us-walcardhalloween-tp.lpus.consumers-connect.net
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Submitted URL: http://frstafflinks.com/?a=1313&oc=38697&c=72720&m=7&s1=95683&s3=lead&s2=1614174494&s4=26280
Effective URL: https://us-walcardhalloween-tp.lpus.consumers-connect.net/
Submission: On November 11 via api from US — Scanned from DE
Effective URL: https://us-walcardhalloween-tp.lpus.consumers-connect.net/
Submission: On November 11 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="static bg-white
py-2 md:mb-1 lg:px-0">
<div class="py-2 border-t border-b border-black md:border-t-2 md:border-b-2 mb-3 md:mb-6">
<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>
<div class="flex w-full gap-1">
<div class="w-1/3">
<div class="">
<div class="w-full relative">
<div class="relative input-wrapper"><input id="zip_code" min="" max="" name="zip_code" 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]" maxlength="5"></div>
</div>
</div>
</div>
<div class="w-2/3">
<div class="">
<div class="w-full relative">
<div class="relative input-wrapper"><input id="address" min="" max="" name="address" 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>
</div>
</div>
</div>
<div class="text-center">
<div class="text-[11px]">By pressing the button below, you agree to the <a href="https://consumers-connect.net/us/sample-page/official-rules/" target="blank">Official Rules</a>,
<a href="http://consumers-connect.net/us/us/privacy-policy/" target="blank">Privacy Policy</a> and <a href="http://consumers-connect.net/us/us/terms-of-use/" target="blank">Terms of Use</a> of this website.</div><button class="mt-5 md:mt-3 px-4 py-3 border-[3px]
border-white shadow-lg font-semibold text-center text-shadow-md w-full mb-2 text-white uppercase text-xl bg-greenButtonS5">Continue</button>
</div><input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/ec721d1e66569b9fcbf408e454dac838c70ff892" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
value="https://cert.trustedform.com/ec721d1e66569b9fcbf408e454dac838c70ff892" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
value="https://ping.trustedform.com/0.16UOncHR4MyNA73i9et9lFqWieAnO2DjtQQaYJxSJZH0bIdqXARUIoIvCcxS5Hc8aQHs2EA.KWZ4Mo6nqFGzdgzRzSbNeA.aExuZ-BN373939ams6rcYQ" id="xxTrustedFormPingUrl_0">
</form>Text Content
Limited supply! Be quick! Average user rating: ★★★★☆ Sandra V. just finished a Survey! Terms of Use | Privacy Policy Almost There! Almost There! 2181878776 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. Continue The Consumers Connect promotion is open only to legal United States residents who are at least eighteen (18) years old at the time of entry and complete and send in a full entry form. No purchase necessary to enter and/or win. The Consumers Connect promotion (organized by Webite PTE LTD, 105 Cecil St, #16-05, The Octagon, 069534 Singapore, hereinafter 'Webite') has three promotional closing dates with new prize winners, on every end date of the trimester on 30 April 2024 (trimester 1), 31 August 2024 (trimester 2) and 31 December 2024 (trimester 3).All times are Eastern times (“Sweepstakes Period”). The time shall be determined by Webite's timekeeping systems. Webite shall have the sole discretion in determining the timeline of any action or inaction related to this sweepstake. By participating you agree to the Official Rules, Privacy Policy and Terms of Use of this website. Consumers Connect does not claim silently or expressly to represent or own any of the trademarks, tradenames or rights associated with any of the incentives which are the property of their respective owners who on their turn do not own, endorse or promote Consumers Connect or this promotion. © 2024 Consumers Connect| About us | Official Rules | Privacy Policy | Contact | Terms of Use | Opt-out of data sale