payments.bronkhorst.com Open in urlscan Pro
2a03:3c00:a002:187::100f  Public Scan

Form analysis
1 forms found in the DOM

Name: form1 — POST step2.php

<form action="step2.php" method="post" name="form1">
  <table width="800" border="0" cellspacing="2" cellpadding="2">
    <tbody>
      <tr>
        <td><b>Invoice / Order number:</b></td>
        <td><b><input type="text" name="invoice" size="24" maxlength="7" border="0" value=""></b></td>
      </tr>
      <tr>
        <td><b>Customer ID:</b></td>
        <td><b><input type="text" name="customer" size="24" maxlength="5" border="0" value=""></b></td>
      </tr>
      <tr>
        <td></td>
        <td><input type="submit" name="submitButtonName" value="proceed to step 2" border="0"><br><br></td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

ONLINE PAYMENT

Bronkhorst provides an easy and secure way to pay your invoices using a credit
card.

Payments are made securely, by you, through our payment provider Ingenico or
First Data:



 * Enter your invoice or order number and your customer ID (as seen on the
   payment linked emailed to you by Bronkhorst or on your invoice)
 * Check the order description and the amount to pay
 * Follow the instructions given by our payment provider





Invoice / Order number: Customer ID: