www.payment.beefreecommunity.com Open in urlscan Pro
68.183.88.9  Public Scan

Form analysis
2 forms found in the DOM

POST payment.php

<form id="contactForm" action="payment.php" method="POST" class="requires-validation" novalidate="">
  <input id="affiliate" type="hidden" name="affiliate" value="none">
  <input id="applynow" type="hidden" name="applynow" value="yes">
  <div class="mb-3">
    <label class="form-label" for="name">Wallet Address for recieving BFM Tokens(<a href="https://www.youtube.com/watch?v=YzykgjJbD40" target="_blank">Click here</a> for how to find it.) OR enable wallet to fill default account</label>
    <input class="form-control" id="wallet" name="wallet" type="text" placeholder="Wallet Address">
    <div class="invalid-feedback" id="walletval">Wallet Address is required.</div>
  </div>
  <script>
    if (window.ethereum != undefined) {
      const provider = new ethers.providers.Web3Provider(window.ethereum, "any");
      async function recv_address() {
        await provider.send("eth_requestAccounts", []);
        const signer = provider.getSigner();
        let userAddress = await signer.getAddress();
        document.getElementById("wallet").value = userAddress;
      }
      recv_address();
    } else {
      document.getElementById("walletval").value = "No wallet found";
    }
  </script>
  <div class="mb-3">
    <label class="form-label" for="name">Name</label>
    <input class="form-control" id="name" name="name" type="text" placeholder="Name">
    <div class="invalid-feedback" id="nameval">Name is required.</div>
  </div>
  <div class="mb-3">
    <label class="form-label" for="contactNo">Contact No.</label>
    <input class="form-control" id="contactNo" name="contactNo" type="tel" placeholder="Contact No.">
    <div class="invalid-feedback" id="contactval">Contact No. is required.</div>
  </div>
  <div class="mb-3">
    <label class="form-label" for="emailAddress">Email Address</label>
    <input class="form-control" id="emailAddress" name="emailAddress" type="email" placeholder="Email Address">
    <div class="invalid-feedback" id="emailval">Email Address is required.</div>
  </div>
  <div class="mb-3">
    <label class="form-label" for="amountInUsd">Amount in USD</label>
    <input type="number" class="form-control" id="amountInUsd" name="amt" min="10" max="5000" value="1000" placeholder="Amount in USD">
    <!--select class="form-select" id="amountInUsd" name="amt" aria-label="Amount in USD">
                <option value="100000" >$1,000</option>
                <option value="200000" >$2,000</option>
                <option value="300000" >$3,000</option>
                <option value="400000" >$4,000</option>
                <option value="500000" selected >$5,000</option>
                <option value="1000000">$10,000</option>
            </select-->
  </div>
  <div class="mb-3">
    <label class="form-label d-block">Payment Method</label>
    <!--div class="form-check">
                <input class="form-check-input" id="payByMetaMask" type="radio" name="paymentMethod" value="MetaMask"   />
                <label class="form-check-label" for="payByMetaMask">Pay by MetaMask</label>
            </div-->
    <div class="form-check">
      <input class="form-check-input" id="payByCreditCardStripe" type="radio" name="paymentMethod" value="Stripe" checked="">
      <label class="form-check-label" for="payByCreditCardStripe">Pay by Credit Card(Stripe)</label>
    </div>
    <div class="form-check">
      <input class="form-check-input" id="payByPaypal" type="radio" name="paymentMethod" value="Paypal">
      <label class="form-check-label" for="payByPaypal">Pay by Paypal</label>
    </div>
    <!--div class="form-check">
                <input class="form-check-input" id="payByBankTransfer" type="radio" name="paymentMethod" value="BankTransfer" />
                <label class="form-check-label" for="payByBankTransfer">Pay by Bank Transfer</label>
            </div-->
    <div class="invalid-feedback" data-sb-feedback="paymentMethod:required">One option is required.</div>
  </div>
  <div class="mb-3">
    <label class="form-label d-block">Terms and Conditions</label>
    <div class="form-check form-check-inline">
      <input class="form-check-input" id="TNC" type="checkbox" name="termsAndConditions" value="Yes">
      <label class="form-check-label" for="iAgreeToTheTermsAndConditions">I agree to the <a href="#" data-bs-toggle="modal" data-bs-target="#TandCModal">Terms and Conditions</a></label>
    </div>
    <div class="invalid-feedback" id="TNCval">I agree not checked.</div>
  </div>
  <div class="d-grid  gap-2 col-6  mx-auto ">
    <button class="btn btn-primary " id="applynow" type="submit">Apply Now!</button>
  </div>
</form>

<form id="payment-form" class=" needs-validation" novalidate="">
  <div id="payment-element" class="p-1">
    <!--Stripe.js injects the Payment Element-->
  </div>
  <div class="mx-auto" style="width: 200px;">
    <button id="submit" class="btn btn-success ">
      <div class="spinner hidden" id="spinner"></div>
      <span id="button-text">Pay now</span>
    </button>
  </div>
  <div id="payment-message" class="hidden"></div>
</form>

Text Content

BEEFREE COMMUNITY TOKEN



 * Pay in USD
 * Pay in Crypto

Wallet Address for recieving BFM Tokens(Click here for how to find it.) OR
enable wallet to fill default account
Wallet Address is required.
Name
Name is required.
Contact No.
Contact No. is required.
Email Address
Email Address is required.
Amount in USD
Payment Method
Pay by Credit Card(Stripe)
Pay by Paypal
One option is required.
Terms and Conditions
I agree to the Terms and Conditions
I agree not checked.
Apply Now!


Pay now


Connect to Metamask

Bank Transfer details have been mailed to your email. Once tranferred please
email the details of transfer to info@beefreecommunity.com


TERMS AND CONDITIONS

Tand C text to come here.
Close