claims.rawjuicery.com
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54.204.238.15
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URL:
https://claims.rawjuicery.com/
Submission: On September 16 via automatic, source certstream-suspicious — Scanned from DE
Submission: On September 16 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOM<form class="form-submit-claim">
<h1 class="tw-text-2xl lg:tw-text-3xl tw-text-center tw-font-medium tw-max-w-96 tw-mx-auto tw-m-0 tw-mt-6">Let’s get your order issue resolved quickly.</h1>
<p class="tw-m-0 tw-mt-6">We’re sorry to hear you have a problem with your order. Let’s get it taken care of.</p>
<div class="tw-grid lg:tw-grid-cols-2 tw-gap-4 tw-mt-6">
<div class="tw-flex tw-flex-col tw-gap-1">
<div class="tw-grid tw-w-full tw-items-center tw-gap-1.5"><label class="tw-font-normal tw-text-base tw-leading-none peer-disabled:tw-cursor-not-allowed peer-disabled:tw-opacity-70" for="input-1">Order Number</label><input type="text"
class="tw-flex tw-w-full tw-rounded-md tw-h-10 tw-border tw-border-solid tw-border-gray-300 tw-bg-background tw-px-3 tw-py-2 tw-text-sm tw-ring-offset-primary file:tw-border-0 file:tw-bg-transparent file:tw-text-sm file:tw-font-medium placeholder:tw-text-muted-foreground focus-visible:tw-outline-none focus-visible:tw-ring-1 focus-visible:tw-ring-primary focus-visible:tw-ring-offset-1 disabled:tw-cursor-not-allowed disabled:tw-opacity-50"
id="input-1" placeholder="Order Number" value=""></div>
</div>
<div class="tw-flex tw-flex-col tw-gap-1">
<div class="tw-grid tw-w-full tw-items-center tw-gap-1.5"><label class="tw-font-normal tw-text-base tw-leading-none peer-disabled:tw-cursor-not-allowed peer-disabled:tw-opacity-70" for="input-2">Email</label><input type="text"
class="tw-flex tw-w-full tw-rounded-md tw-h-10 tw-border tw-border-solid tw-border-gray-300 tw-bg-background tw-px-3 tw-py-2 tw-text-sm tw-ring-offset-primary file:tw-border-0 file:tw-bg-transparent file:tw-text-sm file:tw-font-medium placeholder:tw-text-muted-foreground focus-visible:tw-outline-none focus-visible:tw-ring-1 focus-visible:tw-ring-primary focus-visible:tw-ring-offset-1 disabled:tw-cursor-not-allowed disabled:tw-opacity-50"
id="input-2" placeholder="Email" value=""></div>
</div>
</div><button class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary Mui-disabled MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary
tw-rounded tw-transition-colors tw-duration-300 tw-shadow-none
tw-px-2 tw-py-1.5 tw-text-base
tw-bg-primary tw-text-white hover:tw-bg-primary-dark
disabled:tw-bg-gray-300 disabled:tw-text-gray-700 disabled:tw-cursor-not-allowed
tw-w-fit mui-wt7t24" tabindex="-1" type="button" disabled="" style="text-transform: none; width: 100%; font-size: 16px; padding: 12px; font-weight: bold; margin-top: 20px;">Continue</button>
</form>
Text Content
You need to enable JavaScript to run this app. LET’S GET YOUR ORDER ISSUE RESOLVED QUICKLY. We’re sorry to hear you have a problem with your order. Let’s get it taken care of. Order Number Email Continue