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76.76.21.22  Public Scan

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Submitted URL: https://email.pfl.com/c/eJysVk9v474R_TTSZRBBpq3YPuiQOOv9Bd3tLhr30FMxokYSG4oUhpRdf_tiqDhrbP-cCiQRxT_DN--9GaWxMzf1K4zosC...
Effective URL: https://salesforce.pfl.com/OneItem/c0647698-ae04-4583-a239-b58b4ff19ac6
Submission: On August 15 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="" class="needs-validation">
  <div class="row">
    <div class="col">
      <div class="form-floating my-3"><input type="text" class="form-control form-control-sm" maxlength="256" id="firstName" placeholder="First Name" required=""><label>First Name</label></div>
    </div>
    <div class="col">
      <div class="form-floating my-3"><input type="text" class="form-control form-control-sm" maxlength="256" id="lastName" placeholder="Last Name" required=""><label>Last Name</label></div>
    </div>
  </div>
  <div class="form-floating mb-3"><input type="text" class="form-control form-control-sm false" maxlength="35" id="street" placeholder="Address Line 1" required=""><label>Address Line 1</label></div>
  <div class="form-floating mb-3"><input type="text" class="form-control form-control-sm false" maxlength="35" id="street2" placeholder="Address Line 2 (Optional)"><label>Address Line 2 (Optional)</label></div>
  <div class="form-floating mb-3"><input type="text" class="form-control form-control-sm" maxlength="70" id="city" placeholder="City" required=""><label>City</label></div>
  <div class="form-floating mb-3"><select class="form-control form-control-sm" id="state" required="">
      <option value="">Select a state/province</option>
      <optgroup label="United States">
        <option value="Alabama">Alabama</option>
        <option value="Alaska">Alaska</option>
        <option value="Arizona">Arizona</option>
        <option value="Arkansas">Arkansas</option>
        <option value="California">California</option>
        <option value="Colorado">Colorado</option>
        <option value="Connecticut">Connecticut</option>
        <option value="Delaware">Delaware</option>
        <option value="District of Columbia">District of Columbia</option>
        <option value="Florida">Florida</option>
        <option value="Georgia">Georgia</option>
        <option value="Hawaii">Hawaii</option>
        <option value="Idaho">Idaho</option>
        <option value="Illinois">Illinois</option>
        <option value="Indiana">Indiana</option>
        <option value="Iowa">Iowa</option>
        <option value="Kansas">Kansas</option>
        <option value="Kentucky">Kentucky</option>
        <option value="Louisiana">Louisiana</option>
        <option value="Maine">Maine</option>
        <option value="Maryland">Maryland</option>
        <option value="Massachusetts">Massachusetts</option>
        <option value="Michigan">Michigan</option>
        <option value="Minnesota">Minnesota</option>
        <option value="Mississippi">Mississippi</option>
        <option value="Missouri">Missouri</option>
        <option value="Montana">Montana</option>
        <option value="Nebraska">Nebraska</option>
        <option value="Nevada">Nevada</option>
        <option value="New Hampshire">New Hampshire</option>
        <option value="New Jersey">New Jersey</option>
        <option value="New Mexico">New Mexico</option>
        <option value="New York">New York</option>
        <option value="North Carolina">North Carolina</option>
        <option value="North Dakota">North Dakota</option>
        <option value="Ohio">Ohio</option>
        <option value="Oklahoma">Oklahoma</option>
        <option value="Oregon">Oregon</option>
        <option value="Pennsylvania">Pennsylvania</option>
        <option value="Rhode Island">Rhode Island</option>
        <option value="South Carolina">South Carolina</option>
        <option value="South Dakota">South Dakota</option>
        <option value="Tennessee">Tennessee</option>
        <option value="Texas">Texas</option>
        <option value="Utah">Utah</option>
        <option value="Vermont">Vermont</option>
        <option value="Virginia">Virginia</option>
        <option value="Washington">Washington</option>
        <option value="West Virginia">West Virginia</option>
        <option value="Wisconsin">Wisconsin</option>
        <option value="Wyoming">Wyoming</option>
      </optgroup>
      <optgroup label="United States Outlying Territories">
        <option value="American Samoa">American Samoa</option>
        <option value="Guam">Guam</option>
        <option value="Northern Mariana Islands">Northern Mariana Islands</option>
        <option value="Puerto Rico">Puerto Rico</option>
        <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
        <option value="Virgin Islands">Virgin Islands</option>
      </optgroup>
      <optgroup label="Canada">
        <option value="Alberta">Alberta</option>
        <option value="British Columbia">British Columbia</option>
        <option value="Manitoba">Manitoba</option>
        <option value="New Brunswick">New Brunswick</option>
        <option value="Newfoundland and Labrador">Newfoundland and Labrador</option>
        <option value="Nova Scotia">Nova Scotia</option>
        <option value="Ontario">Ontario</option>
        <option value="Prince Edward Island">Prince Edward Island</option>
        <option value="Quebec">Quebec</option>
        <option value="Saskatchewan">Saskatchewan</option>
        <option value="Northwest Territories">Northwest Territories</option>
        <option value="Nunavut">Nunavut</option>
        <option value="Yukon">Yukon</option>
      </optgroup>
    </select><label>State</label></div>
  <div class="form-floating mb-3"><input type="text" class="form-control form-control-sm" maxlength="70" id="postalCode" placeholder="Zip/Postal Code" required=""><label>Zip/Postal Code</label></div>
  <div class="form-floating mb-3"><select class="form-control form-control-sm" id="country" required="">
      <option value="">Choose a Country</option>
      <option value="United States">United States</option>
      <option value="Canada">Canada</option>
    </select><label>Country</label></div>
  <div class="form-floating mb-3"><input type="text" class="form-control form-control-sm" maxlength="50" id="phone" placeholder="Phone Number (Optional)"><label>Phone Number (Optional)</label></div>
  <div>
    <div>
      <p class="text-muted"><small>By submitting your contact information to PFL, an authorized Direct Mail provider for Salesforce, you confirm you would like to receive a gift from Salesforce subject to the offer terms below.* Your information may
          be shared with Salesforce and used as described in Salesforce's <a href="https://www.salesforce.com/company/privacy/full_privacy/" target="_blank">Privacy Statement</a>. </small></p>
    </div>
  </div><button type="submit" class="w-100 btn btn-primary btn-lg">Submit to Receive Your Gift*</button>
</form>

Text Content

THANK YOU FOR REDEEMING YOUR SALESFORCE GIFT*!

THE ADDRESS YOU PROVIDE WILL BE USED TO SHIP YOU THIS PACKAGE. THIS IS A
ONE-TIME USE FORM, THIS ADDRESS WON'T BE STORED FOR ANY FUTURE USE.

ENJOY YOUR GIFT!

*Offer ends on August 29, 2024 8:50 PM. Open to adults who received an offer
email directly from Salesforce. Excludes employees or officials of any
government entity. Limit one (1) gift per person subject to verification of
eligibility and availability. Offer is not sponsored or endorsed by the product
manufacturer. Offer subject to change at any time.

First Name
Last Name
Address Line 1
Address Line 2 (Optional)
City
Select a
state/provinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingAmerican SamoaGuamNorthern Mariana IslandsPuerto
RicoUnited States Minor Outlying IslandsVirgin IslandsAlbertaBritish
ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince
Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukonState
Zip/Postal Code
Choose a CountryUnited StatesCanadaCountry
Phone Number (Optional)

By submitting your contact information to PFL, an authorized Direct Mail
provider for Salesforce, you confirm you would like to receive a gift from
Salesforce subject to the offer terms below.* Your information may be shared
with Salesforce and used as described in Salesforce's Privacy Statement.

Submit to Receive Your Gift*


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