lp.britbenefits.com Open in urlscan Pro
2600:9000:2156:7e00:0:2604:c640:93a1  Public Scan

Form analysis
2 forms found in the DOM

<form>
  <input id="pageidwap" name="pageidwap" type="hidden">
</form>

<form autocomplete="on">
  <div class="group group-1">
    <div>
      <div class="group-header">
        <div class="product-image-container">
          <div class="product-image product-image-mobile"></div>
        </div>
        <div class="group-header-text">
          <h2>Please fill in your details first</h2>
        </div>
      </div>
    </div>
    <div class="group-content"><span>
        <div id="4" class="question question-radio question-gender question-ld_title"><!-- react-text: 21 --><!-- /react-text -->
          <div id="bodyRef_ld_title" class="question-body">
            <div class="qubiq-answers">
              <div class="answer answer-radio-option answer-radio" id="7"><input type="radio" name="ld_title" value="Mr" id="ld_title_Mr"><label for="ld_title_Mr">Mr</label></div>
              <div class="answer answer-radio-option answer-radio" id="9"><input type="radio" name="ld_title" value="Mrs" id="ld_title_Mrs"><label for="ld_title_Mrs">Mrs</label></div>
              <div class="answer answer-radio-option answer-radio" id="11"><input type="radio" name="ld_title" value="Ms" id="ld_title_Ms"><label for="ld_title_Ms">Ms</label></div>
            </div>
          </div>
        </div>
        <div>
          <div class="question-siblings">
            <div class="sub-questions" style="opacity: 1;">
              <div id="13" class="question question-text question-ld_first_name"><!-- react-text: 37 --><!-- /react-text -->
                <div id="bodyRef_ld_first_name" class="question-body">
                  <div class="qubiq-answers">
                    <div class="answer answer-text is-empty" id="15"><input type="text" name="fname" placeholder="First Name" autocomplete="on" value="" class="" maxlength="20" id="16"><label for="13" class="field__label">First Name</label></div>
                  </div>
                </div>
              </div>
              <div id="17" class="question question-text question-ld_last_name"><!-- react-text: 44 --><!-- /react-text -->
                <div id="bodyRef_ld_last_name" class="question-body">
                  <div class="qubiq-answers">
                    <div class="answer answer-text is-empty" id="19"><input type="text" name="lname" placeholder="Last Name" autocomplete="on" value="" class="" maxlength="40" id="20"><label for="17" class="field__label">Last Name</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div id="21" class="question question-text question-ld_email"><!-- react-text: 51 --><!-- /react-text -->
          <div id="bodyRef_ld_email" class="question-body">
            <div class="qubiq-answers">
              <div class="answer answer-text is-empty" id="23"><input type="email" name="email" placeholder="Email" autocomplete="email" value="" class="" maxlength="64" id="24"><label for="21" class="field__label">Email</label></div>
            </div>
          </div>
        </div>
        <div>
          <div class="question-siblings">
            <div class="question-header" style="display: block;">Date of Birth</div>
            <div class="sub-questions" style="opacity: 1;">
              <div id="26" class="question question-text question-ld_dayob"><!-- react-text: 62 --><!-- /react-text -->
                <div id="bodyRef_ld_dayob" class="question-body">
                  <div class="qubiq-answers">
                    <div class="answer answer-text is-empty" id="28"><input type="tel" name="ld_dayob" placeholder="DD" value="" class="" maxlength="2" id="29"><label for="26" class="field__label">DD</label></div>
                  </div>
                </div>
              </div>
              <div id="30" class="question question-text question-ld_monthob"><!-- react-text: 69 --><!-- /react-text -->
                <div id="bodyRef_ld_monthob" class="question-body">
                  <div class="qubiq-answers">
                    <div class="answer answer-text is-empty" id="32"><input type="tel" name="ld_monthob" placeholder="MM" value="" class="" maxlength="2" id="33"><label for="30" class="field__label">MM</label></div>
                  </div>
                </div>
              </div>
              <div id="34" class="question question-text question-ld_yearob"><!-- react-text: 76 --><!-- /react-text -->
                <div id="bodyRef_ld_yearob" class="question-body">
                  <div class="qubiq-answers">
                    <div class="answer answer-text is-empty" id="36"><input type="tel" name="ld_yearob" placeholder="YYYY" value="" class="" maxlength="4" id="37"><label for="34" class="field__label">YYYY</label></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </span></div>
    <div class="group-footer"><button class="button-next"><!-- react-text: 106 -->ENTER NOW<!-- /react-text --><span class="shineAnimation"></span></button>
      <div class="group-footer-text">By entering you agree to our <a target="_blank" href="//st.formulead.com/assets/links/nn/uk/privacy/index.html">privacy policy</a> and our
        <a target="_blank" href="//st.formulead.com/assets/links/nn/uk/terms/index.html">terms</a> and to receive communications by email, phone and sms from NectarContests. We may also share your details with identity verification organisations
        which help other organisations verify your identity and prevent others from misusing your details.</div><span>
        <div class="qubiq-cookie-footer">
          <div class="cookie-footer-text">We use cookies to ensure that we give you the best experience on our websites. By continuing to navigate this website you agree to personalized ads and other content throughout your online experience. We and
            our partners may place cookies through this website. We also share information about your usage of our site with our advertising- and analytics partners, who may combine it with other information for the usage of their services. If you
            press accept we assume that you consent to receive all cookies and the sharing of your information. If you wish to continue without these partner cookies, you can do so by clicking
            <strong><a href="#/no_consent_given" style="text-decoration: underline">here</a></strong>. </div>
          <div class="cookie-footer-button"><button type="button" class="cookie-footer-ok-button">I Accept</button></div>
        </div>
      </span>
    </div>
  </div>
</form>

Text Content

iPhone 13 / Mini / Pro / Max


Offer expires in: 9 min and 48 sec
Please Verify your Email Address



PLEASE FILL IN YOUR DETAILS FIRST

Mr
Mrs
Ms
First Name
Last Name
Email
Date of Birth
DD
MM
YYYY
ENTER NOW
By entering you agree to our privacy policy and our terms and to receive
communications by email, phone and sms from NectarContests. We may also share
your details with identity verification organisations which help other
organisations verify your identity and prevent others from misusing your
details.
We use cookies to ensure that we give you the best experience on our websites.
By continuing to navigate this website you agree to personalized ads and other
content throughout your online experience. We and our partners may place cookies
through this website. We also share information about your usage of our site
with our advertising- and analytics partners, who may combine it with other
information for the usage of their services. If you press accept we assume that
you consent to receive all cookies and the sharing of your information. If you
wish to continue without these partner cookies, you can do so by clicking here.
I Accept

NectarContests collects and handles your information under the UK Data
Protection Act 1998 and the (EC Directive) Regulations 2003. When you register
your details, enter a competition or submit a questionnaire including your
preferences you agree to NectarContests its agents or affiliates using your
details and supplying them to other organizations (who may be located overseas
in a wide range of countries including UK, AU, NZ, US, EU and Philippines) for
purposes of: sending you information, offers and promotions about products and
services based on your preferences and any prize notification (offers) by mail,
phone/SMS/MMS or email; incorporating your details in any information products
and information management services to provide to NectarContests' clients; and
administering your details including improving and personalizing offers,
verifying and assessing your identity, maintaining and updating records. When
you respond to a question from a named organization in an offer you expressly
consent to that organization and its agents or affiliates using your details to
contact you for offers. You agree that we can use your details for an indefinite
period or until you notify us or opt out from receiving offers. NectarContests
is not affiliated with, sponsored by or endorsed by companies from whom we
obtain the prizes. We do receive marketing fees from organizations placing
offers in our questionnaires including financial institutions. You should always
read their terms and conditions and any product disclosure statement.


See our Privacy Policy for more detail on your rights and for questions or
complaints. By submitting a completed questionnaire you are agreeing to the
Terms & Conditions and have read and understood the Privacy Policy .
NectarContests is a registered trademark of Firebrick Media N.V.