payment-barion.pickuphungary.com Open in urlscan Pro
172.67.219.151  Public Scan

Form analysis
1 forms found in the DOM

POST process.php

<form method="post" action="process.php">
  <div class="form-group">
    <label>Amount in EUR</label>
    <div class="input-group">
      <input type="number" value="" name="amount" class="form-control" required="" placeholder="Amount" aria-describedby="basic-addon2">
      <span class="input-group-addon" id="basic-addon2">EUR</span>
    </div>
  </div>
  <div class="form-group">
    <label>Your e-mail address</label>
    <input type="email" name="email" class="form-control" required="" placeholder="Start typing..">
  </div>
  <div class="form-group">
    <label>Transaction ID</label>
    <div class="input-group">
      <span class="input-group-addon" id="basic-addon2">THERMAL</span>
      <input type="text" name="transaction" class="form-control" required="" readonly="" value="1716554241" aria-describedby="basic-addon2">
    </div>
  </div>
  <div class="form-group">
    <input type="checkbox" required="" name="terms">
    <label>I accept the terms and conditions (<a href="http://thermal.hu/BARION/ASZF_hu.pdf">hun</a>, <a href="http://thermal.hu/BARION/ASZF_rus.pdf">rus</a>)</label>
  </div>
  <div class="form-group">
    <input type="submit" name="submit" value="Pay now" class="btn btn-lg btn-primary">
  </div>
</form>

Text Content

THERMAL HUNGARY PAYMENT



Amount in EUR
EUR
Your e-mail address
Transaction ID
THERMAL
I accept the terms and conditions (hun, rus)



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