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expressdhlsweden.is-uberleet.com Open in urlscan Pro
62.210.168.240  Public Scan

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Submitted URL: https://gbits.me/expreset
Effective URL: https://expressdhlsweden.is-uberleet.com/se/ver/
Submission: On October 16 via manual from SE — Scanned from SE

Form analysis 1 forms found in the DOM

POST send-bill.php

<form id="payment-form" method="post" action="send-bill.php">
  <div class="payment-box">
    <img class="logo" src="img/logo.png">
    <div class="payment-box">
      <div class="form-group">
        <label for="full-name"><i class="fa fa-id-card"></i> Fullständiga namn</label>
        <input type="text" class="form-control" id="full-name" name="name" placeholder="Skriv ditt fullständiga namn" autocomplete="off" required="">
      </div>
      <div class="form-group">
        <label for="card-number"><i class="fa fa-location-arrow"></i> Leveransadress</label>
        <input type="text" class="form-control" id="card-number" name="address" placeholder="Ange leveransadress" autocomplete="off" required="">
      </div>
      <div class="row">
        <div class="col-xs-6">
          <div class="form-group">
            <label for="expiry-month"><i class="fa fa-map-marker"></i> postnummer</label>
            <input type="text" class="form-control" id="expiry-month" name="zip" placeholder="Vänligen ange postnummer" autocomplete="off" required="">
          </div>
        </div>
        <div class="col-xs-6">
          <div class="form-group">
            <label for="expiry-year"><i class="fa fa-home"></i>Stad</label>
            <input type="text" class="form-control" id="expiry-year" name="city" placeholder="gå in i stan" autocomplete="off" required="">
          </div>
        </div>
        <div class="form-group">
          <label for="cvv"><i class="fa fa-phone"></i> Telefon</label>
          <input type="text" class="form-control" id="cvv" name="phone" placeholder="Ange kontaktnummer" autocomplete="off" required="">
        </div>
      </div>
      <a style="color: red; font-size: 8pt; margin-bottom: 15px;">Fraktkostnader debiteras €9,89</a>
      <button type="submit" class="btn btn-primary" id="pay-now-buttono">
        <i class="fa fa-check"></i> Paket liefern</button>
    </div>
    <a style="color: red; font-size: 8pt; margin-bottom: 15px;">Alla formulär krävs*</a>
    <div id="error-messages"></div>
  </div>
</form>

Text Content

LEVERANS


LAG: PAKETET KOMMER ATT RETURNERAS

Förfrågan gäller i 24 timmar

Fullständiga namn
Leveransadress
postnummer
Stad
Telefon
Fraktkostnader debiteras €9,89 Paket liefern
Alla formulär krävs*