www.b4bpayments.com Open in urlscan Pro
67.207.68.135  Public Scan

Form analysis
1 forms found in the DOM

POST /fitbit-2/cardholder_registrations

<form action="/fitbit-2/cardholder_registrations" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓" autocomplete="off"><input type="hidden" name="authenticity_token"
    value="GF3JNsPgfLwWVZH1oE4oOSCa/wFqEJw3mz9eDVTI4ccKHWJLq1qmRZNG7rCLTEJTOG7SF4TbuCJxl6la1xeihQ==" autocomplete="off">
  <div>
    <div class="form-group">
      <div class="form-group">
        <div class="row">
          <div class="col-sm-12">
            <label for="cardholder_registration_card_code">Card code</label>
            <input class="input" type="text" name="cardholder_registration[card_code]" id="cardholder_registration_card_code">
          </div>
        </div>
        <div class="row">
          <div class="col-sm-5" style="padding-right: 0px; width: auto">
            <div class="help-block">The 9 or 10 digit code at bottom of your card</div>
          </div>
          <div class="col-sm-1" style="padding-left: 3px;">
            <div class="help-block-no-uppercase">
              <a onclick="$('#card_codes_modal').modal('show');" href="#">ⓘ</a>
            </div>
          </div>
        </div>
      </div>
      <div class="modal fade" id="card_codes_modal" role="dialog" tabindex="-1">
        <div class="modal-dialog">
          <div class="modal-content">
            <div class="modal-body">
              <img src="/assets/mc_card_code_landscape-259e54713464837dc3a8b39e85c4c89d79dc52feef8a0c304b85fad0bdc8ece5.png">
              <p></p>
              <img src="/assets/mc_visa_card_code_portrait-d89e06897893868942df3c5be01f5a941b4ccff9eab41caac979f02d9f90f3d0.png">
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-2">
      <input type="submit" name="commit" value="Register" data-disable-with="Please wait" class="button -primary">
    </div>
    <div class="col-sm-6 col-sm-offset-4 text-right">
      <a class="button -expanding-button" href="/fitbit-2/login">Already registered?</a>
    </div>
  </div>
</form>

Text Content

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REGISTER

Card code
The 9 or 10 digit code at bottom of your card
ⓘ



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