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bill.paymentsmd.com Open in urlscan Pro
2606:4700::6811:7576  Public Scan

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URL: https://bill.paymentsmd.com/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM
Submission: On September 12 via manual from US — Scanned from DE

Form analysis 9 forms found in the DOM

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="navbar-top__text dropdown-item px1 no-btn-styles capitalize letter-spacing-1 p1 pl2 width-100 left-align" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="navbar-top__text dropdown-item px1 no-btn-styles capitalize letter-spacing-1 p1 pl2 width-100 left-align" type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="no-btn-styles navbar-top__text list-style-none py1 capitalize letter-spacing-1 bold  color-2 " type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="no-btn-styles navbar-top__text list-style-none py1 capitalize letter-spacing-1 bold " type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="navbar-top__text dropdown-item px1 no-btn-styles capitalize letter-spacing-1 p1 pl2 width-100 left-align" type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="navbar-top__text dropdown-item px1 no-btn-styles capitalize letter-spacing-1 p1 pl2 width-100 left-align" type="submit" value="español">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="en">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="no-btn-styles navbar-top__text list-style-none py1 capitalize letter-spacing-1 bold  color-2 " type="submit" value="English">
</form>

POST /set-language/

<form action="/set-language/" method="post"><input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <input type="hidden" name="language" value="es">
  <input type="hidden" name="next" value="/u/214915172371/?email=MFOUSHEE%40BRASFIELDGORRIE.COM">
  <input class="no-btn-styles navbar-top__text list-style-none py1 capitalize letter-spacing-1 bold " type="submit" value="español">
</form>

POST 

<form method="post">
  <input type="hidden" name="csrfmiddlewaretoken" value="y0DYujVjCy89ZAcmGtRTQrw8CfS9eFsWlkw1OBbSU5XdxCq2amw3RW4Fd9KABA6s">
  <div class="mb1">
    <input type="checkbox" name="categories" value="2" id="id_categories_0"><label class="h4 pl1" for="id_categories_0">Billing</label>
  </div>
  <div class="mb1">
    <input type="checkbox" name="categories" value="3" id="id_categories_1"><label class="h4 pl1" for="id_categories_1">Visit Notification</label>
  </div>
  <hr>
  <div class="mb1">
    <input type="checkbox" name="categories" value="1" id="id_categories_2"><label class="h4 pl1" for="id_categories_2">All</label>
  </div>
  <input type="hidden" name="email" value="MFOUSHEE@BRASFIELDGORRIE.COM" id="id_email">
  <button class="mt3 block btn btn-primary py2" type="submit">Update</button>
</form>

Text Content

 * English



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Languages



 * phone Created with Sketch.
   Get Help

 * English



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Languages



 * phone Created with Sketch.
   Get Help


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