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www.love2shopdigital.co.uk Open in urlscan Pro
161.12.34.66  Public Scan

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Submitted URL: http://www.love2shopdigital.co.uk/hsv-contact.php
Effective URL: https://www.love2shopdigital.co.uk/hsv-contact.php
Submission: On May 09 via manual from GB — Scanned from GB

Form analysis 1 forms found in the DOM

Name: Feedback — POST 

<form method="post" name="Feedback" id="form1" data-toggle="validator" role="form">
  <span class="col-sm-12" style="font-size:0.7rem; text-align:right;">* Denotes mandatory field</span>
  <div class="col-sm-6">
    <div class="form-group">
      <label for="fullname">Full Name*</label> <input class="form-control" required="" id="fullname" name="full_name" placeholder="Full Name" tabindex="1" type="text" value="" width="100%">
    </div>
    <div class="form-group">
      <label for="reward_code">Your Reward Code* <span style="clear:left; font-size:0.6rem; width:100% !important; float:inherit; font-weight:normal"> Your Reward Code will start with e.g WF, ZB or PA </span> </label>
      <input class="form-control" id="rewardcode" required="" name="reward_code" placeholder="Reward Code" tabindex="2" type="text" value="" width="100%">
    </div>
    <div class="form-group">
      <label for="code_value">Your Reward Code Value* </label>
      <div class="input-group mb-3">
        <div class="input-group-prepend">
          <span class="input-group-text">£</span>
        </div>
        <input class="form-control" required="" id="rewardcodevalue" pattern="[0-9]" name="code_value" placeholder="Reward Code Value " tabindex="2" type="number" min="1" value="" width="100%" style="width:50%">
        <div class="input-group-append">
          <span class="input-group-text">.00</span>
        </div>
      </div>
    </div>
    <div class="form-group">
      <label for="reward_code_sender">Where did you receive the Reward Code from* </label> <input class="form-control" id="rewardcode" name="reward_code_sender" placeholder="Where did you receive the Reward Code from" tabindex="2" type="text"
        value="" required="" width="100%">
    </div>
    <div class="form-group">
      <label for="reason">Please select a reason*</label>
      <select class="form-control" name="reason" tabindex="3" required="">
        <option value="" readonly="">Please select a reason</option>
        <option id="novalue" value="Code has no value">Code has no value</option>
        <option id="noecode" value="E-code not received">E-code not received</option>
        <option id="nophysical" value="Physical order not received">Physical order not received</option>
        <option id="error" value="I’m getting an error message when trying to add my code">I’m getting an error message when trying to add my code</option>
        <option id="other" value="Other">Other</option>
      </select>
    </div>
  </div>
  <script>
    $j(function() {
      $j('select[name=reason]').change(function() {
        // $('.prods').hide();
        var selectedOption = $('option:selected', this).attr('id');
        switch (selectedOption) {
          case 'novalue':
            $j('#brand').attr("required", false);
            break;
          case 'noecode':
            $j('#brand').attr("required", true);
            break;
          case 'nophysical':
            $j('#brand').attr("required", false);
            break;
          case 'error':
            $j('#brand').attr("required", false);
            break;
          case 'other':
            $j('#brand').attr("required", false);
            break;
        }
      });
    });
  </script>
  <div class="col-sm-6">
    <div class="form-group"><label for="brand">If you’ve exchanged your code, please provide the brand you have exchanged for below</label> <input class="form-control" id="brand" name="brand" placeholder="Brand Chosen" tabindex="5" type="text"
        value="" width="100%"></div>
    <div class="form-group"><label for="message">Please enter your comments below*</label><textarea required="" class="form-control" cols="600" id="message" name="message" placeholder="Please enter your comments below" rows="5"
        tabindex="4"></textarea></div>
    <div class="form-group"><label for="contact_no">Contact Number</label> <input class="form-control" id="contact_no" name="contact_no" placeholder="Contact Number" tabindex="5" type="text" value="" width="100%"></div>
    <div class="form-group"><label for="contact_eml">Email*</label> <input required="" class="form-control" id="contact_eml" name="contact_eml" placeholder="Email" tabindex="6" type="email" value="" width="100%"></div>
  </div>
  <div class="col-sm-12">
    <div class="col-sm-6">
      <div class="form-group">
        <div class="g-recaptcha" data-sitekey="6Lf7D6EUAAAAAK8-FcefQyhWModT2yatElT0QVYd">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lf7D6EUAAAAAK8-FcefQyhWModT2yatElT0QVYd&amp;co=aHR0cHM6Ly93d3cubG92ZTJzaG9wZGlnaXRhbC5jby51azo0NDM.&amp;hl=en&amp;v=1h-hbVSJRMOQsmO_2qL9cO0z&amp;size=normal&amp;cb=s1db59svuwh7"
                width="304" height="78" role="presentation" name="a-1u6ueves5mji" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
              class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div><iframe style="display: none;"></iframe>
        </div>
        <input id="submit" name="submit" tabindex="7" type="submit" value="SEND">
      </div>
    </div>
    <div class="col-sm-6">
      <font size="2">By clicking "send" you confirm that you have read, understood and accept our <a href="terms-and-conditions.php" target="new">website T&amp;Cs</a>, <a href="terms-and-conditions.php" target="new">privacy policy</a> and
        <a href="terms-and-conditions.php" target="new">cookie policy</a>.</font>
    </div>
  </div>
</form>

Text Content

 * Where to Spend
   |
 * FAQs
   |
 * Contact us
   

Logout | My Account


1.00

Basket
0
Item(s)
Total: £0.00
Checkout




CONTACT US

--------------------------------------------------------------------------------

 
* Denotes mandatory field
Full Name*
Your Reward Code* Your Reward Code will start with e.g WF, ZB or PA
Your Reward Code Value*
£
.00
Where did you receive the Reward Code from*
Please select a reason* Please select a reason Code has no value E-code not
received Physical order not received I’m getting an error message when trying to
add my code Other
If you’ve exchanged your code, please provide the brand you have exchanged for
below
Please enter your comments below*
Contact Number
Email*
By clicking "send" you confirm that you have read, understood and accept our
website T&Cs, privacy policy and cookie policy.
Logout | My Account
FAQs | Website T&Cs | End User T&Cs | Website Privacy Policy | Website Cookie
Policy | Contact Us