azlotteryprizefulfillment.com
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URL:
https://azlotteryprizefulfillment.com/
Submission: On April 16 via api from US — Scanned from DE
Submission: On April 16 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form _ngcontent-ece-c29="" novalidate="" autocomplete="off" class="ng-untouched ng-pristine ng-invalid">
<div _ngcontent-ece-c29="" class="input-block"><label _ngcontent-ece-c29="" for="client_reference_id">Client ID <span _ngcontent-ece-c29="" aria-hidden="true">*</span></label><input _ngcontent-ece-c29="" type="text"
formcontrolname="client_reference_id" maxlength="47" id="client_reference_id" name="client_reference_id" aria-required="true" class="custom-input-control ng-untouched ng-pristine ng-invalid">
<div _ngcontent-ece-c29="" role="alert" class="margin-top"><!----></div>
</div>
<div _ngcontent-ece-c29="" class="date-picker flex-grow-margin"><label _ngcontent-ece-c29="" for="birth_date">Date of Birth (MM/DD/YYYY) <span _ngcontent-ece-c29="" aria-hidden="true">*</span></label><input _ngcontent-ece-c29="" type="text"
id="birth_date" name="birth_date" formcontrolname="birth_date" bsdatepicker="" aria-required="true" class="custom-form-control ng-untouched ng-pristine ng-invalid"><!---->
<div _ngcontent-ece-c29="" role="alert" class="margin-top"><!----></div>
</div>
<div _ngcontent-ece-c29="" class="flex-grow-margin"><!----><!----><!----></div><!---->
<div _ngcontent-ece-c29=""><!---->
<div _ngcontent-ece-c29="" class="float-right"><button _ngcontent-ece-c29="" type="button" id="need_help" class="border-radius4 cancel-btn">Need Help?<span class="sr-only sr-only-focusable">(opens a new window)</span></button></div>
</div><button _ngcontent-ece-c29="" type="submit" class="custom-button login-btn flex-grow-margin-top"><span _ngcontent-ece-c29="">Log in</span><!----><!----></button>
</form>
Text Content
Skip to Main LOG IN Client ID * Date of Birth (MM/DD/YYYY) * Need Help?(opens a new window) Log in The Arizona Lottery Player's Club Mastercard is issued by Sutton Bank, Member FDIC, pursuant to a license from Mastercard International Incorporated. Mastercard and the circles design are registered trademarks of Mastercard International Incorporated. Can be used everywhere Mastercard debit cards are accepted. Terms and conditions apply. Terms & Conditions (opens in a new window) Privacy Policy (opens in a new window) eSign Agreement (opens in a new window) USA PATRIOT ACT Disclosure (opens in a new window) FAQs (opens in a new window) Sitemap Please enable JavaScript to continue using this application.