hdves.sboxes.one Open in urlscan Pro
31.220.14.124  Public Scan

Form analysis
2 forms found in the DOM

<form class="card p-2">
  <div class="input-group">
    <input type="text" class="form-control" placeholder="Promo code">
    <button type="submit" class="btn btn-secondary">Redeem</button>
  </div>
</form>

<form class="needs-validation" novalidate="">
  <div class="row g-3">
    <div class="col-sm-6">
      <label for="firstName" class="form-label">First name</label>
      <input type="text" class="form-control" id="firstName" placeholder="" value="" required="">
      <div class="invalid-feedback"> Valid first name is required. </div>
    </div>
    <div class="col-sm-6">
      <label for="lastName" class="form-label">Last name</label>
      <input type="text" class="form-control" id="lastName" placeholder="" value="" required="">
      <div class="invalid-feedback"> Valid last name is required. </div>
    </div>
    <div class="col-12">
      <label for="username" class="form-label">Username</label>
      <div class="input-group has-validation">
        <span class="input-group-text">@</span>
        <input type="text" class="form-control" id="username" placeholder="Username" required="">
        <div class="invalid-feedback"> Your username is required. </div>
      </div>
    </div>
    <div class="col-12">
      <label for="email" class="form-label">Email <span class="text-muted">(Optional)</span></label>
      <input type="email" class="form-control" id="email" placeholder="you@example.com">
      <div class="invalid-feedback"> Please enter a valid email address for shipping updates. </div>
    </div>
    <div class="col-12">
      <label for="address" class="form-label">Address</label>
      <input type="text" class="form-control" id="address" placeholder="1234 Main St" required="">
      <div class="invalid-feedback"> Please enter your shipping address. </div>
    </div>
    <div class="col-12">
      <label for="address2" class="form-label">Address 2 <span class="text-muted">(Optional)</span></label>
      <input type="text" class="form-control" id="address2" placeholder="Apartment or suite">
    </div>
    <div class="col-md-5">
      <label for="country" class="form-label">Country</label>
      <select class="form-select" id="country" required="">
        <option value="">Choose...</option>
        <option>United States</option>
      </select>
      <div class="invalid-feedback"> Please select a valid country. </div>
    </div>
    <div class="col-md-4">
      <label for="state" class="form-label">State</label>
      <select class="form-select" id="state" required="">
        <option value="">Choose...</option>
        <option>California</option>
      </select>
      <div class="invalid-feedback"> Please provide a valid state. </div>
    </div>
    <div class="col-md-3">
      <label for="zip" class="form-label">Zip</label>
      <input type="text" class="form-control" id="zip" placeholder="" required="">
      <div class="invalid-feedback"> Zip code required. </div>
    </div>
  </div>
  <hr class="my-4">
  <div class="form-check">
    <input type="checkbox" class="form-check-input" id="same-address">
    <label class="form-check-label" for="same-address">Shipping address is the same as my billing address</label>
  </div>
  <div class="form-check">
    <input type="checkbox" class="form-check-input" id="save-info">
    <label class="form-check-label" for="save-info">Save this information for next time</label>
  </div>
  <hr class="my-4">
  <h4 class="mb-3">Payment</h4>
  <div class="my-3">
    <div class="form-check">
      <input id="credit" name="paymentMethod" type="radio" class="form-check-input" checked="" required="">
      <label class="form-check-label" for="credit">Credit card</label>
    </div>
    <div class="form-check">
      <input id="debit" name="paymentMethod" type="radio" class="form-check-input" required="">
      <label class="form-check-label" for="debit">Debit card</label>
    </div>
    <div class="form-check">
      <input id="paypal" name="paymentMethod" type="radio" class="form-check-input" required="">
      <label class="form-check-label" for="paypal">PayPal</label>
    </div>
  </div>
  <div class="row gy-3">
    <div class="col-md-6">
      <label for="cc-name" class="form-label">Name on card</label>
      <input type="text" class="form-control" id="cc-name" placeholder="" required="">
      <small class="text-muted">Full name as displayed on card</small>
      <div class="invalid-feedback"> Name on card is required </div>
    </div>
    <div class="col-md-6">
      <label for="cc-number" class="form-label">Credit card number</label>
      <input type="text" class="form-control" id="cc-number" placeholder="" required="">
      <div class="invalid-feedback"> Credit card number is required </div>
    </div>
    <div class="col-md-3">
      <label for="cc-expiration" class="form-label">Expiration</label>
      <input type="text" class="form-control" id="cc-expiration" placeholder="" required="">
      <div class="invalid-feedback"> Expiration date required </div>
    </div>
    <div class="col-md-3">
      <label for="cc-cvv" class="form-label">CVV</label>
      <input type="text" class="form-control" id="cc-cvv" placeholder="" required="">
      <div class="invalid-feedback"> Security code required </div>
    </div>
  </div>
  <hr class="my-4">
  <button class="w-100 btn btn-primary btn-lg" type="submit">Continue to checkout</button>
</form>

Text Content

CHECKOUT FORM

Below is an example form built entirely with Bootstrap’s form controls. Each
required form group has a validation state that can be triggered by attempting
to submit the form without completing it.

YOUR CART 3

 * PRODUCT NAME
   
   Brief description
   $12

 * SECOND PRODUCT
   
   Brief description
   $8

 * THIRD ITEM
   
   Brief description
   $5

 * PROMO CODE
   
   EXAMPLECODE
   −$5
 * Total (USD) $20

Redeem

BILLING ADDRESS

First name
Valid first name is required.
Last name
Valid last name is required.
Username
@
Your username is required.
Email (Optional)
Please enter a valid email address for shipping updates.
Address
Please enter your shipping address.
Address 2 (Optional)
Country Choose... United States
Please select a valid country.
State Choose... California
Please provide a valid state.
Zip
Zip code required.

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

Shipping address is the same as my billing address
Save this information for next time

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

PAYMENT

Credit card
Debit card
PayPal
Name on card Full name as displayed on card
Name on card is required
Credit card number
Credit card number is required
Expiration
Expiration date required
CVV
Security code required

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

Continue to checkout

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 * Privacy
 * Terms
 * Support