payments.odits.com.au Open in urlscan Pro
104.21.78.58  Public Scan

Form analysis
1 forms found in the DOM

Name: payment-form — POST /charge/

<form action="/charge/" method="post" id="payment-form" name="payment-form">
  <div class="grid">
    <div id="title" class="row">
      <h3 class="text-center"><strong>On Demand IT Solutions<br>Instant Payment Collection</strong></h3>
    </div>
    <p><strong>What are we charging?</strong></p>
    <div class="well">
      <div class="row">
        <div class="col-md-8">
          <div class="form-group">
            <label>Charge Description</label>
            <input type="text" placeholder="Casual Co-Working (12/12/2020)" id="chargeDescription" name="chargeDescription" class="form-control">
          </div>
        </div>
        <div class="col-md-4">
          <div class="form-group">
            <label>Amount (AUD$)</label>
            <input type="text" placeholder="12.95" id="chargeAmount" name="chargeAmount" class="form-control">
          </div>
        </div>
      </div>
    </div>
    <p><strong>Who are we charging?</strong></p>
    <div id="paymentErrors" class="alert alert-danger" role="alert" style="display: none;"> Error Placeholder </div>
    <div class="well">
      <div class="row">
        <div class="col-md-8">
          <div class="form-group">
            <label id="cardNumber">Credit/Debit Card Number</label>
            <input type="text" placeholder="4242 4242 4242 4242" id="cardNumber" name="cardNumber" class="form-control">
          </div>
        </div>
        <div class="col-md-4">
          <div class="form-group">
            <label id="cardExpiry">Expiration</label>
            <input type="text" id="cardExpiry" name="cardExpiry" class="form-control" placeholder="MM/YY">
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-md-8">
          <div class="form-group">
            <label id="cardHolderName">Cardholder Name</label>
            <input type="text" placeholder="Franklin Lanyard" id="cardHolderName" name="cardHolderName" class="form-control">
          </div>
        </div>
        <div class="col-md-4">
          <div class="form-group">
            <label id="cardCvc">CVV</label>
            <input type="text" placeholder="789" id="cardCvc" name="cardCvc" class="form-control">
          </div>
        </div>
      </div>
    </div>
    <div class="well">
      <div class="row">
        <div class="col-md-12">
          <div class="form-group">
            <label id="receiptEmail">E-mail Receipt?</label>
            <input type="email" placeholder="person@frankstonfoundry.com (optional)" id="receiptEmail" name="receiptEmail" class="form-control">
          </div>
        </div>
      </div>
    </div>
    <div class="well">
      <div class="row">
        <div class="col-md-12 text-right">
          <button type="button" class="btn btn-info pull-left">Clear</button>
          <button id="paymentform-SubmitButton" type="button" class="btn btn-success pull-right">Process Payment</button>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-md-6 text-left"> © 2017 - On Demand IT Solutions </div>
      <div class="col-md-6 text-right"> Issues with usage? <a href="mailto:development@odits.com.au">Report It</a>
      </div>
    </div>
  </div>
</form>

Text Content

e
l
o
visa
MasterCard
Maestro

discover


•••
•••• •••• •••• ••••
Franklin Lanyard
••/••
•••



ON DEMAND IT SOLUTIONS
INSTANT PAYMENT COLLECTION

What are we charging?

Charge Description
Amount (AUD$)

Who are we charging?

Error Placeholder
Credit/Debit Card Number
Expiration
Cardholder Name
CVV
E-mail Receipt?
Clear Process Payment
© 2017 - On Demand IT Solutions
Issues with usage? Report It