socialshare.davidjgiraudy.com Open in urlscan Pro
2606:4700:3037::6815:1c20  Public Scan

Form analysis
1 forms found in the DOM

POST

<form action="" method="post" id="pkform" autocomplete="off" class="form_wrap">
  <div class="row">
    <div class="header_sec">
      <div class="desc">
        <p><strong><span style="font-size:20px; color:#000000;">Join David's Community!</span></strong></p>
        <p>Get 70 Points to receive a $200 Hotel Savings Card&nbsp;</p>
      </div>
    </div>
    <div class="teaser_sec alt2">
      <div class="pic" style="background-image:url(https://app.perkzilla.com//storage/uploads/teaser/10114W.png?v=1661310109)"></div>
      <div class="desc">
        <p>
          <font color="#000000"><span style="font-size: 20px;"><b>Chance To Win Grand Prize!</b></span></font>
        </p>
        <p>The top 3 with the most points at the end of each month will win an up to 5&nbsp;Day Hotel Stay.</p>
      </div>
    </div>
    <div class="pk6">
      <div class="form-group mock_cont_fname">
        <div class="mock_lbl_fname" id="mock_lbl_fname">First name</div><input type="text" name="pkname" id="pkname" autocomplete="new-name" required="required" placeholder="John" class="form-control mock_txt_fname">
      </div>
    </div>
    <div class="pk6">
      <div class="form-group mock_cont_lname">
        <div class="mock_lbl_lname" id="mock_lbl_lname">Last name</div><input type="text" name="pklastname" id="pklastname" autocomplete="new-name" required="required" placeholder="Doe" class="form-control mock_txt_lname">
      </div>
    </div>
    <div class="pk12">
      <div class="form-group mock_cont_email">
        <div class="mock_lbl_email" id="mock_lbl_email">Email address</div><input type="email" name="pkemail" id="pkemail" autocomplete="new-email" required="required" placeholder="john@sample.com" class="form-control mock_txt_email">
      </div>
    </div>
    <div class="pk12">
      <div class="form-group mock_lbl_consent"><label class="container_check" id="container_pkconsent1"><span class="consent_text">Yes, I consent to receiving emails</span><input type="checkbox" name="pkconsent1" id="pkconsent1"
            required="required"><span class="checkmark"></span></label></div>
    </div>
    <div class="pk12"><span id="checkmark_description">
        <p>Add your GDPR privacy complicance &amp; link to your privacy policy here</p>
        <p><a href="#" target="_blank">Privacy Policy</a> | <a href="#" target="_blank">Your Contest Rules</a></p>
      </span></div>
    <div class="pk12 pk-center"><input class="btn btnenter mock_cont_submit" type="submit" name="pksubmit" id="pksubmit" value="Get Started"></div>
  </div>
</form>

Text Content

Join David's Community!

Get 70 Points to receive a $200 Hotel Savings Card 

Chance To Win Grand Prize!

The top 3 with the most points at the end of each month will win an up to 5 Day
Hotel Stay.

First name
Last name
Email address
Yes, I consent to receiving emails

Add your GDPR privacy complicance & link to your privacy policy here

Privacy Policy | Your Contest Rules