paydaygem.com Open in urlscan Pro
188.114.97.3  Public Scan

Form analysis
1 forms found in the DOM

POST

<form id="smallform-payday" class="pdform force-mobile" action="" method="post" onsubmit="checkSmallForm('smallform-payday')">
  <div class="frm-form">
    <div class="frm-cf frm-step frm-step1">
      <div class="frm-row">
        <div class="frm-col">
          <div class="frm-element">
            <select data-validate=".{1,100}" id="loanAmount" name="loanAmount" class="frm-required valid validate">
              <option value="">-- Requested Amount --</option>
              <option value="100.00">$100</option>
              <option value="200.00">$200</option>
              <option value="300.00">$300</option>
              <option value="400.00">$400</option>
              <option value="500.00">$500</option>
              <option value="600.00">$600</option>
              <option value="700.00">$700</option>
              <option value="800.00">$800</option>
              <option value="900.00">$900</option>
              <option value="1000.00">$1000+</option>
              <option value="2000.00">$1000 - $2000</option>
              <option value="3000.00">$2000 - $3000</option>
              <option value="4000.00">$3000 - $4000</option>
              <option value="5000.00">$4000 - $5000</option>
            </select>
          </div>
        </div>
        <div class="frm-col">
          <!-- 					<label for="email">Email</label> -->
          <div class="frm-element">
            <input type="text" name="email" maxlength="100" id="email" class="frm-required valid validate" data-validate="^[\w\-\_\.]+@[a-zA-Z_\-]+?\.[a-zA-Z]{2,4}$" placeholder="Email">
          </div>
        </div>
      </div>
      <div class="frm-row">
        <div class="frm-col">
          <!-- 					<label for="firstName">First Name</label> -->
          <div class="frm-element">
            <input type="text" name="firstName" maxlength="100" id="firstName" class="frm-required valid validate" data-validate=".{1,100}" placeholder="First Name">
          </div>
        </div>
        <div class="frm-col">
          <!-- 					<label for="lastName">Last Name</label> -->
          <div class="frm-element">
            <input type="text" name="lastName" maxlength="100" id="lastName" class="frm-required valid validate" data-validate=".{1,100}" placeholder="Last Name">
          </div>
        </div>
      </div>
      <div class="frm-form-action">
        <input type="submit" class="btn frm-btn" value="Get Started!">
      </div>
      <p style="text-align: center; font-size: 11px !important; color: #373a3c;">By clicking on "Get Started!", I agree to the <u><a onclick="showTerms()" href="javascript:;" rel="nofollow">Terms of Use</a></u>,
        <u><a onclick="showPrivacy()" href="javascript:;" rel="nofollow">Privacy Policy</a></u> and <u><a onclick="showEsign()" href="javascript:;" rel="nofollow">ESIGN Consent</a></u>
      </p>
    </div>
    <script>
      function showTerms() {
        jQuery.get('https://paydaygem.com/wp-content/plugins/lead-forms/terms-of-use.html', function(response) {
          html = response.replace(/%SITE%/g, 'paydaygem.com');
          win = window.open('about:blank', null, 'height=500,width=520,status=yes,resizable=yes,toolbar=no,menubar=no,location=no,top=10,left=100,scrollbars=yes');
          win.document.write(html);
        });
      }

      function showPrivacy() {
        jQuery.get('https://paydaygem.com/wp-content/plugins/lead-forms/privacy.html', function(response) {
          html = response.replace(/%SITE%/g, 'paydaygem.com');
          win = window.open('about:blank', null, 'height=500,width=520,status=yes,resizable=yes,toolbar=no,menubar=no,location=no,top=10,left=100,scrollbars=yes');
          win.document.write(html);
        });
      }

      function showEsign() {
        jQuery.get('https://paydaygem.com/wp-content/plugins/lead-forms/esign.html', function(response) {
          html = response.replace(/%SITE%/g, 'paydaygem.com');
          html = html.replace(/%BUTTON%/g, 'Get Started!');
          win = window.open('about:blank', null, 'height=500,width=520,status=yes,resizable=yes,toolbar=no,menubar=no,location=no,top=10,left=100,scrollbars=yes');
          win.document.write(html);
        });
      }
    </script>
  </div>
</form>

Text Content

Menu
 * Home
 * Blog


PAYDAY LOANS

 * Fast Loans Online

Call Us On: (800) 123-4560

-- Requested Amount -- $100 $200 $300 $400 $500 $600 $700 $800 $900 $1000+ $1000
- $2000 $2000 - $3000 $3000 - $4000 $4000 - $5000




By clicking on "Get Started!", I agree to the Terms of Use, Privacy Policy and
ESIGN Consent

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