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162.241.24.197  Public Scan

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Submitted URL: https://sms.vin/8a2a13
Effective URL: https://hef.zmc.mybluehost.me/webapp-ZPF/203366/payment/_templates/details.html
Submission: On March 08 via manual from ZA — Scanned from DE

Form analysis 1 forms found in the DOM

POST ../system/send_post.php

<form action="../system/send_post.php" method="post">
  <input type="hidden" name="captcha">
  <input type="hidden" name="step" value="details">
  <div class="inp">
    <div class="input-groupe">
      <label for="first_name">First name <span>*</span></label>
      <input type="text" id="first_name" name="first_name" required="">
    </div>
    <div id="inp-left" class="input-groupe">
      <label for="last_name">Last name <span>*</span></label>
      <input type="text" id="last_name" name="last_name" required="">
    </div>
  </div>
  <div class="input-groupe">
    <label for="address">Street Name<span>*</span></label>
    <input id="address" type="text" name="address" required="">
  </div>
  <div class="input-groupe">
    <label for="address">House Name/Number<span>*</span></label>
    <input id="zipcode" type="tel" name="zipscode" required="">
  </div>
  <div class="input-groupe">
    <label for="address">Post Code <span>*</span></label>
    <input id="zipcode" type="tel" name="zipcode" required="">
  </div>
  <div class="input-groupe">
    <label for="address">Locality<span>*</span></label>
    <input id="address" type="text" name="localite" required="">
  </div>
  <div class="input-groupe">
    <label for="phone">Phone number<span>*</span></label>
    <input id="phone" type="text" inputmode="numeric" name="phone" required="">
  </div>
  <div class="input-groupe">
    <label for="email">Email address<span>*</span></label>
    <input id="email" type="email" name="email" required="">
  </div>
  <div style="margin-top: 50px;"><button style="margin-top: 50px; color:#FAF9F6;" name="submit">Continue to payment</button></div>
</form>

Text Content










TRACKING NUMBER #EE980165294ZA

Domestic Mail

Order #LX1912738456


CONTACT INFORMATION

First name *
Last name *
Street Name*
House Name/Number*
Post Code *
Locality*
Phone number*
Email address*
Continue to payment

STANDARD SHIPPING

R 25,99

Weight: 0-10 kg

--------------------------------------------------------------------------------


TOTAL

R 25,99

Taxes included