checkout.patriotparadise.co Open in urlscan Pro
2600:9000:2511:2400:10:71f4:a4c0:93a1  Public Scan

Form analysis
2 forms found in the DOM

<form id="i4yit4">
  <div id="ib8r0u" data-secondsdelay="" class="form-row"><i id="ieq3oj" class="fa fa-lock icp icp-auto">
				  </i>
    <div id="iivybp" data-secondsdelay="" class="col-sm-12"><input type="text" placeholder="Card Number" id="iip136" name="cardNumber" maxlength="16" customval="" required="" class="form-control" data-threeds="pan"></div>
  </div>
  <div id="ib8r0u-2" data-secondsdelay="" class="form-row">
    <div id="ilrgs3-2" data-secondsdelay="" class="col-sm-6"><input type="text" placeholder="MMYY" name="cardDate" id="io3t2v" customval="" required="" class="form-control fkmasked" data-pattern="(1[0-2]|0[1-9])" data-valid-data-example="11/18">
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    <div id="ilrgs3-3" data-secondsdelay="" class="col-sm-6"><input type="number" placeholder="CVV" name="cardSecurityCode" id="ihrfkm" maxlength="4" customval="" required="" class="form-control"></div>
  </div><input type="hidden" name="cardMonth" value="" data-threeds="month"><input type="hidden" name="cardYear" value="" data-threeds="year"><input type="hidden" name="paayccCardHolderName" value="" data-threeds="cardHolderName"><input type="hidden"
    name="paayemailAddress" value="" data-threeds="email"><input type="hidden" name="paayaddress1" value="" data-threeds="billingLine1"><input type="hidden" name="paayaddress2" value="" data-threeds="billingLine2"><input type="hidden"
    name="paaypostalCode" value="" data-threeds="billingPostCode"><input type="hidden" name="paaycity" value="" data-threeds="billingCity"><input type="hidden" name="paaystate" value="" data-threeds="billingState"><input type="hidden"
    name="paaycountry" value="" data-threeds="billingCountry"><input type="hidden" name="paayshipAddress1" value="" data-threeds="shippingLine1"><input type="hidden" name="paayshipAddress2" value="" data-threeds="shippingLine2"><input type="hidden"
    name="paayshipPostalCode" value="" data-threeds="shippingPostCode"><input type="hidden" name="paayshipCity" value="" data-threeds="shippingCity"><input type="hidden" name="paayshipState" value="" data-threeds="shippingState"><input type="hidden"
    name="paayshipCountry" value="" data-threeds="shippingCountry"><input type="hidden" name="paayccAddrMatch" value="" data-threeds="addrMatch"><input type="hidden" name="paayshipIndicator" value="" data-threeds="shipIndicator"><input type="hidden"
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</form>

<form id="iz12a8" align="center" class="form form-style">
  <div id="iuk9cy" data-secondsdelay="" class="fk-input-container half-width top-margin"><input type="text" name="couponCode" placeholder="Discount code " id="ilikoq" customval="" class="form-control-custom"></div><button
    data-id="fkt-button-12c-495-bab" title="" align="center" onclick="applyCoupon(event)" action="applyCoupon" id="i6xhu7-2" replaceproductid="" data-secondsdelay="" data-minutesdelay="" quantity="" price="" type="button" size="none" billnow="false"
    desktopsize="none" variantvalue="" offer="choose" upsell="choose" class="btn btn-primary apply-coupon fk-i6xhu7-2">Apply</button>
</form>

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Billing Information
United StatesCanadaAustraliaAustriaBelgiumCzech
RepublicDenmarkFinlandFranceGermanyIcelandIrelandItalyNetherlandsNew
ZealandNorwayPolandPortugalSpainSwedenSwitzerlandUnited Kingdom


Select stateAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and
LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward
IslandQuebecSaskatchewanYukon







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