stage.phrd-2uc8ejyb9r.com
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2606:4700::6812:ea9
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URL:
https://stage.phrd-2uc8ejyb9r.com/
Submission: On November 28 via api from US — Scanned from US
Submission: On November 28 via api from US — Scanned from US
Form analysis
1 forms found in the DOMPOST /
<form action="/" enctype="multipart/form-data" id="sweepsTakesForm" method="post" novalidate="novalidate"><input data-val="true" data-val-required="The EntryCode field is required." id="EntryCode" name="EntryCode" type="hidden"
value="c4da0701-200a-4f4e-a218-d99aad8a9aa9"><input data-val="true" data-val-required="The IsOpen field is required." id="IsOpen" name="IsOpen" type="hidden" value="0"><input data-val="true" data-val-required="The Message field is required."
id="Message" name="Message" type="hidden" value=""><input data-val="true" data-val-required="The ReCaptchaToken field is required." id="ReCaptchaToken" name="ReCaptchaToken" type="hidden" value=""><input data-val="true"
data-val-required="The SK field is required." id="SK" name="SK" type="hidden" value="0x4AAAAAAANwO-5yDTRl2nOX">
<div class="cf-turnstile" data-sitekey="0x4AAAAAAANwO-5yDTRl2nOX"></div>
<div id="mainFieldset" class="row">
<div class="col-12">
</div>
<div class="col-12">
<div class="FieldsSet">
<div class="col-12 text-left mainTitleBlack mt-3"> Dear Delivery Drivers, </div>
<div class="col-12 text-left SubTitle mt-2"> We know you’re working hard to bring the holidays to everyone. So we want to bring a little something to you. Just fill out the form below and we’ll send you an e-gift card for $25 to use on your
next Pizza Hut order! </div>
<div class="col-12 text-left SubTitle mt-4"> XOXO, </div>
<div class="col-12 text-left mainTitleBlack"> Pizza Hut </div>
<div class="row">
<div class="form-group col-12">
<label id="lblFirstName" class="labelForm d-none" for="FirstName">First Name</label>
<input aria-label="First Name" aria-required="True" class="form-control universal-control" data-val="true" data-val-required="The FirstName field is required." id="FirstName" name="FirstName" placeholder="First Name:" type="text"
value="">
</div>
<div class="form-group col-12">
<label id="lblLastName" class="labelForm d-none" for="LastName">Last Name</label>
<input aria-label="Last Name" aria-required="True" class="form-control universal-control" data-val="true" data-val-required="The LastName field is required." id="LastName" name="LastName" placeholder="Last Name:" type="text" value="">
</div>
<div class="form-group col-12">
<label id="lblEmail" class="labelForm d-none" for="Email">Email</label>
<input aria-label="Email" aria-required="True" class="form-control universal-control" data-val="true" data-val-required="The Email field is required." id="Email" name="Email" placeholder="Email:" type="text" value="">
</div>
<div class="form-group col-12">
<label id="lblAddress" class="labelForm d-none" for="Address">Address</label>
<input aria-label="Address" aria-required="True" class="form-control universal-control" data-val="true" data-val-required="The Address field is required." id="Address" name="Address" placeholder="Address:" type="text" value="">
</div>
<div class="form-group col-12">
<label id="lblCity" class="labelForm d-none" for="City">City</label>
<input aria-label="City" aria-required="True" class="form-control universal-control" data-val="true" data-val-required="The City field is required." id="City" name="City" placeholder="City:" type="text" value="">
</div>
<div class="form-group col-12">
<label id="lblState" class="labelForm d-none" for="State">State</label>
<select aria-label="State" aria-required="True" class="form-select universal-control universal-control-DropDown" data-val="true" data-val-required="The State field is required." id="State" name="State">
<option disabled="disabled" selected="selected" value="">- State -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="DC">Washington, DC</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
<div class="form-group col-12">
<label id="lblZipCode" class="labelForm d-none" for="ZipCode">ZIP Code</label>
<input aria-label="Zip Code" aria-required="True" class="form-control universal-control check-maxlength-input-int" data-val="true" data-val-required="The ZipCode field is required." id="ZipCode" maxlength="5" name="ZipCode"
placeholder="ZIP Code:" type="text" value="">
</div>
</div>
<div class="row mt-4">
<div class="col-12">
<div class="form-check">
<input class="form-check-input" data-val="true" data-val-required="The AffAceptance field is required." id="AffAceptance" name="AffAceptance" type="checkbox" value="true">
<label class="form-check-label LabelFormCheckBox" for="AffAceptance">
<span>I have read, understand and agree to the <a id="link-TermUse" href="javascript:void(0);" style="text-decoration:underline" role="link">Terms & Conditions</a></span>
</label>
</div>
</div>
</div>
<div id="buttonArea" class="row secondRowForm">
<div class="col-12 text-center" id="btn-Enter-Area">
<button type="button" id="btn-Enter" class="btn-circle-btn"> Submit </button>
</div>
<div id="loadingSpinner" class="col-12 text-center LoadingSpinner mt-2 d-none">
<div class="spinner-border" role="status">
</div>
</div>
</div>
</div>
</div>
</div>
<input name="__RequestVerificationToken" type="hidden" value="CfDJ8DI2NSLP7qFJjIxLJM2DxkwEVqmmJ7OE3qTfFCeYW_Xy_CLjUoIfcseTkkGXyWGHuCAo2TzH4p7IzjHFYVrOcgVBe0wcVlaebjPzOOZ7LyX1bROkGf-ZMtVD41q_z040EwsuIEqwGxMv1-u8JZ8zqmQ"><input name="AffAceptance"
type="hidden" value="false">
</form>
Text Content
>Stage_ ❅ ❅ ❆ ❆ ❅ ❆ ❆ ❅ ❆ ❆ Dear Delivery Drivers, We know you’re working hard to bring the holidays to everyone. So we want to bring a little something to you. Just fill out the form below and we’ll send you an e-gift card for $25 to use on your next Pizza Hut order! XOXO, Pizza Hut First Name Last Name Email Address City State - State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming ZIP Code I have read, understand and agree to the Terms & Conditions Submit OFFERS AVAILABLE FIRST-COME, FIRST-SERVED, WHILE SUPPLIES LAST. QUANTITIES ARE LIMITED. Open to legal US residents physically residing in the 48 contiguous US/DC who are 18+ years of age. Ends at 11:59:59 pm CT on 12/30/23, or when all available Offers are claimed (whichever comes first). A minimum of 4,000 Offers are available. Limit one (1) Offer per person. Other restrictions apply. For full Terms, visit www.shopatpizzahut.com/terms