pay.foresthillmanagement.com Open in urlscan Pro
172.67.157.80  Public Scan

Submitted URL: http://pay.foresthillmanagement.com/?x=17598-40&s=fhnf
Effective URL: https://pay.foresthillmanagement.com/?x=17598-40&s=fhnf
Submission: On July 31 via api from US — Scanned from US

Form analysis 5 forms found in the DOM

<form>
  <div class="flex justify-end"><!----></div>
  <div><label for="account_id" class="sr-only">Reference ID</label>
    <div class="relative rounded-md shadow-sm"><input type="text" name="account_id" id="account_id" placeholder="Reference ID"
        class="z-0 focus:ring-indigo-400 focus:border-indigo-400 block w-full py-3 pl-4 pr-10 sm:text-sm border-gray-300 rounded-md placeholder-gray-300"> <!----></div>
  </div>
  <div class="mt-5">
    <div class="flex items-end"><label for="last_ssn" class="flex-1 text-sm font-medium">Please enter the last four digits of your social security number</label>
      <h6 class="flex-initial text-xs font-medium text-right cursor-pointer text-indigo-600"> Or use Birth Date </h6>
    </div>
    <div class="mt-2 flex rounded-md shadow-sm"><span class="inline-flex items-center px-3 rounded-l-md border border-r-0 border-gray-300 bg-gray-50 text-gray-500 sm:text-sm"> XXX-XX- </span> <input minlength="4" maxlength="4" type="text"
        name="last_ssn" id="last_ssn" placeholder="1234" class="flex-1 min-w-0 block w-full bg-white px-4 py-3 rounded-none rounded-r-md focus:ring-indigo-400 focus:border-indigo-400 sm:text-sm border-gray-300 placeholder-gray-300"></div>
  </div>
  <div class="mt-2"><!---->
    <div class="flex px-4 mb-2 items-center" style="display: none;"><input id="remember" name="remember" type="checkbox" class="h-4 w-4 text-indigo-600 focus:ring-indigo-500 border-gray-300 rounded"> <label for="remember"
        id="annual-billing-label text-left" class="ml-3 cursor-pointer"><span class="text-sm font-medium text-gray-900">Remember me</span></label></div> <button type="submit" id="login-continue-button"
      class="w-full justify-center text-white items-center inline-flex items-center px-3 text-lg pt-4 pb-3 border border-transparent shadow-sm leading-4 font-medium rounded-md bg-indigo-600 hover:bg-indigo-700 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-200 cursor-not-allowed opacity-50"><svg
        xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20" fill="currentColor" class="-ml-0.5 mr-3 h-4 w-4">
        <path fill-rule="evenodd" d="M5 9V7a5 5 0 0110 0v2a2 2 0 012 2v5a2 2 0 01-2 2H5a2 2 0 01-2-2v-5a2 2 0 012-2zm8-2v2H7V7a3 3 0 016 0z" clip-rule="evenodd"></path>
      </svg> Continue </button>
  </div>
  <div class="mt-8"><!----></div>
</form>

POST

<form method="POST">
  <div class="mb-5">
    <div class="mx-auto flex items-center justify-center h-12 w-12 rounded-full bg-indigo-100"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke="currentColor" class="h-8 w-8 text-indigo-600">
        <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M17 9V7a2 2 0 00-2-2H5a2 2 0 00-2 2v6a2 2 0 002 2h2m2 4h10a2 2 0 002-2v-6a2 2 0 00-2-2H9a2 2 0 00-2 2v6a2 2 0 002 2zm7-5a2 2 0 11-4 0 2 2 0 014 0z"></path>
      </svg></div>
    <div class="mt-2 text-center">
      <h3 id="modal-headline" class="text-lg leading-6 font-medium text-gray-900"> Make Payment Early </h3>
      <div class="mt-3 text-left">
        <p class="text-gray-500 mb-1 px-6 text-center"> Are you sure you want to run this payment for: </p> <!----> <select id="65_payment_method" name="payment_method"
          class="bg-gray-50 focus:ring-indigo-400 focus:border-indigo-400 mt-1 block w-full pl-4 pr-10 py-3 text-base border-gray-300 focus:outline-none sm:text-sm rounded-md">
          <option value="">Choose Method:</option> <!----> <!---->
          <option value="card">Pay with Credit/Debit Card</option>
        </select>
        <div first_name="" last_name="" address="" city="" state="" cc_number="" card_exp="" cvv="" zip="" class="mt-4">
          <div>
            <div class="block font-semibold text-gray-700 mb-2 text-left"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke="currentColor" class="inline w-5 h-5">
                <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path>
              </svg> Name on Card </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="first_name_27" id="first_name" placeholder="First Name" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
              <div class="flex-1 min-w-0 pl-1"><input type="text" name="last_name_27" id="last_name" placeholder="Last Name" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="block font-semibold text-gray-700 mb-2 text-left"> Address </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="address_27" id="address" placeholder="Address" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="block font-semibold text-gray-700 mb-2 text-left"> City </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="city_27" id="city" placeholder="City" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1">
                <div class="block font-semibold text-gray-700 mb-2 text-left"> State </div> <select name="state_27" id="state" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
                  <option value="null">Choose One</option>
                  <option checked="checked" value="AL">Alabama</option>
                  <option checked="checked" value="AK">Alaska</option>
                  <option checked="checked" value="AS">American samoa</option>
                  <option checked="checked" value="AZ">Arizona</option>
                  <option checked="checked" value="AR">Arkansas</option>
                  <option checked="checked" value="CA">California</option>
                  <option checked="checked" value="CO">Colorado</option>
                  <option checked="checked" value="CT">Connecticut</option>
                  <option checked="checked" value="DE">Delaware</option>
                  <option checked="checked" value="DC">District of columbia</option>
                  <option checked="checked" value="FL">Florida</option>
                  <option checked="checked" value="GA">Georgia</option>
                  <option checked="checked" value="GU">Guam gu</option>
                  <option checked="checked" value="HI">Hawaii</option>
                  <option checked="checked" value="ID">Idaho</option>
                  <option checked="checked" value="IL">Illinois</option>
                  <option checked="checked" value="IN">Indiana</option>
                  <option checked="checked" value="IA">Iowa</option>
                  <option checked="checked" value="KS">Kansas</option>
                  <option checked="checked" value="KY">Kentucky</option>
                  <option checked="checked" value="LA">Louisiana</option>
                  <option checked="checked" value="ME">Maine</option>
                  <option checked="checked" value="MD">Maryland</option>
                  <option checked="checked" value="MA">Massachusetts</option>
                  <option checked="checked" value="MI">Michigan</option>
                  <option checked="checked" value="MN">Minnesota</option>
                  <option checked="checked" value="MS">Mississippi</option>
                  <option checked="checked" value="MO">Missouri</option>
                  <option checked="checked" value="MT">Montana</option>
                  <option checked="checked" value="NE">Nebraska</option>
                  <option checked="checked" value="NV">Nevada</option>
                  <option checked="checked" value="NH">New hampshire</option>
                  <option checked="checked" value="NJ">New jersey</option>
                  <option checked="checked" value="NM">New mexico</option>
                  <option checked="checked" value="NY">New york</option>
                  <option checked="checked" value="NC">North carolina</option>
                  <option checked="checked" value="ND">North dakota</option>
                  <option checked="checked" value="OH">Ohio</option>
                  <option checked="checked" value="OK">Oklahoma</option>
                  <option checked="checked" value="OR">Oregon</option>
                  <option checked="checked" value="PA">Pennsylvania</option>
                  <option checked="checked" value="PR">Puerto rico</option>
                  <option checked="checked" value="RI">Rhode island</option>
                  <option checked="checked" value="SC">South carolina</option>
                  <option checked="checked" value="SD">South dakota</option>
                  <option checked="checked" value="TN">Tennessee</option>
                  <option checked="checked" value="TX">Texas</option>
                  <option checked="checked" value="UT">Utah</option>
                  <option checked="checked" value="VT">Vermont</option>
                  <option checked="checked" value="VA">Virginia</option>
                  <option checked="checked" value="WA">Washington</option>
                  <option checked="checked" value="WV">West virginia</option>
                  <option checked="checked" value="WI">Wisconsin</option>
                  <option checked="checked" value="WY">Wyoming</option>
                  <option checked="checked" value="AE">AE</option>
                  <option checked="checked" value="AP">AP</option>
                  <option checked="checked" value="AA">AA</option>
                  <option checked="checked" value="VI">Virgin islands</option>
                  <option checked="checked" value="MP">Northern mariana islands</option>
                  <option checked="checked" value="MX">Mexico</option>
                  <option checked="checked" value="CN">Canada</option>
                </select>
              </div>
              <div class="flex-1 min-w-0 pl-1">
                <div class="block font-semibold text-gray-700 mb-2 text-left"> Zip Code </div> <input maxlength="5" type="text" name="zip_27" id="zip" placeholder="Zip Code" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
              </div>
            </div>
          </div>
          <div class="mt-4">
            <div class="flex items-center justify-between"><label for="card_number_27" class="block font-semibold text-gray-700 mb-2 text-left"> Card Number </label> <label class="block font-semibold text-red-700 mb-2 text-xs"> Invalid Card Number
              </label></div> <input maxlength="16" type="text" name="card_number_27" id="card_number" placeholder="Card Number" required="required"
              class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
          </div>
          <div class="mt-4">
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><label for="card_exp_27" class="block font-semibold text-gray-700 mb-2 text-left"> Expiration </label> <input maxlength="5" type="text" name="card_exp_27" id="card_exp" placeholder="MM/YY"
                  required="required" class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
              <div class="flex-1 min-w-0 pl-1"><label for="cvv_27" class="block font-semibold text-gray-700 mb-2 text-left"> CVV <a href="#"><i class="fa fa-info-circle fa-fw"></i></a></label> <input maxlength="4" type="text" name="cvv_27" id="cvv"
                  placeholder="CVV" required="required" class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div> <!---->
        </div>
      </div>
    </div>
  </div> <!---->
  <div class="sm:grid sm:grid-cols-2 sm:gap-3 sm:grid-flow-row-dense"><button type="submit"
      class="w-full inline-flex text-black items-center justify-center rounded-md border border-transparent shadow-sm px-4 py-2 bg-indigo-300 text-base font-medium hover:bg-indigo-500 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:col-start-2 sm:text-sm">Run
      Payment</button> <button type="button"
      class="mt-3 w-full inline-flex justify-center rounded-md border border-gray-300 shadow-sm px-4 py-2 bg-white text-base font-medium text-gray-700 hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:mt-0 sm:col-start-1 sm:text-sm">
      Nevermind </button></div>
</form>

POST

<form method="POST">
  <div class="mb-5">
    <div class="mx-auto flex items-center justify-center h-12 w-12 rounded-full bg-indigo-100"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke="currentColor" class="h-8 w-8 text-indigo-600">
        <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M17 9V7a2 2 0 00-2-2H5a2 2 0 00-2 2v6a2 2 0 002 2h2m2 4h10a2 2 0 002-2v-6a2 2 0 00-2-2H9a2 2 0 00-2 2v6a2 2 0 002 2zm7-5a2 2 0 11-4 0 2 2 0 014 0z"></path>
      </svg></div>
    <div class="mt-2 text-center">
      <h3 id="modal-headline" class="text-lg leading-6 font-medium text-gray-900"> Update Payment Information </h3>
      <div class="mt-3 text-left">
        <p class="mb-4 text-sm font-medium">Consider updating your billing method with a checking account to avoid future expiration notices or problems with card.</p> <select id="63_payment_method" name="payment_method"
          class="bg-gray-50 focus:ring-indigo-400 focus:border-indigo-400 mt-1 block w-full pl-4 pr-10 py-3 text-base border-gray-300 focus:outline-none sm:text-sm rounded-md">
          <option value="">Choose Method:</option> <!----> <!---->
          <option value="card">Pay with Credit/Debit Card</option>
        </select>
        <div first_name="" last_name="" cc_number="" card_exp="" cvv="" zip="" class="mt-4">
          <div>
            <div class="block font-semibold text-gray-700 mb-2 text-left"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke="currentColor" class="inline w-5 h-5">
                <path stroke-linecap="round" stroke-linejoin="round" stroke-width="2" d="M5 13l4 4L19 7"></path>
              </svg> Name on Card </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="first_name_89" id="first_name" placeholder="First Name" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
              <div class="flex-1 min-w-0 pl-1"><input type="text" name="last_name_89" id="last_name" placeholder="Last Name" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="block font-semibold text-gray-700 mb-2 text-left"> Address </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="address_89" id="address" placeholder="Address" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="block font-semibold text-gray-700 mb-2 text-left"> City </div>
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><input type="text" name="city_89" id="city" placeholder="City" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div>
          <div class="mt-4">
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1">
                <div class="block font-semibold text-gray-700 mb-2 text-left"> State </div> <select name="state_89" id="state" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
                  <option value="null">Choose One</option>
                  <option value="AL">Alabama</option>
                  <option value="AK">Alaska</option>
                  <option value="AS">American samoa</option>
                  <option value="AZ">Arizona</option>
                  <option value="AR">Arkansas</option>
                  <option value="CA">California</option>
                  <option value="CO">Colorado</option>
                  <option value="CT">Connecticut</option>
                  <option value="DE">Delaware</option>
                  <option value="DC">District of columbia</option>
                  <option value="FL">Florida</option>
                  <option value="GA">Georgia</option>
                  <option value="GU">Guam gu</option>
                  <option value="HI">Hawaii</option>
                  <option value="ID">Idaho</option>
                  <option value="IL">Illinois</option>
                  <option value="IN">Indiana</option>
                  <option value="IA">Iowa</option>
                  <option value="KS">Kansas</option>
                  <option value="KY">Kentucky</option>
                  <option value="LA">Louisiana</option>
                  <option value="ME">Maine</option>
                  <option value="MD">Maryland</option>
                  <option value="MA">Massachusetts</option>
                  <option value="MI">Michigan</option>
                  <option value="MN">Minnesota</option>
                  <option value="MS">Mississippi</option>
                  <option value="MO">Missouri</option>
                  <option value="MT">Montana</option>
                  <option value="NE">Nebraska</option>
                  <option value="NV">Nevada</option>
                  <option value="NH">New hampshire</option>
                  <option value="NJ">New jersey</option>
                  <option value="NM">New mexico</option>
                  <option value="NY">New york</option>
                  <option value="NC">North carolina</option>
                  <option value="ND">North dakota</option>
                  <option value="OH">Ohio</option>
                  <option value="OK">Oklahoma</option>
                  <option value="OR">Oregon</option>
                  <option value="PA">Pennsylvania</option>
                  <option value="PR">Puerto rico</option>
                  <option value="RI">Rhode island</option>
                  <option value="SC">South carolina</option>
                  <option value="SD">South dakota</option>
                  <option value="TN">Tennessee</option>
                  <option value="TX">Texas</option>
                  <option value="UT">Utah</option>
                  <option value="VT">Vermont</option>
                  <option value="VA">Virginia</option>
                  <option value="WA">Washington</option>
                  <option value="WV">West virginia</option>
                  <option value="WI">Wisconsin</option>
                  <option value="WY">Wyoming</option>
                  <option value="AE">AE</option>
                  <option value="AP">AP</option>
                  <option value="AA">AA</option>
                  <option value="VI">Virgin islands</option>
                  <option value="MP">Northern mariana islands</option>
                  <option value="MX">Mexico</option>
                  <option value="CN">Canada</option>
                </select>
              </div>
              <div class="flex-1 min-w-0 pl-1">
                <div class="block font-semibold text-gray-700 mb-2 text-left"> Zip Code </div> <input maxlength="5" type="text" name="zip_89" id="zip" placeholder="Zip Code" required="required"
                  class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
              </div>
            </div>
          </div>
          <div class="mt-4">
            <div class="flex items-center justify-between"><label for="card_number_89" class="block font-semibold text-gray-700 mb-2 text-left"> Card Number </label> <label class="block font-semibold text-red-700 mb-2 text-xs"> Invalid Card Number
              </label></div> <input maxlength="16" type="text" name="card_number_89" id="card_number" placeholder="Card Number" required="required"
              class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300">
          </div>
          <div class="mt-4">
            <div class="flex -space-x-px">
              <div class="w-1/2 flex-1 min-w-0 pr-1"><label for="card_exp_89" class="block font-semibold text-gray-700 mb-2 text-left"> Expiration </label> <input maxlength="5" type="text" name="card_exp_89" id="card_exp" placeholder="MM/YY"
                  required="required" class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
              <div class="flex-1 min-w-0 pl-1"><label for="cvv_89" class="block font-semibold text-gray-700 mb-2 text-left"> CVV <a href="#"><i class="fa fa-info-circle fa-fw"></i></a></label> <input maxlength="4" type="text" name="cvv_89" id="cvv"
                  placeholder="CVV" required="required" class="py-3 px-4 rounded bg-gray-50 relative block w-full bg-transparent focus:z-10 sm:text-sm focus:ring-indigo-400 focus:border-indigo-400 border-gray-300"></div>
            </div>
          </div> <!---->
        </div>
        <p class="mt-2 text-xs w-full text-center">Click dropdown above to change billing method</p>
      </div>
    </div>
  </div> <!---->
  <div class="sm:grid sm:grid-cols-2 sm:gap-3 sm:grid-flow-row-dense"><button type="submit"
      class="w-full inline-flex text-black items-center justify-center rounded-md border border-transparent shadow-sm px-4 py-2 bg-indigo-300 text-base font-medium hover:bg-indigo-500 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:col-start-2 sm:text-sm">Save</button>
    <button type="button"
      class="mt-3 w-full inline-flex justify-center rounded-md border border-gray-300 shadow-sm px-4 py-2 bg-white text-base font-medium text-gray-700 hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:mt-0 sm:col-start-1 sm:text-sm">
      Nevermind </button></div>
</form>

POST

<form method="POST">
  <div class="mb-5">
    <div class="mx-auto flex items-center justify-center h-12 w-12 rounded-full bg-indigo-100"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke-width="1.5" stroke="currentColor" class="h-8 w-8 text-indigo-600">
        <path stroke-linecap="round" stroke-linejoin="round"
          d="M7.5 8.25h9m-9 3H12m-9.75 1.51c0 1.6 1.123 2.994 2.707 3.227 1.129.166 2.27.293 3.423.379.35.026.67.21.865.501L12 21l2.755-4.133a1.14 1.14 0 01.865-.501 48.172 48.172 0 003.423-.379c1.584-.233 2.707-1.626 2.707-3.228V6.741c0-1.602-1.123-2.995-2.707-3.228A48.394 48.394 0 0012 3c-2.392 0-4.744.175-7.043.513C3.373 3.746 2.25 5.14 2.25 6.741v6.018z">
        </path>
      </svg></div>
    <div class="mt-2 text-center">
      <h3 id="modal-headline" class="text-lg leading-6 font-medium text-gray-900"> Update Contact Information </h3>
      <div class="mt-3 text-left">
        <p class="mb-4 text-sm font-medium">Provide your updated e-mail address and mobile phone number to receive receipts, reminders, or general notifications regarding your account.</p> <label for="email"
          class="block font-semibold text-gray-700 mb-2"> Email </label> <input type="text" name="email" id="email" placeholder="Your email"
          class="py-3 px-4 rounded bg-gray-50 focus:ring-indigo-400 focus:border-indigo-400 relative block w-full rounded-md bg-transparent focus:z-10 sm:text-sm border-gray-300"> <!----> <label for="email"
          class="block font-semibold text-gray-700 mt-4 mb-2"> Mobile Phone Number </label> <input type="tel" placeholder="Your mobile phone number" name="phone_number" id="phone_number"
          class="py-3 px-4 rounded bg-gray-50 focus:ring-indigo-400 focus:border-indigo-400 relative block w-full rounded-md bg-transparent focus:z-10 sm:text-sm border-gray-300"> <!---->
      </div>
    </div>
  </div>
  <div class="sm:grid sm:grid-cols-2 sm:gap-3 sm:grid-flow-row-dense"><button
      class="w-full inline-flex text-black items-center justify-center rounded-md border border-transparent shadow-sm px-4 py-2 bg-indigo-300 text-base font-medium hover:bg-indigo-500 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:col-start-2 sm:text-sm">Save</button>
    <button type="button"
      class="mt-3 w-full inline-flex justify-center rounded-md border border-gray-300 shadow-sm px-4 py-2 bg-white text-base font-medium text-gray-700 hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-indigo-500 sm:mt-0 sm:col-start-1 sm:text-sm">
      Nevermind </button></div>
</form>

POST

<form method="POST">
  <div class="mb-4 md:mb-6">
    <div class="mx-auto flex items-center justify-center h-12 w-12 rounded-full bg-green-100"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke-width="1.5" stroke="currentColor" class="h-6 w-6 text-green-600">
        <path stroke-linecap="round" stroke-linejoin="round"
          d="M6.75 3v2.25M17.25 3v2.25M3 18.75V7.5a2.25 2.25 0 012.25-2.25h13.5A2.25 2.25 0 0121 7.5v11.25m-18 0A2.25 2.25 0 005.25 21h13.5A2.25 2.25 0 0021 18.75m-18 0v-7.5A2.25 2.25 0 015.25 9h13.5A2.25 2.25 0 0121 11.25v7.5m-9-6h.008v.008H12v-.008zM12 15h.008v.008H12V15zm0 2.25h.008v.008H12v-.008zM9.75 15h.008v.008H9.75V15zm0 2.25h.008v.008H9.75v-.008zM7.5 15h.008v.008H7.5V15zm0 2.25h.008v.008H7.5v-.008zm6.75-4.5h.008v.008h-.008v-.008zm0 2.25h.008v.008h-.008V15zm0 2.25h.008v.008h-.008v-.008zm2.25-4.5h.008v.008H16.5v-.008zm0 2.25h.008v.008H16.5V15z">
        </path>
      </svg></div>
    <div class="mt-2 text-center">
      <h3 id="modal-headline" class="text-lg leading-6 font-medium text-gray-900"> Add to Calendar </h3>
      <div class="mt-5 text-left"><!----></div>
    </div>
  </div>
  <div class="sm:grid sm:grid-cols-1 sm:gap-3 sm:grid-flow-row-dense"><button type="button"
      class="mt-3 w-full inline-flex justify-center rounded-md border border-gray-300 shadow-sm px-4 py-2 bg-white text-base font-medium text-gray-700 hover:bg-gray-50 focus:outline-none focus:ring-2 focus:ring-offset-2 focus:ring-green-500 sm:mt-0 sm:col-start-1 sm:text-sm">
      Close </button></div>
</form>

Text Content

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