lp.aussibenefits.com
Open in
urlscan Pro
52.222.139.72
Public Scan
URL:
https://lp.aussibenefits.com/n/17/4/au/wwsupermarket_green/index.html?p_id=574ff3a738b1020100a8dbe1&_c_id=aff_code:SPH;reques...
Submission: On October 16 via manual from US — Scanned from DE
Submission: On October 16 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOM<form autocomplete="on">
<div class="group group-1">
<div>
<div class="group-header">
<div class="product-image-container">
<div class="product-image product-image-mobile"></div>
</div>
<div class="group-header-text">
<h2>Please fill in your details first.</h2>
</div>
</div>
</div>
<div class="group-content"><span>
<div id="3" class="question question-radio question-gender question-ld_title"><!-- react-text: 21 --><!-- /react-text -->
<div id="bodyRef_ld_title" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-radio-option answer-radio" id="6"><input type="radio" name="ld_title" value="Mr" id="ld_title_Mr"><label for="ld_title_Mr">Mr</label></div>
<div class="answer answer-radio-option answer-radio" id="8"><input type="radio" name="ld_title" value="Mrs" id="ld_title_Mrs"><label for="ld_title_Mrs">Mrs</label></div>
<div class="answer answer-radio-option answer-radio" id="10"><input type="radio" name="ld_title" value="Ms" id="ld_title_Ms"><label for="ld_title_Ms">Ms</label></div>
</div>
</div>
</div>
<div>
<div class="question-siblings">
<div class="sub-questions" style="opacity: 1;">
<div id="12" class="question question-text question-ld_first_name"><!-- react-text: 37 --><!-- /react-text -->
<div id="bodyRef_ld_first_name" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-valid is-empty" id="14"><input type="text" name="fname" placeholder="First Name" autocomplete="on" value="" class="valid" maxlength="20" id="15"><label for="12" class="field__label">First
Name</label></div>
</div>
</div>
</div>
<div id="16" class="question question-text question-ld_last_name"><!-- react-text: 44 --><!-- /react-text -->
<div id="bodyRef_ld_last_name" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="18"><input type="text" name="lname" placeholder="Last Name" autocomplete="on" value="" class="" maxlength="40" id="19"><label for="16" class="field__label">Last Name</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="20" class="question question-text question-ld_email"><!-- react-text: 51 --><!-- /react-text -->
<div id="bodyRef_ld_email" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="22"><input type="email" name="email" placeholder="Email" autocomplete="email" value="" class="" maxlength="64" id="23"><label for="20" class="field__label">Email</label></div>
</div>
</div>
</div>
<div>
<div class="question-siblings">
<div class="question-header" style="display: block;">Date of Birth</div>
<div class="sub-questions" style="opacity: 1;">
<div id="25" class="question question-text question-ld_dayob"><!-- react-text: 62 --><!-- /react-text -->
<div id="bodyRef_ld_dayob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="27"><input type="tel" name="ld_dayob" placeholder="DD" value="" class="" maxlength="2" id="28"><label for="25" class="field__label">DD</label></div>
</div>
</div>
</div>
<div id="29" class="question question-text question-ld_monthob"><!-- react-text: 69 --><!-- /react-text -->
<div id="bodyRef_ld_monthob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="31"><input type="tel" name="ld_monthob" placeholder="MM" value="" class="" maxlength="2" id="32"><label for="29" class="field__label">MM</label></div>
</div>
</div>
</div>
<div id="33" class="question question-text question-ld_yearob"><!-- react-text: 76 --><!-- /react-text -->
<div id="bodyRef_ld_yearob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="35"><input type="tel" name="ld_yearob" placeholder="YYYY" value="" class="" maxlength="4" id="36"><label for="33" class="field__label">YYYY</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
</span></div>
<div class="group-footer"><button class="button-next"><!-- react-text: 99 -->Continue<!-- /react-text --><span class="shineAnimation"></span></button>
<div class="group-footer-text">And I agree that the competition's host and it's <a target="_blank" href="#/sponsors">sponsors</a> may contact me by email, phone, text or post with more interesting offers. Other than set out in our Privacy
Policy, we will not disclose your personal information without your prior consent. We may also share your details with identity verification organisations which help other organisations verify your identity and prevent others from
misusing your details. Please check our <a target="_blank" href="//st.formulead.com/assets/links/nn/au/privacy/index.html">privacy policy</a> to see which data we are gathering and sharing. Participation is free of charge!</div><span></span>
</div>
</div><input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/ffba6c2cd79f9fe0e2b3e86188814ad55b52ded4"><input type="hidden" name="xxTrustedFormCertUrl" id="xxTrustedFormCertUrl_0"
value="https://cert.trustedform.com/ffba6c2cd79f9fe0e2b3e86188814ad55b52ded4"><input type="hidden" name="xxTrustedFormPingUrl" id="xxTrustedFormPingUrl_0"
value="https://ping.trustedform.com/0.XuwKSKaPGh8HvsfdhJx5H28yZmZ0a10hxlK9GC_o7ZE69BQB--g5ONntQbigLERySOn_5btI.7MQj3CAYbd5hm06cW-vh0Q.21_PbwW50jhLUVknS6_pDQ">
</form>
Text Content
The brands mentioned here are NOT affiliated with this promotion Will you be our winner? HOW MANY TIMES EACH MONTH DO YOU SHOP AT YOUR LOCAL GROCERY STORE?: 1-2 times 2-3 times 3+ times Never SELECT THE OPTION APPLICABLE TO YOU I am a home owner I am renting my home None of the above We are checking your answers... * No double registrations found. * Cards available: 11 * Congratulations, you qualify! Please Verify your Email Address PLEASE FILL IN YOUR DETAILS FIRST. Mr Mrs Ms First Name Last Name Email Date of Birth DD MM YYYY Continue And I agree that the competition's host and it's sponsors may contact me by email, phone, text or post with more interesting offers. Other than set out in our Privacy Policy, we will not disclose your personal information without your prior consent. We may also share your details with identity verification organisations which help other organisations verify your identity and prevent others from misusing your details. Please check our privacy policy to see which data we are gathering and sharing. Participation is free of charge! Recent winners: 1 2 3 Leave you details Complete the survey Will you be our winner? WHY DO WE NEED YOUR INFORMATION? NectarContests organizes contests where participants have a chance to win great prizes. Why? Our clients like to get in touch with potential customers to inform them about great offers and deals of their products and services. This is done via email, phone, text messaging (SMS) and via personalized ads on the internet. By participating in our contests and promotions you agree that our clients can contact you through these channels. We handle your information with the highest security standards in order to ensure your privacy. WHAT ARE THE RULES? This promotion is a game of skill. Chance plays no part in selecting the winner. On the last page of our survey we will ask you to motivate in a couple of sentences why you should win. The most original motivation will be selected as winner by our jury. Participants need to be at least 18 years of age and living in Australia. Participation is always free of charge. Only 1 entry per person. Please answer the questions in our survey truthfully. ARE YOU GOING TO SPAM ME? We hate SPAM as much as you. However, our clients would like to send you special deals and offers via email, sms and phone. By participating you give your consent that they may do so. We believe this is not SPAM, but something our participants would actually like to receive. The frequency of these promotions are up to our clients. But you always have the option to opt-out by simply clicking on the opt-out links at the bottom of every email. NectarContests collects and handles your information under the Privacy Act 1988 rules. When you register your details, including your preferences you agree to NectarContests and its agents or affiliates, including Brands of Choice, using Your Details and supplying them to other organisations (who may be located overseas in a wide range of countries including US and the EU), for purposes of: sending you information, offers and promotions about products and services based on your preferences and any prize notification (Offers) by mail, phone/SMS/MMS or email; incorporating Your Details in any information products and information management services to provide to NectarContests' clients; and administering Your Details including improving and personalising Offers, verifying and assessing your identity, maintaining and updating records. We may also collect information from other sources such as your browser information from cookies and other technology to add to Your Details. When you respond to a question from a named organisation in an Offer you expressly consent to that organisation and its agents or affiliates using Your Details to contact you for Offers. You agree that NectarContests.com, the named advertisers and listed sponsors can use your details for an indefinite period or until you notify us or opt out from receiving offers. Generally, NectarContests is not affiliated with, sponsored by or endorsed by companies from whom we obtain the prizes. We do receive marketing fees from organisations placing Offers in our questionnaires including financial institutions. You should always read their terms and conditions and any product disclosure statement. © 2021 NectarContests.com | Terms | Privacy Policy x Only 8 positions left! x Lisa Burns has claimed a position x Only 7 positions left!