nl.ln6.quiztionnaire.com
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https://nl.ln6.quiztionnaire.com/n/31/1/nl/cdbry_chrsms/no_teaser.html?p_id=574ff3a738b1020100a8dbe1
Submission: On June 22 via manual from IN — Scanned from DE
Submission: On June 22 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
<form autocomplete="on">
<div class="group group-1">
<div>
<div class="group-header">
<div class="product-image-container">
<div class="product-image product-image-mobile"></div>
</div>
<div class="group-header-text">
<h2>Please fill in your details first.</h2>
</div>
</div>
</div>
<div class="group-content"><span>
<div id="3" class="question question-radio question-gender question-ld_title"><!-- react-text: 15 --><!-- /react-text -->
<div id="bodyRef_ld_title" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-radio-option answer-radio" id="6"><input type="radio" name="ld_title" value="Mr" id="ld_title_Mr"><label for="ld_title_Mr">Mr</label></div>
<div class="answer answer-radio-option answer-radio" id="8"><input type="radio" name="ld_title" value="Mrs" id="ld_title_Mrs"><label for="ld_title_Mrs">Mrs</label></div>
<div class="answer answer-radio-option answer-radio" id="10"><input type="radio" name="ld_title" value="Ms" id="ld_title_Ms"><label for="ld_title_Ms">Ms</label></div>
</div>
</div>
</div>
<div>
<div class="question-siblings">
<div class="sub-questions" style="opacity: 1;">
<div id="12" class="question question-text question-ld_first_name"><!-- react-text: 31 --><!-- /react-text -->
<div id="bodyRef_ld_first_name" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="14"><input type="text" name="fname" placeholder="First Name" autocomplete="on" value="" class="" maxlength="20" id="15"><label for="12" class="field__label">First Name</label></div>
</div>
</div>
</div>
<div id="16" class="question question-text question-ld_last_name"><!-- react-text: 38 --><!-- /react-text -->
<div id="bodyRef_ld_last_name" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="18"><input type="text" name="lname" placeholder="Last Name" autocomplete="on" value="" class="" maxlength="40" id="19"><label for="16" class="field__label">Last Name</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="20" class="question question-text question-ld_email"><!-- react-text: 45 --><!-- /react-text -->
<div id="bodyRef_ld_email" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="22"><input type="email" name="email" placeholder="Email" autocomplete="email" value="" class="" maxlength="64" id="23"><label for="20" class="field__label">Email</label></div>
</div>
</div>
</div>
<div>
<div class="question-siblings">
<div class="question-header" style="display: block;">Date of Birth</div>
<div class="sub-questions" style="opacity: 1;">
<div id="25" class="question question-text question-ld_dayob"><!-- react-text: 56 --><!-- /react-text -->
<div id="bodyRef_ld_dayob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="27"><input type="tel" name="ld_dayob" placeholder="DD" value="" class="" maxlength="2" id="28"><label for="25" class="field__label">DD</label></div>
</div>
</div>
</div>
<div id="29" class="question question-text question-ld_monthob"><!-- react-text: 63 --><!-- /react-text -->
<div id="bodyRef_ld_monthob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="31"><input type="tel" name="ld_monthob" placeholder="MM" value="" class="" maxlength="2" id="32"><label for="29" class="field__label">MM</label></div>
</div>
</div>
</div>
<div id="33" class="question question-text question-ld_yearob"><!-- react-text: 70 --><!-- /react-text -->
<div id="bodyRef_ld_yearob" class="question-body">
<div class="qubiq-answers">
<div class="answer answer-text is-empty" id="35"><input type="tel" name="ld_yearob" placeholder="YYYY" value="" class="" maxlength="4" id="36"><label for="33" class="field__label">YYYY</label></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="37" class="question question-ref question-undefined"><!-- react-text: 77 --><!-- /react-text -->
<div id="bodyRef_undefined" class="question-body">
<div class="qubiq-answers"></div>
</div>
</div>
</span></div>
<div class="group-footer"><button class="button-next"><!-- react-text: 93 -->Continue<!-- /react-text --><span class="shineAnimation"></span></button>
<div class="group-footer-text">And I agree that the competition's host and it's <a target="_blank" href="#/sponsors">sponsors</a> may contact me by email, phone, text or post with more interesting offers. Other than set out in our
<a target="_blank" href="#/privacy_policy">Privacy Policy</a>, we will not disclose your personal information without your prior consent. We may also share your details with identity verification organisations which help other
organisations verify your identity and prevent others from misusing your details. Please check our <a target="_blank" href="#/privacy_policy">Privacy Policy</a> to see which data we are gathering and sharing. Participation is free of charge!
</div><span></span>
</div>
</div>
</form>Text Content
< Doe mee en maak kans op een enorme chocoladedoos van €250! > NAAR WINNAARS PAGINA PLEASE FILL IN YOUR DETAILS FIRST. Mr Mrs Ms First Name Last Name Email Date of Birth DD MM YYYY Continue And I agree that the competition's host and it's sponsors may contact me by email, phone, text or post with more interesting offers. Other than set out in our Privacy Policy, we will not disclose your personal information without your prior consent. We may also share your details with identity verification organisations which help other organisations verify your identity and prevent others from misusing your details. Please check our Privacy Policy to see which data we are gathering and sharing. Participation is free of charge! -------------------------------------------------------------------------------- 1 2 3 LAAT JE GEGEVENS ACHTER BEANTWOORD DE VRAGEN NAAR WINNAARS PAGINA Nectarcontests.com is niet gelieerd aan de producenten van de getoonde prijzen. Nectarcontests organiseert prijsvragen waarbij de deelnemers kans maken om mooie prijzen te winnen. Waarom? Onze geselecteerde aanbieders komen graag in contact met onze deelnemers om hen te informeren over mooie aanbiedingen van producten en diensten. Dit doen zij via e-mail, telefoon en sms en via gepersonaliseerde advertenties. Door mee te spelen met onze acties ga je ermee akkoord dat geselecteerde aanbieders je hiervoor mogen benaderen. Jouw gegevens worden vertrouwelijk behandeld volgens de Wet Bescherming Persoonsgegevens. Deze promotionele actie loopt tot en met 31-12-2022 © 2022 nectarcontests.com | Actievoorwaarden | Privacy Policy | Disclaimer