31.freesamplesprousa.com Open in urlscan Pro
172.67.68.93  Public Scan

Form analysis
1 forms found in the DOM

POST https://31.freesamplesprousa.com/api/survey/register-user?flow=eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJodHRwczpcL1wvMzEuZnJlZXNhbXBsZXNwcm91c2EuY29tXC9hcGlcLyIsImF1ZCI6Imh0dHBzOlwvXC8zMS5mcmVlc2FtcGxlc3Byb3VzYS5jb21cLyIsImlhdCI6MTcxMTkxNTE4MywibmJmIjoxNzExOTE1MTgzLCJleHAiOjE3MTE5ODcxODMsInVpZCI6IjU0NTM3Y2JlLWJkZDAtNDJlNi1iYTNmLTRkM2Y0NDVlMDc1NyIsImN1cnJlbnRwYWdlIjoibGFuZGVyIiwiY3VycmVudGh0bWwiOiJmbG93XC9yZWdpc3RlclwvZnNwdS10Y3BhLW9uLXJlZy1wYXJ0aWFscGlpMS1iYXNlLXY2Lmh0bWwiLCJzdWJtaXRQYXRoIjoic3VydmV5XC9yZWdpc3Rlci11c2VyIn0.KUQ1f4cucVh37KN9D75SLc6-dDrG3vmwkpoYaurr3W8

<form method="post" id="landerform" onsubmit="return register.validateFullForm(event)" autocomplete="off"
  action="https://31.freesamplesprousa.com/api/survey/register-user?flow=eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJodHRwczpcL1wvMzEuZnJlZXNhbXBsZXNwcm91c2EuY29tXC9hcGlcLyIsImF1ZCI6Imh0dHBzOlwvXC8zMS5mcmVlc2FtcGxlc3Byb3VzYS5jb21cLyIsImlhdCI6MTcxMTkxNTE4MywibmJmIjoxNzExOTE1MTgzLCJleHAiOjE3MTE5ODcxODMsInVpZCI6IjU0NTM3Y2JlLWJkZDAtNDJlNi1iYTNmLTRkM2Y0NDVlMDc1NyIsImN1cnJlbnRwYWdlIjoibGFuZGVyIiwiY3VycmVudGh0bWwiOiJmbG93XC9yZWdpc3RlclwvZnNwdS10Y3BhLW9uLXJlZy1wYXJ0aWFscGlpMS1iYXNlLXY2Lmh0bWwiLCJzdWJtaXRQYXRoIjoic3VydmV5XC9yZWdpc3Rlci11c2VyIn0.KUQ1f4cucVh37KN9D75SLc6-dDrG3vmwkpoYaurr3W8">
  <input autocomplete="false" name="hidden" type="text" style="display:none;">
  <div class="registration-form enabledinputform">
    <div class="form-field pii-email single-field">
      <input autocomplete="false" name="hidden" type="text" style="display:none;">
      <input autofocus="true" type="email" name="emailAddress" class="entersweeps xverify_email " data-trackable="" data-tname="email" id="entersweeps" placeholder="Enter Email" onchange="this.classList.remove('error');"
        onblur="this.placeholder = 'Enter Email';" oninput="this.classList.remove('error');" data-xverify="true" data-autosuggest="true">
      <p class="email-checker">Did you mean: <span class="suggt"></span></p>
      <input name="hasUserInfo" type="hidden" value="1">
    </div>
    <div class="form-field fname-laname double-fields">
      <div class="form-field single-field">
        <input type="text" id="firstName" data-trackable="" data-tname="fname" placeholder="First Name" onchange="this.classList.remove('error'); register.customValidate(this);" name="userFname"
          onblur="this.placeholder = 'First Name'; register.customValidate(this);" oninput="this.classList.remove('error');" class="" autofocus="false">
      </div>
      <div class="form-field single-field">
        <input type="text" id="lastName" placeholder="Last Name" data-trackable="" data-tname="lname" onchange="this.classList.remove('error'); register.customValidate(this);" name="userLname"
          onblur="this.placeholder = 'Last Name'; register.customValidate(this);" oninput="this.classList.remove('error');" class="">
      </div>
    </div>
    <div class="form-field single-field">
      <input autofocus="false" type="tel" id="zipcode" placeholder="Zip Code" data-trackable="" data-tname="zipcode" onchange="this.classList.remove('error'); register.customValidate(this);" onkeyup="register.zipcodeChange(this);"
        onblur="this.placeholder = 'Zip Code'; register.customValidate(this);" name="zipcode" oninput="this.classList.remove('error');" onkeypress="return register.isNumber(event);" maxlength="5" minlength="5" class="">
    </div>
    <div class="gender-blk single-field">
      <input hidden="" type="text" class="genderbtn hidden" id="gendervalue" name="gender" placeholder="" data-trackable="" data-tname="gender" onchange="this.classList.remove('error');register.customValidate(this)"
        onblur="this.placeholder = ''; register.customValidate(this);" oninput="this.classList.remove('error');">
      <div class="form-subs flx ">
        <label>
          <input type="radio" id="male" name="gendervalue1" value="Male" data-trackable="" data-tname="gender" data-tvalue="male" onchange="this.classList.remove('error'); register.customValidate(this);" onblur="register.customValidate(this)"
            oninput="this.classList.remove('error');" onclick="getGender()">
          <span id="gmale"><svg width="11" height="23" viewBox="0 0 11 23" fill="none" xmlns="http://www.w3.org/2000/svg">
              <path fill-rule="evenodd" clip-rule="evenodd"
                d="M7.71535 2.53112C7.71535 3.79094 6.69406 4.81222 5.43424 4.81222C4.17442 4.81222 3.15314 3.79094 3.15314 2.53112C3.15314 1.2713 4.17442 0.250013 5.43424 0.250013C6.69406 0.250013 7.71535 1.2713 7.71535 2.53112ZM5.22686 21.5058V15.492H5.74529V21.5058C5.74529 22.2316 6.36741 22.75 6.98953 22.75C7.71533 22.75 8.33745 22.2316 8.33745 21.5058V7.71546H8.64851V13.833C8.64851 14.8698 10.7222 15.1809 10.7222 13.833V6.57491C10.7222 6.05648 10.3075 5.22698 9.78907 5.22698H1.18308C0.664645 5.22698 0.249898 6.05648 0.249898 6.57491V13.833C0.249898 15.1809 2.32363 14.8698 2.32363 13.833V7.71546H2.63469V21.5058C2.63469 22.2316 3.25681 22.75 3.98262 22.75C4.60474 22.75 5.22686 22.2316 5.22686 21.5058Z"
                fill="#808080"></path>
            </svg>Male</span>
        </label>
        <label>
          <input type="radio" id="female" name="gendervalue1" value="Female" data-trackable="" data-tname="gender" data-tvalue="female" onchange="this.classList.remove('error'); register.customValidate(this);" onblur="register.customValidate(this)"
            oninput="this.classList.remove('error');" onclick="getGender()">
          <span id="gfemale"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="15px" height="23px" viewBox="0 0 15 23" version="1.1">
              <g id="Lander-options" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd">
                <g id="orange-lander-PII-S1" transform="translate(-53.000000, -428.000000)" fill-rule="nonzero">
                  <g id="Group-5" transform="translate(40.000000, 235.000000)">
                    <g id="Group-4">
                      <g id="Input-/-Default-/-input-scalable" transform="translate(0.000000, 180.000000)">
                        <g id="mm/female" transform="translate(8.000000, 13.000000)">
                          <polygon id="base" fill-opacity="0" fill="#FFFFFF" points="-8.28289818e-13 24 24 24 24 -1.70530257e-13 -8.28289818e-13 -1.70530257e-13"></polygon>
                          <path
                            d="M15.5251904,6 C16.1179734,6 16.6551557,6.34910028 16.8959077,6.8907923 L16.8959077,6.8907923 L19.018379,11.6663528 C19.0324432,11.6979972 19.0449725,11.7303017 19.0559231,11.7631537 C19.2439549,12.3272489 18.9390952,12.9369683 18.375,13.125 C17.7391139,13.336962 17.0469065,13.0261152 16.7828692,12.4100281 L16.7828692,12.4100281 L15.1477197,8.59467939 C15.0581043,8.3855768 14.8524968,8.25 14.625,8.25 C14.5927006,8.25 14.5606978,8.25616317 14.5307086,8.26815886 C14.4005193,8.32023457 14.3371958,8.46798951 14.3892715,8.59817876 L14.3892715,8.59817876 L16.8385828,14.721457 C16.8740189,14.8100472 16.8922253,14.9045854 16.8922253,15 C16.8922253,15.4142136 16.5564388,15.75 16.1422253,15.75 L16.1422253,15.75 L15,15.75 L15,21.375 C15,21.9963203 14.4963203,22.5 13.875,22.5 C13.2536797,22.5 12.75,21.9963203 12.75,21.375 L12.75,21.375 L12.75,16.125 C12.75,15.9178932 12.5821068,15.75 12.375,15.75 C12.1678932,15.75 12,15.9178932 12,16.125 L12,16.125 L12,21.375 C12,21.9963203 11.4963203,22.5 10.875,22.5 C10.2536797,22.5 9.75,21.9963203 9.75,21.375 L9.75,21.375 L9.75,15.75 L8.60777472,15.75 C8.51236015,15.75 8.41782192,15.7317936 8.32923171,15.6963575 C7.94464408,15.5425225 7.75758215,15.1060446 7.9114172,14.721457 L7.9114172,14.721457 L10.3607285,8.59817876 C10.3727242,8.56818951 10.3788874,8.53618677 10.3788874,8.50388736 C10.3788874,8.36366924 10.2652181,8.25 10.125,8.25 C9.89750316,8.25 9.69189566,8.3855768 9.60228026,8.59467939 L9.60228026,8.59467939 L7.96713082,12.4100281 C7.70309349,13.0261152 7.01088611,13.336962 6.375,13.125 C6.34214802,13.1140493 6.30984349,13.1015201 6.27819908,13.0874559 C5.73483893,12.8459625 5.49012757,12.209713 5.73162097,11.6663528 L5.73162097,11.6663528 L7.85409231,6.8907923 C8.09484432,6.34910028 8.63202656,6 9.22480963,6 L9.22480963,6 Z M12.375,0.75 C13.6176407,0.75 14.625,1.75735931 14.625,3 C14.625,4.24264069 13.6176407,5.25 12.375,5.25 C11.1323593,5.25 10.125,4.24264069 10.125,3 C10.125,1.75735931 11.1323593,0.75 12.375,0.75 Z"
                            id="Combined-Shape" fill="#445566"></path>
                        </g>
                      </g>
                    </g>
                  </g>
                </g>
              </g>
            </svg>Female</span>
        </label>
      </div>
    </div>
  </div>
  <div class="form-field submit-box enabledinputform">
    <button id="entersweep" name="next" type="submit" value="profile" class="playtowin cta" data-trackable="" data-tname="email-submit">
      <div class="cta-inner"> Continue<svg fill="none" height="32" viewBox="0 0 32 32" width="32" xmlns="http://www.w3.org/2000/svg">
          <g filter="url(#filter0_d_4_1436)">
            <path clip-rule="evenodd"
              d="M20.269 18.0742L14.428 23.9151C13.647 24.6962 13.647 25.9625 14.428 26.7435C15.2091 27.5246 16.4754 27.5246 17.2565 26.7435L28 16L17.265 5.26499C16.4839 4.48394 15.2176 4.48394 14.4366 5.26499C13.6555 6.04604 13.6555 7.31236 14.4366 8.09341L20.4173 14.0742L6.33824 14.0742C5.23367 14.0742 4.33824 14.9696 4.33824 16.0742C4.33824 17.1787 5.23367 18.0742 6.33824 18.0742H20.269Z"
              fill="#FAFAFA" fill-rule="evenodd"></path>
          </g>
          <defs>
            <filter color-interpolation-filters="sRGB" filterUnits="userSpaceOnUse" height="34" id="filter0_d_4_1436" width="33" x="0" y="0">
              <feFlood flood-opacity="0" result="BackgroundImageFix"></feFlood>
              <feColorMatrix type="matrix" values="0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0" in="SourceAlpha" result="hardAlpha"></feColorMatrix>
              <feOffset dx="1" dy="2"></feOffset>
              <feColorMatrix type="matrix" values="0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.3 0"></feColorMatrix>
              <feBlend in2="BackgroundImageFix" mode="normal" result="effect1_dropShadow_4_1436"></feBlend>
              <feBlend in2="effect1_dropShadow_4_1436" mode="normal" result="shape" in="SourceGraphic"></feBlend>
            </filter>
          </defs>
        </svg>
      </div>
    </button>
  </div>
  <div class="form-disclaimer enabledinputform-disclaimer enabledinputform" id="cta-disclaimer">By clicking 'Continue', I agree to receive relevant emails from FreeSamplesProUSA and its partners. I also agree to the
    <a href="https://freesamplesprousa.com/privacy-policy.html" target="_blank">Privacy Policy</a> which includes details on the collection and use of my personal data, and the
    <a href="https://freesamplesprousa.com/terms-and-conditions.html" target="_blank">Terms of Use</a> which includes a mandatory arbitration provision.</div>
  <div class="confirmemail" style="display: none;"> <input type="text" name="confirm_email" id="confirm_email"> </div>
</form>

Text Content

CONGRATULATIONS!

Your Free Chick-fil-A® Samples are ready.
Stand by…


ALMOST DONE!


WHERE DO WE SEND YOUR FREE CHICK-FIL-A® SAMPLES?

*Images used are for representation purposes only.

Did you mean:



Male Female
Continue
By clicking 'Continue', I agree to receive relevant emails from
FreeSamplesProUSA and its partners. I also agree to the Privacy Policy which
includes details on the collection and use of my personal data, and the Terms of
Use which includes a mandatory arbitration provision.


TO ACCESS SAMPLES, DEALS, GIVEAWAYS, COUPONS, SWEEPSTAKES, OR ANY OTHER OFFERS
("DEALS") THROUGH THE LINKS AVAILABLE ON FREESAMPLESPROUSA.COM YOU MAY BE
REQUIRED TO SHARE YOUR PERSONAL INFORMATION, RESPOND TO SURVEY QUESTIONS, AND
AGREE TO BE CONTACTED BY OUR MARKETING PARTNERS. FREESAMPLESPROUSA.COM DOES NOT
GUARANTEE THE AVAILABILITY OF DEAL(S) FACILITATED THROUGH OUR WEBSITE OR THAT
THEY WILL MEET YOUR REQUIREMENTS SINCE THEY ARE OFFERED AS WELL AS MONITORED BY
THIRD PARTIES AND ARE PROVIDED ON THE WEBSITE FOR CONVENIENCE PURPOSES ONLY.

WE SHALL NOT BE LIABLE FOR THE UNAVAILABILITY OF ANY DEALS, FOR ANY REASONS,
INCLUDING BUT NOT LIMITED TO, THIRD-PARTY TERMS AND CONDITIONS ASSOCIATED WITH
SUCH DEALS, CHANGE IN QUALIFICATION CRITERIA RELATED TO SUCH DEALS, DENIAL OF
SERVICE, COMMUNICATION LAPSES, OR ANY OTHER REASONS DUE TO WHICH THE DEALS
BECOME UNAVAILABLE. WE MAY RECEIVE COMPENSATION, AT NO COST TO YOU, WHEN YOU
PARTICIPATE IN THE THIRD-PARTY OFFERS AVAILABLE ON OUR WEBSITE.

ALL THIRD-PARTY NAMES (INCLUDING COMPANY AND SERVICE NAMES), GRAPHICS, AND LOGOS
USED HERE ARE TRADEMARKS OR REGISTERED TRADEMARKS OF SUCH THIRD PARTIES. USE OF
THEM HERE DOES NOT IMPLY ANY AFFILIATION WITH OR ENDORSEMENT BY SUCH
THIRD-PARTIES.

 * CA Consumers
 * Terms & Conditions
 * Privacy Policy
 * Support
 * Unsubscribe
 * Do Not Sell or Share My Personal Information
 * Limit the Use of My Sensitive Personal Information