Here is a test page
Here is some more static HTML

Your name:
Your email address:
Address:
City:
State:
Zip:
Phone:
Card number:
Expiration (MM/YY):
CVV:

here is some more PHP
you are using PHP version 8.2.18
you are at IP address 18.217.228.195
you are referred by
server name is runyourpracticebetter.net