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44.241.206.186  Public Scan

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Submitted URL: http://payments.fortessa.com/
Effective URL: https://paylink.paytrace.com/?m=eyJhbGciOiJBMjU2S1ciLCJlbmMiOiJBMTI4R0NNIn0.EzfReEUjfE6cYBvwqaZrFnvRy8qnfAHn.Wejuae33Bljt0Qf7...
Submission: On May 09 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="">
  <div class="paymentform-form">
    <div class="row">
      <div class="col-md-12">
        <div class="row">
          <div class="PaymentSteps no-print">
            <ul class="horizontalList">
              <div>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="active" style="color: rgb(24, 62, 93);">Payment on Account</label></div>
                    <div><label class="checkmark active" style="border-color: rgb(24, 62, 93);"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Billing</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Review</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Receipt</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
              </div>
            </ul>
          </div>
        </div>
        <div class="row">
          <div>
            <div class="header-label">
              <div class="icon" style="display: inline-block; margin-right: 10px;"><img src="Payment.42e436ad.png" width="36" height="36"></div><span class="label" style="font-size: 25px;">Payment on Account</span>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="col-lg-7">
            <div class="payment-fields row">
              <div class="col-md-12">
                <div class="row">
                  <div>
                    <div class="AmountInputBox with-prepended-icon"><label for="amount">Amount<span class="required-mark" style="color: red;">*</span></label><i class="input-left-icon">$</i><input id="amount" name="amount" placeholder=""
                        maxlength="13" title="Dollar amount of the transaction upto 12 digits including 2 decimal places" type="text" value=""></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div class="col-lg-5"></div>
        </div>
      </div>
    </div>
    <div class="total-section row">
      <div>
        <div class="TotalPaymentBox">
          <div>Total Amount</div><input type="text" placeholder="" name="txtTotalPayment" maxlength="13" title="Total Dollar amount of the transaction" disabled="" value="$0.00">
        </div>
      </div>
    </div>
    <div class="row no-print">
      <div class="nav-buttons row">
        <div class="continue-button"><a href="/Billing"><button class="btn" style="background-color: gainsboro;">Continue to Billing</button></a></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Fortessa Tableware Solutions
Payment on Account Page
http://www.fortessa.com
ARPayments@fortessa.com
View Company Terms
Payment on Account

Billing

Review

Receipt



Payment on Account
Amount*$

Total Amount
Continue to Billing
 * Copyright 2004-2023 PayTrace, Inc. All Rights Reserved.