primerewardz.com Open in urlscan Pro
2a06:98c1:3120::3  Public Scan

Form analysis
1 forms found in the DOM

POST

<form id="email-form" method="post" class="form-inline">
  <div class="control-group">
    <label class="control-label email_special">Enter Your Email Address</label>
    <div class="controls">
      <input type="hidden" name="trusted_form" value="https://cert.trustedform.com/fc60874aca99f1cb0057349f43b87d6146fa0bc0" onclick="window.onbeforeunload = null;">
      <input type="hidden" name="universal_leadid" id="leadid_token" value="E272BDCE-EE86-652D-7307-C81C9FBE477D" onclick="window.onbeforeunload = null;">
      <input type="hidden" name="request_id" id="request_id" onclick="window.onbeforeunload = null;" value="PXxKGpUFmk">
      <div class="eac-input-wrap" style="display: inline-block; position: relative; font-size: 18px;"><input class="form-control round" id="email-address" type="email" name="email_address" value="" placeholder="email@example.com"
          pattern="[a-zA-Z0-9!#$%&amp;'*+\/=?^_`{|}~.-]+@[a-zA-Z0-9-]+(\.[a-zA-Z0-9-]+)*" required="" onclick="window.onbeforeunload = null;"><span class="eac-sugg"
          style="display: block; box-sizing: content-box; line-height: 20px; padding-top: 12px; padding-bottom: 12px; font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-weight: 400; letter-spacing: 0px; position: absolute; top: 0px; left: 0px;"></span><span
          class="eac-cval" style="visibility: hidden; position: absolute; display: inline-block; font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-weight: 400; letter-spacing: 0px;"></span></div>
      <button id="form-submit" type="submit" class="btn btn-primary email_submit form-control" value="Submit" onclick="window.onbeforeunload = null;">Submit<span class="invalid-email">
          <p class="triangle-isosceles top">Please Enter A Valid Email Address.</p>
        </span></button>
      <span class="error"></span>
    </div>
  </div>
  <input type="hidden" name="js" value="1" onclick="window.onbeforeunload = null;"><input type="hidden" name="xxTrustedFormToken" value="https://cert.trustedform.com/fc60874aca99f1cb0057349f43b87d6146fa0bc0" id="xxTrustedFormToken_0"><input
    type="hidden" name="xxTrustedFormPingUrl" value="https://ping.trustedform.com/0.KuOpfA3P2G5wWkTgTu20gAz78KjsFZ_opkc9h9NizPbohMKGjE5Cor3WcIgnv-0hfseHd9Ai.f6RBliHDGx0pbFs2E5Z7Zg.3D-s0d2HahgUi-kG0LrqRA" id="xxTrustedFormPingUrl_0">
</form>

Text Content

Primerewardz.com
Upon completion of program requirements.

Enter Your Email Address

Submit

Please Enter A Valid Email Address.

This is an Advertisement powered by Primerewardz.com, an independent rewards
program that is not associated nor endorsed / sponsored by any of the above
listed merchants or brands. The above brands and merchants are in no way liable
for any alleged or actual claims related to this offer. The above listed
trademarks and service marks are the marks of their respective owners.
Primerewardz.com is solely responsible for gift fulfillment. By participating,
you agree to the Terms & Conditions which includes mandatory arbitration and
Privacy Policy which includes your consent to our sharing your personally
identifiable information with our Marketing Partners.

*In order to receive the item(s) as offered (the 'Incentive'), you must complete
participation requirements which can include taking surveys, requesting
information, and purchasing products. This incentive has a maximum value of
$500. View our complete participation requirements for more detailed
information. You must be over the age of 18 to participate in this promotion.

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