au.12xlwin5c.net
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Submitted URL: https://t.co/TupdniLgAv?amp=1?zupcpg4dlzjntjtkin%7Cfname]zupcpg4dlzjntjtkin
Effective URL: https://au.12xlwin5c.net/w12.php?v=5088&aff_id=1040&aff_sub=&aff_sub2=&tid=54599653&emailx=&ppemail=&ppgender=&ppfirstnam...
Submission: On December 08 via api from BE — Scanned from DE
Effective URL: https://au.12xlwin5c.net/w12.php?v=5088&aff_id=1040&aff_sub=&aff_sub2=&tid=54599653&emailx=&ppemail=&ppgender=&ppfirstnam...
Submission: On December 08 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form1 — POST w12a.php?v=5088&aff_id=1040&aff_sub=&aff_sub2=&tid=54599653&udc=Desktop--Google--Chrome--?
<form id="form1" name="form1" method="post" action="w12a.php?v=5088&aff_id=1040&aff_sub=&aff_sub2=&tid=54599653&udc=Desktop--Google--Chrome--?" novalidate="novalidate">
<div style="width:100%; float:left;">
<script>
$(function() {
$.validator.addMethod("latin_letters_only", function(value, element) {
return this.optional(element) || /^[a-zA-Z ]*$/.test(value);
});
$("#form1").validate({
ignore: [],
rules: {
firstname: {
required: true,
minlength: 2,
maxlength: 60
},
lastname: {
required: true,
minlength: 2,
maxlength: 60
},
postcode: {
required: true,
digits: true,
minlength: 4,
maxlength: 4
},
phone: {
required: true,
digits: true,
au_phone_leading: true,
minlength: 10,
maxlength: 10
},
address_field: {
required: true,
minlength: 3,
latin_letters_only: true
},
number_and_street: {
required: true,
minlength: 8
},
// state: {
// required: true
// },
dob: {
required: true
},
mob: {
required: true
},
yob: {
required: true
},
email: {
required: true,
email: true
},
"coreg_fchoice_fchoice[]": {
required: true
},
"competitionportal": {
required: true
},
"consent_checkbox": {
required: true
},
gender: {
required: true
}
},
messages: {
firstname: {
required: "Enter a valid first name",
minlength: $.format("At least {0} characters required for first name"),
maxlength: $.format("Maximum {0} characters allowed for first name")
},
lastname: {
required: "Enter a valid last name",
minlength: $.format("At least {0} characters required for last name"),
maxlength: $.format("Maximum {0} characters allowed for last namee")
},
postcode: {
required: "Enter a valid postcode",
digits: "Postcode should only be numbers",
minlength: $.format("Four digits required for postcode"),
maxlength: $.format("Four digits required for postcode")
},
phone: {
required: "Enter a valid phone number",
digits: "Phone should only be numbers",
minlength: $.format("Ten digits required for phone number, e.g. 0412345678"),
maxlength: $.format("Ten digits required for phone number, e.g. 0412345678")
},
address_field: {
required: "Enter your suburb",
minlength: $.format("Enter correct suburb"),
latin_letters_only: "Suburb can only contain letters"
},
number_and_street: {
required: "Enter your house number and street",
minlength: $.format("Enter your complete house number and street")
},
// state: {
// required: "Select a state"
// },
dob: {
required: "Complete date of birth required - select day"
},
mob: {
required: "Complete date of birth required - select month"
},
yob: {
required: "Complete date of birth required - select year"
},
email: {
required: "Valid email required",
email: "Valid email required",
},
"coreg_fchoice_fchoice[]": {
required: "Select at least one offer to enter the competition"
},
"competitionportal": {
required: "Tick the box to proceed."
},
gender: {
required: "Select a title (Mr/Ms)"
}
}
});
$.validator.addMethod("leadingzero", function(value, element) {
return /^0/.test(value);
}, "Phone number should start with a 04");
$.validator.addMethod("au_phone_leading", function(value, element) {
if (/^04/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("nz_phone_leading", function(value, element) {
if (/^02/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("se_phone_leading", function(value, element) {
if (/^07/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("sg_phone_leading", function(value, element) {
if ((/^8/.test(value)) || (/^9/.test(value))) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("my_phone_leading", function(value, element) {
if ((/^010/.test(value)) || (/^011/.test(value)) || (/^012/.test(value)) || (/^013/.test(value)) || (/^014/.test(value)) || (/^016/.test(value)) || (/^017/.test(value)) || (/^018/.test(value)) || (/^019/.test(value))) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("id_phone_leading", function(value, element) {
if (/^08/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("ph_phone_leading", function(value, element) {
if (/^09/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("in_phone_leading", function(value, element) {
if ((/^9/.test(value)) || (/^8/.test(value)) || (/^7/.test(value)) || (/^6/.test(value))) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
$.validator.addMethod("tw_phone_leading", function(value, element) {
if (/^09/.test(value)) {
return true;
} else {
return false;
}
}, "Phone number should start with a 04");
});
</script>
<style>
.error {
color: red;
_font-weight: bold;
}
.valid {
color: blue;
}
</style>
<div>
<input type="hidden" name="prize" value="prize">
<div class="signup_form_container">
<div class="signup_form_label signup_form_hide_on_narrow">
<span style="vertical-align:-50%;">Title</span>
</div>
<div class="signup_form_input_container">
<div class="signup_form_radio_gender">
<input type="radio" name="gender" id="gender_f" value="f" validate="required:true, minlength:1">
<label for="gender_f">Ms</label>
</div>
<div class="signup_form_radio_gender">
<input type="radio" name="gender" id="gender_m" value="m" validate="required:true, minlength:1">
<label for="gender_m">Mr</label>
</div>
</div>
<div style="clear:both;">
</div>
</div>
<div class="signup_form_container">
<div class="signup_form_label" "="">
<span style=" vertical-align:-50%;">First Name</span>
</div>
<div class="signup_form_input_container">
<input class="signup_form_input" id="firstname" name="firstname" type="text" placeholder="First Name">
</div>
<div style="clear:both;">
</div>
</div>
<div class="signup_form_container">
<div class="signup_form_label">
<span style="vertical-align:-50%;">Last Name</span>
</div>
<div class="signup_form_input_container">
<input class="signup_form_input" id="lastname" name="lastname" type="text" placeholder="Last Name">
</div>
<div style="clear:both;">
</div>
</div>
<div class="signup_form_container">
<div class="signup_form_label">
<span style="vertical-align:-50%;">Email</span>
</div>
<div class="signup_form_input_container">
<input class="signup_form_input" id="email" name="email" type="text" placeholder="Your email" validate="required:true, email:true" required="">
</div>
<div style="clear:both;">
</div>
</div>
<div class="signup_form_container">
<div class="signup_form_label">
<span style="vertical-align:-50%;">Birthdate</span>
</div>
<div class="signup_form_input_container">
<div style="width:33%; float:left;">
<!--Day start-->
<select class="signup_form_input" required="" validate="required:true, minlength:1" name="dob" id="dob">
<option selected="selected" value="">dd</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>
<!--Day End-->
</div>
<div style="width:33%; float:left;">
<!--Month start-->
<select class="signup_form_input" required="" validate="required:true, minlength:1" name="mob" id="mob">
<option selected="selected" value="">mm</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>
<!--Month end-->
</div>
<div style="width:34%; float:left;">
<!--Year start-->
<select class="signup_form_input" required="" onchange="unhide('first_page_coregs');" validate="required:true, minlength:1" name="yob" id="yob">
<option selected="selected" value="">yyyy</option>
<option value="1921">1921 </option>
<option value="1922">1922 </option>
<option value="1923">1923 </option>
<option value="1924">1924 </option>
<option value="1925">1925 </option>
<option value="1926">1926 </option>
<option value="1927">1927 </option>
<option value="1928">1928 </option>
<option value="1929">1929 </option>
<option value="1930">1930 </option>
<option value="1931">1931 </option>
<option value="1932">1932 </option>
<option value="1933">1933 </option>
<option value="1934">1934 </option>
<option value="1935">1935 </option>
<option value="1936">1936 </option>
<option value="1937">1937 </option>
<option value="1938">1938 </option>
<option value="1939">1939 </option>
<option value="1940">1940 </option>
<option value="1941">1941 </option>
<option value="1942">1942 </option>
<option value="1943">1943 </option>
<option value="1944">1944 </option>
<option value="1945">1945 </option>
<option value="1946">1946 </option>
<option value="1947">1947 </option>
<option value="1948">1948 </option>
<option value="1949">1949 </option>
<option value="1950">1950 </option>
<option value="1951">1951 </option>
<option value="1952">1952 </option>
<option value="1953">1953 </option>
<option value="1954">1954 </option>
<option value="1955">1955 </option>
<option value="1956">1956 </option>
<option value="1957">1957 </option>
<option value="1958">1958 </option>
<option value="1959">1959 </option>
<option value="1960">1960 </option>
<option value="1961">1961 </option>
<option value="1962">1962 </option>
<option value="1963">1963 </option>
<option value="1964">1964 </option>
<option value="1965">1965 </option>
<option value="1966">1966 </option>
<option value="1967">1967 </option>
<option value="1968">1968 </option>
<option value="1969">1969 </option>
<option value="1970">1970 </option>
<option value="1971">1971 </option>
<option value="1972">1972 </option>
<option value="1973">1973 </option>
<option value="1974">1974 </option>
<option value="1975">1975 </option>
<option value="1976">1976 </option>
<option value="1977">1977 </option>
<option value="1978">1978 </option>
<option value="1979">1979 </option>
<option value="1980">1980 </option>
<option value="1981">1981 </option>
<option value="1982">1982 </option>
<option value="1983">1983 </option>
<option value="1984">1984 </option>
<option value="1985">1985 </option>
<option value="1986">1986 </option>
<option value="1987">1987 </option>
<option value="1988">1988 </option>
<option value="1989">1989 </option>
<option value="1990">1990 </option>
<option value="1991">1991 </option>
<option value="1992">1992 </option>
<option value="1993">1993 </option>
<option value="1994">1994 </option>
<option value="1995">1995 </option>
<option value="1996">1996 </option>
<option value="1997">1997 </option>
<option value="1998">1998 </option>
<option value="1999">1999 </option>
<option value="2000">2000 </option>
<option value="2001">2001 </option>
<option value="2002">2002 </option>
<option value="2003">2003 </option>
<option value="2004">2004 </option>
<option value="2005">2005 </option>
<option value="2006">2006 </option>
<option value="2007">2007 </option>
<option value="2008">2008 </option>
<option value="2009">2009 </option>
<option value="2010">2010 </option>
<option value="2011">2011 </option>
<option value="2012">2012 </option>
<option value="2013">2013 </option>
<option value="2014">2014 </option>
<option value="2015">2015 </option>
<option value="2016">2016 </option>
</select>
<!--Year End-->
</div>
<div style="clear:both;">
</div>
</div>
<div style="clear:both;">
</div>
</div>
</div>
<div class="clear"></div>
<!-- form validation errors -->
<div class="signup_form_label signup_form_hide_on_narrow"> </div>
<div id="id-error" class="std_form_error signup_form_input_container" style="text-align:left; margin-top:6px; margin-bottom:8px;">
<!--
<div id="id-error" class="std_form_error" style="float:left; text-align:left; margin-left:20px; margin-top:10px;">
-->
<label for="gender" class="error" generated="true"></label>
<label for="firstname" class="error" generated="true"></label>
<label for="lastname" class="error" generated="true"></label>
<label for="email" class="error" generated="true"></label>
<label for="dob" class="error" generated="true"></label>
<label for="mob" class="error" generated="true"></label>
<label for="yob" class="error" generated="true"></label>
</div>
<div style="clear:both;">
</div>
<input type="hidden" name="coregshown" value="">
<div style="clear:both;"></div>
<div style="margin-top:15px; width:100%; text-align:center;">
<button type="submit" id="submitBtn" onclick="func(); return false;" style="
text-align: center;
background-color: #165ed3 !important;
color: #fff;
padding: 15px;
border-radius: 50px;
margin: auto;
/* padding-left: 20px; */
/* padding-right: 20px; */
border: none;
font-weight: 700;
margin-bottom: 10px;
height: auto;
/* line-height: 30px; */
cursor: pointer;
font-size: 20px;
width: 100%;"> CONTINUE </button>
</div>
</div>
</form>Text Content
Win a $500 Petrol Voucher Enter your details to confirm Title Ms Mr First Name Last Name Email Birthdate dd 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 mm Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec yyyy 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 CONTINUE The information that you provide will be handled by xlWin. By submitting your data, you agree that xlWin may use your email address to send information and promotions concerning third party products and services. You also consent for selected personal information to be shared with our prize sponsors and our clients to contact you by email, phone, text or post with more interesting offers and for your contact information and questionnaire responses to also be supplied to other companies so that they may use them to contact you by mail, phone or email to send offers and promote services based on your preferences. By registering your details or responding to a question you expressly consent for that named organization, prize sponsors or preferred supplier to contact you on the details provided for an indefinite period or until you opt out from the named organisation or preferred supplier. xlWin is not affiliated with, sponsored by or endorsed by any of the listed products or retailers. Trademarks, service marks, logos are the property of their respective owners. xlWin receives marketing fees from advertisers. You should always read their terms and conditions and/or product disclosure statement. xlWin collects and handles your information under the relevant privacy and data protection rules and abides by the Privacy Act of 1988. When you enter a competition and submit a survey (Your Personal Data) you agree to xlWin using Your Personal Data and supplying them to other organisations (Partners), for purposes of: sending you offers, promotions and information about products and services based on your preferences and any prize notification by phone/SMS, email or mail (Offers); and administering Your Personal Data including improving and personalising Offers, verifying and assessing your identity, maintaining and updating records. Your Personal Data may be stored by xlWin on servers in Singapore and the European Union and Partners may be located both in Australia and overseas, including but not limited to New Zealand, US, EU. When you respond to a survey question from a named organisation you expressly consent to that organization using Your Personal Data to contact you for Offers. You agree that Luna Park Media, 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. xlWin receives marketing fees from Partners, including financial institutions, for promoting Offers within the survey of our competitions. You should always read their terms and conditions and any product disclosure statement. You also consent to the Privacy Policy which provides further details. *T&C Apply. Open to All Australian residents age 18 and above. FunClub Affiliates Terms & Conditions Privacy Policy