ca-pumpitskip.lp.brk-leads.net Open in urlscan Pro
108.139.29.119  Public Scan

Submitted URL: http://frstlinksthenleads.com/?a=3039&oc=38062&c=71662&m=7&s1=57762l&s2=5bf369dc3b404eaabbc16d07d2619d9d&first_name=&last_name...
Effective URL: https://ca-pumpitskip.lp.brk-leads.net/
Submission: On March 11 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: form

<form name="form" id="form" ng-submit="validateForm()" autocomplete="off" novalidate=""
  class="ng-pristine ng-valid-minlength ng-valid-maxlength ng-valid-email ng-invalid-gender ng-invalid-first_name ng-invalid-last_name ng-invalid-email_address ng-invalid-phone_cell ng-invalid-zip_code ng-invalid-address ng-invalid-date_of_birth ng-invalid ng-valid-opt_in">
  <div class="opt-in-overlay-container ng-hide" ng-show="showOptinModal == true">
    <div class="opt-in-overlay-inner">
      <!---->
      <div ng-if="flow.landing_page.name.includes('uk-gameplay-v') == false" class="opt-in-overlay-header">
        <img ng-src="/templates/surfeyo_3/images/tick_circ_anim.gif" width="30" class="tick-anim" src="/templates/surfeyo_3/images/tick_circ_anim.gif"> &nbsp;Confirm &amp; Continue
      </div><!---->
      <div terms-optin=""><!---->
        <div ng-if="showOptInTerms &amp;&amp; !showCheckbox &amp;&amp; flow.survey.locale != 'en_AU'" class="row terms">
          <!---->
          <!---->
          <label for="leadid_tcpa_disclosure" style="font-weight: normal;">
            <!---->
            <div ng-if="terms != ''" class="col-xs-12" compile="terms"><span>By participating in this promotion I give my consent to be contacted directly by </span><span ng-click="showSponsors()" class="underline">sponsors</span><span> and other
              </span><span ng-click="showAdvertisers()" class="underline">service partners</span><span>.* The purpose is to bring you in contact with sponsors who ask for your consent. At your participation your preference for communication channel
                via e-mail, mobile phone and own (mobile) websites are processed in line with the promotional terms and privacy policy of Yousweeps and previously consumed products and services.</span></div><!---->
          </label>
        </div><!---->
        <!---->
      </div>
      <input-field field="opt_in">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="text" name="opt_in"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-not-empty ng-valid-minlength ng-valid-maxlength ng-hide inputfield-desktop data-gap-desktop ng-valid ng-valid-opt_in" ng-model="lead[field]" minlength=""
          maxlength="" value="1" placeholder="" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
      <br>
      <div class="row">
        <div class="col-xs-12">
          <div class="form-group">
            <!----><button ng-if="localization.agreed" type="submit" class="btn btn-primary btn-submit btn-success pulsate" form="form">
              <!-- ng-if="flow.currentStep.settings.fields.length > 1" -->
              <!----><span ng-if="flow.landing_page.name.includes('uk-gameplay-v') == false">I agree</span><!---->
              <!---->
            </button><!---->
            <img src="/templates/surfeyo_2/images/icon-safe-server-en.png" class="img-responsive img-safe-server pull-right">
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="opt-in-overlay-container ng-hide" ng-show="showCucaPopup == true">
    <div class="opt-in-overlay-inner">
      <div class="cuca-header">
        <button type="button" class="close" data-dismiss="modal" aria-label="Close" ng-click="showCucaPopup = false"><span aria-hidden="true">×</span></button>
        <h4>Contact Info</h4>
      </div>
      <div class="cuca-content"> Ønsker du ikke længere at modtage direkte markedsføring fra ConsumersConnect og vores partnere, er du<br> velkommen til at tilbagekalde dit samtykke. Dette gør du ved at kontakte ConsumersConnect på:<br>
        <a href="https://customercare.today">customercare.today</a><br>
        <a href="mailto:help@consumers-connect.com">help@consumers-connect.com</a><br><br> Tilbagekaldelse af samtykke: du kan også til enhver tid kontakte vores samarbejdspartnere med henblik på at tilbagekalde dine samtykker. Du kan du gøre det
        telefonisk eller via afmeldingslink i direkte markedsføring (e-mailen/SMS'en/MMS'en), du modtager fra sponsorer.
      </div>
    </div>
  </div>
  <!-- <div class=ng-if="flow.currentStep.settings.sub_header !== ''"><h3>{{flow.currentStep.settings.sub_header}}</h3></div> -->
  <!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-gender" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <div ng-hide="lead.hide_fields.indexOf(field) != -1 &amp;&amp; form[field].$valid" ng-if="field == 'title' || field == 'gender'" class="row form-item-show-hide" data-form-items="gender">
      <div class="col-xs-12 form-group">
        <!---->
        <div ng-repeat="title in formSettings[field].options" class="gender-radio-container" ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted }">
          <div class="gender-radio" ng-click="lead.title = title.title; lead.gender = title.gender" ng-class="{ 'has-success' : form[field].$valid &amp;&amp; lead.gender == title.gender }">
            <span ng-show="lead[field] == title[field]" class="glyphicon glyphicon-ok ng-hide"></span>
          </div>
          <div class="gender-radio-label">Mr.</div>
        </div><!---->
        <div ng-repeat="title in formSettings[field].options" class="gender-radio-container" ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted }">
          <div class="gender-radio" ng-click="lead.title = title.title; lead.gender = title.gender" ng-class="{ 'has-success' : form[field].$valid &amp;&amp; lead.gender == title.gender }">
            <span ng-show="lead[field] == title[field]" class="glyphicon glyphicon-ok ng-hide"></span>
          </div>
          <div class="gender-radio-label">Mrs</div>
        </div><!---->
      </div>
      <input-field field="gender">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="hidden" name="gender"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-gender" ng-model="lead[field]" minlength="" maxlength=""
          value="" placeholder="Gender" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
    </div><!---->
    <!---->
    <!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-first_name" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <div ng-hide="lead.hide_fields.indexOf(field) != -1 &amp;&amp; form[field].$valid" ng-if="field == 'first_name' || field == 'last_name' || field == 'email_address' || field == 'phone_cell'" class="form-group form-item-show-hide"
      ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted, 'has-success' : form[field].$valid }">
      <!---->
      <input-field field="first_name">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="text" name="first_name"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-first_name" ng-model="lead[field]" minlength="2"
          maxlength="50" value="" placeholder="First name" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
    </div><!---->
    <!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-last_name" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <div ng-hide="lead.hide_fields.indexOf(field) != -1 &amp;&amp; form[field].$valid" ng-if="field == 'first_name' || field == 'last_name' || field == 'email_address' || field == 'phone_cell'" class="form-group form-item-show-hide"
      ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted, 'has-success' : form[field].$valid }">
      <!---->
      <input-field field="last_name">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="text" name="last_name"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-last_name" ng-model="lead[field]" minlength="2"
          maxlength="50" value="" placeholder="Last name" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
    </div><!---->
    <!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-date_of_birth" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <!---->
    <div ng-if="field == 'date_of_birth'" ng-hide="lead.hide_fields.indexOf('date_of_birth') != -1 &amp;&amp; form[field].$valid" class="form-group form-item-show-hide" data-form-items="date_of_birth"
      ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted, 'has-success' : form[field].$valid }">
      <date-selector lead="lead"><!---->
        <!---->
        <div ng-if="styling &amp;&amp; styling == 'mobile'" class="row">
          <div class="col-xs-12">
            <label class="form-label">Date of birth:</label>
          </div>
          <div class="col-xs-12">
            <!---->
            <div ng-repeat="item in dateFormat track by $index" class="select-dob styled-select slate select-dob-0 select-dob-d" ng-class="{ 'select-dob-y' : item == 'YYYY', 'select-dob-m' : item == 'MM', 'select-dob-d' : item == 'DD' }">
              <!---->
              <!----><select ng-if="item == 'DD'" ng-model="lead.date_d" name="date_d" class="form-control select-custom-style form-input ng-pristine ng-untouched ng-valid ng-empty" ng-options="day for day in days" ng-change="setDateOfBirth()">
                <option value="" selected="selected">Day</option>
                <option label="01" value="string:01">01</option>
                <option label="02" value="string:02">02</option>
                <option label="03" value="string:03">03</option>
                <option label="04" value="string:04">04</option>
                <option label="05" value="string:05">05</option>
                <option label="06" value="string:06">06</option>
                <option label="07" value="string:07">07</option>
                <option label="08" value="string:08">08</option>
                <option label="09" value="string:09">09</option>
                <option label="10" value="string:10">10</option>
                <option label="11" value="string:11">11</option>
                <option label="12" value="string:12">12</option>
                <option label="13" value="string:13">13</option>
                <option label="14" value="string:14">14</option>
                <option label="15" value="string:15">15</option>
                <option label="16" value="string:16">16</option>
                <option label="17" value="string:17">17</option>
                <option label="18" value="string:18">18</option>
                <option label="19" value="string:19">19</option>
                <option label="20" value="string:20">20</option>
                <option label="21" value="string:21">21</option>
                <option label="22" value="string:22">22</option>
                <option label="23" value="string:23">23</option>
                <option label="24" value="string:24">24</option>
                <option label="25" value="string:25">25</option>
                <option label="26" value="string:26">26</option>
                <option label="27" value="string:27">27</option>
                <option label="28" value="string:28">28</option>
                <option label="29" value="string:29">29</option>
                <option label="30" value="string:30">30</option>
                <option label="31" value="string:31">31</option>
              </select><!---->
              <!---->
            </div><!---->
            <div ng-repeat="item in dateFormat track by $index" class="select-dob styled-select slate select-dob-1 select-dob-m" ng-class="{ 'select-dob-y' : item == 'YYYY', 'select-dob-m' : item == 'MM', 'select-dob-d' : item == 'DD' }">
              <!----><select ng-if="item == 'MM'" ng-model="lead.date_m" name="date_m" class="form-control select-custom-style form-input ng-pristine ng-untouched ng-valid ng-empty" ng-options="item.value as item.name for item in months"
                ng-change="setDateOfBirth()">
                <option value="" selected="selected">Month</option>
                <option label="January" value="string:01">January</option>
                <option label="February" value="string:02">February</option>
                <option label="March" value="string:03">March</option>
                <option label="April" value="string:04">April</option>
                <option label="May" value="string:05">May</option>
                <option label="June" value="string:06">June</option>
                <option label="July" value="string:07">July</option>
                <option label="August" value="string:08">August</option>
                <option label="September" value="string:09">September</option>
                <option label="October" value="string:10">October</option>
                <option label="November" value="string:11">November</option>
                <option label="December" value="string:12">December</option>
              </select><!---->
              <!---->
              <!---->
            </div><!---->
            <div ng-repeat="item in dateFormat track by $index" class="select-dob styled-select slate select-dob-2 select-dob-y" ng-class="{ 'select-dob-y' : item == 'YYYY', 'select-dob-m' : item == 'MM', 'select-dob-d' : item == 'DD' }">
              <!---->
              <!---->
              <!----><select ng-if="item == 'YYYY'" ng-model="lead.date_y" name="date_y" class="form-control select-custom-style form-input ng-pristine ng-untouched ng-valid ng-empty" ng-options="year for year in years" ng-change="setDateOfBirth()">
                <option value="" selected="selected">Year</option>
                <option label="2008" value="string:2008">2008</option>
                <option label="2007" value="string:2007">2007</option>
                <option label="2006" value="string:2006">2006</option>
                <option label="2005" value="string:2005">2005</option>
                <option label="2004" value="string:2004">2004</option>
                <option label="2003" value="string:2003">2003</option>
                <option label="2002" value="string:2002">2002</option>
                <option label="2001" value="string:2001">2001</option>
                <option label="2000" value="string:2000">2000</option>
                <option label="1999" value="string:1999">1999</option>
                <option label="1998" value="string:1998">1998</option>
                <option label="1997" value="string:1997">1997</option>
                <option label="1996" value="string:1996">1996</option>
                <option label="1995" value="string:1995">1995</option>
                <option label="1994" value="string:1994">1994</option>
                <option label="1993" value="string:1993">1993</option>
                <option label="1992" value="string:1992">1992</option>
                <option label="1991" value="string:1991">1991</option>
                <option label="1990" value="string:1990">1990</option>
                <option label="1989" value="string:1989">1989</option>
                <option label="1988" value="string:1988">1988</option>
                <option label="1987" value="string:1987">1987</option>
                <option label="1986" value="string:1986">1986</option>
                <option label="1985" value="string:1985">1985</option>
                <option label="1984" value="string:1984">1984</option>
                <option label="1983" value="string:1983">1983</option>
                <option label="1982" value="string:1982">1982</option>
                <option label="1981" value="string:1981">1981</option>
                <option label="1980" value="string:1980">1980</option>
                <option label="1979" value="string:1979">1979</option>
                <option label="1978" value="string:1978">1978</option>
                <option label="1977" value="string:1977">1977</option>
                <option label="1976" value="string:1976">1976</option>
                <option label="1975" value="string:1975">1975</option>
                <option label="1974" value="string:1974">1974</option>
                <option label="1973" value="string:1973">1973</option>
                <option label="1972" value="string:1972">1972</option>
                <option label="1971" value="string:1971">1971</option>
                <option label="1970" value="string:1970">1970</option>
                <option label="1969" value="string:1969">1969</option>
                <option label="1968" value="string:1968">1968</option>
                <option label="1967" value="string:1967">1967</option>
                <option label="1966" value="string:1966">1966</option>
                <option label="1965" value="string:1965">1965</option>
                <option label="1964" value="string:1964">1964</option>
                <option label="1963" value="string:1963">1963</option>
                <option label="1962" value="string:1962">1962</option>
                <option label="1961" value="string:1961">1961</option>
                <option label="1960" value="string:1960">1960</option>
                <option label="1959" value="string:1959">1959</option>
                <option label="1958" value="string:1958">1958</option>
                <option label="1957" value="string:1957">1957</option>
                <option label="1956" value="string:1956">1956</option>
                <option label="1955" value="string:1955">1955</option>
                <option label="1954" value="string:1954">1954</option>
                <option label="1953" value="string:1953">1953</option>
                <option label="1952" value="string:1952">1952</option>
                <option label="1951" value="string:1951">1951</option>
                <option label="1950" value="string:1950">1950</option>
                <option label="1949" value="string:1949">1949</option>
                <option label="1948" value="string:1948">1948</option>
                <option label="1947" value="string:1947">1947</option>
                <option label="1946" value="string:1946">1946</option>
                <option label="1945" value="string:1945">1945</option>
                <option label="1944" value="string:1944">1944</option>
                <option label="1943" value="string:1943">1943</option>
                <option label="1942" value="string:1942">1942</option>
                <option label="1941" value="string:1941">1941</option>
                <option label="1940" value="string:1940">1940</option>
                <option label="1939" value="string:1939">1939</option>
                <option label="1938" value="string:1938">1938</option>
                <option label="1937" value="string:1937">1937</option>
                <option label="1936" value="string:1936">1936</option>
                <option label="1935" value="string:1935">1935</option>
              </select><!---->
            </div><!---->
          </div>
        </div><!---->
        <!---->
        <!---->
        <!---->
        <!---->
        <!---->
        <input-field lead="lead" field="date_of_birth" validateform="validateForm()">
          <!---->
          <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="hidden" name="date_of_birth"
            class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-date_of_birth" ng-model="lead[field]" minlength=""
            maxlength="" value="" placeholder="Date of birth:" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
          <!---->
          <!-- twentytwenty input-field -->
          <!---->
          <!----></input-field>
      </date-selector>
    </div><!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-email_address" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <div ng-hide="lead.hide_fields.indexOf(field) != -1 &amp;&amp; form[field].$valid" ng-if="field == 'first_name' || field == 'last_name' || field == 'email_address' || field == 'phone_cell'" class="form-group form-item-show-hide"
      ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted, 'has-success' : form[field].$valid }">
      <!---->
      <input-field field="email_address">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="email" name="email_address"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-email ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-email_address" ng-model="lead[field]"
          minlength="5" maxlength="50" value="" placeholder="Email" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
    </div><!---->
    <!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-phone_cell" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <div ng-hide="lead.hide_fields.indexOf(field) != -1 &amp;&amp; form[field].$valid" ng-if="field == 'first_name' || field == 'last_name' || field == 'email_address' || field == 'phone_cell'" class="form-group form-item-show-hide"
      ng-class="{ 'has-error' : form[field].$invalid &amp;&amp; form.$submitted, 'has-success' : form[field].$valid }">
      <!---->
      <input-field field="phone_cell">
        <!---->
        <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="tel" name="phone_cell"
          class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-phone_cell" ng-model="lead[field]" minlength="10"
          maxlength="10" value="" placeholder="Mobile number" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
        <!---->
        <!-- twentytwenty input-field -->
        <!---->
        <!----></input-field>
    </div><!---->
    <!---->
    <!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-address_fields" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <!---->
    <!---->
    <div ng-if="field == 'address_fields'">
      <!---->
      <!---->
      <!---->
      <!---->
      <div ng-if="flow.survey.locale == 'en_AU' || flow.survey.locale == 'en_NZ' || flow.survey.locale == 'fr_FR' || flow.survey.locale == 'en_CA' || flow.survey.locale == 'en_US' || flow.survey.locale == 'en_ZA' || flow.survey.locale == 'el_GR'">
        <div class="row">
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            <input-field field="zip_code">
              <!---->
              <!----><input ng-hide="field == 'opt_in' || field == 'zip_code_nl'" ng-if="required &amp;&amp; validate &amp;&amp; ['twentytwenty', 'vod_3'].includes(template) == false" type="text" name="zip_code"
                class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-zip_code" ng-model="lead[field]" minlength="6"
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                class="inputfield data-gap form-control form-input ng-pristine ng-untouched ng-empty ng-valid-minlength ng-valid-maxlength inputfield-desktop data-gap-desktop ng-invalid ng-invalid-address" ng-model="lead[field]" minlength="2"
                maxlength="50" value="" placeholder="Address" api-validator="" ng-readonly="fieldSettings.readonly" ng-class="{'inputfield-desktop data-gap-desktop' : deviceType == 'web'}"><!---->
              <!---->
              <!-- twentytwenty input-field -->
              <!---->
              <!----></input-field>
          </div>
          <!-- <div ng-show="lead.city" class="col-xs-12 form-item-show-hide" data-form-items="city" ng-hide="form['city'].$valid && flow.survey.locale != 'en_AU'" ng-class="{ 'has-error' : form['city'].$invalid && form.$submitted, 'has-success' : form['city'].$valid }">
						<city-select field="city"></city-select>
					</div>
				 -->
        </div>
      </div><!---->
      <!---->
      <!---->
    </div><!---->
  </div><!---->
  <div ng-repeat="field in flow.currentStep.settings.fields" class="form-group form-field-container form-field-container-opt_in" ng-class="{ 'blur-bg' : showOptinModal }">
    <!---->
    <!---->
    <!---->
    <!---->
  </div><!---->
  <!---->
  <div class="row" ng-class="{ 'blur-bg' : showOptinModal }">
    <div class="col-xs-12">
      <div class="form-group">
        <!----><button ng-if="localization.next !== ''" type="submit" class="btn btn-primary btn-submit" ng-class="{ 'btn-success pulsate' : form.$valid }" form="form">
          <!----><span ng-if="flow.landing_page.name.includes('uk-gameplay-v') == false">Next</span><!---->
          <!---->
        </button><!---->
        <!---->
        <!---->
        <!---->
        <img src="/templates/surfeyo_2/images/icon-safe-server-en.png" class="img-responsive img-safe-server pull-right">
      </div>
    </div>
  </div>
  <!---->
  <!---->
  <input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/531a045640eb5d94ba5268f0cfdf749c73bdcea1"><input type="hidden" name="xxTrustedFormCertUrl" id="xxTrustedFormCertUrl_0"
    value="https://cert.trustedform.com/531a045640eb5d94ba5268f0cfdf749c73bdcea1"><input type="hidden" name="xxTrustedFormPingUrl" id="xxTrustedFormPingUrl_0"
    value="https://ping.trustedform.com/0.sGZ1bWgyCNFdW18Rm_2z12zVGRhYP6EaBh537_1dKKbIA0kIzaiTRWdVxTEVpdfN7OMYSwOG.FZLehwv0uhp_KixiroQ8ZA.bRhN7pGUpmyQHGcYSNwRDw">
</form>

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