healthyhabitsmethod.com
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54.87.111.129
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URL:
https://healthyhabitsmethod.com/
Submission: On January 10 via api from US — Scanned from US
Submission: On January 10 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
Name: paymentForm —
<form id="paymentForm" class="tpl-4__form ng-pristine ng-invalid ng-invalid-required ng-valid-email" name="paymentForm" novalidate="novalidate">
<div class="row mx-sm-0">
<div class="custom-col col-12 p-sm-40 p-16 bg-white sticky-top-custom align-self-start">
<div class="row">
<div class="col-sm-6 col-12">
<div class="form-group">
<input type="text" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" autofill="" id="fname" name="fname" ng-model="order.customer.first_name" required="" spellcheck="false" value=""
autocomplete="given-name" placeholder="First Name">
</div>
</div>
<div class="col-sm-6 col-12">
<div class="form-group">
<input type="text" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" autofill="" id="lname" name="lname" ng-model="order.customer.last_name" required="" spellcheck="false" value=""
autocomplete="family-name" placeholder="Last Name">
</div>
</div>
</div>
<div class="row">
<div class="col-sm-6 col-12">
<div class="form-group">
<input type="email" class="form-control ng-pristine ng-untouched ng-empty ng-valid-email ng-invalid ng-invalid-required" autofill="" id="email" name="email" ng-model="order.customer.email" required="" spellcheck="false" value=""
autocomplete="email" placeholder="Email Address">
</div>
</div>
<div class="col-sm-6 col-12">
<!-- ngIf: checkoutState.product.properties.phone_number_field -->
</div>
</div>
<div id="payments" class="tpl-4__form__payment mt-sm-24 mt-16">
<div class="row no-gutters">
<div class="col-12 order-md-2 order-2">
<div class="custom-control custom-radio m-0 p-0">
<input type="radio" id="creditCardRadio" name="paymentMethods" data-toggle="collapse" data-target="#cards:not(.show)" class="custom-control-input" ng-click="setPaymentType('cc_processor')" aria-expanded="true" checked="">
<label class="custom-control-label d-flex align-items-center" for="creditCardRadio">
<img class="mastercard" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/mastercard-minimalist.svg" alt="mastercard minimalist">
<img class="visa" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/visa-minimalist.svg" alt="visa minimalist">
<img class="discover" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/discover-minimalist.svg" alt="discover minimalist">
<img class="amex" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/amex-minimalist.svg" alt="amex minimalist">
<img class="diners" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/diners-minimalist.svg" alt="diners minimalist">
<img class="jcb" src="https://d2n844f18s487r.cloudfront.net/modules/frontend/img/payment/jcb-minimalist.svg" alt="jcb minimalist">
</label>
</div>
</div>
<div id="cards" class="col-12 collapse show order-sm-3 order-3 mt-4" data-parent="#payments">
<!-- ngIf: processor_selection === 'cc_processor' -->
<div class="cc-processor-form ng-scope" ng-if="processor_selection === 'cc_processor'">
<div>
<div class="form-group d-flex flex-column">
<input type="text" class="form-control order-2 js-card-number ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required typed" ng-class="{ 'typed': order.card.number !== ''}" placeholder="**** **** **** ****" autofill=""
id="ccnum" name="ccnum" data-stripe="number" value="" ng-model="order.card.number" required="">
<label for="ccnum" class="order-1">Credit Number</label>
</div>
<div class="row mx-sm-n12 mx-n8">
<div class="col-sm-4 col-6 px-sm-12 px-8">
<div class="form-group d-flex flex-column">
<select class="form-control order-2 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required typed" ng-class="{ 'typed': order.card.exp_month !== ''}" autofill="" data-stripe="exp-month" id="expmonth" name="expmonth"
ng-model="order.card.exp_month" required="">
<option value="">Expire Month</option>
<option value="01">01 - January</option>
<option value="02">02 - February</option>
<option value="03">03 - March</option>
<option value="04">04 - April</option>
<option value="05">05 - May</option>
<option value="06">06 - June</option>
<option value="07">07 - July</option>
<option value="08">08 - August</option>
<option value="09">09 - September</option>
<option value="10">10 - October</option>
<option value="11">11 - November</option>
<option value="12">12 - December</option>
</select>
</div>
</div>
<div class="col-sm-4 col-6 px-sm-12 px-8">
<div class="form-group d-flex flex-column">
<select class="form-control order-2 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required typed" ng-class="{ 'typed': order.card.exp_year !== ''}" autofill="" data-stripe="exp-year" id="expyear" name="expyear"
ng-model="order.card.exp_year" required="">
<option value="">Expire Year</option>
<option value="2024">2024</option> 2024 <option value="2025">2025</option> 2025 <option value="2026">2026</option> 2026 <option value="2027">2027</option> 2027 <option value="2028">2028</option> 2028 <option value="2029">2029
</option> 2029 <option value="2030">2030</option> 2030 <option value="2031">2031</option> 2031 <option value="2032">2032</option> 2032 <option value="2033">2033</option> 2033 <option value="2034">2034</option> 2034 <option
value="2035">2035</option> 2035 <option value="2036">2036</option> 2036 <option value="2037">2037</option> 2037 <option value="2038">2038</option> 2038 <option value="2039">2039</option> 2039 <option value="2040">2040
</option> 2040 <option value="2041">2041</option> 2041 <option value="2042">2042</option> 2042 <option value="2043">2043</option> 2043
</select>
</div>
</div>
<div class="col-sm-4 col-12 px-sm-12 px-8">
<div class="form-group d-flex flex-column">
<input type="text" class="form-control order-2 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required typed" ng-class="{ 'typed': order.card.cvc !== ''}" autofill="" id="CVV2" name="CVV2" data-stripe="cvc" value=""
ng-model="order.card.cvc" required="" placeholder="CVV">
</div>
</div>
<!-- ngIf: isVerifyZipCode -->
</div>
</div>
</div><!-- end ngIf: processor_selection === 'cc_processor' -->
</div>
</div>
</div>
<div class="tpl-4__form__order__desktop d-sm-block text-center">
<div class="g-recaptcha-container">
<script type="text/javascript">
var recaptchaCallback = function(response) {
window.recaptchaResponse = response;
};
var onloadCallback = function() {
window.recaptchaWidgetId = grecaptcha.render('submit', {
'sitekey': '6LfyULUmAAAAAJld89qgZEGDDIGnjfWqZGBkXh3t',
'callback': recaptchaCallback,
'size': 'invisible'
});
};
</script>
<input id="submit" type="hidden" value="Submit" style="">
<script src="https://www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit" async="" defer=""></script>
<script>
const sleepUntil = async (f, timeoutMs) => {
return new Promise((resolve, reject) => {
const timeWas = new Date();
const wait = setInterval(function() {
if (f()) {
clearInterval(wait);
resolve();
} else if (new Date() - timeWas > timeoutMs) { // Timeout
clearInterval(wait);
reject();
}
}, 20);
});
}
function fetchToken() {
return new Promise(async function(resolve, reject) {
grecaptcha.reset();
grecaptcha.execute(window.recaptchaWidgetId);
try {
await sleepUntil(() => window.recaptchaResponse, 60000);
resolve('');
} catch {
grecaptcha.reset();
reject('reCAPTCHA timeout exceeded!');
}
});
}
</script>
</div>
<!-- ngIf: processor_selection !== 'digital_wallet' --><button type="submit" class="btn btn-success w-100 mb-16 mt-16 main-cta ng-scope" id="placeOrder" name="placeOrder" ng-click="placeOrder('Y1bTIwSd03dV7mZ2WHH1nN1a')"
ng-disabled="shippingCountryIsRestricted || isProcessingOrder" ng-if="processor_selection !== 'digital_wallet'"> Place Order Now </button><!-- end ngIf: processor_selection !== 'digital_wallet' -->
<div id="payment-request-button" class="mb-16 mt-16 ng-hide" ng-show="processor_selection === 'digital_wallet'"></div>
</div>
</div>
<div class="col-sm col-12 px-sm-0 sticky-top-custom align-self-start">
<div id="tpl-4__order_summary" box-loading="contextRefresh" class="box">
<h4 class="tpl-4__summary__title font-weight-semi-bold">YOUR ORDER SUMMARY</h4>
<div id="order-summary-widget" box-loading="contextRefresh">
<div id="summary-totals" class="box">
<div class="invoice-item subtotal-row ng-hide" ng-show="checkoutContext.order.invoice.subtotal !== checkoutContext.order.invoice.total">
<div class="invoice-label-col">
<span class="invoice-item-label">Subtotal:</span>
</div>
<div class="invoice-amount-col float-right text-right">
<span class="invoice-item-amount ng-binding">$222.00</span>
</div>
</div>
<div class="invoice-item tax-row ng-hide" ng-show="checkoutContext.order.invoice.tax !== 0">
<div class="invoice-label-col">
<span class="invoice-item-label">Tax:</span>
</div>
<div class="invoice-amount-col float-right text-right">
<span class="invoice-item-amount ng-binding">$0.00</span>
</div>
</div>
<div class="invoice-item shipping-row ng-hide" ng-show="checkoutContext.order.invoice.shipping !== 0">
<div class="invoice-label-col">
<span class="invoice-item-label">Shipping:</span>
</div>
<div class="invoice-amount-col float-right text-right">
<span class="invoice-item-amount ng-binding">$0.00</span>
</div>
</div>
<div class="invoice-item discount-row ng-hide" ng-show="checkoutContext.order.invoice.discount !== 0">
<div class="invoice-label-col">
<span class="invoice-item-label">Discounts:</span>
</div>
<div class="invoice-amount-col float-right text-right">
<span class="invoice-item-amount ng-binding">-$0.00</span>
</div>
</div>
<div class="invoice-item total-row">
<div class="invoice-label-col">
<span class="invoice-item-label">Total:</span>
</div>
<div class="invoice-amount-col float-right text-right">
<span class="invoice-item-amount ng-binding" id="total">$222.00 </span>
</div>
</div>
<!-- ngIf: subscriptionsByProductId[checkoutContext.order.invoice.items[0].product_id] -->
</div>
</div>
</div>
<div class="tpl-4__form__order__mobile d-sm-block text-center">
<div class="g-recaptcha-container">
<script type="text/javascript">
var recaptchaCallback = function(response) {
window.recaptchaResponse = response;
};
var onloadCallback = function() {
window.recaptchaWidgetId = grecaptcha.render('submit', {
'sitekey': '6LfyULUmAAAAAJld89qgZEGDDIGnjfWqZGBkXh3t',
'callback': recaptchaCallback,
'size': 'invisible'
});
};
</script>
<input id="submit" type="hidden" value="Submit">
<script src="https://www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit" async="" defer=""></script>
<script>
const sleepUntil = async (f, timeoutMs) => {
return new Promise((resolve, reject) => {
const timeWas = new Date();
const wait = setInterval(function() {
if (f()) {
clearInterval(wait);
resolve();
} else if (new Date() - timeWas > timeoutMs) { // Timeout
clearInterval(wait);
reject();
}
}, 20);
});
}
function fetchToken() {
return new Promise(async function(resolve, reject) {
grecaptcha.reset();
grecaptcha.execute(window.recaptchaWidgetId);
try {
await sleepUntil(() => window.recaptchaResponse, 60000);
resolve('');
} catch {
grecaptcha.reset();
reject('reCAPTCHA timeout exceeded!');
}
});
}
</script>
</div>
<!-- ngIf: processor_selection !== 'digital_wallet' --><button type="submit" class="btn btn-success w-100 mb-16 mt-16 main-cta ng-scope" id="placeOrder" name="placeOrder" ng-click="placeOrder('Y1bTIwSd03dV7mZ2WHH1nN1a')"
ng-disabled="shippingCountryIsRestricted || isProcessingOrder" ng-if="processor_selection !== 'digital_wallet'"> Place Order Now </button><!-- end ngIf: processor_selection !== 'digital_wallet' -->
<div id="payment-request-button" class="m-16 mobile ng-hide" ng-show="processor_selection === 'digital_wallet'"></div>
</div>
</div>
</div>
</form>Text Content
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