payment.mynetwire.com Open in urlscan Pro
69.20.107.251  Public Scan

Form analysis
1 forms found in the DOM

POST /default.php

<form action="/default.php" method="post" novalidate="novalidate">
  <div class="validation-summary-valid" data-valmsg-summary="true">
    <div class="alert alert-danger">The form contains errors. Please correct them and re-submit.</div>
    <ul>
      <li style="display:none"></li>
    </ul>
  </div>
  <style type="text/css">
    .validation-summary-errors>ul {
      display: none;
    }
  </style>
  <div class="form-group">
    <label for="fname">First Name</label>
    <span class="mnw-icon-required" role="img" aria-label="Required Field"></span> <input type="text" data-rule-required="true" data-msg-required="Required" data-rule-pattern="/^[a-zA-Z0-9#.'\-,\s]*$/" data-msg-pattern="Invalid characters."
      maxlength="50" class="form-control" name="fname" id="fname" value="">
    <span class="field-validation-valid" data-valmsg-for="fname" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="lname">Last Name</label>
    <span class="mnw-icon-required" role="img" aria-label="Required Field"></span> <input type="text" data-rule-required="true" data-msg-required="Required" data-rule-pattern="/^[a-zA-Z0-9#.'\-,\s]*$/" data-msg-pattern="Invalid characters."
      maxlength="50" class="form-control" name="lname" id="lname" value="">
    <span class="field-validation-valid" data-valmsg-for="lname" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="company">Company Name</label>
    <span class="mnw-icon-required" role="img" aria-label="Required Field"></span> <input type="text" data-rule-required="true" data-msg-required="Required" data-rule-pattern="/^[a-zA-Z0-9#.'\-,\s&amp;]*$/" data-msg-pattern="Invalid characters."
      maxlength="50" class="form-control" name="company" id="company" value="">
    <span class="field-validation-valid" data-valmsg-for="company" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="amount">Amount To Pay</label>
    <small>(2.9% convenience fee will be automatically added to the amount)</small>
    <span class="mnw-icon-required" role="img" aria-label="Required Field"></span> <input type="text" data-rule-required="true" data-msg-required="Required" data-rule-pattern="/^[0-9]*(?:\.[0-9]{2}){0,1}$/" data-msg-pattern="Invalid amount"
      data-rule-min="1" data-msg-min="Amount must be > $1" data-rule-max="10000" data-msg-max="Amount exceeds max. allowed" maxlength="9" class="form-control" name="amount" id="amount" value="">
    <span class="field-validation-valid" data-valmsg-for="amount" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="invoice">Domain Name or Invoice #</label>
    <span class="mnw-icon-required" role="img" aria-label="Required Field"></span> <input type="text" data-rule-required="true" data-msg-required="Required" data-rule-pattern="/^[a-zA-Z0-9#.'\-,\s]*$/" data-msg-pattern="Invalid characters."
      maxlength="100" class="form-control" name="invoice" id="invoice" value="">
    <span class="field-validation-valid" data-valmsg-for="invoice" data-valmsg-replace="true"></span>
  </div>
  <button type="submit" class="btn btn-primary">Continue To Billing Information</button>
</form>

Text Content

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Do not submit payment unless you are in possession of the invoice and you have
already saved a permanent copy of that invoice onto your computer.
Provide the information below to submit your payment.

= required

The form contains errors. Please correct them and re-submit.
 * 

First Name
Last Name
Company Name
Amount To Pay (2.9% convenience fee will be automatically added to the amount)
Domain Name or Invoice #
Continue To Billing Information
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