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collectcheckout.com Open in urlscan Pro
104.192.33.241  Public Scan

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Submitted URL: https://collectcheckout.com/r/deejh
Effective URL: https://collectcheckout.com/collect-checkout/?cartId=89c7797e-8ea8-473c-8e5a-f34e0c7ceef7
Submission: On July 11 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

<form><span class="sc-jOFryr egeLzW">Johnson Fit &amp; Well 022 Invoice Payment</span>
  <div class="sc-lmgQwP hpRDUw"><input name="amount" type="text" placeholder="Enter Amount" id="amount" class="sc-giAqHp fMKtho" value="">
    <div class="sc-bYwzuL fDDjHD"></div>
  </div>
  <div class="sc-fXgAZx erAkNO"><span class="sc-jOFryr egeLzW">Invoice Number</span>
    <div class="sc-lmgQwP hpRDUw"><input name="merchant_defined_field_1" type="text" placeholder="" id="Invoice Number" class="sc-giAqHp fMKtho" value=""><span class="sc-iJCRrE hBZXFZ"><svg aria-hidden="true" focusable="false" data-prefix="fad"
          data-icon="asterisk" class="svg-inline--fa fa-asterisk fa-w-16 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512">
          <g class="fa-group">
            <path class="fa-secondary" fill="currentColor"
              d="M479 177.64l-.41.23-182.5 100.45 3.45 209.17A24 24 0 0 1 276.06 512h-39.55a24 24 0 0 1-24-24v-.52L216 278 33.47 177.91A24 24 0 0 1 24 145.32l.25-.45 19.5-33.74a24.07 24.07 0 0 1 32.89-8.75l.38.23L256 208l179-105.39a24.07 24.07 0 0 1 33.05 8.12l.23.4 19.5 33.74a24 24 0 0 1-8.78 32.77z">
            </path>
            <path class="fa-primary" fill="currentColor"
              d="M488 366.68l-.25.45-19.5 33.74a24.07 24.07 0 0 1-32.89 8.75l-.38-.23L256 304 77 409.39a24.07 24.07 0 0 1-33-8.12l-.23-.4-19.5-33.74a24 24 0 0 1 8.83-32.77l.41-.23 182.4-100.45-3.45-209.17A24 24 0 0 1 235.94 0h39.55a24 24 0 0 1 24 24v.52L296 234l182.53 100.09a24 24 0 0 1 9.47 32.59z">
            </path>
          </g>
        </svg></span>
      <div class="sc-bYwzuL fDDjHD"></div>
    </div>
  </div><button disabled="" type="submit" class="sc-bqGGPW jSjSZu">Continue to Checkout</button>
</form>

Text Content

CHECKOUT


Johnson Fit & Well 022 Invoice Payment

Invoice Number

Continue to Checkout