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URL:
https://www.giftcardgrabber.com/lander?lander_id=17&subid=GFR16GXW-gifpay-042922_12752&req1=314583065&utm_source=12752&utm_campa...
Submission: On May 01 via manual from US — Scanned from DE
Submission: On May 01 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST funcs/capture_data.php?type=sub
<form class="msForm" action="funcs/capture_data.php?type=sub" id="formSubRecap" method="POST">
<!-- step1 container -->
<div class="hideContainer" id="step1Container">
<div style="float: left; width:100%; text-align: center; font-size: 18px; font-weight: bold; padding-bottom: 10px;"> If you win where should we ship Your Card? </div>
<!-- zip code-->
<div class="form-block__form__input-group">
<label for="zipCode" class="form-block__form__label color-fff fs16 fw100 text-right"> Zip Code: </label>
<input type="text" name="zipCode" id="zipCode" class="form-block__form__input color-tertiary fs18" value="02771" onkeyup="limitFieldFormat('zipCode', 'numeric');" pattern="\d*" onkeypress="limitKeypress(event,this.value,5);">
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<div class="form-block__form__input-group gcgMember" style="float: left; width: 100%; text-align: center;; margin-top: 10px;">
<a id="continueButtonContainer1" class="continueButtonContainer" onclick="checkStep1Data(17);">
CONTINUE
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</a>
<div id="processing-image1" style="display:none; z-index: 75; margin-top: 10px; margin-bottom: 10px; text-align: center;">
<img src="/images/landers/processing.gif" alt="data processsing" style="max-width:91px; border: 0px;">
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</div>
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<div class="hideContainer" id="step2Container">
<!-- street address -->
<div class="form-block__form__input-group">
<label for="streetaddress" class="form-block__form__label color-fff fs16 fw100 text-right"> Address: </label>
<input type="text" name="streetaddress" id="streetaddress" class="form-block__form__input color-tertiary fs18" value="213 Taunton Ave">
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<div class="form-block__form__input-group cityState">
<label for="city" class="form-block__form__label color-fff fs16 fw100 text-right"> City: </label>
<input type="text" name="city" id="city" class="form-block__form__input color-tertiary fs18" value="Seekonk">
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<div class="form-block__form__input-group cityState">
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<select name="state" id="state" class="form-block__form__select color-tertiary" style="width:280px;" onchange="getGender();">
<option value="">Select</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
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<option value="DC">District Of Columbia</option>
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<option value="IL">Illinois</option>
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<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA" selected="">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
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<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
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<option value="SC">South Carolina</option>
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CONTINUE
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CONTINUE
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<img src="/images/landers/processing.gif" alt="data processsing" style="max-width:91px; border: 0px;">
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<div class="hideContainer" id="step4Container">
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<label for="email" class="form-block__form__label color-fff fs16 fw100 text-right"> Email: </label>
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<a id="continueButtonContainer4" class="continueButtonContainer" onclick="checkStep4Data(17);">
CONTINUE
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<img src="/images/landers/processing.gif" alt="data processsing" style="max-width:91px; border: 0px;">
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</div>
</div>
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<div class="hideContainer" id="step5Container">
<!-- Date of Birth -->
<div class="form-block__form__input-group">
<!-- Birth Month -->
<label class="form-block__form__label color-fff fs16 fw100 text-right">Date of Birth:</label>
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<option value="1">January</option>
<option value="2">Febuary</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
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<option value="3">3</option>
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<option value="6">6</option>
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<option value="22">22</option>
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<option value="">Year</option>
<option value="1925">1925</option>
<option value="1926">1926</option>
<option value="1927">1927</option>
<option value="1928">1928</option>
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<option value="1930">1930</option>
<option value="1931">1931</option>
<option value="1932">1932</option>
<option value="1933">1933</option>
<option value="1934">1934</option>
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983" selected="">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
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<!-- End of Birth Year -->
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<div class="form-block__form__input-group">
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<!--Phone number -->
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<!-- End of phone number -->
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<span id="firstStep" style="display: none;">0</span>
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<input type="checkbox" name="chk_terms" id="chk_terms" style="" title="Opt-In">
<div class="opt-in-detail font-fam-primary fs11 color-fff" style="color: #000;"> By checking this box, you agree to our <a href="https://www.giftcardgrabber.com/terms-and-conditions" target="_blank">Terms of Service</a>,
<a href="https://www.giftcardgrabber.com/privacy-policy" target="_blank">Privacy Policy</a> and agree to receive daily newsletters and promotions via email from GiftCardGrabber and CouponCartDaily. </div>
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<div class="banner-block--alt__inner">
<div class="inline-b-signup">
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Text Content
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