4evermagiccosmetics.refersion.com
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URL:
https://4evermagiccosmetics.refersion.com/
Submission: On May 17 via api from US — Scanned from DE
Submission: On May 17 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form class="no-bottom-margin registration-form" method="post" id="registration-form" autocomplete="off">
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<div id="password-errors" class="alert alert-error" style="display: none;">
<p><strong><i class="icon-remove"></i> Errors occurred!</strong></p>
<ul></ul>
</div>
<script>
$(document).ready(function() {
$('form').populate({
'first_name': '',
'last_name': '',
'email': ''
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<div class="row-fluid">
<div class="span6">
<div class="control-group">
<label class="control-label" for="first_name">First Name <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 84%" name="first_name" id="first_name" value="" required="">
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<div class="span6">
<div class="control-group">
<label class="control-label" for="last_name">Last Name <i class="icon-asterisk red"></i></label>
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<input type="text" class="required" style="width: 84%" name="last_name" id="last_name" value="" required="">
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</div>
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<div class="row-fluid">
<div class="control-group">
<label class="control-label" for="email">Email <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="email" class="required" style="width: 92%" name="email" id="email" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group">
<label class="control-label" for="password">Password <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="password" class="required" style="width: 92%" name="password" id="password" value="" required="">
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</div>
</div>
<div class="row-fluid">
<div class="control-group">
<label class="control-label" for="password2">Confirm Password <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="password" class="required" style="width: 92%" name="password2" id="password2" value="" required="">
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</div>
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<div class="row-fluid">
<div class="control-group offer-40196-42105">
<label class="control-label" for="custom_42105">All Social Media Handles <i class="icon-asterisk red"></i></label>
<div class="controls">
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<div class="row-fluid">
<div class="control-group offer-40196-22321">
<label class="control-label" for="country"> Country <i class="icon-asterisk red"></i> </label>
<div class="controls">
<select id="country" name="country" style="appearance: menulist-button; width: 547px; position: absolute; opacity: 0; height: 42px; font-size: 14px;"
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<option value="">--</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AR">Argentina</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BM">Bermuda</option>
<option value="BO">Bolivia, Plurinational State Of</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BR">Brazil</option>
<option value="BG">Bulgaria</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Democratic Republic Of The</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="EE">Estonia</option>
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<option value="GI">Gibraltar</option>
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<option value="IQ">Iraq</option>
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<option value="JP">Japan</option>
<option value="JO">Jordan</option>
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<option value="KE">Kenya</option>
<option value="KW">Kuwait</option>
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<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libyan Arab Jamahiriya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States Of</option>
<option value="MC">Monaco</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="NA">Namibia</option>
<option value="NL">Netherlands</option>
<option value="NZ">New Zealand</option>
<option value="NG">Nigeria</option>
<option value="MK">North Macedonia</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PA">Panama</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="KN">Saint Kitts And Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="SA">Saudi Arabia</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="TW">Taiwan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="YE">Yemen</option>
<option value="ZW">Zimbabwe</option>
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</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22320">
<label class="control-label" for="zip_22320">ZIP/Postal Code <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 92%" name="zip" id="zip_22320" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22319">
<label class="control-label" for="state"> State/Province/region <i class="icon-asterisk red"></i> </label>
<div class="controls">
<select name="state" style="appearance: menulist-button; width: 547px; position: absolute; opacity: 0; height: 42px; font-size: 14px;" id="state" required="" class="hasCustomSelect">
</select><span class="customSelect" style="width: 92%; display: inline-block;"><span class="customSelectInner" style="width: 538px; display: inline-block;"> </span></span>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22318">
<label class="control-label" for="city_22318">City <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 92%" name="city" id="city_22318" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22317">
<label class="control-label" for="address2_22317">Address 2 <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 92%" name="address2" id="address2_22317" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22316">
<label class="control-label" for="address1_22316">Address <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 92%" name="address1" id="address1_22316" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22315">
<label class="control-label" for="paypal_email_22315">PayPal Email <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="email" class="required" style="width: 92%" name="paypal_email" id="paypal_email_22315" value="" required="">
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group offer-40196-22131">
<label class="control-label" for="phone_22131">Phone <i class="icon-asterisk red"></i></label>
<div class="controls">
<input type="text" class="required" style="width: 92%" name="phone" id="phone_22131" value="" required="">
</div>
</div>
</div>
<div class="control-group">
<div class="controls">
<label class="checkbox" for="affiliate_tos" style="width: auto;">
<input type="checkbox" name="affiliate_tos" id="affiliate_tos" value="TRUE" required=""> By registering you agree to the Refersion <a href="https://www.refersion.com/terms" target="_blank">Terms of Service</a> and it's incorporated
policies.<i class="icon-asterisk red"></i>
</label>
</div>
</div>
<br>
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<input type="submit" class="btn btn-large btn-yellow bold cta-button" value="Apply">
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<small>This site is protected by reCAPTCHA and the Google <a href="https://policies.google.com/privacy">Privacy Policy</a> and <a href="https://policies.google.com/terms">Terms of Service</a> apply. </small>
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</form>Text Content
Already registered? Login PROGRAM APPLICATION Errors occurred! First Name Last Name Email Password Confirm Password All Social Media Handles Country -- Afghanistan Albania Algeria American Samoa Andorra Angola Argentina Australia Austria Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bolivia, Plurinational State Of Bosnia and Herzegovina Botswana Brazil Bulgaria Cameroon Canada Cayman Islands Chad Chile China Colombia Comoros Congo Congo, The Democratic Republic Of The Costa Rica Côte d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Estonia Faroe Islands Fiji Finland France Georgia Germany Ghana Gibraltar Greece Greenland Guam Guatemala Guernsey Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kuwait Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Malawi Malaysia Maldives Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States Of Monaco Morocco Mozambique Namibia Netherlands New Zealand Nigeria North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russian Federation Saint Kitts And Nevis Saint Lucia Samoa San Marino Saudi Arabia Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Somalia South Africa South Korea Spain Sri Lanka Sudan Swaziland Sweden Switzerland Taiwan Tanzania, United Republic of Thailand Trinidad and Tobago Tunisia Turkey Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Venezuela, Bolivarian Republic of Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zimbabwe -- ZIP/Postal Code State/Province/region City Address 2 Address PayPal Email Phone By registering you agree to the Refersion Terms of Service and it's incorporated policies. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. COMMISSION & BUSINESS DETAILS Conversion action Online purchase with processed valid payment Cookie days 30 days Commission type Percent of Sale Base commission 20.00% Additional terms Payment will be made on the 15th of each month, you will receive your commission for the prior month via PayPal. Refersion - Advanced Affiliate Marketing Made Simple Copyright © 2013 - 2024 · Refersion Inc. All trademarks and registered trademarks are the property of their respective owners.