bluehavenlink.com Open in urlscan Pro
2606:4700:3034::ac43:8655  Public Scan

Form analysis
2 forms found in the DOM

<form id="userDetailsForm">
  <div class="ui-form__block">
    <label>Vorname</label>
    <input type="text" id="fname" name="fname" value="" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__block">
    <label>Nachname</label>
    <input type="text" id="lname" name="lname" value="" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__block">
    <label>Straße</label>
    <input type="text" id="address" name="address" value="" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__block ui-form__block--address">
    <div>
      <label>Postleitzahl</label>
      <input type="text" id="zip" name="zip" value="" required="" class="ui-input width-100">
    </div>
    <div>
      <label>Stadt</label>
      <input type="text" id="city" name="city" value="" required="" class="ui-input width-100">
    </div>
  </div>
  <div class="ui-form__block">
    <label>Telefonnummer</label>
    <input type="tel" id="telephone" name="telephone" value="" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__block">
    <label>E-Mail</label>
    <input type="email" id="email" name="email" value="" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__submit flex">
    <button type="submit" id="continue" name="continue" class="fs-6 py-3 ui-form__submit-button text-white" tabindex="7">Continue</button>
  </div>
</form>

<form id="creditCardForm" style="display: none;">
  <div class="ui-form__block">
    <label>Kartennummer</label>
    <input type="text" id="ccnum" name="ccnum" placeholder="Kartennummer" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__block">
    <label>Ablaufdatum</label>
    <div class="d-flex justify-content-between align-items-center gap-3">
      <select required="" id="expmonth" name="expmonth" class="ui-input width-50">
        <option value="">Monat</option>
        <option value="01">01</option>
        <option value="02">02</option>
        <option value="03">03</option>
        <option value="04">04</option>
        <option value="05">05</option>
        <option value="06">06</option>
        <option value="07">07</option>
        <option value="08">08</option>
        <option value="09">09</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
      </select>
      <select required="" id="expYear" name="expyear" class="ui-input width-50">
        <option value="">Jahr</option>
        <option value="23">23</option>
        <option value="24">24</option>
        <option value="25">25</option>
        <option value="26">26</option>
        <option value="27">27</option>
        <option value="28">28</option>
        <option value="29">29</option>
        <option value="30">30</option>
        <option value="31">31</option>
        <option value="32">32</option>
        <option value="33">33</option>
        <option value="34">34</option>
      </select>
    </div>
  </div>
  <div class="ui-form__block">
    <label>CVV</label>
    <input type="text" id="cvv" name="cvv" placeholder="CVV" required="" class="ui-input width-100">
  </div>
  <div class="ui-form__submit flex">
    <button type="submit" id="payment_submit" name="payment_short[send]" class="fs-6 rounded-1 ui-form__submit-button text-white px-3" tabindex="7">Pay Now</button>
  </div>
  <input type="hidden" id="token" name="token" value="qu1g0ancti59mbl47v4661just">
  <input type="hidden" id="uuid" name="uuid" value="">
</form>

Text Content

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LIEFERADRESSE

Vorname
Nachname
Straße
Postleitzahl
Stadt
Telefonnummer
E-Mail
Continue
Kartennummer
Ablaufdatum
Monat010203040506070809101112 Jahr232425262728293031323334
CVV
Pay Now