www.dev.biogen.discheckout.com
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66.29.143.191
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URL:
https://www.dev.biogen.discheckout.com/
Submission: On August 08 via api from US — Scanned from US
Submission: On August 08 via api from US — Scanned from US
Form analysis
1 forms found in the DOM<form class="form-popup" id="checkout" onsubmit="return submit_form()">
<input type="hidden" name="_token" value="y7v09P5Mm44I3qzVPugDjaX4MALnuwlThs1bnIxh"> <input type="hidden" name="package" value="5" id="package">
<input type="hidden" name="fields_cc_type">
<input type="hidden" name="device" value="desktop">
<input type="hidden" id="discount" name="discount" value="0">
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>First Name:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_fname" id="fields_fname" placeholder="First Name*" title="First Name" type="text">
</div>
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>Last Name:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_lname" id="fields_lname" placeholder="Last Name*" title="Last Name" type="text">
</div>
<div class="margin-bottom-5">
<div class="phone-12 columns form-holder">
<label>Address:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_address1" id="fields_address1" placeholder="Address*" title="Address" type="text">
</div>
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>Zip Code:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_zip" id="fields_zip" placeholder="Zip Code*" title="Zip Code" type="tel" minlength="5" maxlength="5"
onkeyup="javascript: this.value = this.value.replace(/[^0-9]/g, '');">
</div>
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>City:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_city" id="fields_city" placeholder="City*" title="City" type="text">
</div>
<div class="phone-12 columns form-holder">
<label>State:</label>
<select name="fields_state" id="fields_state" class="form-control required" data-selected="" data-error-message="State is required">
<option onclick="">Select State</option>
<option value="AL"> Alabama (AL) </option>
<option value="AK"> Alaska (AK) </option>
<option value="AS"> American Samoa (AS) </option>
<option value="AZ"> Arizona (AZ) </option>
<option value="AR"> Arkansas (AR) </option>
<option value="AE"> Armed Forces (AE) </option>
<option value="AA"> Armed Forces Americas (AA) </option>
<option value="AP"> Armed Forces Pacific (AP) </option>
<option value="CA"> California (CA) </option>
<option value="CO"> Colorado (CO) </option>
<option value="CT"> Connecticut (CT) </option>
<option value="DE"> Delaware (DE) </option>
<option value="DC"> District of Columbia (DC) </option>
<option value="FM"> Federated States of Micronesia (FM) </option>
<option value="FL"> Florida (FL) </option>
<option value="GA"> Georgia (GA) </option>
<option value="GU"> Guam (GU) </option>
<option value="HI"> Hawaii (HI) </option>
<option value="ID"> Idaho (ID) </option>
<option value="IL"> Illinois (IL) </option>
<option value="IN"> Indiana (IN) </option>
<option value="IA"> Iowa (IA) </option>
<option value="KS"> Kansas (KS) </option>
<option value="KY"> Kentucky (KY) </option>
<option value="LA"> Louisiana (LA) </option>
<option value="ME"> Maine (ME) </option>
<option value="MD"> Maryland (MD) </option>
<option value="MA"> Massachusetts (MA) </option>
<option value="MI"> Michigan (MI) </option>
<option value="MN"> Minnesota (MN) </option>
<option value="MS"> Mississippi (MS) </option>
<option value="MO"> Missouri (MO) </option>
<option value="MT"> Montana (MT) </option>
<option value="NE"> Nebraska (NE) </option>
<option value="NV"> Nevada (NV) </option>
<option value="NH"> New Hampshire (NH) </option>
<option value="NJ"> New Jersey (NJ) </option>
<option value="NM"> New Mexico (NM) </option>
<option value="NY"> New York (NY) </option>
<option value="NC"> North Carolina (NC) </option>
<option value="ND"> North Dakota (ND) </option>
<option value="MP"> Northern Mariana Islands (MP) </option>
<option value="OH"> Ohio (OH) </option>
<option value="OK"> Oklahoma (OK) </option>
<option value="OR"> Oregon (OR) </option>
<option value="PA"> Pennsylvania (PA) </option>
<option value="MH"> Republic of Marshall Islands (MH) </option>
<option value="RI"> Rhode Island (RI) </option>
<option value="SC"> South Carolina (SC) </option>
<option value="SD"> South Dakota (SD) </option>
<option value="TN"> Tennessee (TN) </option>
<option value="TX"> Texas (TX) </option>
<option value="UT"> Utah (UT) </option>
<option value="VT"> Vermont (VT) </option>
<option value="VI"> Virgin Islands of the U.S. (VI) </option>
<option value="VA"> Virginia (VA) </option>
<option value="WA"> Washington (WA) </option>
<option value="WV"> West Virginia (WV) </option>
<option value="WI"> Wisconsin (WI) </option>
<option value="WY"> Wyoming (WY) </option>
</select>
</div>
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>Email Address:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_email" id="fields_email" placeholder="Email*" title="Email" type="email">
</div>
<div class=" margin-bottom-5 form-holder">
<div class="phone-12 columns">
<label>Phone:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input class="form-control required" data-placement="auto left" name="fields_phone" id="fields_phone" placeholder="Phone Number*" title="Phone Number" type="tel" maxlength="12">
</div>
<div class="margin-bottom-5">
<div class="phone-12 columns">
<label>Card Number:</label>
</div>
</div>
<div class="phone-12 columns form-holder">
<input type="tel" name="fields_cc_number" id="cardNumber" data-threeds="pan" class="form-control required masked" placeholder="Card Number" maxlength="19" autocomplete="off">
<div class="accept-icon"></div>
</div>
<div class="row margin-bottom-5">
<div class="phone-12 columns">
<label>Card Expiry Date:</label>
</div>
</div>
<div class="row">
<div class="phone-6 columns form-holder">
<select name="fields_expmonth" data-threeds="month" id="fields_expmonth" class="required form-control" autocomplete="off" data-error-message="Please select a valid expiry month!">
<option>Month</option>
<option value="01">01 - January</option>
<option value="02">02 - February</option>
<option value="03">03 - March</option>
<option value="04">04 - April</option>
<option value="05">05 - May</option>
<option value="06">06 - June</option>
<option value="07">07 - July</option>
<option value="08">08 - August</option>
<option value="09">09 - September</option>
<option value="10">10 - October</option>
<option value="11">11 - November</option>
<option value="12">12 - December</option>
</select>
</div>
<div class="phone-6 columns form-holder">
<select name="fields_expyear" data-threeds="year" id="fields_expyear" class="required form-control" autocomplete="off" data-error-message="Please select a valid expiry year!">
<option>Year</option>
<option value="23">2023 </option>
<option value="24">2024 </option>
<option value="25">2025 </option>
<option value="26">2026 </option>
<option value="27">2027 </option>
<option value="28">2028 </option>
<option value="29">2029 </option>
<option value="30">2030 </option>
<option value="31">2031 </option>
<option value="32">2032 </option>
<option value="33">2033 </option>
<option value="34">2034 </option>
<option value="35">2035 </option>
<option value="36">2036 </option>
<option value="37">2037 </option>
<option value="38">2038 </option>
</select>
</div>
</div>
<div class="row margin-bottom-5">
<div class="phone-12 columns">
<label>CVV:</label>
</div>
</div>
<div class="row">
<div class="phone-6 columns form-holder">
<input type="tel" name="fields_cvv" id="cc_cvv" class="form-control fcheckout-field required" data-validate="cvv" maxlength="4" placeholder="CVV" autocomplete="off" data-error-message="Please enter a valid CVV code!"
onkeyup="javascript: this.value = this.value.replace(/[^0-9]/g, '');">
</div>
<div class="phone-6 columns">
<span class="cvv-link ">
<a class="ccvwhatsthis form-link cvvbox" href="javascript:void(0)" style="margin: 9px 0px 0px 2px;"> Where can I find my Security
Code?</a>
</span>
</div>
</div>
<div class="cvv-image clear" style="display: none;">
<img alt="" src="https://www.dev.biogen.discheckout.com/assets/images/cvv-image.png">
</div>
<div class="clear"></div>
<div class="form__footer">
<div class="secure-icon"><span>Secure 256-bit SSL Encryption</span></div>
<button class="send-btn loading-btn" type="submit"><span>RUSH MY ORDER!</span></button>
</div>
</form>
Text Content
CLICK HERE TO ACTIVATE YOUR 25% DISCOUNT!!! Expires: August 08, 2023 * 1. Shipping Info * 2. Finish Order * 3. Summary APPROVED! Free Bottle Packages Confirmed Limited supply available as of Tuesday, 8/8/2023. We currently have product in stock and ready to ship within 24 hours. Sell Out Risk: HIGH BUY 3 GET 3 FREE* Retail: $62.07/bottle FREE SHIPPING SAVE $132.45 For Those Who Need to Lose 25+ Pounds! same as $39.99 /bottle Selected! BUY 2 GET 2 FREE* Retail: $62.07/bottle FREE SHIPPING SAVE $74.95 For Those Who Need to Lose 15+ Pounds! same as $47.49 /bottle Select Package BUY 1 GET 1 FREE* Retail: $62.07/bottle FREE SHIPPING For Those Who Need to Lose 7+ Pounds! $64.99 /bottle Select Package * at retail price 30 day money back guarantee We are so confident in our products and services, that we back it with a 30 day money back guarantee. If for any reason you are not fully satisfied with our products, simply return the purchased products in the original container within 30 days of when you received your order. We will refund you 100% of the purchase price - with absolutely no hassle. HURRY! CONFIRM YOUR ORDER NOW! FINAL STEP: PAYMENT INFORMATION We Accept: * * First Name: Last Name: Address: Zip Code: City: State: Select State Alabama (AL) Alaska (AK) American Samoa (AS) Arizona (AZ) Arkansas (AR) Armed Forces (AE) Armed Forces Americas (AA) Armed Forces Pacific (AP) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Federated States of Micronesia (FM) Florida (FL) Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Northern Mariana Islands (MP) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennsylvania (PA) Republic of Marshall Islands (MH) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virgin Islands of the U.S. (VI) Virginia (VA) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) Email Address: Phone: Card Number: Card Expiry Date: Month 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December Year 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 CVV: Where can I find my Security Code? Secure 256-bit SSL Encryption RUSH MY ORDER! Our Promises and Assurances to You * Highest Security Levels for Online Transactions 256 bit Encryption. * Your Privacy Protected Rest Assured. * 100% Consumer Satisfaction Guaranteed. * Award Winning Customer Service. We are committed to maintaining the highest quality products and the utmost integrity in business practices. All products sold on this website are certified by Good Manufacturing Practices (GMP), which is the highest standard of testing in the supplement industry. Notice: The products and information found on this site are not intended to replace professional medical advice or treatment. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Individual results may vary. © 2023 Biogen. All Rights Reserved. * Privacy Policy | * Terms and Conditions | * Wireless Policy Eli H. - TX Purchased 7 Bottle(s) of Biogen 9 minutes ago Reserving Your Bottle Of BIOGEN * Checking Inventory * Processing Transaction * Sending to Fulfillment * Order Confirmed