30.rewardzinga.com
Open in
urlscan Pro
172.67.195.53
Public Scan
Submitted URL: http://rxxwin.com/rx.php?sub=SALE
Effective URL: https://30.rewardzinga.com/750-amazon-rewards-v-4
Submission: On September 30 via manual from DE — Scanned from US
Effective URL: https://30.rewardzinga.com/750-amazon-rewards-v-4
Submission: On September 30 via manual from DE — Scanned from US
Form analysis 1 forms found in the DOM
POST /flow?uid=0d10ad55-132e-4e64-9762-80a17cd374ee
<form id="formSubmit" action="/flow?uid=0d10ad55-132e-4e64-9762-80a17cd374ee" method="POST" data-effect="" data-effect-duration="">
<div id="f1" class="dynamic-form form-step form1 form1-1">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col" data-col-id="1" data-autohide="">
<div id="path-field-html-1-1-1" class="path-dynamic-field">
<div class="headertext">Do you like gift cards?</div>
</div>
<script>
document.querySelector('#path-field-html-1-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-submit" class="col regquestion form-field-col" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Yes</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-submit" class="col regquestion form-field-col" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>No</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f2" class="dynamic-form form-step form2 form1-2 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col" data-col-id="1" data-autohide="">
<div id="path-field-html-2-1-1" class="path-dynamic-field">
<div class="headertext">How will you use your gift card?</div>
</div>
<script>
document.querySelector('#path-field-html-2-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Keep it</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Give it to a friend</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f3" class="dynamic-form form-step form3 form1-3 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col" data-col-id="1" data-autohide="">
<div id="path-field-html-3-1-1" class="path-dynamic-field">
<div class="headertext">About how many times do you go shopping per week?</div>
</div>
<script>
document.querySelector('#path-field-html-3-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>< 3</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>3-7</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>7-10</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="5">
<div id="col-field-submit" class="col regquestion form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>10+</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f4" class="dynamic-form form-step form4 form1-4 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-4-1-1" class="path-dynamic-field">
<style>
.global-consent {
font-size: 11px;
line-height: 1.1;
}
</style>
</div>
<script>
document.querySelector('#path-field-html-4-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-4-2-1" class="path-dynamic-field">
<div class="headertext">Confirm below to continue towards your reward</div>
</div>
<script>
document.querySelector('#path-field-html-4-2-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-zip" class="col zip-code form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Zip Code</label>
<input id="zip" type="text" name="zip" title="Zipcode" maxlength="5" data-session-verification="-1" value="" class="path-form-field-with-feedback required path-dynamic-field" pattern="[0-9]*" inputmode="numeric" autocomplete="postal-code">
<span id="zip-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#zip').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#zip-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('zip')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillZip(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
$(elem).change()
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f5" class="dynamic-form form-step form5 form1-5 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-5-1-1" class="path-dynamic-field">
<div class="headertext">Thanks! Please confirm your name</div>
</div>
<script>
document.querySelector('#path-field-html-5-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-first_name" class="col first-name form-field-col" data-col-id="1" data-autohide="true">
<label class="label">First Name</label>
<input id="first_name" type="text" name="first_name" class="path-form-field-with-feedback path-dynamic-field required" title="First Name" value="">
<span id="first_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#first_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#first_name-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('first_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-last_name" class="col last-name form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Last Name</label>
<input id="last_name" type="text" name="last_name" class="path-form-field-with-feedback path-dynamic-field required" title="Last Name" value="">
<span id="last_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#last_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#last_name-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('last_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f6" class="dynamic-form form-step form6 form1-6 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-6-1-1" class="path-dynamic-field">
<div class="headertext">Enter your email so we know where to send your reward</div>
</div>
<script>
document.querySelector('#path-field-html-6-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-email" class="col e-mail-required form-field-col" data-col-id="1" data-autohide="">
<label class="label">E-mail</label>
<input id="email" list="email_domains" type="email" name="email" class="path-form-field-with-feedback path-dynamic-field required" title="Email" data-session-verification="-1" value="">
<span id="emailmessage" class="invalid-feedback hidden path-form-feedback"></span>
<datalist id="email_domains"></datalist>
<script>
document.querySelector('#email').addEventListener('path-dynamic-field-register', function(evt) {
var domains = ["gmail.com", "yahoo.com", "hotmail.com", "aol.com", "hotmail.co.uk", "hotmail.fr", "msn.com", "yahoo.fr", "wanadoo.fr", "orange.fr", "comcast.net", "yahoo.co.uk", "yahoo.co.in", "live.com", "rediffmail.com", "free.fr",
"gmx.de", "web.de", "yandex.ru", "ymail.com", "libero.it", "outlook.com", "uol.com", "bol.com", "mail.ru", "cox.net", "hotmail.it", "sbcglobal.net", "sfr.fr", "live.fr", "verizon.net", "live.co.uk", "googlemail.com", "yahoo.es",
"ig.com", "live.nl", "bigpond.com", "terra.com", "yahoo.it", "neuf.fr", "yahoo.de", "alice.it", "rocketmail.com", "att.net", "laposte.net", "facebook.com", "bellsouth.net", "yahoo.in", "hotmail.es", "charter.net", "yahoo.ca",
"yahoo.com.au", "rambler.ru", "hotmail.de", "tiscali.it", "shaw.ca", "yahoo.co.jp", "sky.com"
]
var feedbackElem = document.querySelector('#emailmessage')
var emailDomains = document.querySelector('#email_domains')
var elem = this
evt.detail.overrideOnChangeListener(function() {
elem.addEventListener('input', evt.detail.listener(function(evt, setValue) {
var value = evt.target.value
setValue(value)
var split = value.split('@')
var username = split[0]
var domain = split[1]
var regex = domain && new RegExp('@' + domain)
emailDomains.innerHTML = ''
domains.forEach(function(domain) {
if (regex && regex.test('@' + domain) && username + '@' + domain !== value) {
var option = emailDomains.appendChild(document.createElement('option'))
option.setAttribute('value', username + '@' + domain)
}
})
}))
})
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('test')
evt.detail.assignToState('email', evt.detail.effects.test)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-registration_consent" class="col registration-consent form-field-col" data-col-id="1" data-autohide="false">
<div class="terms termschk">
<input type="hidden" class="chkbox path-dynamic-field" id="chkterms" name="chkterms" checked="" value="on">
<label class="term-label terms-label--text">
<div class="global-consent">By clicking Continue, I agree to receive email from MyAmericanPrizes and affiliated brands that may be of interest to me. I also agree to the
<a href="/terms-and-conditions" target="“_blank”" style="color:#5e8bb8;">Terms & Conditions</a> (including mandatory arbitration), <a href="/privacy-policy" target="_blank" style="color:#5e8bb8;">Privacy Policy</a>, and
site visit recordation by TrustedForm and Jornaya.</div>
</label>
<script>
document.querySelector('#chkterms').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.assignToState('registrationConsent', function(value) {
elem.dispatchEvent(new CustomEvent('path-event-registration-consent-changed'))
return elem.checked
})
})
</script>
</div>
</div>
</div>
</div>
<div id="f7" class="dynamic-form form-step form7 form1-7 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-7-1-1" class="path-dynamic-field">
<div class="headertext">Please confirm your phone number and continue towards your reward</div>
</div>
<script>
document.querySelector('#path-field-html-7-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-phone" class="col phone form-field-col" data-col-id="1" data-autohide="">
<label class="label">Phone</label>
<input id="phone" type="tel" name="phone" title="Phone" data-session-verification="-1" value="" class="path-dynamic-field path-form-field-with-feedback required" pattern="[0-9]*" inputmode="numeric" autocomplete="tel-national">
<span id="phone-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-phone"></span>
<script>
document.querySelector('#phone').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#phone-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('phone')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInputPhone(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-tcpa_consent" class="col tcpa-consent form-field-col" data-col-id="1" data-autohide="false">
<div class="tcpa-terms">
<input type="hidden" class="chkbox path-dynamic-field" id="leadid_tcpa_disclosure" name="chktcpa" checked="">
<label class="term-label p-0" for="leadid_tcpa_disclosure">
<div class="global-consent">By clicking the “Continue” button, I give my affirmative express consent authorizing My American Prizes, Support First, Unified Marketing Partner LLC, JobblyPro, Purpose Health, and
<a href="/marketing-partners-r" target="_blank" style="color:#5e8bb8;">Marketing Partners</a> to contact me by text messages or telephone including the use of an autodialer. I confirm the number I provided above is accurate and I am the
regular user. I am willing to incur charges from my phone company for these contacts. This consent applies even if my number is on a Federal or State Do-Not-Call List. I understand that consent isn’t required to participate and that I
can revoke my consent for calls by any reasonable means. <a notcpaconsent="" style="color:#5e8bb8;" href="javascript:void(0)">Click here</a> to continue without providing consent.</div>
</label>
<script>
document.querySelector('#leadid_tcpa_disclosure').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.assignToState('tcpaConsent', function(value) {
return elem.checked
})
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
validation: renders.overrideTcpaConsentAlertText
}
})
})
</script>
</div>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f8" class="dynamic-form form-step form8 form1-8 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-8-1-1" class="path-dynamic-field">
<div class="headertext">Confirm your shipping address</div>
</div>
<script>
document.querySelector('#path-field-html-8-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-address1" class="col address-1 form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Address 1</label>
<input id="addressform" type="text" name="addressform" title="Address" value="" class="path-dynamic-field path-form-field-with-feedback required" autocomplete="address-line1">
<span id="address1-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-postal"></span>
<input id="address1" type="hidden" name="address1" title="Address" value="">
<script>
document.querySelector('#addressform').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#address1-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('address1')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-address2" class="col address-2 form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Address 2</label>
<input id="address2" type="text" name="address2" value="" class="path-form-field-with-feedback path-dynamic-field " autocomplete="address-line2">
<span id="address2-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#address2').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#address2-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6ZmFsc2V9fQ%3D%3D')
evt.detail.assignToState('address2')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-city" class="col city form-field-col" data-col-id="1" data-autohide="true">
<label class="label">City</label>
<input id="city" type="text" name="city" title="City" value="" class="path-form-field-with-feedback path-dynamic-field required" autocomplete="address-level2">
<span id="city-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#city').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#city-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('city')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
<div id="col-field-state" class="col state form-field-col" data-col-id="2" data-autohide="true">
<label class="label">State</label>
<select id="state" name="state" title="State" class="path-form-field-with-feedback path-dynamic-field required" value="" datavalue="">
<option value=""> Select 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="DC">District Of Columbia</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="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<span id="state-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#state').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#state-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('state')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Select State
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="5">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f9" class="dynamic-form form-step form9 form1-9 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-9-1-1" class="path-dynamic-field">
<div class="headertext">Help us personalize your offers</div>
</div>
<script>
document.querySelector('#path-field-html-9-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-dob" class="col date-of-birth form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Date of Birth</label>
<div class="row path-form-field-with-feedback-control">
<div class="col">
<select id="dob_month" name="dob_month" title="Dob Month" autocomplete="bday-month" class="path-dynamic-field required">
<option value=""> Month </option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</div>
<div class="col">
<select id="dob_day" name="dob_day" title="Dob Day" autocomplete="bday-day" class="path-dynamic-field required">
<option value=""> Day </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
<div class="col">
<select id="dob_year" name="dob_year" title="Dob Year" autocomplete="bday-year" class="path-dynamic-field required">
<option value=""> Year </option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
</select>
</div>
</div>
<span id="dobmessage" class="invalid-feedback hidden path-form-feedback"></span>
<script>
var feedbackElem = document.querySelector('#dobmessage')
document.querySelector('#dob_day').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('dob_day', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Day
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
document.querySelector('#dob_year').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('age')
evt.detail.assignToState('dob_year', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Year
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
document.querySelector('#dob_month').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('dob_month', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Month
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-gender" class="col gender form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Gender</label>
<select id="gender" data-value="" data-type="gender" name="gender" title="Gender" class="path-form-field-with-feedback path-dynamic-field required">
<option value=""> Select Gender </option>
<option value="M">Male</option>
<option value="F">Female</option>
</select>
<span id="gender-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#gender[data-type=gender]').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#gender-error-feedback')
var elem = this
evt.detail.assignToState('gender')
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Select Gender
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>Continue</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div class="form-row">
<div class="x-12 col-mobile center">
</div>
</div>
<div class="hidden">
<input type="hidden" id="numForms" name="numForms" value="9">
<input type="hidden" id="tcpaStep" name="tcpaStep" value="-1">
<input type="hidden" id="registrationStep" name="registrationStep" value="-1">
<input type="hidden" id="currentForm" name="currentForm" value="1">
<input type="hidden" id="uid" name="uid" value="0d10ad55-132e-4e64-9762-80a17cd374ee">
<input type="hidden" id="tcpaconsent" name="tcpaconsent" value="">
<input type="hidden" id="consent" name="consent" value="">
<input type="hidden" id="pathAid" name="pathAid" value="10944">
<input type="hidden" id="pathPid" name="pathPid" value="3540">
<input type="hidden" id="pathSid1" name="pathSid1" value="3554">
<input type="hidden" id="registrationCheck" name="registrationCheck" value="false">
<input type="hidden" id="addressCheck" name="addressCheck" value="false">
<input type="hidden" id="fraudCheck" name="fraudCheck" value="false">
<input type="hidden" id="emailValid" name="emailValid" value="false">
<input type="hidden" id="addressValid" name="addressValid" value="false">
<input type="hidden" name="origin" value="submit">
<input type="hidden" id="haddress1" value="">
<input type="hidden" id="haddress2" value="">
<input type="hidden" id="hcity" value="">
<input type="hidden" id="hstate" value="">
<input type="hidden" id="hzipcode" value="">
<div id="pixel"></div>
<script type="text/javascript">
(function() {
var field = 'xxTrustedFormCertUrl';
var provideReferrer = false;
var invertFieldSensitivity = false;
var tf = document.createElement('script');
tf.type = 'text/javascript';
tf.async = true;
tf.src = 'http' + ('https:' == document.location.protocol ? 's' : '') + '://api.trustedform.com/trustedform.js?provide_referrer=' + escape(provideReferrer) + '&field=' + escape(field) + '&l=' + new Date().getTime() + Math.random() +
'&invert_field_sensitivity=' + invertFieldSensitivity;
var s = document.getElementsByTagName('script')[0];
s.parentNode.insertBefore(tf, s);
})();
</script>
<noscript>
<img src="http://api.trustedform.com/ns.gif">
</noscript>
<input id="leadid_token" name="universal_leadid" type="hidden" value="9618000B-8250-D9F3-D88C-3225DB8AB75B">
</div>
<input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/c4450d847249103d43f62b85171034eaa2f75b59" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
value="https://cert.trustedform.com/c4450d847249103d43f62b85171034eaa2f75b59" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
value="https://ping.trustedform.com/0.YdUnW29ljGb7_aBiC6yu_ixpjjxiArI23Sk120f_5WqzL-rPQxlAHw20xrB235CzjsfH4xI.p-XQU8qxor1S3uuvJiSYjw.41qNyEhlLJP2i8dSaiy1tg" id="xxTrustedFormPingUrl_0">
</form>Text Content
$750 Amazon Gift Card Claim reward today Do you like gift cards? Yes No How will you use your gift card? Keep it Give it to a friend About how many times do you go shopping per week? < 3 3-7 7-10 10+ Confirm below to continue towards your reward Zip Code Continue Thanks! Please confirm your name First Name Last Name Continue Enter your email so we know where to send your reward E-mail Continue By clicking Continue, I agree to receive email from MyAmericanPrizes and affiliated brands that may be of interest to me. I also agree to the Terms & Conditions (including mandatory arbitration), Privacy Policy, and site visit recordation by TrustedForm and Jornaya. Please confirm your phone number and continue towards your reward Phone By clicking the “Continue” button, I give my affirmative express consent authorizing My American Prizes, Support First, Unified Marketing Partner LLC, JobblyPro, Purpose Health, and Marketing Partners to contact me by text messages or telephone including the use of an autodialer. I confirm the number I provided above is accurate and I am the regular user. I am willing to incur charges from my phone company for these contacts. This consent applies even if my number is on a Federal or State Do-Not-Call List. I understand that consent isn’t required to participate and that I can revoke my consent for calls by any reasonable means. Click here to continue without providing consent. Continue Confirm your shipping address Address 1 Address 2 City State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 West Virginia Wisconsin Wyoming Continue Help us personalize your offers Date of Birth Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 20062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924 Gender Select Gender Male Female Continue * Terms & Conditions | * Unsubscribe | * Privacy Policy | * Program Requirements | * Do No Sell My Info | © RewardZinga, 2024