bcv3.palilaliaethnogenesis.com
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104.18.24.40
Public Scan
Submitted URL: https://caxofi.adperformancemonitor.com/fowimi/figuse/tu/geco/jefe/index.php?rpclk=JKe6fA1ExeUNeRMS1lG7czf6yW3w16350oS1uH8BxmiUrOayWyPPK...
Effective URL: https://bcv3.palilaliaethnogenesis.com/?ts=16&s1=72&s2=&clickid=daf416528813420894f0ea5450d2da1d
Submission: On August 18 via manual from US — Scanned from US
Effective URL: https://bcv3.palilaliaethnogenesis.com/?ts=16&s1=72&s2=&clickid=daf416528813420894f0ea5450d2da1d
Submission: On August 18 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
POST reserving
<form method="post" id="billing-form" action="reserving" data-sf-virtual-wallet="" data-gjs-type="Konnektive Import Order" data-gjs-sf-plugin="sf-konnektive" data-gjs-sf-plugin-type="Konnektive Import Order"
data-gjs-sf-plugin-name="b6e81e2f-0294-4481-86e1-3f69664ed112" data-gjs-sf-campaign-id="160" data-gjs-sf-product="750" data-gjs-sf-paay-amount="29.90" data-gjs-sf-paay-rebill-amount="199.90" data-gjs-sf-paay-change-settings-enabled=""
data-gjs-sf-paay-new-product-id="1201;1202" data-gjs-sf-paay-new-balancer-id="3" data-gjs-sf-rebillproduct="749" data-gjs-sf-rebillbalancer="2" class="form"><input type="hidden" name="billCountry" value="US"><input type="hidden" name="billShipSame"
value="1"><input type="hidden" name="sf-pst-custom1" value="pv1"><input type="hidden" name="sf-pst-merchantInitiated" value="1"><input type="hidden" name="country" value="US">
<div class="form__content--row">
<div class="form__content--col col-m">
<p class="form-label">First Name:</p>
<div class="parsley-wrap"><input type="text" placeholder="First Name" name="firstName" required="" maxlength="22" class="form-input form-input__name"></div>
</div>
<div class="form__content--col col-m">
<p class="form-label">Last Name:</p>
<div class="parsley-wrap"><input type="text" placeholder="Last Name" name="lastName" required="" maxlength="22" class="form-input form-input__name"></div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">Email:</p>
<div class="parsley-wrap"><input type="email" placeholder="Email" name="emailAddress" required="" class="form-input form-input__email"></div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">Phone:</p>
<div class="parsley-wrap"><input type="tel" placeholder="Phone" maxlength="10" pattern="\d{10}" name="phone" required="" onkeyup="this.value=this.value.replace(/[^\d]/,'')" class="form-input form-input__phone"></div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">Address:</p>
<div class="parsley-wrap"><input type="text" placeholder="Address" id="addy1" name="address1" required="" class="form-input form-input__email"></div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">Zip or Postal Code:</p>
<div class="parsley-wrap"><input type="text" placeholder="Zip or Postal Code" name="zip" required="" maxlength="5" onkeyup="this.value=this.value.replace(/[^\d]/,'')" class="form-input form-input__zipcode zip-change"></div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">City:</p>
<div class="parsley-wrap"><input type="text" id="fields_city" placeholder="City" name="city" required="" class="form-input form-input__city"></div>
<div class="parsley-wrap hidden"><select type="text" id="fields_state" placeholder="City" name="state" required="" class="form-input form-input__city">
<option value="">- -Select a State --</option>
<option value="AL">Alabama (AL)</option>
<option value="AK">Alaska (AK)</option>
<option value="AS">American Samoa (AS)</option>
<option value="AZ">Arizona (AZ)</option>
<option value="AR">Arkansas (AR)</option>
<option value="CA">California (CA)</option>
<option value="CO">Colorado (CO)</option>
<option value="CT">Connecticut (CT)</option>
<option value="DE">Delaware (DE)</option>
<option value="DC">District of Columbia (DC)</option>
<option value="FL">Florida (FL)</option>
<option value="GA">Georgia (GA)</option>
<option value="HI">Hawaii (HI)</option>
<option value="ID">Idaho (ID)</option>
<option value="IL">Illinois (IL)</option>
<option value="IN">Indiana (IN)</option>
<option value="IA">Iowa (IA)</option>
<option value="KS">Kansas (KS)</option>
<option value="KY">Kentucky (KY)</option>
<option value="LA">Louisiana (LA)</option>
<option value="ME">Maine (ME)</option>
<option value="MD">Maryland (MD)</option>
<option value="MA">Massachusetts (MA)</option>
<option value="MI">Michigan (MI)</option>
<option value="MN">Minnesota (MN)</option>
<option value="MS">Mississippi (MS)</option>
<option value="MO">Missouri (MO)</option>
<option value="MT">Montana (MT)</option>
<option value="NE">Nebraska (NE)</option>
<option value="NV">Nevada (NV)</option>
<option value="NH">New Hampshire (NH)</option>
<option value="NJ">New Jersey (NJ)</option>
<option value="NM">New Mexico (NM)</option>
<option value="NY">New York (NY)</option>
<option value="NC">North Carolina (NC)</option>
<option value="ND">North Dakota (ND)</option>
<option value="OH">Ohio (OH)</option>
<option value="OK">Oklahoma (OK)</option>
<option value="OR">Oregon (OR)</option>
<option value="PA">Pennsylvania (PA)</option>
<option value="PR">Puerto Rico (PR)</option>
<option value="RI">Rhode Island (RI)</option>
<option value="SC">South Carolina (SC)</option>
<option value="SD">South Dakota (SD)</option>
<option value="TN">Tennessee (TN)</option>
<option value="TX">Texas (TX)</option>
<option value="UT">Utah (UT)</option>
<option value="VT">Vermont (VT)</option>
<option value="VI">Virgin Islands of the U.S. (VI)</option>
<option value="VA">Virginia (VA)</option>
<option value="WA">Washington (WA)</option>
<option value="WV">West Virginia (WV)</option>
<option value="WI">Wisconsin (WI)</option>
<option value="WY">Wyoming (WY)</option>
</select></div>
</div>
</div>
<div class="form__content--row"></div>
<div class="form__content--row">
<div class="form__content--col col-l">
<p class="form-label">Credit Card Number:</p>
<div class="form-input-group"><input type="tel" placeholder="---- ---- ---- ----" name="cardNumber" id="ccnum" required="" maxlength="16" minlength="14" onkeyup="this.value=this.value.replace(/[^\d]/,'')"
class="form-input form-input__card text-uppercase">
<div class="form-input__right-element form-input__card-right-element">
<div class="element-wrapper"><img alt="mcLogo" src="https://bcv3.palilaliaethnogenesis.com/~cdn/04bb5057-dd62-4885-a3ac-38fb64fdc3e3/mcLogo.png" class="chakra-image css-0"><img alt="visaLogo"
src="https://bcv3.palilaliaethnogenesis.com/~cdn/04bb5057-dd62-4885-a3ac-38fb64fdc3e3/visaLogo.png" class="chakra-image css-0"></div>
</div>
</div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-m">
<p class="form-label">Valid Thru:</p>
<div class="form-select-wrapper">
<div class="parsley-wrap"><select type="text" name="cardMonth" id="ccexpmonth" required="" class="form-select form-select__month">
<option disabled="" selected="" value="">Month</option>
<option value="01">01 January</option>
<option value="02">02 February</option>
<option value="03">03 March</option>
<option value="04">04 April</option>
<option value="05">05 May</option>
<option value="06">06 June</option>
<option value="07">07 July</option>
<option value="08">08 August</option>
<option value="09">09 September</option>
<option value="10">10 October</option>
<option value="11">11 November</option>
<option value="12">12 December</option>
</select>
<div class="form-select__icon-wrapper"><svg viewBox="0 0 24 24" role="presentation" focusable="false" aria-hidden="true" id="izwer" class="chakra-select__icon">
<path fill="currentColor" d="M16.59 8.59L12 13.17 7.41 8.59 6 10l6 6 6-6z"></path>
</svg></div>
</div>
</div>
</div>
<div class="form__content--col col-m">
<p class="form-label">CVV:</p>
<div class="form-input-group">
<div class="parsley-wrap"><input type="tel" placeholder="CVV" maxlength="4" id="cvv" name="cardSecurityCode" required="" onkeyup="this.value=this.value.replace(/[^\d]/,'')" pattern="^[0-9]{3,4}$" class="form-input form-input__cvv">
<div class="form-input__right-element form-input__cvv-right-element">
<a href="javascript:void(0);" onclick="javascript:openNewWindow('cvv', 'modal')"><svg viewBox="0 0 24 24" focusable="false" class="form-input-icon"><path fill="currentColor" d="M12,0A12,12,0,1,0,24,12,12.013,12.013,0,0,0,12,0Zm0,19a1.5,1.5,0,1,1,1.5-1.5A1.5,1.5,0,0,1,12,19Zm1.6-6.08a1,1,0,0,0-.6.917,1,1,0,1,1-2,0,3,3,0,0,1,1.8-2.75A2,2,0,1,0,10,9.255a1,1,0,1,1-2,0,4,4,0,1,1,5.6,3.666Z"></path></svg></a>
</div>
</div>
</div>
</div>
</div>
<div class="form__content--row">
<div class="form__content--col col-m">
<p class="form-label"></p>
<div class="form-select-wrapper">
<div class="parsley-wrap"><select name="cardYear" required="" id="ccexpyear" class="form-select form-select__month">
<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>
</select>
<div class="form-select__icon-wrapper"><svg viewBox="0 0 24 24" role="presentation" focusable="false" aria-hidden="true" id="ihe7je" class="chakra-select__icon">
<path fill="currentColor" d="M16.59 8.59L12 13.17 7.41 8.59 6 10l6 6 6-6z"></path>
</svg></div>
</div>
</div>
</div>
<div class="form__content--col col-m"></div>
</div><!--<p class="form-text css-xmqnn7 xs-small">By clicking below, I agree to the <a href="javascript:void(0);" onclick="javascript:openNewWindow('terms', 'modal');">Terms and Conditions</a> and <a href="javascript:void(0);" onclick="javascript:openNewWindow('rules', 'modal');">Official Rules</a>
</p>-->
<div class="small text-secondary m-auto pt-2 text-center px-0 form-text css-xmqnn7 xs-small"><label for="termsAgree" id="ikblpk" class="form-check-label"><input type="checkbox" id="termsAgree" required="" checked="" class="form-check-input"> Yes. I
agree to the <a href="javascript:void(0);" onclick="javascript:openNewWindow('terms', 'modal');" class="text-secondary">Terms & Conditions</a> and
<a href="javascript:void(0);" onclick="javascript:openNewWindow('rules', 'modal');" class="text-secondary">Official Rules</a></label></div>
<p class="css-1pu77jl"></p><button type="submit" class="form-button form-button__submit">SUBMIT</button><br>
<div class="text-danger text-center fw-bold">
</div>
<div class="css-0">
<p class="form-text css-xmqnn7">Your IP Address has been logged for fraud protection.</p>
</div>
</form>Text Content
Registration - My Profile First Name: Last Name: Email: Phone: Address: Zip or Postal Code: City: - -Select a State --Alabama (AL)Alaska (AK)American Samoa (AS)Arizona (AZ)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)District of Columbia (DC)Florida (FL)Georgia (GA)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Puerto Rico (PR)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virgin Islands of the U.S. (VI)Virginia (VA)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY) Credit Card Number: Valid Thru: Month01 January02 February03 March04 April05 May06 June07 July08 August09 September10 October11 November12 December CVV: 20242025202620272028202920302031203220332034 Yes. I agree to the Terms & Conditions and Official Rules SUBMIT Your IP Address has been logged for fraud protection. CONGRATULATIONS! You are a winner of a iPad Sweepstakes entry. NO PURCHASE NECESSARY. A PURCHASE WILL NOT INCREASE YOUR CHANCE OF WINNING. The price to enter online is $29.90. Your online sweepstakes entry purchase will automatically add you the paid sweepstakes subscription and processes $199.90 monthly. Open to legal residents of the 50 United States and D.C. who are 18 years of age or older as of the Sweepstakes start date. Sweepstakes ends on the last day of August 2024. For entry and official rules with complete eligibility, prize descriptions, odds disclosure, and other details, see Official Rules. Void where prohibited.