- Scan ID:
- 1ea39ae6-41f1-4ec1-b84f-68e36cb99d93Finished
- Submitted URL:
- https://paypalbtcinc.invoicely.com/invoice/08b75da9bcbb42319a75aea2a914af97
- Report Finished:
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JavaScript Variables · 179 found
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<h1>Invoice INV-1357348666</h1>
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<option value="nad">Namibian Dollar - NAD</option>
<option value="npr">Nepalese Rupee - NPR</option>
<option value="ang">Netherlands Antillean Gulden - ANG</option>
<option value="twd">New Taiwan Dollar - TWD</option>
<option value="nio">Nicaraguan Córdoba - NIO</option>
<option value="ngn">Nigerian Naira - NGN</option>
<option value="kpw">North Korean Won - KPW</option>
<option value="omr">Omani Rial - OMR</option>
<option value="pkr">Pakistani Rupee - PKR</option>
<option value="pab">Panamanian Balboa - PAB</option>
<option value="pgk">Papua New Guinean Kina - PGK</option>
<option value="pyg">Paraguayan Guaraní - PYG</option>
<option value="pen">Peruvian Nuevo Sol - PEN</option>
<option value="php">Philippine Peso - PHP</option>
<option value="qar">Qatari Riyal - QAR</option>
<option value="ron">Romanian Leu - RON</option>
<option value="rub">Russian Ruble - RUB</option>
<option value="rwf">Rwandan Franc - RWF</option>
<option value="shp">Saint Helenian Pound - SHP</option>
<option value="svc">Salvadoran Colón - SVC</option>
<option value="wst">Samoan Tala - WST</option>
<option value="std">São Tomé and Príncipe Dobra - STD</option>
<option value="sar">Saudi Riyal - SAR</option>
<option value="rsd">Serbian Dinar - RSD</option>
<option value="scr">Seychellois Rupee - SCR</option>
<option value="sll">Sierra Leonean Leone - SLL</option>
<option value="skk">Slovak Koruna - SKK</option>
<option value="sbd">Solomon Islands Dollar - SBD</option>
<option value="sos">Somali Shilling - SOS</option>
<option value="zar">South African Rand - ZAR</option>
<option value="krw">South Korean Won - KRW</option>
<option value="lkr">Sri Lankan Rupee - LKR</option>
<option value="sdg">Sudanese Pound - SDG</option>
<option value="srd">Surinamese Dollar - SRD</option>
<option value="szl">Swazi Lilangeni - SZL</option>
<option value="syp">Syrian Pound - SYP</option>
<option value="tjs">Tajikistani Somoni - TJS</option>
<option value="tzs">Tanzanian Shilling - TZS</option>
<option value="thb">Thai Baht - THB</option>
<option value="top">Tongan Paʻanga - TOP</option>
<option value="ttd">Trinidad and Tobago Dollar - TTD</option>
<option value="tnd">Tunisian Dinar - TND</option>
<option value="try">Turkish Lira - TRY</option>
<option value="tmm">Turkmenistani Manat - TMM</option>
<option value="tmt">Turkmenistani Manat - TMM</option>
<option value="ugx">Ugandan Shilling - UGX</option>
<option value="uah">Ukrainian Hryvnia - UAH</option>
<option value="aed">United Arab Emirates Dirham - AED</option>
<option value="uyu">Uruguayan Peso - UYU</option>
<option value="uzs">Uzbekistani Som - UZS</option>
<option value="vuv">Vanuatu Vatu - VUV</option>
<option value="vef">Venezuelan Bolívar - VEF</option>
<option value="vnd">Vietnamese Đồng - VND</option>
<option value="xof">West African Cfa Franc - XOF</option>
<option value="yer">Yemeni Rial - YER</option>
<option value="zmk">Zambian Kwacha - ZMK</option>
<option value="zwd">Zimbabwean Dollar - ZWD</option>
</select>
<div class="select_arrows"></div>
</div>
</div>
</header>
<div class="statement_contacts">
<div class="form_row address_from" data-identifier="autocomplete_wrapper">
<div class="form_heading">
<label>From</label>
</div>
<div class="address relative">
<p>
PayPal Inc<br>2211 N 1st St, , CA , US<br> San Jose, San Jose 95131<br> United States<br> Direct Number: +1 (833) 722-7401 </p>
</div>
</div>
<div class="form_row address_to" data-identifier="autocomplete_wrapper">
<div class="form_heading">
<label>To</label>
</div>
<div class="address relative">
<input data-validate="required" disabled="" style="display: none;" placeholder="Enter Client Name" data-autocomplete="connection" type="text">
<span class="input_loader"></span>
<input type="hidden" name="client_id" value="3475824">
<div class="autocomplete_card">
<a class="close_icon"></a>
C <br><br> United States </div>
</div>
</div>
</div>
<div class="statement_details">
<div class="form_row">
<div class="form_heading">
<label>Invoice No.</label>
</div>
<input disabled="" type="text" value="# INV-1357348666">
</div>
<div class="form_row">
<div class="form_heading">
<label>Date</label>
</div>
<input disabled="" class="datepicker" id="datepicker" name="statement[date]" type="text" value="Sep 25 2024" data-real-date="2024-09-25">
</div>
<div class="form_row">
<div class="form_heading">
<label>Invoice Due</label>
</div>
<input disabled="" data-action-target="on-select-custom" class="datepicker mt10" name="statement[due_date]" id="datepicker_due_date" type="text" value="Sep 25 2024" data-real-date="2024-09-25">
</div>
</div>
</section>
<ul class="item_rows">
<li class="one_item_line no_border">
<ul class="item_row no_border">
<li class="item_column name_description">
<h2 class="item_column_heading">Description</h2>
</li>
<li class="item_column quantity">
<h2 class="item_column_heading">Quantity</h2>
</li>
<li class="item_column unit">
<h2 class="item_column_heading">Rate</h2>
</li>
<li class="item_column amount">
<h2 class="item_column_heading">Amount</h2>
</li>
</ul>
</li>
</ul>
<ul class="item_rows item_area" id="drag_item_list">
<!-- LINE ITEM -->
<li class="one_item_line actual" data-parent-identifier="one_item_line" data-id="1" data-type="item">
<div class="hidden_item_inputs hidden">
<input type="hidden" name="line_type_1" value="item">
<!-- hidden inputs -->
</div>
<ul class="item_row">
<li class="item_column name_description">
<div class="inner">
<div id="item_textarea_1" class="item_textarea_container">
<p class="item_textarea view_statement_textarea_replacement">ITEM ORDERED: 0.024 BTC <br>
AMOUNT CHARGED: $849.68</p>
<div class="files_area file_upload_1" data-fileupload-id="1">
<!-- Uploadify items -->
<!-- DATE TAG -->
<div class="tag date" id="date_tag_1" data-tag-type="date" style="display: none;">
<a class="close_item"></a>
<div class="inside">
<span class="filename" data-real-date="">Jan 01 1970</span>
</div>
</div>
<!-- DATE TAG -->
<div>
<!-- LOOP FILES HERE --><!-- LOOP FILES HERE -->
</div>
<!-- LOOP NORMAL TAGS HERE -->
</div>
</div>
</div>
</li>
<li class="item_column quantity">
<div class="inner">
<div class="quantity_input">
<input data-validate="required" disabled="" name="statement[item_quantity]" placeholder="Quantity" type="text" data-input-restriction="number" data-trigger="calculation" data-calculation="quantity" value="1">
</div>
</div>
</li>
<li class="item_column unit">
<div class="inner">
<div class="unit_input">
<input disabled="" name="statement[item_rate]" placeholder="Unit Price" type="text" data-input-restriction="number" data-trigger="calculation" data-calculation="rate" data-autocomplete-fill="rate" value="849.68">
<div class="unit_lower">
</div>
</div>
</div>
</li>
<li class="item_column amount">
<div class="inner">
<div class="total_input">
<a>
</a>
<input disabled="" class="with_addon total no_border_radius_left" name="statement[item_amount]" data-trigger="calculation" data-format-number="precision" data-calculation="line_total" placeholder="0.00" type="text" value="USD 849.68">
</div>
</div>
</li>
</ul>
</li>
<!-- LINE ITEM -->
</ul>
<div class="relative">
</div>
<div class="totals">
<div class="totals_container">
<ul class="statement_amount_container">
<li class="statement_amount">
<div class="col">Sub Total</div>
<input class="col no_input" type="text" disabled="" data-format-number="precision" value="849.68" data-calculation="subtotal">
</li>
</ul>
<div id="tax_discount_shipping_wrapper">
<!-- TOTAL TDS -->
<!-- TOTAL TDS -->
</div>
<div id="item_tax_discount_shipping_wrapper">
<!-- LINE ITEM TDS -->
<!-- LINE ITEM TDS -->
</div>
<ul class="statement_amount_container">
<li class="statement_amount ">
<div class="col">
<strong>Total (<span data-currency="code">USD</span>)</strong>
</div>
<strong><input class="col no_input bold" type="text" disabled="" data-format-number="precision" data-calculation="total" value="849.68"></strong>
</li>
</ul>
<ul class="statement_amount_container">
<li class="statement_amount no_border">
<div class="col">
<strong>Paid to Date (<span data-currency="code">USD</span>)</strong>
</div>
<strong><input class="col no_input bold" type="text" disabled="" data-format-number="precision" value="0.00"></strong>
</li>
</ul>
<ul class="statement_amount_container total_due ">
<li class="statement_amount">
<div class="col">
<strong><span class="td_currency" data-currency="code">USD</span></strong>
<span class="td_label">Balance</span>
</div>
<strong><input class="col no_input bold status_line" type="text" disabled="" data-format-number="precision" data-calculation="total_due" data-paid-amount="0.00" value="849.68"></strong>
</li>
</ul>
</div>
<div class="clearfix"></div>
</div>
<div class="mt40">
<h3>
<label>Invoice Note</label>
</h3>
<p></p><p>PayPal</p>
<p>Here's your invoice</p>
<p>You an invoice for $849.68USD. Due on receipt. You don't have any payments with this seller in the recent year. Invoice details </p>
<p>ITEM ORDERED: 0.024 BTC<br>
AMOUNT CHARGED: $849.68</p>
<p>Don't recognize this invoice? Connect to report at support: +1 (833) 722-7401</p>
<p>It was fraudulently utilized to purchase BTC Coin to PayPal. Holdings' BOND Service Limited Edition: Pay with payment software by linking your bank account. </p>
<p>Your confirmation that the $849.68order was placed has been sent to us. If you haven't placed this order yet, get a refund as soon as possible. Sum: $849.68.</p>
<p>The AUTO RENEWAL (CREDIT CARD 5467) payment option is available. </p>
<p>Note: BTC Coin was fraudulently purchased using your bank account! phone: +1 (833) 722-7401, support team. Please make sure that you recognize this invoice before sending payment. If not, please submit a report. Find out more about typical security risks and how to identify them. For instance, </p>
<p>PayPal would never request account details through an invoice or money request. .</p>
<p>Buy now. Pay over time.</p>
<p>Simply select PayPal Credit at checkout and enjoy No Interest if paid in full in 6 months. Subject to credit approval. See terms. US customers only.</p>
<p>PayPal is dedicated to blocking phishing emails. PayPal emails will always contain your entire name. Recognise phishing attempts. I ask that you not respond to this email. Kindly contact us right away by giving our help desk a call at +1 (833) 722-7401. </p>
<p>It's possible that you received this email for an unidentified cause. Find out more All rights reserved. All rights reserved. From 1999 to 2023 PayPal, Inc. PayPal is located in San Jose, California 95131 at 2211 N. First St. RT000238 is the PayPal ID 1.7.0:37b66b161f28c:en_US (en-US).</p><p></p>
</div>
</div><!-- min-height -->
<footer>
<p><strong>Phone</strong>: +1 (833) 722-7401 <strong>Email</strong>: [email protected]</p>
<!--<ul>
<li><strong>Email</strong>: <a href="mailto:[email protected]">[email protected]</a></li>
<li><strong>Phone</strong>: +1 (833) 722-7401</li>
</ul>-->
</footer>
</div>
</div>
<!-- MAKE PAYMENT -->
<div class="board back initial_max_height initial_max_height inputs_enabled" data-flippable-target="statement_make_payment">
<input type="hidden" name="this_statement_id" value="INV-1357348666">
<input type="hidden" name="user_stripe_publickey" value="">
<input type="hidden" name="current_business_id" value="357743">
<div class="page statement_settings" style="min-height: 1090px;">
<div style="min-height: 715px;">
<h2 class="title">Make Payment
for Invoice INV-1357348666 <span class="right">USD849.68</span>
</h2>
<h2 class="subtitle mt25">Payment Amount</h2>
<input type="hidden" name="payment_currency" value="USD">
<section>
<div class="form_row">
<p class="inline no_margin">Choose the amount to be paid using the payment method
below.</p>
<div class="right payment_amount">
<span class="input_addon">USD</span>
<input type="text" class="no_border_radius_left" value="849.68" name="payment_amount" placeholder="0.00">
</div>
</div>
</section>
<h2 class="subtitle mt25">Payment Methods</h2>
<section>
<ul class="statement_payment_methods default">
</ul>
</section>
<!-- CREDIT CARD PAYMENT -->
<div class="credit_card_payment" data-onpage-payment="credit_card" style="display: none;">
<h2 class="subtitle mt25">Billing Address<span class="right hide_compact hide_mobile">Credit Card Details</span>
</h2>
<input type="hidden" name="public_invoice_payment[customer_ip]" value="104.28.158.248">
<input type="hidden" name="public_invoice_payment[customer_email_address]" value="[email protected]">
<section class="flex">
<aside>
<div class="form_row flex">
<div class="flex_item">
<label>First Name</label>
<input type="text" value="C" name="public_invoice_payment[customer_first_name]">
</div>
<div class="flex_item">
<label>Last Name</label>
<input value="" type="text" name="public_invoice_payment[customer_last_name]">
</div>
</div>
<div class="form_row flex">
<div class="flex_item">
<label>Address</label>
<input value="" type="text" name="public_invoice_payment[customer_address]">
</div>
</div>
<div class="form_row flex">
<div class="flex_item">
<label>City</label>
<input value="" type="text" name="public_invoice_payment[customer_city]">
</div>
<div class="flex_item">
<label>State</label>
<input value="" type="text" name="public_invoice_payment[customer_state]">
</div>
<div class="flex_item">
<label><span class="hide_mobile">Postal Code</span><span class="show_mobile">Postcode</span></label>
<input value="" type="text" name="public_invoice_payment[customer_zip]">
</div>
</div>
<div class="form_row flex">
<div class="flex_item">
<label>Country</label>
<select name="public_invoice_payment[customer_country_code]">
<option value="">Select Country</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State of</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, the Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia, the former Yugoslav Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory, Occupied</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
<div class="select_arrows"></div>
</div>
</div>
</aside>
<aside class="credit_card">
<h2 class="subtitle show_compact show_mobile in_cc_box">Credit Card Details</h2>
<div class="form_row">
<p style="margin-bottom: 29px;">
Please enter your credit card details below. Your credentials are processed
securely.
</p>
</div>
<div class="form_row flex">
<div class="flex_item">
<label>Cardholder Name</label>
<input type="text" name="public_invoice_payment[credit_card_cardholder]" placeholder="Name on card">
</div>
<div class="flex_item">
<label>Card Number</label>
<input type="text" name="public_invoice_payment[credit_card_number]" placeholder="•••• •••• •••• ••••">
</div>
</div>
<div class="form_row flex">
<div class="flex_item">
<label>Expiration Month</label>
<select name="public_invoice_payment[credit_card_expiration_month]">
<option value="01">01 - January</option>
<option value="02">02 - February</option>
<option value="03">03 - March</option>
<option value="04">04 - April</option>
<option value="05">05 - May</option>
<option value="06">06 - June</option>
<option value="07">07 - July</option>
<option value="08">08 - August</option>
<option value="09">09 - September</option>
<option value="10">10 - October</option>
<option value="11">11 - November</option>
<option value="12">12 - December</option>
</select>
<div class="select_arrows"></div>
</div>
<div class="flex_item">
<label>Expiration Year</label>
<select name="public_invoice_payment[credit_card_expiration_year]">
<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><option value="31">2031</option><option value="32">2032</option><option value="33">2033</option><option value="34">2034</option><option value="35">2035</option><option value="36">2036</option><option value="37">2037</option><option value="38">2038</option><option value="39">2039</option><option value="40">2040</option><option value="41">2041</option><option value="42">2042</option><option value="43">2043</option><option value="44">2044</option> </select>
<div class="select_arrows"></div>
</div>
<div class="flex_item">
<label class="inline">CVV</label><span class="helptip tiprtop three" data-tip="A CVV, or Card Verification Value, is a three- or four-digit code on your credit card, separate from the 16-digit card number."></span>
<input type="text" name="public_invoice_payment[credit_card_cvv]">
</div>
</div>
<div class="form_row">
<a data-make-payment="true" data-payment-type="credit_card" class="button save_button">Make Payment</a>
<a class="cancel" data-onpage-payment="reset">Cancel</a>
</div>
</aside>
</section>
</div>
<!-- CREDIT CARD PAYMENT -->
</div>
</div>
</div><!-- flippable -->
</div></form></section>
</div>
</main>
</div>
<div class="mobile mobile_menu">
</div>
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