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<form accept-charset="utf-8" action="" id="kform" method="post">
  <div class="row">
    <div class="col-lg-6">
      <div class="form-group">
        <input name="firstName" id="fields_fname" type="text" class="form-control form-control-lg" pattern="[a-zA-Z.\-'\s]*" placeholder="First Name">
      </div>
      <div class="invalid-tooltip">Please enter your first name</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group">
        <input name="lastName" id="fields_lname" type="text" class="form-control form-control-lg" pattern="[a-zA-Z.\-'\s]*" placeholder="Last Name">
      </div>
      <div class="invalid-tooltip">Please enter your last name</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group required">
        <input name="emailAddress" id="fields_email" type="email" class="form-control form-control-lg" pattern="[\w\-\.]+@[\w\-\.]+\.[\w\-]+" onkeypress="return isNotSpaceKey(event)" placeholder="Email Address">
      </div>
      <div class="invalid-tooltip">Please provide a valid email</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group">
        <input name="phoneNumber" id="fields_phone" class="form-control form-control-lg" minlength="10" maxlength="10" type="tel" pattern="[2-9]\d{9}" onkeypress="return isNumberKey(event)" placeholder="Phone Number">
      </div>
      <div class="invalid-tooltip">Please provide a valid phone</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group">
        <input name="shipAddress1" id="fields_address1" class="form-control form-control-lg" type="text" pattern="[\w\s\.',\-/#]*" placeholder="Address Line">
      </div>
      <div class="invalid-tooltip">Please provide a valid address</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group">
        <input name="shipCity" id="fields_city" class="form-control form-control-lg" type="text" pattern="[a-zA-Z.\-'\s]*" placeholder="City">
      </div>
      <div class="invalid-tooltip">city</div>
    </div>
    <div class="col-lg-6">
      <div class="form-group">
        <select name="shipState" id="fields_state" class="form-control form-control-lg" type="text" placeholder="State" style="display: inline-block;">
          <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>
          <option value="AS">American Samoa</option>
          <option value="FM">Federated States of Micronesia</option>
          <option value="GU">Guam</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="MH">Republic of Marshall Islands</option>
          <option value="VI">Virgin Islands of the U.S.</option>
          <option value="AE">Armed Forces Middle East</option>
          <option value="AA">Armed Forces Americas</option>
          <option value="AP">Armed Forces Pacific</option>
        </select>
        <div class="invalid-tooltip">Please provide a valid state</div>
      </div>
    </div>
    <input type="hidden" name="shipCountry" value="US" placeholder="Country">
    <div class="col-lg-6">
      <div class="form-group">
        <input name="shipPostalCode" id="fields_zip" class="form-control form-control-lg" minlength="5" maxlength="5" type="tel" pattern="\d{5}" onkeypress="return isNumberKey(event)" placeholder="ZIP Code">
      </div>
    </div>
  </div>
  <div class="text-center" id="error_message"></div>
  <button class="btn btn-custom btn-primary btn-lg btn-block animated infinite pulse" id="kformSubmit" type="submit">Claim iPad</button>
  <p class="encrypted">Secure 256 Bit Encrypted Connection</p>
</form>

Text Content

HANG ON WE HAVE A HUGE RUSH OF ORDERS RIGHT NOW!!!


CONGRATULATIONS
YOU ARE TODAYS WINNER

0
4
:
5
8


IPAD PRO
WITH MAGIC KEYBOARD


DELIVERY ADDRESS

Please enter your first name
Please enter your last name
Please provide a valid email
Please provide a valid phone
Please provide a valid address
city
Select
StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingAmerican SamoaFederated States of MicronesiaGuamNorthern
Mariana IslandsRepublic of Marshall IslandsVirgin Islands of the U.S.Armed
Forces Middle EastArmed Forces AmericasArmed Forces Pacific
Please provide a valid state


Claim iPad

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CONGRATULATIONS! You are a winner of a iPad Pro Sweepstakes entry AND network
access to many more life changing products. Keep an eye on your email to see
details of what you have won. Nevertheless you have received a FREE entry into
our bonus prize draw where you could win one of many other unbelievable prizes,
which may include prizes such as a Samsung Galaxy, Apple iPhone, Apple iPad,
Xbox, PlayStation & Gift Cards up to six hundred dollars ($600) value. No
purchase or payment is necessary to enter our Sweepstakes. Must be 18+. Void
where prohibited.

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You can try for $9.99 for 5 days, after your trial end you will be in monthly
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your subscription is active. 24/7 customer support is available by phone and
email.
iPad SWEEPSTAKES ABBREVIATED RULES: NO PURCHASE NECESSARY. Void where prohibited
and outside US. Open to legal residents of the 50 US (and DC) who are 18 yrs+
(19 yrs+ in AL and NE, 21 yrs+ in MS) at entry. Sweepstakes begins 12:00 AM PST
on January 1 and ends 11:59 PM PST on March 31. 2 ways to enter: (a) sign up for
a subscription (if you do not cancel, you will be billed $59.95/month until you
cancel), or (b) send an email with your first and last name to with the subject
line "iPad Entry". Prize: One (1) iPad Pro iPad OR One (1) $499 giftcard. Total
ARV of prize: $499. Odds of winning depend on number of entries received. For
complete rules and eligibility requirements click here. Sponsor: AmorSpot -
Cumpa Marketing LLC. This Sweepstakes is in no way sponsored, endorsed, or
administered by, or associated with iPad Pro.