step4bill.com Open in urlscan Pro
2606:4700:3035::6815:1855  Public Scan

Form analysis
2 forms found in the DOM

POST #

<form action="#" id="js-visit-button" method="POST">
  <a href="javascript:;" class="column__dating-site-link link" onclick="parentNode.submit();">Visit site</a>
  <input type="hidden" name="stub_domain" id="user-id-support" value="https://step4bill.com">
</form>

POST #

<form class="column__form js-form" action="#" novalidate="" autocomplete="off" method="post">
  <div class="form__name-wrapper form__block-wrapper">
    <label class="form__label-name form__label" for="name"> Name </label>
    <input class="form__input-name form__input js-input-name" id="name" name="username" type="text" placeholder="Write your name">
    <span class="form__error js-name-error"> We need to know your name to be able to answer your request. </span>
  </div>
  <div class="form__email-wrapper form__block-wrapper">
    <label class="form__label-email form__label" for="email"> Email </label>
    <span class="form__email-hint"> The answer about payments will be sent to this email </span>
    <input class="form__input-email form__input js-input-email" id="email" name="email" type="email" placeholder="example@gmail.com">
    <span class="form__error js-email-error"> Indicate your email to receive an answer. </span>
    <span class="form__error js-email-error"> Indicate your credible contact email. </span>
  </div>
  <div class="form__card-wrapper form__block-wrapper">
    <label class="form__label-card form__label" for="card-number"> First 6 and last 4 digits of the card number </label>
    <div class="placeholder-wrapper">
      <span class="shell"><span class="hidden" aria-hidden="true" id="mask"><i></i>XXXX - XX** - **** - XXXX</span><input class="form__input-card form__input js-input-card" id="card-number" type="tel" maxlength="25"
          data-placeholder="XXXX - XX** - **** - XXXX"></span>
      <div class="info-ico inactive"></div>
      <div class="info-block">
        <img src="assets/img/card.png" class="statement" alt="">
      </div>
    </div>
    <span class="form__error js-card-error"> To check the request we need your card number. </span>
  </div>
  <div class="form__last-payment-wrapper form__block-wrapper">
    <label class="form__label-last-payment form__label" for="last-payment"> Comment </label>
    <textarea class="form__input-last-payment js-input-last-payment form__input" name="extra-data" id="last-payment" placeholder="Comment">                        </textarea>
  </div>
  <div class="form__checkbox-wrapper form__block-wrapper">
    <label class="checkbox-label js-checkbox-label"> I confirm that my contact information indicated above is accurate. <input type="checkbox" class="js-checkbox-select" checked="">
      <span class="checkmark js-checkmark"></span>
    </label>
  </div>
  <button class="form__submit-button js-submit-button" type="submit"> Send request </button>
  <div class="server-error"> Something went wrong. Wait several minutes and send a request again. </div>
</form>

Text Content

STEP4BILL

Here you can find all the details about your card payment .

--------------------------------------------------------------------------------

Visit site
Security guarantee PCI DSS guarantees safe processing, transfer, and keeping of
information about payment cards Visa, MasterCard, Discover.
On this website you can access Support Team of the product talkyspace.com
If you cannot fill in the form for some reason, contact the Support.
To receive information fill in and send this form. Support Team will contact
you.
Name We need to know your name to be able to answer your request.
Email The answer about payments will be sent to this email Indicate your email
to receive an answer. Indicate your credible contact email.
First 6 and last 4 digits of the card number
XXXX - XX** - **** - XXXX


To check the request we need your card number.
Comment
I confirm that my contact information indicated above is accurate.
Send request
Something went wrong. Wait several minutes and send a request again.

Request has been sent!

Within next 15 minutes, we will send a reply to email
Indicated the wrong email? Send request again.
Security guarantee PCI DSS guarantees safe processing, transfer, and keeping of
data about payment cards Visa, MasterCard, Discover.


Support