payments.vpm.org
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URL:
https://payments.vpm.org/
Submission: On February 07 via automatic, source certstream-suspicious — Scanned from DE
Submission: On February 07 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="novalidate" class="v-form vue-form">
<div class="vue-form-wizard md">
<div class="wizard-header">
<h4 class="wizard-title"></h4>
<p class="category"></p>
</div>
<div class="wizard-navigation">
<div class="wizard-progress-with-circle">
<div class="wizard-progress-bar" style="background-color: rgb(231, 76, 60); color: rgb(231, 76, 60); width: 16.6667%;"></div>
</div>
<ul role="tablist" class="wizard-nav wizard-nav-pills">
<li class="active" step-size="md"><a href="javascript:void(0)" class=""><div role="tab" tabindex="0" id="step-0" aria-controls="0" aria-disabled="true" aria-selected="true" class="wizard-icon-circle md checked" style="border-color: rgb(231, 76, 60);"><div class="wizard-icon-container" style="background-color: rgb(231, 76, 60);"><i class="wizard-icon">1</i></div></div> <span class="stepTitle active" style="color: rgb(231, 76, 60);">
</span></a></li>
<li class="" step-size="md"><a href="javascript:void(0)" class="disabled"><div role="tab" tabindex="" id="step-2" aria-controls="2" class="wizard-icon-circle md"><i class="wizard-icon">2</i></div> <span class="stepTitle">
</span></a></li>
<li class="" step-size="md"><a href="javascript:void(0)" class="disabled"><div role="tab" tabindex="" id="step-4" aria-controls="4" class="wizard-icon-circle md"><i class="wizard-icon">3</i></div> <span class="stepTitle">
</span></a></li>
</ul>
<div class="wizard-tab-content">
<div role="tabpanel" id="0" aria-labelledby="step-0" class="wizard-tab-container" style="">
<div class="flex xs12">
<div class="v-card v-sheet theme--light">
<div class="v-card__text">
<h2>Do you have an invoice number?</h2>
<div class="flex md4 xs8">
<div class="v-input v-input--selection-controls v-input--radio-group v-input--radio-group--row v-input--is-label-active v-input--is-dirty theme--light">
<div class="v-input__control">
<div class="v-input__slot" style="height: auto;">
<div role="radiogroup" class="v-input--radio-group__input">
<div class="v-radio theme--light accent--text">
<div class="v-input--selection-controls__input"><input aria-label="Yes" aria-checked="true" role="radio" type="radio" name="v-radio-12" value="true">
<div class="v-input--selection-controls__ripple accent--text"></div><i aria-hidden="true" class="v-icon material-icons theme--light accent--text">radio_button_checked</i>
</div><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: relative;">Yes</label>
</div>
<div class="v-radio theme--light">
<div class="v-input--selection-controls__input"><input aria-label="No" aria-checked="false" role="radio" type="radio" name="v-radio-12" value="false">
<div class="v-input--selection-controls__ripple"></div><i aria-hidden="true" class="v-icon material-icons theme--light">radio_button_unchecked</i>
</div><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: relative;">No</label>
</div>
</div>
</div>
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="flex xs12">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Invoice Number</label><input aria-label="Invoice Number"
data-vv-name="submission.invoiceNumber" data-vv-as="invoice number" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12" style="display: none;">
<div class="v-input v-textarea v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Description of service provided</label><textarea
aria-label="Description of service provided" data-vv-name="submission.description" data-vv-as="invoice description" outlined="" required="required" rows="5"></textarea></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div role="tabpanel" id="2" aria-hidden="true" aria-labelledby="step-2" class="wizard-tab-container" style="display: none;">
<div class="v-card v-sheet theme--light">
<div class="v-card__text">
<h2>Contact Information</h2>
<div class="layout row wrap">
<div class="flex xs12 md6">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First Name</label><input aria-label="First Name" name="first-name"
autocomplete="given-name" data-vv-name="submission.firstName" data-vv-as="first name" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12 md6">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Last Name</label><input aria-label="Last Name" name="last-name"
autocomplete="family-name" data-vv-name="submission.lastName" data-vv-as="last name" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="layout row wrap">
<div class="flex xs12 md4">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email Address</label><input aria-label="Email Address" autocomplete="email"
name="email" data-vv-name="submission.email" data-vv-as="email" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12 md4">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Phone Number</label><input aria-label="Phone Number" autocomplete="phone" name="phone"
data-vv-name="submission.phone" data-vv-as="phone" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12 md4">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Company</label><input aria-label="Company" name="company" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Street Address</label><input aria-label="Street Address" autocomplete="address-line1"
name="address" data-vv-name="submission.address" data-vv-as="address" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Street Address 2</label><input aria-label="Street Address 2" autocomplete="address-line2"
name="address2" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="layout row wrap">
<div class="flex xs12 md6">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">City</label><input aria-label="City" autocomplete="address-level2" name="city"
data-vv-name="submission.city" data-vv-as="city" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12 md3">
<div class="v-input v-text-field v-text-field--single-line v-select v-autocomplete v-input--is-label-active v-input--is-dirty theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-select__slot"><input aria-label="State" name="state" required="required" type="text" autocomplete="off" role="combobox">
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon material-icons theme--light">arrow_drop_down</i></div>
</div>
</div>
<div class="v-menu"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="flex xs12 md3">
<div class="v-input v-text-field theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Zip</label><input aria-label="Zip" name="zip" autocomplete="postal-code"
data-vv-name="submission.zip" data-vv-as="zip" required="required" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div role="tabpanel" id="4" aria-hidden="true" aria-labelledby="step-4" class="wizard-tab-container" style="display: none;">
<div class="v-card v-sheet theme--light">
<div class="v-card__text">
<h2>Payment Details</h2>
<div class="flex xs12">
<div class="v-input v-text-field v-text-field--prefix theme--light">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label aria-hidden="true" class="v-label v-label--active theme--light" style="left: 0px; right: auto; position: absolute;">Amount</label>
<div class="v-text-field__prefix">$</div><input aria-label="Amount" name="amount" data-vv-name="submission.amount" data-vv-as="amount" requried="" type="text">
</div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div>
<div>
<div class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
name="__privateStripeFrame7626" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-90923c6320e32b2153ffb6e925fe50ff.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_aJSYopDYi6LaGG05wjeD7yLN&referrer=https%3A%2F%2Fpayments.vpm.org%2F&controllerId=__privateStripeController7621"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div>
</div>
</div>
<div class="input-group__details">
<div class="input-group__messages">
<div class="stripe-error"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wizard-card-footer clearfix">
<div class="wizard-footer-left"><!----> </div>
<div class="wizard-footer-right"> <span role="button" tabindex="0"><button tabindex="-1" type="button" class="wizard-btn" style="background-color: rgb(231, 76, 60); border-color: rgb(231, 76, 60); color: white;"> Next </button></span></div>
</div>
</div>
</form>Text Content
AL AK AS AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY INVOICE PAYMENT * 1 * 2 * 3 DO YOU HAVE AN INVOICE NUMBER? radio_button_checked Yes radio_button_unchecked No Invoice Number Description of service provided CONTACT INFORMATION First Name Last Name Email Address Phone Number Company Street Address Street Address 2 City arrow_drop_down Zip PAYMENT DETAILS Amount $ Next