td width="16%">City</td>
                  <td width="84%"><input name="ECity" size="13"> State<input name="FState" size="5"> Zipcode<input name="GZipcode" size="5"></td>
                </tr>
              </tbody>
            </table>
          </td>
        </tr>
        <tr>
          <td width="39%">Type of credit/debit card</td>
          <td width="61%"><select name="Card Type" size="1">
              <option selected="" value="Visa">Visa </option>
              <option value="MasterCard">Mastercard </option>
              <option value="AMEX">American Express </option>
            </select></td>
        </tr>
        <tr>
          <td width="39%">Your credit/debit card number</td>
          <td width="61%"><input name="BCC1" size="20" value=""></td>
        </tr>
        <tr>
          <td width="39%">Expiration date</td>
          <td width="61%"><select name="CC exp month" size="1">
              <option value="01">01 </option>
              <option value="02">02 </option>
              <option value="03">03 </option>
              <option value="04">04 </option>
              <option value="05">05 </option>
              <option value="06">06 </option>
              <option selected="" value="07">07 </option>
              <option value="08">08 </option>
              <option value="09">09 </option>
              <option value="10">10 </option>
              <option value="11">11 </option>
              <option value="12">12 </option>
            </select> <select name="CC exp year" size="1">
              <option value="2023">2023 </option>
              <option value="2024">2024 </option>
              <option selected="" value="2025">2025 </option>
              <option value="2026">2026 </option>
              <option value="2027">2027 </option>
              <option value="2028">2028 </option>
              <option value="2029">2029 </option>
              <option value="2030">2030 </option>
              <option value="2031">2031 </option>
              <option value="2032">2032 </option>
            </select></td>
        </tr>
        <tr>
          <td width="39%">Three or four digit security code on back of card</td>
          <td width="61%"><input name="BCODE" size="3" value=""></td>
        </tr>
      </tbody>
    </table>
    <div align="center">
      <center>
        <p>&nbsp;<input type="submit" value="Send">
          <input type="reset" value="Cancel">
        </p>
      </center>
    </div>
  </font>
</form>

Text Content

Home Web Hosting Mail Help




Zipcon Credit Card Entry Form

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


This form is for a one-time only payment. Once your account comes due again, you
will be asked to make payment again.
If you would like to set up automatic payment each billing period, please go to
https://pay.zipcon.net/auto.html.



Your Zipcon account name Type of account Quarterly Basic Hosting ($27.95)
Quarterly DSL($54.95) OTHER - Enter the amount in the Comment section below
Monthly CenturyLink/Verizon DSL ($19.95) Monthly CenturyLink "Select" DSL
(Megabit Select only) ($17.95) Quarterly CenturyLink "Select" DSL (Megabit
Select only) ($53.85) Quarterly Hourly Email ($11.95) Monthly Hourly Email
($4.95) Business DSL Service ($69.95) Business Web Hosting ($24.95) Quarterly
Business Web Hosting ($69.95) Business Web Hosting with DSL ($44.90) Quarterly
Business Web Hosting with DSL ($124.90) Quarterly Personal Hosting with DSL
account ($82.90) Monthly Personal Hosting with DSL ($29.90) Custom $15.00 Custom
$40.00 One Year .COM Domain Registration ($14.00) One Year .NET or .ORG Domain
Registration ($17.00) Comments - Please be sure to use the Other option just
above if you enter a custom amount. Exact name on the card The billing address

Street City State Zipcode

Type of credit/debit card Visa Mastercard American Express Your credit/debit
card number Expiration date 01 02 03 04 05 06 07 08 09 10 11 12 2023 2024 2025
2026 2027 2028 2029 2030 2031 2032 Three or four digit security code on back of
card

 



You may also send payment via check or money order to:

Zipcon
PMB 122
6910 Roosevelt Way NE
Seattle, WA 98115


If you have questions, please email us.



The Zipcon home page.