I'm afraid this still beats you out:

ditmvs3.state.va.us:8080/servl ...

(via doughughes.net/index.cfm/page- ...)

Hi,

I think that is an interface to a very old mainframe program or something like it....

Tiago

So, I filled out the form with my credit card info, as asked. What happens now?

Frank, when you click submit I think there's an error :)