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www.dream-singles.com Open in urlscan Pro
34.217.2.208  Public Scan

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Submitted URL: https://www.dream-singles.com/emailLogin?dm_id=3917559236&dm_key=9427c49fb873573ced2694847db518e0&key=MTAwOTk5NzkgMTY2NjY4NDQ4...
Effective URL: https://www.dream-singles.com/members/rewards/showMyRewardsPage
Submission: On September 26 via api from BE — Scanned from DE

Form analysis 3 forms found in the DOM

<form id="giftInfo">
  <div class="container">
    <div class="row">
      <div class="col-xs-12 flex-center-wrapper">
        <div class="dropdown bootstrap-select cardType ds-select bs3"><select id="cardTitleSelect" class="cardType ds-select" tabindex="-98">
            <option value="Happy Birthday (_)">Happy Birthday (_)</option>
            <option value="Just to Say I Love You">Just to Say I Love You</option>
            <option value="Thinking About You">Thinking About You</option>
            <option value="Get Well">Get Well</option>
            <option value="Best Wishes">Best Wishes</option>
            <option value="Congratulations">Congratulations</option>
            <option value="Merry Christmas (December 25th)">Merry Christmas (December 25th)</option>
            <option value="Happy New Year (January 1st)">Happy New Year (January 1st)</option>
            <option value="Happy Valentine`s Day (February 14th)">Happy Valentine`s Day (February 14th)</option>
            <option value="Happy Women`s Day (March 8th)">Happy Women`s Day (March 8th)</option>
            <option id="customCardTitle" value="type-your-own" style="text-align: center"> Custom </option>
          </select><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="cardTitleSelect" title="Happy Birthday (_)">
            <div class="filter-option">
              <div class="filter-option-inner">
                <div class="filter-option-inner-inner">Happy Birthday (_)</div>
              </div>
            </div><span class="bs-caret"><span class="caret"></span></span>
          </button>
          <div class="dropdown-menu open" role="combobox">
            <div class="inner open" role="listbox" aria-expanded="false" tabindex="-1">
              <ul class="dropdown-menu inner "></ul>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div id="customBlock" class="row d-none">
      <div class="col-xs-12 flex-center-wrapper">
        <span>Enter your Card Title:</span>
      </div>
      <div class="col-xs-12 flex-center-wrapper">
        <input id="customCardInput" type="text" value="">
      </div>
    </div>
    <div class="row custom-card-wrapper" style="display: none">
      <div class="col-xs-12 flex-center-wrapper">
        <input type="text" class="customCardInput ds-input">
      </div>
    </div>
    <div class="row">
      <div class="col-xs-12 flex-center-wrapper">
        <textarea name="cardText" class="cardText ds-input"></textarea>
      </div>
    </div>
    <div class="row">
      <div class="col-xs-12 flex-center-wrapper">
        <button type="submit" class="submit">submit</button>
      </div>
    </div>
  </div>
  <input type="hidden" name="cardType" class="cardTypeInput" value="Happy Birthday (_)">
  <input type="hidden" name="event" class="dataReward">
  <input type="hidden" name="ladyProfileId" class="ladyProfileIdInput">
  <input type="hidden" name="options" class="optionsInput">
</form>

<form id="ladyGiftSearch">
  <div class="search-group">
    <input type="text" name="ladyProfileId" id="ladyProfileId" class="ds-input" placeholder="LADY PROFILE ID">
    <button type="submit" class="btn search-button"><span class="glyphicon glyphicon-search"></span></button>
  </div>
</form>

Name: membership_purchase — POST /members/membershipPlans

<form name="membership_purchase" method="post" action="/members/membershipPlans">
  <fieldset class="form-group billing-information-form">
    <div class="billing-wrapper">
      <div class="billing-section">
        <fieldset class="form-group billing-card-wrapper">
          <label class="col-form-label required">Billing Address</label>
          <div class="row">
            <div class="col-12 col-xs-12">
              <div class="form-group"><input type="text" id="membership_purchase_billing_BillingAddress_address" name="membership_purchase[billing][BillingAddress][address]" required="required" placeholder="Street Address" class="form-control"></div>
            </div>
            <div class="col-6 col-xs-6">
              <div class="form-group"><input type="text" id="membership_purchase_billing_BillingAddress_zip" name="membership_purchase[billing][BillingAddress][zip]" required="required" placeholder="Zip Code" class="form-control"></div>
            </div>
            <div class="col-6 col-xs-6">
              <div class="form-group"><input type="text" id="membership_purchase_billing_BillingAddress_city" name="membership_purchase[billing][BillingAddress][city]" required="required" placeholder="City" class="form-control"></div>
            </div>
            <div class="col-6 col-xs-6">
              <div class="form-group">
                <div class="dropdown bootstrap-select form-control bs3"><select id="membership_purchase_billing_BillingAddress_state" name="membership_purchase[billing][BillingAddress][state]" class="form-control" tabindex="-98">
                    <option value="" selected="selected">--- Select State ---</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>
                    <option value="DE">Delaware</option>
                    <option value="FL">Florida</option>
                    <option value="GA">Georgia</option>
                    <option value="HI">Hawaii</option>
                    <option value="ID">Idaho</option>
                    <option value="IL">Illinois</option>
                    <option value="IN">Indiana</option>
                    <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">Massachusetts</option>
                    <option value="MI">Michigan</option>
                    <option value="MN">Minnesota</option>
                    <option value="MS">Mississippi</option>
                    <option value="MO">Missouri</option>
                    <option value="MT">Montana</option>
                    <option value="NE">Nebraska</option>
                    <option value="NV">Nevada</option>
                    <option value="NH">New Hampshire</option>
                    <option value="NJ">New Jersey</option>
                    <option value="NM">New Mexico</option>
                    <option value="NY">New York</option>
                    <option value="NC">North Carolina</option>
                    <option value="ND">North Dakota</option>
                    <option value="OH">Ohio</option>
                    <option value="OK">Oklahoma</option>
                    <option value="OR">Oregon</option>
                    <option value="PA">Pennsylvania</option>
                    <option value="RI">Rhode Island</option>
                    <option value="SC">South Carolina</option>
                    <option value="SD">South Dakota</option>
                    <option value="TN">Tennessee</option>
                    <option value="TX">Texas</option>
                    <option value="UT">Utah</option>
                    <option value="VT">Vermont</option>
                    <option value="VA">Virginia</option>
                    <option value="WA">Washington</option>
                    <option value="WV">West Virginia</option>
                    <option value="WI">Wisconsin</option>
                    <option value="WY">Wyoming</option>
                    <option value="AL">Alabama</option>
                    <option value="AE">Armed Forces (AE)</option>
                    <option value="AA">Armed Forces (AA)</option>
                    <option value="AP">Armed Forces (AP)</option>
                  </select><button type="button" class="btn dropdown-toggle btn-default bs-placeholder" data-toggle="dropdown" role="button" data-id="membership_purchase_billing_BillingAddress_state" title="--- Select State ---">
                    <div class="filter-option">
                      <div class="filter-option-inner">
                        <div class="filter-option-inner-inner">--- Select State ---</div>
                      </div>
                    </div><span class="bs-caret"><span class="caret"></span></span>
                  </button>
                  <div class="dropdown-menu open" role="combobox">
                    <div class="inner open" role="listbox" aria-expanded="false" tabindex="-1">
                      <ul class="dropdown-menu inner "></ul>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="col-6 col-xs-6">
              <div class="form-group">
                <div class="dropdown bootstrap-select form-control bs3"><select id="membership_purchase_billing_BillingAddress_country" name="membership_purchase[billing][BillingAddress][country]" required="required" class="form-control"
                    tabindex="-98">
                    <option value="" selected="selected">Select Country</option>
                    <option value="5000">United States</option>
                    <option value="5094">United Kingdom</option>
                    <option value="5001">Canada</option>
                    <option value="5002">Australia</option>
                    <option value="5087">Sweden</option>
                    <option value="5029">Denmark</option>
                    <option value="5063">Norway</option>
                    <option value="5033">France</option>
                    <option value="5004">Belgium</option>
                    <option value="5047">Italy</option>
                    <optgroup label="All Countries">
                      <option value="5010">Afghanistan</option>
                      <option value="5012">Albania</option>
                      <option value="5013">Algeria</option>
                      <option value="5112">American Samoa</option>
                      <option value="5113">Andorra</option>
                      <option value="5014">Angola</option>
                      <option value="5114">Anguilla</option>
                      <option value="8">Antarctica</option>
                      <option value="5015">Antigua</option>
                      <option value="5011">Argentina</option>
                      <option value="5017">Armenia</option>
                      <option value="5018">Aruba</option>
                      <option value="5003">Austria</option>
                      <option value="5115">Azerbaijan</option>
                      <option value="5019">Bahamas</option>
                      <option value="5116">Bahrain</option>
                      <option value="5020">Bangladesh</option>
                      <option value="5005">Barbados</option>
                      <option value="5117">Belize</option>
                      <option value="5118">Benin</option>
                      <option value="5008">Bermuda</option>
                      <option value="5119">Bhutan</option>
                      <option value="5109">Bolivia</option>
                      <option value="5120">Botswana</option>
                      <option value="29">Bouvet Island</option>
                      <option value="5006">Brazil</option>
                      <option value="31">British Indian Ocean Territory</option>
                      <option value="5122">Brunei Darussalam</option>
                      <option value="5007">Bulgaria</option>
                      <option value="5123">Burkina Faso</option>
                      <option value="5021">Cambodia</option>
                      <option value="5126">Cameroon</option>
                      <option value="5127">Cape Verde</option>
                      <option value="5022">Cayman Islands</option>
                      <option value="5129">Chad</option>
                      <option value="5023">Chile</option>
                      <option value="5024">China</option>
                      <option value="5130">Christmas Island</option>
                      <option value="5131">Cocos (Keeling) Islands</option>
                      <option value="5025">Colombia</option>
                      <option value="5132">Comoros</option>
                      <option value="5135">Cook Islands</option>
                      <option value="5026">Costa Rica</option>
                      <option value="52">Cote D'Ivoire</option>
                      <option value="5027">Croatia</option>
                      <option value="5028">Cyprus</option>
                      <option value="5108">Czech Republic</option>
                      <option value="5138">Djibouti</option>
                      <option value="5139">Dominica</option>
                      <option value="5140">Dominican Republic</option>
                      <option value="61">East Timor</option>
                      <option value="5036">Ecuador</option>
                      <option value="5030">Egypt</option>
                      <option value="5141">El Salvador</option>
                      <option value="5142">Equatorial Guinea</option>
                      <option value="5143">Eritrea</option>
                      <option value="5031">Estonia</option>
                      <option value="5144">Ethiopia</option>
                      <option value="5145">Falkland Islands (Malvinas)</option>
                      <option value="5146">Faroe Islands</option>
                      <option value="5147">Fiji</option>
                      <option value="5032">Finland</option>
                      <option value="74">France, Metropolitan</option>
                      <option value="5148">French Guiana</option>
                      <option value="5149">French Polynesia</option>
                      <option value="77">French Southern Territories</option>
                      <option value="5150">Gabon</option>
                      <option value="5151">Gambia</option>
                      <option value="5152">Georgia</option>
                      <option value="5034">Germany</option>
                      <option value="5101">Ghana</option>
                      <option value="5153">Gibraltar</option>
                      <option value="5035">Greece</option>
                      <option value="5037">Greenland</option>
                      <option value="5154">Grenada</option>
                      <option value="5155">Guadeloupe</option>
                      <option value="5038">Guam</option>
                      <option value="5156">Guatemala</option>
                      <option value="5158">Guinea</option>
                      <option value="5159">Guinea-bissau</option>
                      <option value="5160">Guyana</option>
                      <option value="5161">Haiti</option>
                      <option value="94">Heard and Mc Donald Islands</option>
                      <option value="5162">Honduras</option>
                      <option value="5039">Hong Kong</option>
                      <option value="5040">Hungary</option>
                      <option value="5041">Iceland</option>
                      <option value="5042">India</option>
                      <option value="5043">Indonesia</option>
                      <option value="5044">Ireland</option>
                      <option value="5045">Israel</option>
                      <option value="5048">Jamaica</option>
                      <option value="5049">Japan</option>
                      <option value="5050">Jordan</option>
                      <option value="5165">Kazakhstan</option>
                      <option value="5051">Kenya</option>
                      <option value="5166">Kiribati</option>
                      <option value="5052">Korea: Republic of</option>
                      <option value="5053">Kuwait</option>
                      <option value="5168">Kyrgyzstan</option>
                      <option value="116">Lao People's Democratic Republic</option>
                      <option value="5054">Latvia</option>
                      <option value="5056">Lebanon</option>
                      <option value="5170">Lesotho</option>
                      <option value="121">Libyan Arab Jamahiriya</option>
                      <option value="5173">Liechtenstein</option>
                      <option value="5055">Lithuania</option>
                      <option value="5174">Luxembourg</option>
                      <option value="5175">Macau</option>
                      <option value="5176">Macedonia: The Former Yugoslav Republic of</option>
                      <option value="5177">Madagascar</option>
                      <option value="5178">Malawi</option>
                      <option value="5057">Malaysia</option>
                      <option value="5060">Maldives</option>
                      <option value="5179">Mali</option>
                      <option value="5058">Malta</option>
                      <option value="5181">Marshall Islands</option>
                      <option value="5182">Martinique</option>
                      <option value="5183">Mauritania</option>
                      <option value="5184">Mauritius</option>
                      <option value="5185">Mayotte</option>
                      <option value="5059">Mexico</option>
                      <option value="5186">Micronesia: Federated States of</option>
                      <option value="5188">Monaco</option>
                      <option value="5189">Mongolia</option>
                      <option value="5190">Montserrat</option>
                      <option value="5107">Morocco</option>
                      <option value="5064">Mozambique</option>
                      <option value="146">Myanmar</option>
                      <option value="5065">Namibia</option>
                      <option value="5191">Nauru</option>
                      <option value="5066">Nepal</option>
                      <option value="5061">Netherlands</option>
                      <option value="5192">Netherlands Antilles</option>
                      <option value="5193">New Caledonia</option>
                      <option value="5062">New Zealand</option>
                      <option value="5194">Nicaragua</option>
                      <option value="5195">Niger</option>
                      <option value="5102">Nigeria</option>
                      <option value="5196">Niue</option>
                      <option value="5197">Norfolk Island</option>
                      <option value="5198">Northern Mariana Islands</option>
                      <option value="5199">Palau</option>
                      <option value="5069">Panama</option>
                      <option value="5200">Papua New Guinea</option>
                      <option value="5070">Paraguay</option>
                      <option value="5071">Peru</option>
                      <option value="5072">Philippines</option>
                      <option value="169">Pitcairn</option>
                      <option value="5073">Poland</option>
                      <option value="5074">Portugal</option>
                      <option value="5075">Puerto Rico</option>
                      <option value="5076">Qatar</option>
                      <option value="5201">Reunion</option>
                      <option value="5077">Romania</option>
                      <option value="5202">Rwanda</option>
                      <option value="5204">Saint Kitts and Nevis</option>
                      <option value="5079">Saint Lucia</option>
                      <option value="5206">Saint Vincent and the Grenadines</option>
                      <option value="5207">Samoa</option>
                      <option value="5208">San Marino</option>
                      <option value="5209">Sao Tome and Principe</option>
                      <option value="5080">Saudi Arabia</option>
                      <option value="5210">Senegal</option>
                      <option value="5211">Seychelles</option>
                      <option value="5212">Sierra Leone</option>
                      <option value="5081">Singapore</option>
                      <option value="5105">Slovakia (Slovak Republic)</option>
                      <option value="5082">Slovenia</option>
                      <option value="5213">Solomon Islands</option>
                      <option value="5083">South Africa</option>
                      <option value="194">South Georgia and the South Sandwich Islands</option>
                      <option value="5084">Spain</option>
                      <option value="5085">Sri Lanka</option>
                      <option value="197">St. Helena</option>
                      <option value="198">St. Pierre and Miquelon</option>
                      <option value="200">Suriname</option>
                      <option value="5216">Svalbard and Jan Mayen Islands</option>
                      <option value="5217">Swaziland</option>
                      <option value="5088">Switzerland</option>
                      <option value="5089">Taiwan</option>
                      <option value="5220">Tajikistan</option>
                      <option value="5106">Tanzania: United Republic of</option>
                      <option value="5090">Thailand</option>
                      <option value="5221">Togo</option>
                      <option value="5222">Tokelau</option>
                      <option value="5223">Tonga</option>
                      <option value="5091">Trinidad and Tobago</option>
                      <option value="5224">Tunisia</option>
                      <option value="5092">Turkey</option>
                      <option value="5225">Turkmenistan</option>
                      <option value="5226">Turks and Caicos Islands</option>
                      <option value="5227">Tuvalu</option>
                      <option value="5228">Uganda</option>
                      <option value="5111">United Arab Emirates</option>
                      <option value="224">United States Minor Outlying Islands</option>
                      <option value="5095">Uruguay</option>
                      <option value="5229">Uzbekistan</option>
                      <option value="5230">Vanuatu</option>
                      <option value="5231">Vatican City State (Holy See)</option>
                      <option value="5097">Viet Nam</option>
                      <option value="231">Virgin Islands (British)</option>
                      <option value="5232">Virgin Islands (U.S.)</option>
                      <option value="5233">Wallis and Futuna Islands</option>
                      <option value="234">Western Sahara</option>
                      <option value="237">Zaire</option>
                      <option value="5098">Zambia</option>
                    </optgroup>
                  </select><button type="button" class="btn dropdown-toggle btn-default bs-placeholder" data-toggle="dropdown" role="button" data-id="membership_purchase_billing_BillingAddress_country" title="Select Country">
                    <div class="filter-option">
                      <div class="filter-option-inner">
                        <div class="filter-option-inner-inner">Select Country</div>
                      </div>
                    </div><span class="bs-caret"><span class="caret"></span></span>
                  </button>
                  <div class="dropdown-menu open" role="combobox">
                    <div class="inner open" role="listbox" aria-expanded="false" tabindex="-1">
                      <ul class="dropdown-menu inner "></ul>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="col-12 col-xs-12">
              <div class="form-group"><input type="tel" id="membership_purchase_billing_BillingAddress_phone" name="membership_purchase[billing][BillingAddress][phone]" placeholder="Phone Number" class="form-control"></div>
            </div>
          </div>
        </fieldset>
        <div class="col-12 col-xs-12 text-center">
          <img class="ccIcon" height="35" alt="" src="/images/mastercard.jpg" width="60">
          <img class="ccIcon" alt="" src="/images/visa.png?v=799c4f3" width="60">
          <img class="ccIcon" height="35" alt="" src="/images/amex.jpg" width="60">
          <img class="ccIcon" height="35" alt="" src="/images/discover.jpg" width="60">
        </div>
      </div>
      <div class="billing-section">
        <fieldset class="form-group billing-card-wrapper">
          <label class="col-form-label">Credit or Debit Card</label>
          <div class="row">
            <div class="col-6 col-xs-6">
              <div class="form-group"><input type="text" id="membership_purchase_billing_creditCard_firstName" name="membership_purchase[billing][creditCard][firstName]" placeholder="First Name" class="form-control"></div>
            </div>
            <div class="col-6 col-xs-6">
              <div class="form-group"><input type="text" id="membership_purchase_billing_creditCard_lastName" name="membership_purchase[billing][creditCard][lastName]" placeholder="Last Name" class="form-control"></div>
            </div>
            <div class="col-12 col-xs-12">
              <input type="hidden" id="membership_purchase_billing_creditCard_new" name="membership_purchase[billing][creditCard][new]" value="1">
            </div>
            <div class="col-12 col-xs-12">
              <div class="ccNewCardRow" style="">
                <div class="form-group"><input type="text" id="membership_purchase_billing_creditCard_number" name="membership_purchase[billing][creditCard][number]" placeholder="Card #" class="form-control"></div>
              </div>
            </div>
            <div class="col-4 col-xs-4">
              <div class="form-group">
                <div class="dropdown bootstrap-select form-control bs3"><select id="membership_purchase_billing_creditCard_month" name="membership_purchase[billing][creditCard][month]" class="form-control" tabindex="-98">
                    <option value="1">January</option>
                    <option value="2">February</option>
                    <option value="3">March</option>
                    <option value="4">April</option>
                    <option value="5">May</option>
                    <option value="6">June</option>
                    <option value="7">July</option>
                    <option value="8">August</option>
                    <option value="9">September</option>
                    <option value="10">October</option>
                    <option value="11">November</option>
                    <option value="12">December</option>
                  </select><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="membership_purchase_billing_creditCard_month" title="January">
                    <div class="filter-option">
                      <div class="filter-option-inner">
                        <div class="filter-option-inner-inner">January</div>
                      </div>
                    </div><span class="bs-caret"><span class="caret"></span></span>
                  </button>
                  <div class="dropdown-menu open" role="combobox">
                    <div class="inner open" role="listbox" aria-expanded="false" tabindex="-1">
                      <ul class="dropdown-menu inner "></ul>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="col-4 col-xs-4">
              <div class="form-group">
                <div class="dropdown bootstrap-select form-control bs3"><select id="membership_purchase_billing_creditCard_year" name="membership_purchase[billing][creditCard][year]" class="form-control" tabindex="-98">
                    <option value="2022">2022</option>
                    <option value="2023">2023</option>
                    <option value="2024">2024</option>
                    <option value="2025">2025</option>
                    <option value="2026">2026</option>
                    <option value="2027">2027</option>
                    <option value="2028">2028</option>
                    <option value="2029">2029</option>
                    <option value="2030">2030</option>
                    <option value="2031">2031</option>
                    <option value="2032">2032</option>
                    <option value="2033">2033</option>
                    <option value="2034">2034</option>
                    <option value="2035">2035</option>
                    <option value="2036">2036</option>
                    <option value="2037">2037</option>
                    <option value="2038">2038</option>
                    <option value="2039">2039</option>
                    <option value="2040">2040</option>
                    <option value="2041">2041</option>
                    <option value="2042">2042</option>
                  </select><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" data-id="membership_purchase_billing_creditCard_year" title="2022">
                    <div class="filter-option">
                      <div class="filter-option-inner">
                        <div class="filter-option-inner-inner">2022</div>
                      </div>
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