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ytz180ah.loanjet.us Open in urlscan Pro
195.211.99.11  Public Scan

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Submitted URL: https://fwdto.us/ytz180ah
Effective URL: https://ytz180ah.loanjet.us/request-confirmation?a=18&clickid=069096c5-96a9-40b3-8f08-41342d67693b&source=W1DV&token=ytz180ah
Submission: On November 21 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

POST 

<form class="form -validate -prevalidate being-prevalidated" method="post" action="" data-parsley-validate="true" novalidate="">
  <div class="form__item form__item--full message">
    <h2 class="text-normal"> Please, enter your date of birth to make sure you are over 18 </h2>
  </div>
  <div class="form__items">
    <div class="form-item form__item">
      <div class="form-item__control">
        <span class="input input_type_password input_style_default">
          <span class="input-birthday">
            <input class="form-control form-control_type_input input__control parsley-error" id="day" name="birthday-day" title="Birthday day" type="number" required="required" placeholder="Day" min="1" max="31" maxlength="2" data-parsley-id="5"
              aria-describedby="parsley-id-5">
            <ul class="parsley-errors-list filled" id="parsley-id-5" aria-hidden="false">
              <li class="parsley-required">This value is required.</li>
            </ul>
            <select class="form-control form-control_type_input input__control parsley-error" id="month" name="birthday-month" title="Birthday month" required="required" data-parsley-id="7" aria-describedby="parsley-id-7">
              <option value="0" selected="" disabled="">Month</option>
              <option value="1">January</option>
              <option value="2">February</option>
              <option value="3">March</option>
              <option value="4">April</option>
              <option value="5">May</option>
              <option value="6">June</option>
              <option value="7">July</option>
              <option value="8">August</option>
              <option value="9">September</option>
              <option value="10">October</option>
              <option value="11">November</option>
              <option value="12">December</option>
            </select>
            <ul class="parsley-errors-list filled" id="parsley-id-7" aria-hidden="false">
              <li class="parsley-required">This value is required.</li>
            </ul>
            <input class="form-control form-control_type_input input__control parsley-error" id="year" name="birthday-year" title="Birthday year" type="number" required="required" placeholder="Year" data-parsley-type="digits" maxlength="4"
              minlength="4" min="1930" max="2012" data-parsley-id="9" aria-describedby="parsley-id-9">
            <ul class="parsley-errors-list filled" id="parsley-id-9" aria-hidden="false">
              <li class="parsley-required">This value is required.</li>
            </ul>
          </span>
        </span>
      </div>
    </div>
    <div class="form-item form__item">
      <button class="button full-size" type="submit">
        <span class="button__content"> Proceed <svg class="icon icon--chevron">
            <use xlink:href="/assets/images/icons.svg?34#chevron"></use>
          </svg>
        </span>
      </button>
    </div>
  </div>
</form>

Text Content

PLEASE, ENTER YOUR DATE OF BIRTH TO MAKE SURE YOU ARE OVER 18

 * This value is required.

Month January February March April May June July August September October
November December
 * This value is required.

 * This value is required.

Proceed
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