us-scuptestyogo-tp.lpus.foryoupromo.com
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Submitted URL: http://allpixels2befired.com/?a=3524&oc=39134&c=73477&m=7&s1=32716660&s2=2753318894
Effective URL: https://us-scuptestyogo-tp.lpus.foryoupromo.com/
Submission: On October 23 via api from US — Scanned from US
Effective URL: https://us-scuptestyogo-tp.lpus.foryoupromo.com/
Submission: On October 23 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form>
<div class="static py-2 md:mb-3 lg:px-0 md:mx-6 ">
<div class="py-2 border-t border-b border-black md:border-t-2 md:border-b-2 mb-2">
<h3 class="text-base leading-6 text-center"> Where do we ship your FREE prize? </h3>
</div>
<div class="flex flex-col relative undefined">
<div class="flex gap-1 mb-1"><button type="button" class="radio-rewards-inactive mb-3">Mr.</button><button type="button" class="radio-rewards-inactive mb-3">Mrs</button></div>
</div>
<div class="flex flex-col relative undefined">
<div class="flex flex-row w-full gap-1">
<div class="flex w-1/2">
<div class="w-full relative">
<div class="relative input-wrapper"><input min="" max="" name="first_name" type="text" placeholder="First name"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]"></div>
</div>
</div>
<div class="flex w-1/2">
<div class="w-full relative">
<div class="relative input-wrapper"><input min="" max="" name="last_name" type="text" placeholder="Last name"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]"></div>
</div>
</div>
</div>
</div>
<div class="flex flex-col relative undefined">
<div class="w-full relative">
<div class="relative input-wrapper"><input name="email_address" min="" max="" type="email" placeholder="Email"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]" maxlength="50"></div>
</div>
</div>
<div class="flex flex-col relative undefined"><span class="text-sm text-left pb-1 pl-1 font-bold">Date of birth</span>
<div class="flex flex-row w-full gap-1">
<div class="w-full relative">
<div class="relative input-wrapper"><select min="1" max="12" name="MM" type="tel" placeholder="Month"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555] text-[#555]">
<option> Month </option>
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select></div>
</div>
<div class="w-full relative">
<div class="relative input-wrapper"><select min="1" max="31" name="DD" type="tel" placeholder="Day"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555] text-[#555]">
<option> Day </option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select></div>
</div>
<div class="w-full relative">
<div class="relative input-wrapper"><select min="1904" max="2010" name="YYYY" type="tel" placeholder="Year"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555] text-[#555]">
<option> Year </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="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
</select></div>
</div>
</div>
</div>
<div class="flex flex-col relative undefined"><span class="pl-1 pb-1 text-sm text-left"></span>
<div class="w-full relative">
<div class="relative input-wrapper"><input name="phone_cell" min="" max="" type="tel" placeholder="Mobile number"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]" maxlength="10" value=""></div>
</div>
</div>
<div class="flex flex-col relative undefined">
<div class="w-full relative">
<div class="relative input-wrapper"><input name="zip_code" min="" max="" type="tel" placeholder="ZIP code"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]"></div>
</div>
</div>
<div class="flex flex-col relative undefined">
<div class="w-full relative">
<div class="relative input-wrapper"><input name="address" min="" max="" type="text" placeholder="Street Address"
class="border border-[#707070] rounded-md mb-4 px-3 py-2 w-full h-[61px] flex items-center pl-6 text-[16px] focus:outline-none focus:ring-0 focus:border-[#707070] disabled:bg-slate-100 placeholder-[#555]" maxlength="50"></div>
</div>
</div>
</div>
<div class="text-center md:mx-6">
<div class="text-xxs">By pressing the button below, you agree to the <a href="https://foryoupromo.com/us/sample-page/official-rules/" target="blank">Official Rules</a>,
<a href="http://foryoupromo.com/us/us/privacy-policy/" target="blank">Privacy Policy</a> and <a href="http://foryoupromo.com/us/us/terms-of-use/" target="blank">Terms of Use</a> of this website.</div>
<div class="mt-4"><button class="px-4 py-3 rounded-lg text-center w-full mb-2 md:mb-5 mt-2 text-xl grid grid-cols-3 items-center" style="background-color: rgb(253, 89, 0); color: rgb(255, 255, 255);">
<div class="col-span-1 flex text-white"><img alt=">" loading="lazy" width="15" height="15" decoding="async" data-nimg="1"
srcset="/_next/image?url=%2Fimages%2FgreaterThan.png&w=16&q=100 1x, /_next/image?url=%2Fimages%2FgreaterThan.png&w=32&q=100 2x" src="/_next/image?url=%2Fimages%2FgreaterThan.png&w=32&q=100"
style="color: transparent;"></div>
<div class="col-span-1 text-center">Next</div>
<div class="col-span-1"></div>
</button></div>
</div><input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/b00a404ba1d5d9bbfea196c4e9bea2a7c0a0e551" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
value="https://cert.trustedform.com/b00a404ba1d5d9bbfea196c4e9bea2a7c0a0e551" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
value="https://ping.trustedform.com/0.i243xskY8v7xaHD6VAc8mcC_wYenUyIZiHdU55DbkOjDdjnhjrllGTx8DPFa3fLK3Yi8Dfg.QbQQ27_P82hv6qON9xuIVA.qoogU_dC3oOQwtePCbf2Qg" id="xxTrustedFormPingUrl_0">
</form>Text Content
Secure Test&Keep a Stanley gift set worth $500 Test&Keep a Stanley gift set worth $500 WHERE DO WE SHIP YOUR FREE PRIZE? Mr.Mrs Date of birth Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day 01020304050607080910111213141516171819202122232425262728293031 Year 20102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904 By pressing the button below, you agree to the Official Rules, Privacy Policy and Terms of Use of this website. Next For You Promo *If you are selected to be a product tester, you will be sent a free product, no purchase necessary. The person with the most original review may keep the test product. Send your review to help@foryoupromo.com. The most original review will then be published on the site. Reviewers are selected every quarter and if selected, you will be contacted via phone or email to receive your test product. Limited availability of testers needed! Closing dates: there are three promotional closing dates with new testers selected, on every end date of the trimester on 30 April 2024 (trimester 1), 31 August 2024 (trimester 2) and 31 December 2024 (trimester 3). © 2024 For You Promo | About us | Terms of use | Privacy Policy | Contact | Opt-out of data sale | Official rules