loyalty-dev.stuaqpak.com
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54.215.83.92
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URL:
https://loyalty-dev.stuaqpak.com/
Submission: On June 22 via api from US — Scanned from DE
Submission: On June 22 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMGET https://www.stuaqpak.com/
<form role="search" method="get" class="et-search-form" action="https://www.stuaqpak.com/">
<input type="search" class="et-search-field" placeholder="Search …" name="s" title="Search for:">
</form>
POST https://loyalty-dev.stuaqpak.com/customer-service
<form method="POST" action="https://loyalty-dev.stuaqpak.com/customer-service" accept-charset="UTF-8" class="clsservice-form mb-5" id="customerEditForm"><input name="_token" type="hidden" value="BbWNJTNFjP03V9UIzuZFTmXEhT7CvqoZyKZMhgE4">
<input type="hidden" name="_method" value="POST"> <input type="hidden" name="_token" value="BbWNJTNFjP03V9UIzuZFTmXEhT7CvqoZyKZMhgE4">
<div class="row">
<div class="form-group col-md-6">
<label for="phone_number">Phone Number</label><span class="mandate-field">*</span>
<input name="phone_number" type="tel" pattern="^(\([0-9]{3}\) |[0-9]{3}-)[0-9]{3}-[0-9]{4}$" placeholder="(123) 456-7890" title="Please use the format (123) 456-7890." oninvalid="setCustomValidity('Please use the format (123) 456-7890.')"
class="form-control">
</div>
<div class="form-group col-md-6">
<label for="firstname">First Name</label>
<span class="mandate-field">*</span>
<input class="form-control" name="first_name" type="text">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="middle_name">Middle Name</label>
<input class="form-control" name="middle_name" type="text" id="middle_name">
</div>
<div class="form-group col-md-6">
<label for="last_name">Last Name</label>
<span class="mandate-field">*</span>
<input class="form-control" name="last_name" type="text" id="last_name">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="other_name">Nickname</label>
<input class="form-control" name="other_name" type="text" id="other_name">
</div>
<div class="form-group col-md-6">
<label for="gender_id">Gender</label>
<select class="form-control custom-select" id="gender_id" name="gender_id">
<option selected="selected" value="">Select</option>
<option value="3">Male</option>
<option value="4">Female</option>
</select>
</div>
</div>
<div class="row">
<div class="col-md-6 col-sm-12 col-xs-12">
<label for="dob">Date of Birth</label>
<span class="mandate-field">*</span>
<div class="date_form_inn">
<div class="form-group">
<input class="form-control" placeholder="mm" autocomplete="off" id="monthOfBirth" maxlength="2" min="1" max="12" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" name="month" type="text">
</div>
<div class="form-group">
<input class="form-control" placeholder="dd" autocomplete="off" id="dayOfBirth" maxlength="2" min="1" max="31" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" name="day" type="text">
</div>
<div class="form-group">
<input class="form-control" placeholder="yyyy" autocomplete="off" id="yearOfBirth" maxlength="4" min="1" max="9999" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" name="year" type="text">
<input class="form-control" id="dob" name="dob" type="hidden">
</div>
</div>
<span id="errorInDate">Please enter valid date</span>
</div>
<div class="form-group col-md-6">
<label for="elder">Elder (60+) discount</label>
<span class="mandate-field">*</span>
<select class="form-control custom-select" id="elder" name="elder" disabled="disabled" style="background-color: rgb(182, 176, 176);">
<option selected="selected" value="">Select</option>
<option value="7">Yes</option>
<option value="8">No</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="email">Email</label>
<input class="form-control" name="email" type="text" id="email">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="po_box_address">Mailing address</label>
<input class="form-control" name="po_box_address" type="text" id="po_box_address">
</div>
<div class="form-group col-md-6">
<label for="city">City</label>
<span class="mandate-field">*</span>
<input class="form-control" name="city" type="text" id="city">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="state">State</label>
<span class="mandate-field">*</span>
<select class="form-control custom-select" id="state" name="state">
<option selected="selected" value="">Select</option>
<option value="1">Alaska</option>
<option value="2">Alabama</option>
<option value="3">American Samoa</option>
<option value="4">Arizona</option>
<option value="5">Arkansas</option>
<option value="6">California</option>
<option value="7">Colorado</option>
<option value="8">Connecticut</option>
<option value="9">Delaware</option>
<option value="10">District of Columbia</option>
<option value="11">Federated States of Micronesia</option>
<option value="12">Florida</option>
<option value="13">Georgia</option>
<option value="14">Guam</option>
<option value="15">Hawaii</option>
<option value="16">Idaho</option>
<option value="17">Illinois</option>
<option value="18">Indiana</option>
<option value="19">Iowa</option>
<option value="20">Kansas</option>
<option value="21">Kentucky</option>
<option value="22">Louisiana</option>
<option value="23">Maine</option>
<option value="24">Marshall Islands</option>
<option value="25">Maryland</option>
<option value="26">Massachusetts</option>
<option value="27">Michigan</option>
<option value="28">Minnesota</option>
<option value="29">Mississippi</option>
<option value="30">Missouri</option>
<option value="31">Montana</option>
<option value="32">Nebraska</option>
<option value="33">Nevada</option>
<option value="34">New Hampshire</option>
<option value="35">New Jersey</option>
<option value="36">New Mexico</option>
<option value="37">New York</option>
<option value="38">North Carolina</option>
<option value="39">North Dakota</option>
<option value="40">Northern Mariana Islands</option>
<option value="41">Ohio</option>
<option value="42">Oklahoma</option>
<option value="43">Oregon</option>
<option value="44">Palau</option>
<option value="45">Pennsylvania</option>
<option value="46">Puerto Rico</option>
<option value="47">Rhode Island</option>
<option value="48">South Carolina</option>
<option value="49">South Dakota</option>
<option value="50">Tennessee</option>
<option value="51">Texas</option>
<option value="52">Utah</option>
<option value="53">Vermont</option>
<option value="54">Virgin Islands</option>
<option value="55">Virginia</option>
<option value="56">Washington</option>
<option value="57">West Virginia</option>
<option value="58">Wisconsin</option>
<option value="59">Wyoming</option>
<option value="60">Armed Forces Africa</option>
<option value="61">Armed Forces Americas (except Canada)</option>
<option value="62">Armed Forces Canada</option>
<option value="63">Armed Forces Europe</option>
<option value="64">Armed Forces Middle East</option>
<option value="65">Armed Forces Pacific</option>
</select>
</div>
<div class="form-group col-md-6">
<label for="zip">Zip</label>
<span class="mandate-field">*</span>
<input class="form-control" name="zip" type="text" id="zip">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<input name="language" type="hidden" value="EN">
<label for="delivery_address">Delivery Address</label>
<input class="form-control" name="delivery_address" type="text" id="delivery_address">
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="uic_share_holder">UIC Shareholder</label>
<span class="mandate-field">*</span>
<select class="form-control custom-select" id="uic_share_holder" name="uic_share_holder">
<option selected="selected" value="">Select</option>
<option value="5">Yes</option>
<option value="6">No</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="shareholder_verify">Shareholder Verification Policy</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that as a UIC Shareholder I may be eligible for UIC loyalty benefits. I will be eligible for such benefits only after UIC Stock Department verifies my shareholder status. </div>
<label class="checkbox-container"> I Accept <input id="checkBoxMatchingVar_1" class="shareholder_verify" name="shareholder_verify[]" type="checkbox" value="1">
<span class="checkmark"></span>
</label>
<label class="checkbox-container"> Not Applicable <input id="checkBoxMatchingVar_2" class="shareholder_verify" name="shareholder_verify[]" type="checkbox" value="2">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="shareholder_id_requirement">Shareholder ID Requirement</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that in order to receive any UIC Shareholder benefits I am required to notify the cashier that I am a UIC Shareholder and present a UIC Shareholder or Government Issued ID at time of purchase. </div>
<label class="checkbox-container"> I Accept <input id="shareholderIdCheckbox9" class="shareholderIdReq" name="shareholder_id_requirement[]" type="checkbox" value="9">
<span class="checkmark"></span>
</label>
<label class="checkbox-container"> Not Applicable <input id="shareholderIdCheckbox10" class="shareholderIdReq" name="shareholder_id_requirement[]" type="checkbox" value="10">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="earning_points_policy">Earning Points Policy</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that I will earn one point per dollar spent at Stuaqpak. I also understand that my points cannot be redeemed until I reach a balance of 1,500 or greater. </div>
<label class="checkbox-container"> I Accept <input id="checkBoxMatchingVar_11" class="earning_points_policy" name="earning_points_policy" type="checkbox" value="11">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="points_expiration_policy">Points Expiration Policy</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that my points balance will expire if I have not accrued points during any 12 month period. </div>
<label class="checkbox-container"> I Accept <input id="checkBoxMatchingVar_12" class="points_expiration_policy" name="points_expiration_policy" type="checkbox" value="12">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="redemption_preference">Redemption Preference</label>
<span class="mandate-field">*</span>
<select class="form-control custom-select" id="redemption_preference" name="redemption_preference">
<option selected="selected" value="">Select</option>
<option value="13">Alaska Airlines Miles</option>
<option value="14">Store Credit</option>
</select>
</div>
<div class="form-group col-md-6">
<label for="alaska_airlines_account">Alaska Airlines Account</label>
<input class="form-control" name="alaska_airlines_account" type="text" id="alaska_airlines_account">
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="miles_funding_process">Miles Funding Process</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that I receive 1 mile for every 3 points earned and redeemed. I understand that miles are funded once a quarter and take up to 90 days to show in my account. I also understand that I must have a minimum of
1,500 points to convert to miles at the time of funding. </div>
<label class="checkbox-container"> I Accept <input id="checkBoxMatchingVar_15" class="miles_funding_process" name="miles_funding_process[]" type="checkbox" value="15">
<span class="checkmark"></span>
</label>
<label class="checkbox-container"> Not Applicable <input id="checkBoxMatchingVar_16" class="miles_funding_process" name="miles_funding_process[]" type="checkbox" value="16">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="store_credit_process">Store Credit Funding Process</label>
<span class="mandate-field">*</span>
<div class="field-info"> I understand that I receive $1 in store credit for every 150 points earned and redeemed. I understand that store credit is funded once a quarter and takes up to 30 days to receive a store credit. I also understand that
I must have a minimum of 1,500 points to convert to store credit at the time of funding. </div>
<label class="checkbox-container"> I Accept <input id="checkBoxMatchingVar_17" class="store_credit_process" name="store_credit_process[]" type="checkbox" value="17">
<span class="checkmark"></span>
</label>
<label class="checkbox-container"> Not Applicable <input id="checkBoxMatchingVar_18" class="store_credit_process" name="store_credit_process[]" type="checkbox" value="18">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="row">
<div class="form-group col-md-12">
<label for="store_credit_process">General Terms & Conditions</label>
<span class="mandate-field">*</span>
<div class="field-info"> I have read the program terms and conditions and agree to abide by the rules and guidelines. <a href="/terms-and-conditions" target="_blank" style="text-decoration: underline; color: #007bff;">
(Terms & conditions).</a>
</div>
<label class="checkbox-container"> I Accept <input id="terms_conditions" name="terms_conditions" type="checkbox" value="1">
<span class="checkmark"></span>
</label>
</div>
</div>
<div class="text-center">
<input class="clssubmit-btn" type="submit" value="Submit">
</div>
</form>
Text Content
* Facebook * Instagram * Home * Weekly Ad * Departments Meat Department Fresh Produce Dairy & Eggs Hardware * Location * Contact Us * Apply Today! LOYALTY PROGRAM ENROLLMENT Phone Number* First Name * Middle Name Last Name * Nickname Gender SelectMaleFemale Date of Birth * Please enter valid date Elder (60+) discount * SelectYesNo Email Mailing address City * State * SelectAlaskaAlabamaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AfricaArmed Forces Americas (except Canada)Armed Forces CanadaArmed Forces EuropeArmed Forces Middle EastArmed Forces Pacific Zip * Delivery Address UIC Shareholder * SelectYesNo Shareholder Verification Policy * I understand that as a UIC Shareholder I may be eligible for UIC loyalty benefits. I will be eligible for such benefits only after UIC Stock Department verifies my shareholder status. I Accept Not Applicable Shareholder ID Requirement * I understand that in order to receive any UIC Shareholder benefits I am required to notify the cashier that I am a UIC Shareholder and present a UIC Shareholder or Government Issued ID at time of purchase. I Accept Not Applicable Earning Points Policy * I understand that I will earn one point per dollar spent at Stuaqpak. I also understand that my points cannot be redeemed until I reach a balance of 1,500 or greater. I Accept Points Expiration Policy * I understand that my points balance will expire if I have not accrued points during any 12 month period. I Accept Redemption Preference * SelectAlaska Airlines MilesStore Credit Alaska Airlines Account Miles Funding Process * I understand that I receive 1 mile for every 3 points earned and redeemed. I understand that miles are funded once a quarter and take up to 90 days to show in my account. I also understand that I must have a minimum of 1,500 points to convert to miles at the time of funding. I Accept Not Applicable Store Credit Funding Process * I understand that I receive $1 in store credit for every 150 points earned and redeemed. I understand that store credit is funded once a quarter and takes up to 30 days to receive a store credit. I also understand that I must have a minimum of 1,500 points to convert to store credit at the time of funding. I Accept Not Applicable General Terms & Conditions * I have read the program terms and conditions and agree to abide by the rules and guidelines. (Terms & conditions). I Accept SHOP & SAVE Weekly Ad CUSTOMER SUPPORT Location Contact Us Privacy Policy Your Store Stuaqpak 4725 Ahkovak Street Barrow, Alaska 99723 907-852-4600 Hours: Sunday 9:00am - 9:00pm Monday to Saturday 7:00am - 10:00pm Store Details SHOP & SAVE Weekly Ad CUSTOMER SUPPORT Location Contact Us Privacy Policy Your Store Stuaqpak 4725 Ahkovak Street Barrow, Alaska 99723 907-852-4600 Hours: Sunday 9:00am - 9:00pm Monday to Saturday 7:00am - 10:00pm Store Details Copyright © 2021 Stuaqpak.com. All rights reserved. Powered by A2 Advertising.