test.selectanaward.com Open in urlscan Pro
71.7.190.54  Public Scan

Form analysis
1 forms found in the DOM

POST /program/login

<form role="form" id="loginform" class="login-form" action="/program/login" method="POST">
  <div class="row justify-content-center mt-3">
    <div class="col-md-7 xborder-1">
      <div class="text-center mb-5">
        <img src="https://live.universalrewardsxchange.com/app/local/user/site/701/images/SelectAnAward%20Logo%20Cropped.jpg" style="max-height: 140px; max-width:100%;">
      </div>
    </div>
  </div>
  <div class="text-center lead mb-3">
    <p class="lead"></p>
    <p><span style="font-size:28px;"><span style="font-family:tahoma,geneva,sans-serif;">Select An Award!</span></span></p>
    <p><span style="font-size:16px;"><span style="font-family:tahoma,geneva,sans-serif;"><strong>Please enter the information as provided.&nbsp;</strong></span></span></p>
    <p>&nbsp;</p>
    <p></p>
  </div>
  <div class="text-center mb-3">
    <h5 class="mb-0">Enter your Redemption Code</h5>
    <span class="d-block text-muted">Code can be entered with or without dashes, spaces, or capital letters</span>
  </div>
  <div class="form-group">
    <input class="form-control form-control-lg" zzplaceholder="Redemption Code" type="text" id="giftcode" name="giftcode" value="">
  </div>
  <div class="form-group">
    <div align="center" class="g-recaptcha" data-sitekey="6LfsclopAAAAACMd9j0TOGbMDWFTTQekpRCuIRGg">
      <div style="width: 304px; height: 78px;">
        <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-bci60itg4hv9" frameborder="0" scrolling="no"
            sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
            src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LfsclopAAAAACMd9j0TOGbMDWFTTQekpRCuIRGg&amp;co=aHR0cHM6Ly90ZXN0LnNlbGVjdGFuYXdhcmQuY29tOjQ0Mw..&amp;hl=en&amp;v=Hq4JZivTyQ7GP8Kt571Tzodj&amp;size=normal&amp;cb=prttqpjwz5p4"></iframe>
        </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
          style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
      </div><iframe style="display: none;"></iframe>
    </div>
  </div>
  <div class="form-group">
    <button type="submit" id="codesubmit" class="btn btn-lg btn-primary btn-block"> Redeem / Track Order <i class="icon-circle-right2 ml-2"></i>
    </button>
  </div>
  <div class="text-center mt-5 mb-3">
    <h6 class="mb-2">Already Redeemed? <br><small>Enter your code above to track your order</small></h6>
    <!--<span class="d-block text-muted"><button type="submit" class="btn btn-sm btn-secondary">Track your Order</a></span>-->
  </div>
  <style>
    .grecaptcha-badge {}
  </style>
  <script>
    document.addEventListener('DOMContentLoaded', function() {
      var cleave = new Cleave('#giftcode', {
        delimiter: '-',
        blocks: [4, 4, 5, 3],
        uppercase: true
      });
    });
  </script>
</form>

Text Content

Select An Award!

Please enter the information as provided. 

 



ENTER YOUR REDEMPTION CODE

Code can be entered with or without dashes, spaces, or capital letters


Redeem / Track Order

ALREADY REDEEMED?
ENTER YOUR CODE ABOVE TO TRACK YOUR ORDER

Powered by Hinda Incentives

 * Privacy Policy