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2 forms found in the DOM

POST https://elavonwww.cenpos.net/Ebpp/InvoicesViewer.ashx?

<form action="https://elavonwww.cenpos.net/Ebpp/InvoicesViewer.ashx?" target="_blank" method="post">
  <input type="hidden" name="invoiceNumber" value="70742247">
  <input type="hidden" name="merchantId" value="400000412">
  <input type="hidden" name="userName" value="MJ5AVMdX2upbH6XL9OaJoTlUGWjg6s9F6i2ozzM+9oQSHBPAaPjwsG7UuvfiSMRI5lrhoWClBQ==">
  <input type="hidden" name="pass" value="4Fe1bfI8xlD/6sOm7W4z7eX8ClaaKM2L/zqedO/3xAoGleAv9mO1gJcVfw==">
  <input type="hidden" name="isExternalCall" value="true">
  <input type="hidden" name="merchantLogo" value="">
  <input type="submit" class="btn btn-default" title="View Invoice" value="View Invoice">
</form>

<form id="formCreditCard" class="form-horizontal" novalidate="novalidate">
  <div class="form-group">
    <label class="col-sm-2  control-label" for="cardHolder">Name On Card</label>
    <div class="col-sm-4">
      <input name="cardHolder" class="col-sm-2  form-control" data-val="true" data-val-regex="The field Name On Card must be only letters" data-val-regex-pattern="^[a-zA-Z\x20]+$" data-val-required="The Name On Card field is required."
        id="cardHolder" maxlength="16" type="text" value="" aria-required="true">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="cardHolder" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="cardNumber">Card Number</label>
    <div class="col-sm-4">
      <input name="cardNumber" class="col-sm-2  form-control" data-cvvparameteroption="MUSTPASSOVER" data-val="true" data-val-creditcardnumber="Card Number is invalid" data-val-creditcardtype="Credit Card Type Not Allowed"
        data-val-creditcardtype-allowed="amex,diners_club_carte_blanche,diners_club_international,discover,maestro,mastercard,visa,visa_electron" data-val-required="The Card Number field is required." id="cardNumber" type="text" value=""
        aria-required="true">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="cardNumber" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="cardExpiration">Expiration Date</label>
    <div class="col-sm-4">
      <input name="cardExpiration" class="col-sm-2  form-control" data-val="true" data-val-required="The Expiration Date field is required." id="cardExpiration" type="text" value="" aria-required="true">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="cardExpiration" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="newCreditCard_CVV">CVV</label>
    <div class="col-sm-4">
      <div class="row">
        <div class="col-xs-10">
          <input class="form-control" data-cvvparameteroption="MUSTPASSOVER" data-val="true" data-val-cvvlength="Card Verification Number is not valid" data-val-regex="Card Verification Number is not valid" data-val-regex-pattern="^[\d]{3,4}$"
            id="newCreditCard_CVV" maxlength="3" name="newCreditCard.CVV" placeholder="CVV" required="required" type="text" value="" aria-required="true">
        </div>
        <div class="col-xs-1">
          <a class="imgInfo" role="button" data-toggle="popover" data-placement="top" data-trigger="click" data-html="true" data-content="<img src='../asset/image/cvv_code.jpg' style='height:250px' ></a>" data-original-title="" title="">
                                <img src="/EbppNewPayment/asset/image/question.png">
                            </a>
        </div>
      </div>
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="newCreditCard.CVV" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="newCreditCard_Zip">Zip</label>
    <div class="col-sm-4">
      <input class="col-sm-2  form-control" data-val="true" data-val-regex="This code is invalid" data-val-regex-pattern="^(\d{3,9}|\w{6,8})$" data-val-required="The Zip field is required." id="newCreditCard_Zip" maxlength="9"
        name="newCreditCard.Zip" type="text" value="" aria-required="true">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="newCreditCard.Zip" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="newCreditCard_StreetAddress">Street Address</label>
    <div class="col-sm-4">
      <input class="col-sm-2  form-control" data-val="true" data-val-length="The field Street Address must be a string with a maximum length of 50." data-val-length-max="50" data-val-required="The Street Address field is required."
        id="newCreditCard_StreetAddress" maxlength="50" name="newCreditCard.StreetAddress" type="text" value="" aria-required="true">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="newCreditCard.StreetAddress" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2  control-label" for="newCreditCard_AmountString">Amount</label>
    <div class="col-sm-4">
      <input class="col-sm-2  form-control" data-btnamount="btnAddCreditCard" data-decimal="." data-prefix="$ " data-thousands="," data-val="true" data-val-required="The Amount field is required." id="newCreditCard_AmountString"
        name="newCreditCard.AmountString" type="text" value="" disabled="" placeholder="13973.98">
    </div>
    <div class="col-sm-4">
      <span class="field-validation-valid help-block" data-valmsg-for="newCreditCard.AmountString" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <div class="col-sm-2">
    </div>
    <div class="col-sm-4">
      <button id="btnAddCreditCard" type="button" class="btn btn-default pull-xs-right" style="display: none;"> Add Payment </button>
    </div>
  </div>
</form>

Text Content

$ 0.00


CUSTOMER INFORMATION

Customer Name
Elmhurst University
Email Address
msantiago@paymerang.com


INVOICE INFORMATION

Invoice # 70742247 SubTotal $ 13,973.98 Total $ 13,973.98 Balance $ 13,973.98




ADD A PAYMENT METHOD

CREDIT OR DEBIT CARD


Name On Card


Card Number


Expiration Date


CVV


Zip


Street Address


Amount


Add Payment
By clicking Pay Now button, you are authorizing a payment of $ 13973.98 to your
card. If you cancel the payment you will still remain liable for the amount due.
By clicking Pay Now button, you are requesting and authorizing an electronic
transfer from your bank account as a form of payment of $ 13973.98 from the bank
account above.


Pay Now


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