www.finance.madipro.com Open in urlscan Pro
192.185.112.227  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.sagepayments.net/eftcart/forms/express.asp

<form method="POST" action="https://www.sagepayments.net/eftcart/forms/express.asp">
  <input type="hidden" name="M_id" value="126842996393">
  <input type="hidden" name="C_country" value="CA">
  <input type="hidden" name="C_state" value="QC">
  <table style="margin-left: auto; margin-right: auto;">
    <tbody>
      <tr>
        <td style="text-align: center;" colspan="2"><img src="http://finance.madipro.com/mp.jpg"> </td>
      </tr>
      <tr>
        <td style="text-align: left;">Client #</td>
        <td style="text-align: right;"><input type="text" name="T_customer_number" maxlength="6" title="Client #" required=""></td>
      </tr>
      <tr>
        <td style="text-align: left;">Facture / Invoice #</td>
        <td style="text-align: right;"><input type="text" name="T_ordernum" maxlength="8" autocomplete="off" title="Facture / Invoice" required=""></td>
      </tr>
      <tr>
        <td style="text-align: left;">Montant / Amount</td>
        <td style="text-align: right;"><input type="number" name="T_amt" min="1" size="8" step="any" autocomplete="off" title="Montant / Amount" required=""></td>
      </tr>
      <tr>
        <td style="text-align: left;">Note</td>
        <td style="text-align: right;"><textarea name="C_memo" id="C_memo" maxlength="512" title="Note"></textarea></td>
      </tr>
      <tr>
        <td style="text-align: right;" colspan="2"><input type="submit" value="Suivant / Next"></td>
      </tr>
      <tr>
        <td style="text-align: center;" colspan="2"><img src="https://www.sagepayments.net/virtualterminal/branding/sage/img/imgOutsideHeader.jpg"> </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Client # Facture / Invoice # Montant / Amount Note