Fill up this credit card form. 000 0000 0000 0000 0000 Jane Appleseed 00/00 Cardholder Name Can't be blank. Card Number Can't be blank. Exp. Date (MM/YY) Month Can't be blank. Year Can't be blank. CVC Can't be blank Confirm Thank you! We've added your card details Continue Challenge by Frontend Mentor. Coded by Ace Z. Alba.