prizies.com
Open in
urlscan Pro
172.67.214.179
Public Scan
URL:
https://prizies.com/
Submission: On January 07 via manual from VN — Scanned from US
Submission: On January 07 via manual from VN — Scanned from US
Form analysis
1 forms found in the DOMPOST /flow?uid=0916c32a-8b92-406f-b401-6ecb43e56236
<form id="formSubmit" action="/flow?uid=0916c32a-8b92-406f-b401-6ecb43e56236" method="POST" data-effect="" data-effect-duration="">
<div id="f1" class="dynamic-form form-step form1 form1-1">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-1-1-1" class="path-dynamic-field">
<h2 class="custom-label label-center" style="color:#78D600;font-size:20px;font-weight:bold;margin-bottom:10px;">Answer question to continue:</h2>
</div>
<script>
document.querySelector('#path-field-html-1-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-cf_how_use_cash" class="col custom-label label-center form-field-col" data-col-id="1" data-autohide="">
<label class="label">How do you plan to use the money?</label>
<div id="cf_how_use_cash" class="path-dynamic-field path-form-field-with-feedback-control">
<input id="cf_how_use_cash-input" class="d-none required" name="cf_how_use_cash" value="">
</div>
<div id="path-buttons-rows-cf_how_use_cash" class="row">
<div class="col-12 mb-2">
<button id="path-cf-btn-option" type="button" style="padding:10px;" class="path-cf-btn-option-keepit btn btn-secondary w-100 text-center" data-value="keepit">Keep It</button>
</div>
<div class="col-12 mb-2">
<button id="path-cf-btn-option" type="button" style="padding:10px;" class="path-cf-btn-option-giveitaway btn btn-secondary w-100 text-center" data-value="giveitaway">Shop for family</button>
</div>
<div class="col-12 mb-2">
<button id="path-cf-btn-option" type="button" style="padding:10px;" class="path-cf-btn-option-other btn btn-secondary w-100 text-center" data-value="other">Other</button>
</div>
</div>
<span id="cf_how_use_cash-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#cf_how_use_cash').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#cf_how_use_cash-error-feedback')
var elem = this
var row = document.querySelector("#path-buttons-rows-cf_how_use_cash")
var elemOptions = {}
var inputElem = document.querySelector('#cf_how_use_cash-input')
evt.detail.setAutoSubmit('1')
var updateValue = function(value, setValue) {
inputElem.setAttribute('value', value)
setValue(value)
}
var handleMultipleAnswers = function(buttonEvt, optionSelected, setValue) {
var oldValue = inputElem.value || optionSelected
var valueAlreadyExists = false
var answers = oldValue.split(',')
var newValue = answers.filter(function(value) {
if (answers.length == 1) {
if (optionSelected === value) {
buttonEvt.target.classList.remove('active')
valueAlreadyExists = true
return false
}
}
if (optionSelected !== value) {
elemOptions[value].classList.add('active')
return true
}
buttonEvt.target.classList.remove('active')
valueAlreadyExists = true
return false
})
if (!valueAlreadyExists) {
elemOptions[optionSelected].classList.add('active')
newValue.push(optionSelected)
}
updateValue(newValue.join(','), setValue)
}
var handleSingleAnswer = function(buttonEvt, optionSelected, setValue) {
var buttons = document.querySelectorAll('.path-cf-btn-option')
for (var j = 0; j < buttons.length; j++) {
buttons[j].classList.remove('active')
}
updateValue(optionSelected, setValue)
buttonEvt.target.classList.add('active')
}
var buttonsEvent = evt.detail.listener(function(evt, setValue) {
var optionSelected = evt.target.getAttribute('data-value')
if (!inputElem.value) {
updateValue(optionSelected, setValue)
evt.target.classList.add('active')
return
}
if ("" === "true") {
handleMultipleAnswers(evt, optionSelected, setValue)
return
}
handleSingleAnswer(evt, optionSelected, setValue)
})
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('cf_how_use_cash')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
validation: renders.fillFeedbackMessage(feedbackElem),
populate: {
prepopulate_with: function(value) {
if (value) {
inputElem.setAttribute('value', value)
value.split(',').forEach(function(key) {
var elem = elemOptions[key]
if (elem) {
elem.classList.add('active')
}
})
}
},
populate_options: renders.fillButtonsGrid(row, function(option) {
return `
<button id="path-cf-btn-option" type="button"
style="padding:10px;"
class="path-cf-btn-option-${option.value.replace(/[^a-zA-Z0-9_-]/g, '')} btn btn-secondary w-100 text-center"
data-value="${option.value}">${option.label}</button>
`
}, 12, function(option, element) {
elemOptions[option.value] = element
return buttonsEvent
})
},
}
})
evt.detail.setFieldOptions('W3sibGFiZWwiOiJLZWVwIEl0IiwidmFsdWUiOiJrZWVwaXQifSx7ImxhYmVsIjoiU2hvcCBmb3IgZmFtaWx5IiwidmFsdWUiOiJnaXZlaXRhd2F5In0seyJsYWJlbCI6Ik90aGVyIiwidmFsdWUiOiJvdGhlciJ9XQ%3D%3D')
})
</script>
</div>
</div>
</div>
<div id="f2" class="dynamic-form form-step form2 form1-2 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-email" class="col e-mail-required form-field-col" data-col-id="1" data-autohide="">
<label class="label">Confirm your email</label>
<input id="email" list="email_domains" type="email" name="email" class="path-form-field-with-feedback path-dynamic-field required" title="Email" data-session-verification="-1" value="">
<span id="emailmessage" class="invalid-feedback hidden path-form-feedback"></span>
<datalist id="email_domains"></datalist>
<script>
document.querySelector('#email').addEventListener('path-dynamic-field-register', function(evt) {
var domains = ["gmail.com", "yahoo.com", "hotmail.com", "aol.com", "hotmail.co.uk", "hotmail.fr", "msn.com", "yahoo.fr", "wanadoo.fr", "orange.fr", "comcast.net", "yahoo.co.uk", "yahoo.co.in", "live.com", "rediffmail.com", "free.fr",
"gmx.de", "web.de", "yandex.ru", "ymail.com", "libero.it", "outlook.com", "uol.com", "bol.com", "mail.ru", "cox.net", "hotmail.it", "sbcglobal.net", "sfr.fr", "live.fr", "verizon.net", "live.co.uk", "googlemail.com", "yahoo.es",
"ig.com", "live.nl", "bigpond.com", "terra.com", "yahoo.it", "neuf.fr", "yahoo.de", "alice.it", "rocketmail.com", "att.net", "laposte.net", "facebook.com", "bellsouth.net", "yahoo.in", "hotmail.es", "charter.net", "yahoo.ca",
"yahoo.com.au", "rambler.ru", "hotmail.de", "tiscali.it", "shaw.ca", "yahoo.co.jp", "sky.com"
]
var feedbackElem = document.querySelector('#emailmessage')
var emailDomains = document.querySelector('#email_domains')
var elem = this
evt.detail.overrideOnChangeListener(function() {
elem.addEventListener('input', evt.detail.listener(function(evt, setValue) {
var value = evt.target.value
setValue(value)
var split = value.split('@')
var username = split[0]
var domain = split[1]
var regex = domain && new RegExp('@' + domain)
emailDomains.innerHTML = ''
domains.forEach(function(domain) {
if (regex && regex.test('@' + domain) && username + '@' + domain !== value) {
var option = emailDomains.appendChild(document.createElement('option'))
option.setAttribute('value', username + '@' + domain)
}
})
}))
})
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('test')
evt.detail.assignToState('email', evt.detail.effects.test)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-2-2-1" class="path-dynamic-field">
<input type="hidden" id="cf_hbf" name="cf_hbf" value="">
</div>
<script>
document.querySelector('#path-field-html-2-2-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-registration_consent" class="col registration-consent form-field-col" data-col-id="1" data-autohide="">
<label class="label">Registration Consent</label>
<div class="terms termschk">
<input type="checkbox" class="chkbox path-dynamic-field" id="chkterms" name="chkterms" checked="" value="on">
<label class="term-label terms-label--checkbox" for="chkterms"> By checking the box, I agree that I am a US resident over the age of 18 and agree to the <a href="/terms-conditions" target="_blank">Terms of Use</a> and
<a href="/privacy-policy" target="_blank">Privacy Policy</a>, and site visit recordation by TrustedForm and Jornaya. I also agree to receive email from Prizies and affiliated brands that may be of interest. </label>
<script>
document.querySelector('#chkterms').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.assignToState('registrationConsent', function(value) {
elem.dispatchEvent(new CustomEvent('path-event-registration-consent-changed'))
return elem.checked
})
})
</script>
</div>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>CONTINUE</span>
<i class="fa fa-spinner fa-spin"></i>
</button>
</div>
</div>
</div>
<div id="f3" class="dynamic-form form-step form3 form1-3 hidden">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-3-1-1" class="path-dynamic-field">
<h2 class="custom-label label-center" style="color:#78D600;font-size:20px;font-weight:bold;margin-bottom:10px;">Eligibility Confirmed.</h2>
<h2 class="custom-label label-center" style="color:#78D600;font-size:20px;font-weight:bold;margin-bottom:10px;">Complete registration below!</h2>
</div>
<script>
document.querySelector('#path-field-html-3-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-first_name" class="col first-name form-field-col" data-col-id="1" data-autohide="">
<input id="first_name" type="text" name="first_name" class="path-form-field-with-feedback path-dynamic-field required" title="First Name" value="" placeholder="First Name">
<span id="first_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#first_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#first_name-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJGaXJzdCBOYW1lIn0sInZpc2liaWxpdHkiOm51bGwsInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('first_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-last_name" class="col last-name form-field-col" data-col-id="1" data-autohide="">
<input id="last_name" type="text" name="last_name" class="path-form-field-with-feedback path-dynamic-field required" title="Last Name" value="" placeholder="Last Name">
<span id="last_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#last_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#last_name-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJMYXN0IE5hbWUifSwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('last_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-address1" class="col address-1 form-field-col" data-col-id="1" data-autohide="">
<input id="addressform" type="text" name="addressform" title="Address" value="" class="path-dynamic-field path-form-field-with-feedback required" placeholder="Street Address" autocomplete="address-line1">
<span id="address1-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-postal"></span>
<input id="address1" type="hidden" name="address1" title="Address" value="">
<script>
document.querySelector('#addressform').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#address1-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJTdHJlZXQgQWRkcmVzcyJ9LCJ2aXNpYmlsaXR5IjpudWxsLCJ2YWxpZGF0aW9ucyI6eyJhY3Rpb25zIjpbXSwicmVxdWlyZWQiOnRydWV9fQ%3D%3D')
evt.detail.assignToState('address1')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="5">
<div id="col-field-zip" class="col zip-code form-field-col" data-col-id="1" data-autohide="">
<input id="zip" type="text" name="zip" title="Zipcode" maxlength="5" data-session-verification="-1" value="" class="path-form-field-with-feedback required path-dynamic-field" pattern="[0-9]*" inputmode="numeric" placeholder="Zip Code"
autocomplete="postal-code">
<span id="zip-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#zip').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#zip-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJaaXAgQ29kZSJ9LCJ2aXNpYmlsaXR5IjpudWxsLCJ2YWxpZGF0aW9ucyI6eyJhY3Rpb25zIjpbXSwicmVxdWlyZWQiOnRydWV9fQ%3D%3D')
evt.detail.assignToState('zip')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillZip(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
$(elem).change()
})
</script>
</div>
<div id="col-field-state" class="col state form-field-col" data-col-id="2" data-autohide="">
<label class="label">State</label>
<select id="state" name="state" title="State" class="path-form-field-with-feedback path-dynamic-field required" value="" datavalue="">
<option value=""> Select State </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>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</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>
</select>
<span id="state-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#state').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#state-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('state')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Select State
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="6">
<div id="col-field-city" class="col city form-field-col" data-col-id="1" data-autohide="">
<input id="city" type="text" name="city" title="City" value="" class="path-form-field-with-feedback path-dynamic-field required" placeholder="City/Town" autocomplete="address-level2">
<span id="city-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#city').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#city-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJDaXR5L1Rvd24ifSwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('city')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="7">
<div id="col-field-phone" class="col phone form-field-col" data-col-id="1" data-autohide="">
<input id="phone" type="tel" name="phone" title="Phone" data-session-verification="-1" value="" class="path-dynamic-field path-form-field-with-feedback required" pattern="[0-9]*" inputmode="numeric" placeholder="Mobile Phone #"
autocomplete="tel-national">
<span id="phone-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-phone"></span>
<script>
document.querySelector('#phone').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#phone-error-feedback')
var elem = this
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evt.detail.assignToState('phone')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInputPhone(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="8">
<div id="col-field-dob" class="col date-of-birth form-field-col" data-col-id="1" data-autohide="">
<div class="row path-form-field-with-feedback-control">
<div class="col">
<select id="dob_month" name="dob_month" title="Dob Month" autocomplete="bday-month" class="path-dynamic-field required">
<option value=""> Month </option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</div>
<div class="col">
<select id="dob_day" name="dob_day" title="Dob Day" autocomplete="bday-day" class="path-dynamic-field required">
<option value=""> Day </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
<div class="col">
<select id="dob_year" name="dob_year" title="Dob Year" autocomplete="bday-year" class="path-dynamic-field required">
<option value=""> Year </option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
</select>
</div>
</div>
<span id="dobmessage" class="invalid-feedback hidden path-form-feedback"></span>
<script>
var feedbackElem = document.querySelector('#dobmessage')
document.querySelector('#dob_day').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('dob_day', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Day
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
document.querySelector('#dob_year').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('age')
evt.detail.assignToState('dob_year', evt.detail.effects.age)
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return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Year
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prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
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document.querySelector('#dob_month').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
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evt.detail.assignToState('dob_month', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Month
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="9">
<div id="col-field-gender" class="col gender form-field-col" data-col-id="1" data-autohide="">
<select id="gender" data-value="" data-type="gender" name="gender" title="Gender" class="path-form-field-with-feedback path-dynamic-field required">
<option value=""> Select Gender </option>
<option value="M">Male</option>
<option value="F">Female</option>
</select>
<span id="gender-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#gender[data-type=gender]').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#gender-error-feedback')
var elem = this
evt.detail.assignToState('gender')
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Select Gender
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prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
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<div id="col-field-tcpa_consent" class="col tcpa-consent form-field-col" data-col-id="1" data-autohide="">
<label class="label">TCPA Consent</label>
<div class="tcpa-terms">
<input type="checkbox" class="chkbox path-dynamic-field " "="" id=" leadid_tcpa_disclosure" name="chktcpa">
<label class="term-label" for="leadid_tcpa_disclosure"> By checking the box, I consent to receive phone sales calls or SMS text messages - Msg and data rates may apply - from Prizies on the landline or mobile number I provided even if I am
on the federal or state do not call registry. I understand these calls and SMS text messages may be generated using an autodialer and that consenting is not required to participate in the offers promoted. I understand that I may revoke
consent at any time. Text STOP to opt out and HELP to receive help. </label>
<script>
document.querySelector('#leadid_tcpa_disclosure').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.assignToState('tcpaConsent', function(value) {
return elem.checked
})
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
validation: renders.overrideTcpaConsentAlertText
}
})
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</div>
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<div id="col-field-submit" class="col custom-submit-button form-field-col-ignored" data-col-id="1" data-autohide="">
<button class="btn form-button submitbutton form-submit-button" type="button" id="submitbutton">
<span>CONTINUE</span>
<i class="fa fa-spinner fa-spin"></i>
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<input type="hidden" id="fraudCheck" name="fraudCheck" value="false">
<input type="hidden" id="emailValid" name="emailValid" value="false">
<input type="hidden" id="addressValid" name="addressValid" value="false">
<input type="hidden" name="origin" value="submit">
<input type="hidden" id="haddress1" value="">
<input type="hidden" id="haddress2" value="">
<input type="hidden" id="hcity" value="">
<input type="hidden" id="hstate" value="">
<input type="hidden" id="hzipcode" value="">
<div id="pixel"></div>
<script type="text/javascript">
(function() {
var field = 'xxTrustedFormCertUrl';
var provideReferrer = false;
var invertFieldSensitivity = false;
var tf = document.createElement('script');
tf.type = 'text/javascript';
tf.async = true;
tf.src = 'http' + ('https:' == document.location.protocol ? 's' : '') + '://api.trustedform.com/trustedform.js?field=' + escape(field) + '&l=' + new Date().getTime() + Math.random() + '&invert_field_sensitivity=' + invertFieldSensitivity;
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<noscript>
<img src="//api.trustedform.com/ns.gif">
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<input id="leadid_token" name="universal_leadid" type="hidden" value="C277430C-F128-9689-C283-4F73BA09914E">
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Text Content
ANSWER QUESTION TO CONTINUE: How do you plan to use the money? Keep It Shop for family Other Confirm your email Registration Consent By checking the box, I agree that I am a US resident over the age of 18 and agree to the Terms of Use and Privacy Policy, and site visit recordation by TrustedForm and Jornaya. I also agree to receive email from Prizies and affiliated brands that may be of interest. CONTINUE ELIGIBILITY CONFIRMED. COMPLETE REGISTRATION BELOW! State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 20072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925 Select Gender Male Female TCPA Consent By checking the box, I consent to receive phone sales calls or SMS text messages - Msg and data rates may apply - from Prizies on the landline or mobile number I provided even if I am on the federal or state do not call registry. I understand these calls and SMS text messages may be generated using an autodialer and that consenting is not required to participate in the offers promoted. I understand that I may revoke consent at any time. Text STOP to opt out and HELP to receive help. CONTINUE * Privacy Policy * Terms and Conditions * Unsubscribe * Do Not Sell My Information Welcome to Prizies, (collectively “Prizies”), an ad-supported/lead generation web property of prizes and promotions. By entering your email address and clicking "Continue", you agree to receive information in electronic (including email) or physical formats from Prizies and/or trusted third parties containing promotions and other special Offers and that Prizies may provide your email address and corresponding information to such third parties for email purposes. If you do not wish to continue receiving such emails, you may unsubscribe at any time by following the instructions included in each newsletter or email. Prizies functions solely as a provider of Contest and Sweepstakes. We also aggregate third-party Offers such as surveys, free samples, deals, coupons, freebies and other Offers (collectively "Offers") to present to you the user while being a registered user of our site. No Offer participation or purchase is necessary to enter a Contest or Sweepstake. These Contest and Offers change often. To enter a Contest you must complete the Contest registration page providing your name, address, date of birth, phone and email address. Upon registration you are now entered entered into that monthly Contest and no other action is needed. Upon choosing certain Offers you will be redirected to the respective Offers website. Prizies does not have any control over the content and performance of such third-party websites and respective Offers. We cannot guarantee that you will receive any compensation for these surveys or fulfillment of Offers that you request. We are not responsible if such surveys or Offers are no longer available, change, if you do not receive the Offers, if you do not qualify for the surveys or Offers, or if any other issues arise. The third-party product names, logos, brands, and trademarks shown on this website are the property of their respective owners.