www.tryearbudsca.com Open in urlscan Pro
2606:4700:3030::6815:7cd  Public Scan

Form analysis
1 forms found in the DOM

Name: downsell_form1 — POST ajax.php?method=downsell1

<form method="post" action="ajax.php?method=downsell1" name="downsell_form1" accept-charset="utf-8" enctype="application/x-www-form-urlencoded;charset=utf-8" id="frm" class="order-form re" novalidate="novalidate">
  <input type="hidden" name="campaigns[1][id]" id="dynamiccampaign" value="1">
  <input type="hidden" name="campaigns[2][id]" id="split1" value="">
  <input type="hidden" name="campaigns[3][id]" id="split2" value="">
  <input type="hidden" name="forceGatewayId" value="">
  <div class="container content fields" id="formfields" style="padding-top:0">
    <h3></h3>
    <div class="row">
      <div class="col-sm-4 col-sm-offset-2 checkout-column " id="billinfo">
        <div class="panel panel-default checkout-box">
          <div class="panel-heading display-table">
            <div class="row display-tr">
              <img src="/v1ytecudy/app/desktop/images/ship-icon.png" class="icon">
              <h4 class="panel-title display-td">Shipping Information</h4>
            </div>
          </div>
          <div class="panel-body">
            <div class="row">
              <div class="col-sm-6">
                <div class="form-group">
                  <label class="control-label"><strong>First Name:</strong></label>
                  <input type="text" class="form-control required" name="firstName" value="" placeholder="First Name*" data-toggle="tooltip" data-placement="auto left" title="First Name" data-validation="required" autofocus=""
                    data-error-message="Please enter your first name!">
                </div>
              </div>
              <div class="col-sm-6">
                <div class="form-group">
                  <label class="control-label"><strong>Last Name:</strong></label>
                  <input type="text" class="form-control required" name="lastName" value="" placeholder="Last Name*" data-toggle="tooltip" data-placement="auto left" title="Last Name" data-validation="required"
                    data-error-message="Please enter your last name!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Email:</strong></label>
                  <input id="email" type="email" class="form-control required" required="" name="email" value="" placeholder="Email*" data-toggle="tooltip" data-placement="auto left" title="Email" data-validation="email"
                    pattern="^\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$" data-error-message="Please enter a valid email id!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Phone:</strong> <span style="font-size:9px"> </span></label>
                  <input type="tel" class="form-control required" name="phone" value="" placeholder="Mobile Phone*" data-toggle="tooltip" data-placement="auto left" title="Mobile Phone" minlength="" data-error-message="Please enter a valid email id!"
                    maxlength="14" onkeyup="javascript: this.value = this.value.replace(/[^0-9]/g,'');" data-max-length="14">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Shipping Address:</strong></label>
                  <input type="text" class="form-control required" name="shippingAddress1" value="" placeholder="Street Address*" data-toggle="tooltip" data-placement="auto left" title="Address" data-validation="required"
                    data-error-message="Please enter your address!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>City:</strong></label>
                  <input type="text" class="form-control required" name="shippingCity" value="" placeholder="City/Town*" data-toggle="tooltip" data-placement="auto left" title="City" data-validation="required"
                    data-error-message="Please enter your city!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Country:</strong></label>
                  <select name="shippingCountry" id="shipping_country" class="form-control required no-error" data-validation="required" data-error-message="Please select your country!">
                    <option value="CA">Canada</option>
                  </select>
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label">Province:</label>
                  <select name="shippingState" type="text" placeholder="Your State" class="form-control required" data-error-message="Please select your state!" readonly="readonly">
                    <option value="" selected="selected">Select Province</option>
                    <option value="AB">Alberta</option>
                    <option value="BC">British Columbia</option>
                    <option value="MB">Manitoba</option>
                    <option value="NB">New Brunswick</option>
                    <option value="NL">Newfoundland and Labrador</option>
                    <option value="NT">Northwest Territories</option>
                    <option value="NS">Nova Scotia</option>
                    <option value="NU">Nunavut</option>
                    <option value="ON">Ontario</option>
                    <option value="PE">Prince Edward Island</option>
                    <option value="QC">Quebec</option>
                    <option value="SK">Saskatchewan</option>
                    <option value="YT">Yukon</option>
                  </select>
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label post_cd">Postal Code :</label>
                  <input id="zip" type="text" class="form-control required" name="shippingZip" value="" placeholder="Postal Code*" data-toggle="tooltip" data-placement="auto left" title="Zip Code" data-validation="required"
                    data-error-message="Please enter a valid zip code!" maxlength="7">
                </div>
              </div>
            </div>
            <div class="col-xs-12 checkbox same_as_billing">
              <label>
                <input type="hidden" name="billingSameAsShipping" value="yes">
                <input id="shipcheckbox" name="billingSameAsShipping" value="Yes" type="checkbox" checked="checked" alt="Billing Same as Shipping Address"> My billing address is the same as shipping</label>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
      <div class="col-sm-4 col-sm-offset-2 checkout-column inactive shipinfo" id="kform_hiddenAddress">
        <div class="panel panel-default checkout-box billing-info">
          <div class="panel-heading display-table">
            <div class="row display-tr">
              <h4 class="panel-title display-td">Billing Information</h4>
              <input type="hidden" id="billingcheck" name="billingSameAsShipping" value="yes">
            </div>
          </div>
          <div class="panel-body">
            <div class="row">
              <div class="col-sm-6">
                <div class="form-group">
                  <label class="control-label"><strong>First Name:</strong></label>
                  <input type="text" class="form-control" name="billingFirstName" value="" placeholder="First Name*" data-toggle="tooltip" data-placement="auto left" title="First Name" autofocus=""
                    data-error-message="Please enter your billing first name!">
                </div>
              </div>
              <div class="col-sm-6">
                <div class="form-group">
                  <label class="control-label"><strong>Last Name:</strong></label>
                  <input type="text" class="form-control" name="billingLastName" value="" placeholder="Last Name*" data-toggle="tooltip" data-placement="auto left" title="Last Name" data-error-message="Please enter your billing last name!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Billing Address:</strong></label>
                  <input type="text" class="form-control input-sm" id="billing_address" name="billingAddress1" value="" placeholder="Address" data-error-message="Please enter your billing address!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>City:</strong></label>
                  <input type="text" class="form-control input-sm" id="billing_city" name="billingCity" value="" placeholder="City/Town" data-error-message="Please enter your billing city!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>Country:</strong></label>
                  <select name="billingCountry" data-error-message="Please select your billing Country!" class="form-control input-sm ">
                    <option value="">Select Country</option>
                  </select>
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label"><strong>State/Territory:</strong></label>
                  <input type="text" name="billingState" placeholder="Billing State" class="form-control input-sm" data-error-message="Please enter your billing state!">
                </div>
              </div>
              <div class="col-sm-12">
                <div class="form-group">
                  <label class="control-label post_cd">Postal Code :</label>
                  <input type="text" class="form-control input-sm " id="billing_zipcode" name="billingZip" value="" placeholder="Postal Code" data-error-message="Please enter a valid billing zip code!">
                </div>
              </div>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
      <div class="col-sm-4 checkout-column" id="payinfo">
        <div class="panel panel-default checkout-box">
          <div class="panel-heading display-table">
            <div class="row display-tr">
              <img src="/v1ytecudy/app/desktop/images/pymnt-icon.png" class="icon">
              <h4 class="panel-title panel-title-1 display-td">Payment Information</h4>
              <div class="display-td"> <img class="img-responsive pull-right" src="/v1ytecudy/app/desktop/images/card.png"> </div>
            </div>
          </div>
          <div class="panel-body">
            <div class="row" id="kform_paySourceCard">
              <div class="col-xs-12" id="kformPaySourceWrap">
                <div style="display: none;">
                  <div>
                    <label> Selected Card Type: </label>
                    <ul class="all-card-types">
                      <li class="visa">Visa</li>
                      <li class="master">Master Card</li>
                      <li class="discover">Discover</li>
                      <li class="amex">Amex</li>
                      <li class="jcb">JCB</li>
                    </ul>
                    <div class="clear"></div>
                  </div>
                  <p>
                    <label>Select Card Type: </label>
                    <select name="creditCardType" class="required" data-error-message="Please select valid card type!" id="ctype">
                      <option value="">Card Type</option>
                      <option value="master">Master Card</option>
                      <option value="visa">Visa</option>
                    </select>
                  </p>
                </div>
                <div class="center-block"><img src="/v1ytecudy/app/desktop/images/security.jpg" class="img-responsive"></div>
                <div class="form-group">
                  <label for="cardNumber">Credit Card Number</label>
                  <div class="input-group">
                    <input type="text" name="creditCardNumber" class="form-control required" maxlength="19" placeholder="Credit Card Number" data-error-message="Please enter a valid credit card number!" id="CreditCardNumber">
                    <span class="input-group-addon"><svg style="height:18px" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="credit-card" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512"
                        class="svg-inline--fa fa-credit-card fa-w-18 fa-3x">
                        <path fill="currentColor"
                          d="M0 432c0 26.5 21.5 48 48 48h480c26.5 0 48-21.5 48-48V256H0v176zm192-68c0-6.6 5.4-12 12-12h136c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12H204c-6.6 0-12-5.4-12-12v-40zm-128 0c0-6.6 5.4-12 12-12h72c6.6 0 12 5.4 12 12v40c0 6.6-5.4 12-12 12H76c-6.6 0-12-5.4-12-12v-40zM576 80v48H0V80c0-26.5 21.5-48 48-48h480c26.5 0 48 21.5 48 48z"
                          class=""></path>
                      </svg></span>
                  </div>
                </div>
              </div>
            </div>
            <div class="row">
              <div class="col-xs-7 col-md-7">
                <div class="form-group">
                  <label id="exp-label"><strong>Exp. Date:</strong></label>
                  <div class="row">
                    <div class="col-sm-6" style="padding-right:0">
                      <select name="expmonth" class="form-control required" data-error-message="Please select a valid expiry month!" id="ExpMonth" alt="Exp Month">
                        <option value="">Month</option>
                        <option value="01">(01) January</option>
                        <option value="02">(02) February</option>
                        <option value="03">(03) March</option>
                        <option value="04">(04) April</option>
                        <option value="05">(05) May</option>
                        <option value="06">(06) June</option>
                        <option value="07">(07) July</option>
                        <option value="08">(08) August</option>
                        <option value="09">(09) September</option>
                        <option value="10">(10) October</option>
                        <option value="11">(11) November</option>
                        <option value="12">(12) December</option>
                      </select>
                    </div>
                    <div class="col-sm-6" style="padding-right:0">
                      <select name="expyear" class="form-control required" data-error-message="Please select a valid expiry year!" alt="Exp Year" id="ExpYear">
                        <option value="">Year</option>
                        <option value="23">2023</option>
                        <option value="24">2024</option>
                        <option value="25">2025</option>
                        <option value="26">2026</option>
                        <option value="27">2027</option>
                        <option value="28">2028</option>
                        <option value="29">2029</option>
                        <option value="30">2030</option>
                        <option value="31">2031</option>
                        <option value="32">2032</option>
                        <option value="33">2033</option>
                        <option value="34">2034</option>
                        <option value="35">2035</option>
                        <option value="36">2036</option>
                        <option value="37">2037</option>
                        <option value="38">2038</option>
                        <option value="39">2039</option>
                        <option value="40">2040</option>
                        <option value="41">2041</option>
                        <option value="42">2042</option>
                      </select>
                    </div>
                  </div>
                </div>
              </div>
              <div class="col-xs-5 col-md-5 pull-right">
                <div class="form-group">
                  <label><strong>CVV:</strong></label>
                  <input type="tel" name="CVV" class="form-control required" data-validate="cvv" maxlength="3" data-error-message="Please enter a valid CVV code!" placeholder="CVV">
                </div>
                <div class="sepa-block" style="display: none;">
                  <p>
                    <label>SEPA IBAN: </label>
                    <input type="text" name="sepa_iban" data-error-message="Please enter SEPA IBAN!">
                  </p>
                  <p>
                    <label>SEPA BIC: </label>
                    <input type="text" name="sepa_bic" data-error-message="Please enter SEPA BIC!">
                  </p>
                  <p>
                    <label>PHONE PIN: </label>
                    <input type="text" name="pin_number" data-error-message="Please enter valid pin number!">
                    <span id="pin-msg">Please check your mobile for the pin that was sent to you.</span>
                  </p>
                </div>
                <div class="directdebit-block" style="display: none;">
                  <p>
                    <label>IBAN: </label>
                    <input type="text" name="iban" data-error-message="Please enter IBAN!">
                  </p>
                  <p>
                    <label>BIC: </label>
                    <input type="text" name="ddbic" data-error-message="Please enter BIC!">
                  </p>
                </div>
              </div>
            </div>
            <div style="padding: 10px 10px 0; font-size: 14px; font-weight: bold; text-align: center; line-height:1.2em">
              <input type="hidden" name="charge_insurance" value="0">
              <input type="checkbox" id="shipping" name="charge_insurance" value="1" style="font-size:12px;"> Add Shipping Insurance for only $4.95
            </div>
            <div style="padding: 0 10px 10px; font-size: 14px; font-weight: bold; text-align: center; line-height:1.2em">
              <input id="protection" type="checkbox" name="device_protection" value="2" style="font-size:12px;"> Add Device Protection for only $9.90
            </div>
            <div class="row">
              <div class="col-xs-12">
                <!-- <input type="image" id="kformSubmit" src="/v1ytecudy/app/desktop/images/order-now.gif"
                                                    class="img-responsive"> -->
                <button type="button" name="" style="" class="img-responsive button_from" id="submit-checkout"> COMPLETE SECURE PURCHASE</button>
              </div>
            </div>
            <div class="disclaimer" style="padding: 10px 10px 0; font-size: 14px; font-weight: bold; text-align: center; line-height:1.2em"> By submitting, you affirm to have read and agreed to our
              <a href="javascript:void(0);" onclick="javascript:openNewWindow('page-terms.php','modal');" class="ajax-popup-link">Terms &amp; Conditions</a>
            </div>
            <div class="row">
              <div class="col-xs-12 text-center center-block">
                <small style="font-size:11px;line-height:13px;"><img src="/v1ytecudy/app/desktop/images/lock_1.png" style="width:20px;height:auto" alt=""> This is a 256-Bit Secure SSL Connection</small>
              </div>
            </div>
            <div class="terms termsbut visible-xs1" style="font-size:11px;line-height:17px;font-weight:bold;text-align:justify;margin:0;margin-top:10px">
              <div class="container1">
                <p>&nbsp;</p>
              </div>
              <div class="clearfix"></div>
            </div>
          </div>
        </div>
        <div class="panel panel-default checkout-box shippmentbx" id="arrival">
          <div class="row">
            <div class="col-xs-12">
              <h4 class="center-block text-center usps-shipment-txt"> Your Shipment <span id="verbiage" style="display:none"></span>is Estimated To Arrive By <span id="thedays" style="color:#ed192d;"> Wednesday, March 15, 2023 </span></h4>
            </div>
          </div>
          <div class="row">
            <div class="col-xs-12"><img src="/v1ytecudy/app/desktop/images/canada-post.png" class="img-responsive usps-img"></div>
          </div>
        </div>
      </div>
    </div>
    <div class="clearfix"></div>
  </div>
  <p id="loading-indicator" style="display:none;">Processing...</p>
  <p id="crm-response-container" style="display:none;">CRM messages will appear here...</p>
</form>

Text Content

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Congratulations you qualified!

Checking for stock!

Stock Available!





YOUR FREE EAR PODS PRO ARE RESERVED FOR 13:58


CLAIM YOUR EAR PODS PRO TODAY (JUST COVER SHIPPING)




ORDER SUMMARY

Ear Pods Pro
$0.00
SHIPPING & HANDLING
$17.90
Discount
-$5.00
Today Only Promo
-$3.00
TOTAL
$9.90

Good News: Get a $3 additional discount if you Order Today!

SHIPPING INFORMATION

First Name:
Last Name:
Email:
Phone:
Shipping Address:
City:
Country: Canada
Province: Select ProvinceAlbertaBritish ColumbiaManitobaNew
BrunswickNewfoundland and LabradorNorthwest TerritoriesNova
ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Postal Code :
My billing address is the same as shipping


BILLING INFORMATION

First Name:
Last Name:
Billing Address:
City:
Country: Select Country
State/Territory:
Postal Code :


PAYMENT INFORMATION


Selected Card Type:
 * Visa
 * Master Card
 * Discover
 * Amex
 * JCB



Select Card Type: Card Type Master Card Visa


Credit Card Number

Exp. Date:
Month(01) January(02) February(03) March(04) April(05) May(06) June(07) July(08)
August(09) September(10) October(11) November(12) December
Year20232024202520262027202820292030203120322033203420352036203720382039204020412042
CVV:

SEPA IBAN:

SEPA BIC:

PHONE PIN: Please check your mobile for the pin that was sent to you.

IBAN:

BIC:

Add Shipping Insurance for only $4.95
Add Device Protection for only $9.90
COMPLETE SECURE PURCHASE
By submitting, you affirm to have read and agreed to our Terms & Conditions
This is a 256-Bit Secure SSL Connection

 



YOUR SHIPMENT IS ESTIMATED TO ARRIVE BY WEDNESDAY, MARCH 15, 2023




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SECURE TRANSACTION


ALL ORDERS ARE PROCESSED THROUGH A VERY SECURE NETWORK. YOUR CREDIT CARD
INFORMATION IS NEVER STORED IN ANYWAY. WE RESPECT YOUR PRIVACY.



By submitting, you affirm to have read and agreed to our Terms & Conditions.



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