accept.paymobsolutions.com Open in urlscan Pro
52.6.243.33  Public Scan

URL: https://accept.paymobsolutions.com/p/frz
Submission: On December 07 via manual from EG — Scanned from DE

Form analysis 2 forms found in the DOM

<form class="form-horizontal form-label-left" novalidate="" id="createOrderForm">
  <span class="section">Shipping Details</span>
  <h5>Please fill in the following form to create an order and generate the payment url.</h5>
  <br>
  <div class="item form-group">
    <label class="control-label col-md-3 col-sm-3 col-xs-12" for="fullName">Full Name <span class="required">*</span>
    </label>
    <div class="col-md-5 col-sm-6 col-xs-12">
      <input id="fullName" class="form-control col-md-7 col-xs-12" data-validate-words="2" name="full_name" placeholder="Jon Doe" required="required" type="text">
    </div>
  </div>
  <div class="item form-group">
    <label class="control-label col-md-3 col-sm-3 col-xs-12" for="emailAdd">Email Address<span class="required">*</span>
    </label>
    <div class="col-md-5 col-sm-6 col-xs-12">
      <input type="email" id="emailAdd" name="email" required="required" class="form-control col-md-7 col-xs-12" placeholder="user@example.com">
    </div>
  </div>
  <div class="item form-group">
    <label class="control-label col-md-3 col-sm-3 col-xs-12" for="phoneNum">Phone Number <span class="required">*</span></label>
    <div class="col-md-5 col-sm-6 col-xs-12">
      <input type="tel" id="phoneNum" name="phone_number" required="required" data-validate-length-range="10" class="form-control col-md-7 col-xs-12" placeholder="+201000397800">
    </div>
  </div>
  <div class="item form-group">
    <label class="control-label col-md-3 col-sm-3 col-xs-12 payment" for="phoneNum">Payment Method <span class="required">*</span></label>
    <div class="input-group">
      <div class="vpc" style="display: block;">
        <div class="radio">
          <label>
            <div class="iradio_flat-green checked" style="position: relative;"><input id="vpc" type="radio" class="flat" checked="" name="iCheck" style="position: absolute; opacity: 0;"><ins class="iCheck-helper"
                style="position: absolute; top: 0%; left: 0%; display: block; width: 100%; height: 100%; margin: 0px; padding: 0px; background: rgb(255, 255, 255); border: 0px; opacity: 0;"></ins></div> CARD <span><img
                style="max-height: 20px; margin-left: 116px;" src="/static/base/img/payment_methods_logos/logo_mc_visa.png"></span>
          </label>
        </div>
      </div>
    </div>
  </div>
  <br>
  <div class="form-group text-center">
    <div class="col-md-12 col-sm-12 col-xs-12">
      <button class="btn btn-primary createOrder">Proceed</button>
    </div>
  </div>
</form>

<form role="form" id="payment-form" novalidate="">
  <div class="row text center">
    <div class="col-xs-12" id="billFormErr"></div>
  </div>
  <div class="row">
    <div class="col-xs-12">
      <div class="form-group">
        <label for="cardNumber">CARD NUMBER</label>
        <div class="input-group">
          <input type="number" pattern="[0-9]*" class="form-control cardInput" id="cardNumber" name="c_pan_U" placeholder="16 digits" required="">
          <span class="input-group-addon">
            <i class="glyphicon glyphicon-credit-card"></i>
          </span>
        </div>
      </div>
      <span class="validation-form valid-cnumber">
        <span class="iconExclamationFull"></span>
        <span class="validationBox">This is a very strange value!</span>
      </span>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-12">
      <div class="form-group">
        <label for="cardName">CARD HOLDER NAME</label>
        <input type="text" class="form-control" id="cardName" name="c_holder_name_U" placeholder="Example: John Doe" required="">
      </div>
      <span class="validation-form valid-cname">
        <span class="iconExclamationFull"></span>
        <span class="validationBox">This is a very strange value!</span>
      </span>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-12 col-sm-6">
      <div class="form-group">
        <label for="expMonth"> EXPIRY MONTH </label>
        <select class="form-control" id="cardExMM" name="c_expiry_mm_U">
          <option selected="" value="no">--</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>
      </div>
      <span class="validation-form valid-month">
        <span class="iconExclamationFull"></span>
        <span class="validationBox">This is a very strange value!</span>
      </span>
    </div>
    <div class="col-xs-12 col-sm-6">
      <div class="form-group">
        <label for="expYear"> EXPIRY YEAR </label>
        <select class="form-control" id="cardExYY" name="c_expiry_yy_U">
          <option selected="" value="no">--</option>
          <option value="17">2017</option>
          <option value="18">2018</option>
          <option value="19">2019</option>
          <option value="20">2020</option>
          <option value="21">2021</option>
          <option value="22">2022</option>
          <option value="23">2023</option>
          <option value="24">2024</option>
          <option value="25">2025</option>
          <option value="26">2026</option>
          <option value="27">2027</option>
          <option value="28">2028</option>
          <option value="29">2029</option>
          <option value="30">2030</option>
        </select>
      </div>
      <span class="validation-form valid-year">
        <span class="iconExclamationFull"></span>
        <span class="validationBox">This is a very strange value!</span>
      </span>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-12">
      <div class="form-group">
        <label for="CVV">CVV</label>
        <!-- not to be sent with form -->
        <input type="number" pattern="[0-9]*" class="form-control" id="cardCVV" name="c_cvv_U" placeholder="123" required="">
      </div>
      <span class="validation-form valid-cvv">
        <span class="iconExclamationFull"></span>
        <span class="validationBox">This is a very strange value!</span>
      </span>
    </div>
  </div>
  <div class="row" style="display: none">
    <div class="col-xs-11">
      <div class="form-group">
        <label for="CVV">ID</label>
        <!-- not to be sent with form -->
        <input type="text" class="form-control" id="integration_id" name="c_cvv_U" placeholder="###" required="">
      </div>
    </div>
  </div>
  <div class="row text-center">
    <br>
    <div class="col-xs-12">
      <a href="#" class="btn btn-primary active payB" id="payByCard" role="button">PAY NOW</a>
    </div>
  </div>
  <div class="row">
    <div class="col-xs-12">
      <div class="text-center">
        <span>
          <h5>Powered by</h5>
        </span>
        <span><img class="img-responsive" style="width: 150px;margin: auto;" src="/static/base/img/accept_blue.png"></span>
      </div>
    </div>
  </div>
</form>

Text Content





luckyDev

Maximum number of items per order is 100.

LUCKY PLUS SUBSCRIPTION

Lucky Discount 25% Credit Card

PRICE:

EGP 300.0

QUANTITY:



TOTAL:

EGP 300.00

Shipping Details

PLEASE FILL IN THE FOLLOWING FORM TO CREATE AN ORDER AND GENERATE THE PAYMENT
URL.


Full Name *

Email Address*

Phone Number *

Payment Method *

CARD

Proceed





CREDIT CARD DETAILS




CASH COLLECTION DETAILS


WALLET DETAILS


ACCEPT KIOSK DETAILS

CARD NUMBER

This is a very strange value!
CARD HOLDER NAME
This is a very strange value!
EXPIRY MONTH -- 01 02 03 04 05 06 07 08 09 10 11 12
This is a very strange value!
EXPIRY YEAR -- 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029
2030
This is a very strange value!
CVV
This is a very strange value!
ID


PAY NOW

POWERED BY

© Payment is powered by Accept