payment.crocom.net Open in urlscan Pro
79.98.156.5  Public Scan

Form analysis
1 forms found in the DOM

Name: regform — POST /registration/

<form name="regform" action="/registration/" method="post">
  <input type="hidden" name="registration" value="yes">
  <input type="hidden" name="registration_phase" value="verification">
  <input type="hidden" name="language" value="en">
  <p><label>Login:</label><input type="text" name="login" value=""></p>
  <p><label>Password:</label> <input type="password" name="password" value=""></p>
  <p><label>Confirm password:</label> <input type="password" name="password2" value=""></p><br>
  <p><label>First name:</label> <input type="text" name="first_name" value=""></p>
  <p><label>Last name:</label> <input type="text" name="last_name" value=""></p>
  <p><label>E-mail:</label> <input type="text" name="email" value=""></p>
  <p><label>Phone:</label> <input type="text" name="phone" value=""></p><br>
  <p><label>Payment:</label>
    <select name="payment">
      <option value="paypal">PayPal</option>
    </select>
  </p>
  <div class="cleaner">&nbsp;</div>
  <div id="credits">
    <input class="credit_1" type="radio" name="credit" value="1">
    <input class="credit_2" type="radio" name="credit" value="2">
    <input class="credit_3" type="radio" name="credit" value="3">
    <input class="credit_4" type="radio" name="credit" value="4">
    <input class="credit_5" type="radio" name="credit" value="5">
  </div>
  <div class="cleaner">&nbsp;</div>
  <input class="btn_submit" type="submit">
</form>

Text Content

EN HR CZ


PAYMENT GATEWAY

Login:

Password:

Confirm password:


First name:

Last name:

E-mail:

Phone:


Payment: PayPal