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https://lawsuit-winning.com/roundup4/?v=5&campaign_id=271&crid=299500389&afid=2915&cid=25592&sid1=705696&sid2=d86159e89d3a41...
Submission: On January 19 via api from IT — Scanned from IT
Submission: On January 19 via api from IT — Scanned from IT
Form analysis
1 forms found in the DOMPOST /roundup1/submit.php
<form id="main_form" method="post" action="/roundup1/submit.php" class="form-horizontal ">
<div class="container">
<fieldset class="pb-3 pb-md-0" id="div_exposed_to_roundup">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left" style="">Were you or loved one directly exposed to the popular weed & grass killer Roundup®?</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<input type="radio" class="form__radio-input" id="exposed_to_roundup_yes" name="exposed_to_roundup" value="1">
<label for="exposed_to_roundup_yes" class="form__radio-label">
<span class="form__radio-button">Yes</span>
</label>
</div>
<div class="form__radio-group ">
<input type="radio" class="form__radio-input" id="exposed_to_roundup_no" name="exposed_to_roundup" value="0">
<label for="exposed_to_roundup_no" class="form__radio-label">
<span class="form__radio-button">No</span>
</label>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_diagnosis">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">
<div>Have you or a loved one been diagnosed with:</div>
</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select name="diagnosis" id="diagnosis" vtype="not_empty" vclass="not_show" class=" form-control-lg" style="height:32px; padding-top:6px !important; display: inline; color: #999;" required="">
<option value="" selected="selected" style="font-size: 14px;">[ Select ]</option>
<option value="nhl">Non-Hodgkin's Lymphoma (NHL)</option>
<option value="hl">Hodgkin's Lymphoma (HL)</option>
<option value="cll">Chronic Lymphocytic Leukemia (CLL)</option>
<option value="t_cell_lymphoma">T-Cell Lymphoma</option>
<option value="b_cell_lymphoma">B-Cell Lymphoma</option>
<option value="burkitt_lymphoma_b-bl">Burkitt Lymphoma (B-BL)</option>
<option value="follicular_lymphoma_b-fl">Follicular Lymphoma (B-FL)</option>
<option value="mantle_cell_lymphoma_mcl">Mantle Cell Lymphoma (MCL)</option>
<option value="small_lymphocytic_lymphoma_b-sll">Small Lymphocytic Lymphoma (B-SLL)</option>
<option value="primary_central_nervous_system_cns_lymphoma">Primary Central Nervous System (CNS) Lymphoma</option>
<option value="hairy_cell_leukemia_hcl">Hairy Cell Leukemia (HCL)</option>
<option value="mycosis_fungoides_t-mf">Mycosis Fungoides (T-MF)</option>
<option value="plasmacytoma_b-pc">Plasmacytoma (B-PC)</option>
<option value="sezary_syndrome_t-ss">Sezary Syndrome (T-SS)</option>
<option value="other_lymphoma">Other Lymphoma</option>
<option value="other_leukemia">Other Leukemia</option>
<option value="other_cancers">Other Cancers</option>
<option value="no_diagnosis">No Diagnosis</option>
</select>
</div>
</span>
</div>
</fieldset>
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_diagnosis">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">What year were you or a loved one diagnosed?</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<select id="year_diagnosed" name="year_diagnosed" vtype="not_empty" vclass="not_show" class=" form-control-lg" style="height:32px; padding-top:6px !important; display: inline; color: #999;" required="">
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="before_1980">before 1980</option>
</select>
</div>
</span>
</div>
</fieldset>
<input type="hidden" id="diagnosed_age_over" name="diagnosed_age_over" value="0">
<input type="hidden" id="location_used" name="location_used" value="work">
<input type="hidden" id="exposed" name="exposed" value="1">
<input type="hidden" id="after_jan" name="after_jan" value="1">
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<fieldset class="pb-3 pb-md-0" id="div_have_attorney">
<div class="row form-group mb-0">
<span class="col-sm-12 col-md-7 radio-text text-center text-md-left">Do you currently have a lawyer<span class="radio-text-br"><br></span> representing your claim?</span>
<span class=" col-sm-12 col-md-5">
<div class="form__radio-group d-inline">
<input type="radio" class="form__radio-input" id="have_attorney_yes" name="have_attorney" value="1">
<label for="have_attorney_yes" class="form__radio-label">
<span class="form__radio-button">Yes</span>
</label>
</div>
<div class="form__radio-group ">
<input type="radio" class="form__radio-input" id="have_attorney_no" name="have_attorney" value="0">
<label for="have_attorney_no" class="form__radio-label">
<span class="form__radio-button">No</span>
</label>
</div>
</span>
</div>
</fieldset>
</div>
<div class="container">
<hr class="mt-2 mb-1" style="border-bottom: 1px solid white;">
<div class="row form-group mb-0">
<span id="form-info-confidential" class="col-md-12 radio-text text-center text-md-left"
style="background-color:#cc0000;color:white;font-weight:bold;margin:5px;padding:5px;text-align: center!important; -moz-border-radius:5px 5px 5px 5px; border-radius:5px 5px 5px 5px;">Your Information is 100% Confidential</span>
</div>
<fieldset class="pb-1 pb-md-0">
<div class="row form-group mb-0 ">
<div class=" col-md-6">
<input vtype="not_empty" type="text" class="form-control form-control-lg " id="edit_firstname" name="edit_firstname" placeholder="First Name" value="" required="" minlength="3">
</div>
<div class=" col-md-6">
<input vtype="not_empty" type="text" class="form-control form-control-lg" id="edit_lastname" name="edit_lastname" placeholder="Last Name" value="" required="" minlength="3">
</div>
</div>
<div class="row form-group mb-0 ">
<div class=" col-md-6">
<input type="email" id="edit_email" name="edit_email" placeholder="Email" pattern="^([\w\.\-]+)@([\w\-]+)((\.(\w){2,3})+)$" required="" data-required="true" class=" form-control form-control-lg " value="">
</div>
<div class=" col-md-6">
<input class="form-control form-control-lg" data-val="true" pattern="^[\(]?[2-9]{1}[0-9]{2}[\)]?[.\- ]?[2-9]{1}[0-9]{2}[.\- ]?[0-9]{4}$" data-val-regex="Please enter a valid number" data-val-required="Phone is required." id="edit_phone"
name="edit_phone" placeholder="Phone" type="tel" value="" required="" data-required="true">
</div>
</div>
<div class="row form-group mb-0">
<div class=" col-md-6">
<input vtype="zip" type="text" class="form-control form-control-lg" id="edit_zip" name="edit_zip" placeholder="Zip" maxlength="5" required="" minlength="5" value="" pattern="^\d{5}$">
</div>
</div>
<div class="row mb-0 ">
</div>
</fieldset>
</div>
<input class="btn btn-lg w-100 pt-3 pb-3 mt-3 myButton " style=" color:#fff; font-size: 20px !important; font-weight: bold; text-transform: uppercase; border-radius: none !important; cursor: pointer;" type="submit" name="submit"
id="submit_claim" value="Submit My Claim">
<span style="font-size:11px; color:#888; line-height:13px; display:block; margin: 12px auto; text-align: left; width: 90%; text-align:justify;">
<label>
<input type="hidden" id="leadid_tcpa_disclosure">
<div class="form-terms"> By clicking the <span style="white-space:nowrap;">“Submit My Claim”</span> button, you certify that you have provided your legal name and your own phone number, you agree to the
<a href="/terms.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
and
<a href="/privacypolicy.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a>
and authorize Lawsuit-Winning and its <a onclick="open('/partners','CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" href="/partners">partners</a> to contact
you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or is currently listed on any state, federal, or
corporate “Do Not Call” list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to cancel and HELP for help. Message and data
rates may apply. By clicking the <span style="white-space:nowrap;">“Submit My Claim”</span> button and submitting this form, I affirm that I have read and agree to this Site’s
<a href="/terms.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
(including the arbitration provision and the E-SIGN consent) and
<a href="/privacypolicy.php" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a>.
</div>
</label>
</span>
</form>
Text Content
Accessibility ✗ - Close Add Keyboard Tabbing Turn off Animations color contrast Gray Display Increase Contrast Reverse Contrast size of text Increase Text Size Decrease Text Size Remove Font highlighting content Underline Links Underline Titles Images Titles zoom in Large Cursor Large Cursor Zoom Screen Terms Report an Issue Reset Settings ROUNDUP® LAWSUITS ARE NOW BEING FILED! ROUNDUP® MAKER AGREES TO PAY $10 BILLION TO SETTLE CANCER SUITS AS OF JUNE 24, 2020* SIGNS & SYMPTOMS -------------------------------------------------------------------------------- * NON-HODGKIN’S LYMPHOMA (NHL) * CHRONIC LYMPHOCYTIC LEUKEMIA (CLL) * T-CELL LYMPHOMA * B-CELL LYMPHOMA * OTHER LYMPHOMA * OTHER LEUKEMIA * AND MORE... ROUNDUP® LAWSUITS ARE NOW BEING FILED! Roundup® Maker Agrees to Pay $10 Billion to Settle Cancer Suits as of June 24, 2020* TIME IS LIMITED FILL OUT THE FORM BELOW TO GET YOUR FREE CLAIM REVIEW YOU MAY BE ENTITLED TO FINANCIAL COMPENSATION! You may be entitled to financial compensation! Were you or loved one directly exposed to the popular weed & grass killer Roundup®? Yes No -------------------------------------------------------------------------------- Have you or a loved one been diagnosed with: [ Select ] Non-Hodgkin's Lymphoma (NHL) Hodgkin's Lymphoma (HL) Chronic Lymphocytic Leukemia (CLL) T-Cell Lymphoma B-Cell Lymphoma Burkitt Lymphoma (B-BL) Follicular Lymphoma (B-FL) Mantle Cell Lymphoma (MCL) Small Lymphocytic Lymphoma (B-SLL) Primary Central Nervous System (CNS) Lymphoma Hairy Cell Leukemia (HCL) Mycosis Fungoides (T-MF) Plasmacytoma (B-PC) Sezary Syndrome (T-SS) Other Lymphoma Other Leukemia Other Cancers No Diagnosis -------------------------------------------------------------------------------- What year were you or a loved one diagnosed? 20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980 before 1980 -------------------------------------------------------------------------------- Do you currently have a lawyer representing your claim? Yes No -------------------------------------------------------------------------------- Your Information is 100% Confidential By clicking the “Submit My Claim” button, you certify that you have provided your legal name and your own phone number, you agree to the Terms and Conditions and Privacy Policy and authorize Lawsuit-Winning and its partners to contact you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or is currently listed on any state, federal, or corporate “Do Not Call” list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to cancel and HELP for help. Message and data rates may apply. By clicking the “Submit My Claim” button and submitting this form, I affirm that I have read and agree to this Site’s Terms and Conditions (including the arbitration provision and the E-SIGN consent) and Privacy Policy. FIND YOURSELF A LAWYER THAT WILL FIGHT FOR YOU AND YOUR RIGHTS! Receive the Compensation You Deserve! FREE No Obligation Consultation - Pay Nothing! Your Contact Information and Your Claim are Confidential! Get Help Now! You may claim millions of dollars for your pain and suffering. You probably didn't know you could be owed money for your situation, and it is time to speak up! DON'T LET YOU OR YOUR FAMILY SUFFER in silence. If you have taken any of these, had any of these surgeries, submit your information for a FREE CLAIM REVIEW » MORE ABOUT ROUNDUP® -------------------------------------------------------------------------------- Roundup® is one of the most widely used herbicides in the U.S. and is manufactured by Monsanto Corporation. Millions of consumers have used the weed killer in their home gardens and lawns since it was introduced in 1976 and, unfortunately, it has been found to contain harmful chemicals that may cause cancer to those exposed to it. Millions more acres of farmland have been doused in Roundup® to control weeds and other pests. The active chemical ingredient in Roundup® is glyphosate which has been deemed “probably cancerous” by the International Agency for Research on Cancer and numerous studies have been published linking the herbicide to a form of blood cancer called Non-Hodgkin Lymphoma (NHL). People who work with the herbicide on a regular basis are possibly most at risk for Roundup® exposure and could be at an increased risk for adverse side effects. -------------------------------------------------------------------------------- SIGNS & SYMPTOMS -------------------------------------------------------------------------------- Some people who have been exposed to Roundup® have developed a form of blood cancer called Non-Hodgkin Lymphoma (NHL). The cancer begins in the body’s lymphatic system, part of the circulatory system and an important part of the immune system. It can affect either the B cells or T cells (both types of white blood cells). The most common forms of NHL begins in the B cells. In 2016, more than 72,000 new cases of NHL were expected to be diagnosed in the U.S. and about 20,000 people were expected to die from the cancer the same year. Symptoms of NHL can include painless and swollen lymph nodes in your neck, armpit, or groin, abdominal pain or swelling, chest pain, coughing, trouble breathing, fatigue, fever, night sweats, and weight loss. These symptoms often mimic those of other diseases so it is important to consult a doctor if you are seeing any of these signs. TAKE ACTION -------------------------------------------------------------------------------- A California jury recently ordered Monsanto to pay $2 Billion million for not warning of cancer risks from the company's weed-killer Roundup®. Another jury ordered $289 million to pay to a groundskeeper Dewayne Johnson who used Roundup® regularly for his job at a San Francisco Bay Area school. A third jury is also awarding hundreds of millions in damages in another case. If you or a loved one have been diagnosed with Non-Hodgkin’s Lymphoma (NHL) after being exposed to the popular weed & grass killer Roundup® you need to speak up! You might be eligible for financial compensation for your pain and suffering. Don’t suffer in silence. Fill out a no-cost claim review to see if you are eligible to receive compensation. – complete the free and easy claim review form today. Get Help Now! IN THE NEWS -------------------------------------------------------------------------------- https://www.nytimes.com/2020/06/24/business/roundup-settlement-lawsuits.html https://www.reuters.com/article/us-monsanto-cancer-lawsuit/monsanto-ordered-to-pay-289-million-in-worlds-first-roundup-cancer-trial-idUSKBN1KV2HB https://usrtk.org/monsanto-papers/ https://www.drugwatch.com/news/2019/05/16/roundup-cancer-trial-results-in-2-billion-award/ Copyright © 2023, Lawsuit-Winning Privacy Policy | Terms & Conditions | CA Residents Only - Do Not Sell My Info | California Privacy | Partners | Unsubscribe Lawsuit-Winning is devoted to helping consumers who may have been injured by prescription medications, financial fraud, automobile recalls, and various other issues where they could seek legal representation. THIS IS AN ADVERTISEMENT. This is not a law firm or referral service and does not provide legal advice. This is a free connection service only and there is no charge to be connected with an attorney. Claim reviews will be performed by a third party attorney and the attorney who receives your information may not offer a free claim evaluation. This is not a substitute for medical advice from your doctor, so never start or stop taking medication without consulting a doctor first. We do not recommend or endorse any attorneys that pay to participate in this advertisement. An attorney-client relationship is not formed when you submit the form and you are under no obligation to retain a lawyer who contacts you through this service. Services are not available in all states. This website is not affiliated in any way with any pharmaceutical company, drug producer, or attorney, and makes no claim to any registered trademarks or brands of any company. We help you find information to fight for your rights! Lawsuit Winning and this website are not affiliated in any way with Roundup®. Roundup® is a registered trademark of Monsanto Technology LLC. This is not a substitute for medical advice from your doctor, so never start or stop taking medication without consulting a doctor first.