www.nicorette.com
Open in
urlscan Pro
63.141.128.13
Public Scan
URL:
https://www.nicorette.com/wh=
Submission: On June 19 via api from CA — Scanned from CA
Submission: On June 19 via api from CA — Scanned from CA
Form analysis
7 forms found in the DOMPOST
<form class="gigya-subscribe-with-email-form" data-on-success-screen="ciam-nico-newsletter-toaster-success" data-dashlane-rid="e76c112785317756" onsubmit="return false;" method="post" data-screenset-element-id="gigya-subscribe-with-email-form"
data-screenset-element-id-publish="true" data-screenset-roles="template">
<div class="gigya-layout-row">
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-spacer gigya-spacer-divider" data-units="1" style="height: 1px;"></div>
</div>
<div class="gigya-layout-row with-two-inputs">
<div class="gigya-layout-cell">
</div>
<div class="gigya-layout-cell">
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-textbox" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_38_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-76244957432260020"><span class="gigya-label-text" data-translation-key="TEXTBOX_127949858627390800_LABEL"
data-screenset-element-id="__gig_template_element_33_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="profile.firstName"
style="" data-screenset-element-id="__gig_template_element_29_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label>
<input type="text" aria-label="First name" class="gigya-input-text" name="profile.firstName" formnovalidate="formnovalidate" tabindex="0" data-gigya-type="text" data-required="true" data-dashlane-rid="33f002cc6a8e1e8d"
gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_127949858627390800_PLACEHOLDER']" data-screenset-element-id="gigya-textbox-76244957432260020" data-screenset-element-id-publish="true" data-screenset-roles="template"
gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.firstName" data-original-value="">
<span class="gigya-error-msg" data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_23_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_39_1718774266664" data-screenset-element-id-publish="false"
data-screenset-roles="template" data-screenset-element-for="gigya-textbox-email"><span class="gigya-label-text" data-translation-key="TEXTBOX_71129149656114700_LABEL" data-screenset-element-id="__gig_template_element_34_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="profile.email" style="" data-screenset-element-id="__gig_template_element_30_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label>
<input type="text" name="profile.email" class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" data-required="true" autocomplete="email" data-gigya-type="text" data-dashlane-rid="21aa18ca6026a496"
gigya-expression:data-display-name="screenset.translations['TEXTBOX_71129149656114700_DISPLAY_NAME']" gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_71129149656114700_PLACEHOLDER']"
data-screenset-element-id="gigya-textbox-email" data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.email"
data-original-value="">
<span class="gigya-error-msg" data-bound-to="email" data-screenset-element-id="__gig_template_element_24_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterToasterCollectConsent" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_CollectConsent.email.isSubscribed"
data-dashlane-rid="5ccaf91c7d07fc4a" data-required="true" gigya-expression:data-display-name="screenset.translations['CHECKBOX_12003265228481024_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-12003265228481024"
data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_CollectConsent.email.isSubscribed" data-original-value="false"> <label
class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_40_1718774266664" data-screenset-element-id-publish="false" data-screenset-roles="template"
data-screenset-element-for="gigya-checkbox-12003265228481024"><span class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_12003265228481024_LABEL" data-screenset-element-id="__gig_template_element_35_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" style=""
data-screenset-element-id="__gig_template_element_31_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label> </div><span class="gigya-error-msg"
data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" data-screenset-element-id="__gig_template_element_25_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterToasterShareConsent" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-dashlane-rid="d02e967f287389f5" gigya-expression:data-display-name="screenset.translations['CHECKBOX_55025377899651704_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-55025377899651704"
data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_ShareConsent.email.isSubscribed" data-original-value="false"> <label class="gigya-label"
data-binding="true" data-screenset-element-id="__gig_template_element_41_1718774266664" data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-checkbox-55025377899651704"><span
class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_55025377899651704_LABEL" data-screenset-element-id="__gig_template_element_36_1718774266663" data-screenset-element-id-publish="false"
data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed" style="" data-screenset-element-id="__gig_template_element_32_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label> </div><span class="gigya-error-msg" data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-screenset-element-id="__gig_template_element_26_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control" data-binding="true" data-translation-key="LABEL_126073368266941170_LABEL" data-screenset-element-id="__gig_template_element_37_1718774266663" data-screenset-element-id-publish="false"
data-screenset-roles="template,template"></div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-submit">
<input type="submit" class="gigya-input-submit" tabindex="0" data-gigya-type="submit" data-dashlane-rid="78dcfe5008110756" gigya-expression:value="screenset.translations['SUBMIT_61188429870448190_VALUE']"
data-screenset-element-id="__gig_template_element_28_1718774266662" data-screenset-element-id-publish="false" data-screenset-roles="template" gigya-default-value="null">
</div>
<div class="gigya-clear"></div>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-layout-cell responsive">
<div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_22_1718774266660"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true">
<div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_27_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="template"
aria-atomic="true"></div>
</div>
</div>
</div>
<div class="gigya-clear"></div>
</form>
POST
<form class="gigya-subscribe-with-email-form" data-on-success-screen="ciam-nico-newsletter-footer-success" data-dashlane-rid="13febef540371c54" onsubmit="return false;" method="post" data-screenset-element-id="gigya-subscribe-with-email-form"
data-screenset-element-id-publish="true" data-screenset-roles="template">
<div class="gigya-layout-row">
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-spacer gigya-spacer-divider" data-units="1" style="height: 1px;"></div>
</div>
<div class="gigya-layout-row with-two-inputs">
<div class="gigya-layout-cell">
</div>
<div class="gigya-layout-cell">
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-textbox hideLabel" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_17_1718774262345"
data-screenset-element-id-publish="false" data-screenset-roles="template" data-screenset-element-for="gigya-textbox-76244957432260020"><span class="gigya-label-text" data-translation-key="TEXTBOX_76022867510318400_LABEL"
data-screenset-element-id="__gig_template_element_12_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="profile.firstName"
style="" data-screenset-element-id="__gig_template_element_8_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label>
<input type="text" aria-label="First name" class="gigya-input-text" name="profile.firstName" formnovalidate="formnovalidate" tabindex="0" data-gigya-type="text" data-required="true" data-dashlane-rid="601040489f0f3d4a"
gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_76022867510318400_PLACEHOLDER']" data-screenset-element-id="gigya-textbox-76244957432260020" data-screenset-element-id-publish="true" data-screenset-roles="template"
gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.firstName" data-original-value="" data-uw-rm-form="nfx">
<span class="gigya-error-msg" data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_2_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-textbox hideLabel"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_18_1718774262345" data-screenset-element-id-publish="false"
data-screenset-roles="template" data-screenset-element-for="gigya-textbox-email"><span class="gigya-label-text" data-translation-key="TEXTBOX_154470812378448400_LABEL" data-screenset-element-id="__gig_template_element_13_1718774262344"
data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset" data-bound-to="profile.email" style="" data-screenset-element-id="__gig_template_element_9_1718774262343"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-hidden="true">*</label></label>
<input type="text" name="profile.email" class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" autocomplete="email" data-gigya-type="text" data-dashlane-rid="f0d2ba6b644c06bd" data-required="true"
gigya-expression:data-display-name="screenset.translations['TEXTBOX_154470812378448400_DISPLAY_NAME']" gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_154470812378448400_PLACEHOLDER']"
data-screenset-element-id="gigya-textbox-email" data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.email"
data-original-value="" data-uw-rm-form="fx" aria-label="Text field" data-uw-hidden-control="hidden-control-element">
<span class="gigya-error-msg" data-bound-to="email" data-screenset-element-id="__gig_template_element_3_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
</div>
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterFooterCollectConsent" data-on-render="true" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_CollectConsent.email.isSubscribed"
data-dashlane-rid="37d99beff137e708" data-required="true" gigya-expression:data-display-name="screenset.translations['CHECKBOX_147194479388348000_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-147194479388348000"
data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_CollectConsent.email.isSubscribed" data-original-value="false" data-uw-rm-form="fx"
aria-label="Checkbox field" data-uw-hidden-control="hidden-control-element"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_19_1718774262345" data-screenset-element-id-publish="false"
data-screenset-roles="template" data-screenset-element-for="gigya-checkbox-147194479388348000"><span class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_147194479388348000_LABEL"
data-screenset-element-id="__gig_template_element_14_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset"
data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" style="" data-screenset-element-id="__gig_template_element_10_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="template"
aria-hidden="true">*</label></label> </div><span class="gigya-error-msg" data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" data-screenset-element-id="__gig_template_element_4_1718774262341"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterFooterShareConsent" style="display: block !important;" data-on-render="true" data-show-error-message="true">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-dashlane-rid="0d0f18d911364ebe" gigya-expression:data-display-name="screenset.translations['CHECKBOX_129875165883594030_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-129875165883594030"
data-screenset-element-id-publish="true" data-screenset-roles="template" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_ShareConsent.email.isSubscribed" data-original-value="false" data-uw-rm-form="fx"
aria-label="Checkbox field" data-uw-hidden-control="hidden-control-element"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_20_1718774262345" data-screenset-element-id-publish="false"
data-screenset-roles="template" data-screenset-element-for="gigya-checkbox-129875165883594030"><span class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_129875165883594030_LABEL"
data-screenset-element-id="__gig_template_element_15_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="template"></span><label class="gigya-required-display gigya-reset"
data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed" style="" data-screenset-element-id="__gig_template_element_11_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="template"
aria-hidden="true">*</label></label> </div><span class="gigya-error-msg" data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed" data-screenset-element-id="__gig_template_element_5_1718774262341"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control" data-binding="true" data-translation-key="LABEL_159830830330976700_LABEL" data-screenset-element-id="__gig_template_element_16_1718774262344" data-screenset-element-id-publish="false"
data-screenset-roles="template,template"></div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-submit">
<input type="submit" class="gigya-input-submit" tabindex="0" data-gigya-type="submit" data-dashlane-rid="7d774cde9aac6547" gigya-expression:value="screenset.translations['SUBMIT_157099189634519600_VALUE']"
data-screenset-element-id="__gig_template_element_7_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="template" gigya-default-value="null" data-uw-rm-form="fx" aria-label="Submit button"
data-uw-hidden-control="hidden-control-element">
</div>
<div class="gigya-clear"></div>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-layout-cell responsive">
<div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_1_1718774262340"
data-screenset-element-id-publish="false" data-screenset-roles="template" aria-atomic="true">
<div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_6_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="template"
aria-atomic="true"></div>
</div>
</div>
</div>
<div class="gigya-clear"></div>
</form>
<form class="form" onsubmit="return false" data-url="/search.php" data-quick-search-form="">
<fieldset class="form-fieldset">
<div class="form-field quick-search__form-field">
<label class="is-srOnly" for="nav-quick-search">Search</label>
<input class="form-input" data-search-quick="" name="nav-quick-search" id="nav-quick-search" data-error-message="Search field cannot be empty." placeholder="Search" autocomplete="off" data-uw-rm-form="nfx">
<span class="icon icon--search desktop-only quick-search__lens-icon" aria-hidden="false">
<svg>
<use xlink:href="#icon-search"></use>
</svg>
</span>
<span class="icon icon--close desktop-only quick-search__clear-icon" aria-hidden="true">
<svg>
<use xlink:href="#icon-close"></use>
</svg>
</span>
<button type="submit" class="mobile-only" aria-label="search" data-uw-rm-empty-ctrl="">
<span class="icon icon--search">
<svg>
<use xlink:href="#icon-search"></use>
</svg>
</span>
</button>
</div>
</fieldset>
</form>
<form class="form" onsubmit="return false" data-url="/search.php" data-quick-search-form="">
<fieldset class="form-fieldset">
<div class="form-field quick-search__form-field">
<label class="is-srOnly" for="nav-menu-quick-search">Search</label>
<input class="form-input" data-search-quick="" name="nav-menu-quick-search" id="nav-menu-quick-search" data-error-message="Search field cannot be empty." placeholder="Search" autocomplete="off" data-uw-rm-form="nfx">
<span class="icon icon--search desktop-only quick-search__lens-icon" aria-hidden="false">
<svg>
<use xlink:href="#icon-search"></use>
</svg>
</span>
<span class="icon icon--close desktop-only quick-search__clear-icon" aria-hidden="true">
<svg>
<use xlink:href="#icon-close"></use>
</svg>
</span>
<button type="submit" class="mobile-only" aria-label="search" data-uw-rm-empty-ctrl="">
<span class="icon icon--search">
<svg>
<use xlink:href="#icon-search"></use>
</svg>
</span>
</button>
</div>
</fieldset>
</form>
/search.php
<form class="form" action="/search.php">
<fieldset class="form-fieldset">
<div class="form-field">
<label class="form-label is-srOnly" for="search_query_adv">Search Keyword:</label>
<div class="form-prefixPostfix wrap">
<input class="form-input" id="search_query_adv" name="search_query_adv" value="" data-uw-rm-form="nfx">
<input class="button button--primary form-prefixPostfix-button--postfix" type="submit" value="Search" data-uw-rm-form="fx" aria-label="Submit button">
</div>
</div>
</fieldset>
</form>
POST
<form class="gigya-subscribe-with-email-form" data-on-success-screen="ciam-nico-newsletter-footer-success" data-dashlane-rid="13febef540371c54" onsubmit="return false;" method="post" data-screenset-element-id="gigya-subscribe-with-email-form"
data-screenset-element-id-publish="true" data-screenset-roles="instance" id="gigya-subscribe-with-email-form">
<div class="gigya-layout-row">
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-spacer gigya-spacer-divider" data-units="1" style="height: 1px;"></div>
</div>
<div class="gigya-layout-row with-two-inputs">
<div class="gigya-layout-cell">
</div>
<div class="gigya-layout-cell">
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-textbox hideLabel" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_17_1718774262345"
data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-textbox-76244957432260020"><span class="gigya-label-text" data-translation-key="TEXTBOX_76022867510318400_LABEL"
data-screenset-element-id="__gig_template_element_12_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="instance,template">First Name</span><label class="gigya-required-display gigya-reset"
data-bound-to="profile.firstName" style="" data-screenset-element-id="__gig_template_element_8_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label>
<input type="text" aria-label="First Name*" class="gigya-input-text" name="profile.firstName" formnovalidate="formnovalidate" tabindex="0" data-gigya-type="text" data-required="true" data-dashlane-rid="601040489f0f3d4a"
gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_76022867510318400_PLACEHOLDER']" data-screenset-element-id="gigya-textbox-76244957432260020" data-screenset-element-id-publish="true" data-screenset-roles="instance"
gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.firstName" data-original-value="" id="gigya-textbox-76244957432260020" aria-required="true" data-gigya-placeholder="Your first name" placeholder="Your first name *"
data-uw-rm-form="nfx">
<span class="gigya-error-msg" data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_2_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-textbox hideLabel"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_18_1718774262345" data-screenset-element-id-publish="false"
data-screenset-roles="instance" for="gigya-textbox-email"><span class="gigya-label-text" data-translation-key="TEXTBOX_154470812378448400_LABEL" data-screenset-element-id="__gig_template_element_13_1718774262344"
data-screenset-element-id-publish="false" data-screenset-roles="instance,template">Email</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.email" style=""
data-screenset-element-id="__gig_template_element_9_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label>
<input type="text" name="profile.email" class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" autocomplete="email" data-gigya-type="text" data-dashlane-rid="f0d2ba6b644c06bd" data-required="true"
gigya-expression:data-display-name="screenset.translations['TEXTBOX_154470812378448400_DISPLAY_NAME']" gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_154470812378448400_PLACEHOLDER']"
data-screenset-element-id="gigya-textbox-email" data-screenset-element-id-publish="true" data-screenset-roles="instance" gigya-default-data-display-name="null" gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.email"
data-original-value="" id="gigya-textbox-email" aria-required="true" data-display-name="email." data-gigya-placeholder="name@email.com" placeholder="name@email.com *" data-uw-rm-form="nfx" aria-label="Email*">
<span class="gigya-error-msg" data-bound-to="email" data-screenset-element-id="__gig_template_element_3_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
</div>
</div>
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterFooterCollectConsent" data-on-render="true" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start" aria-invalid="false"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_CollectConsent.email.isSubscribed"
data-dashlane-rid="37d99beff137e708" data-required="true" gigya-expression:data-display-name="screenset.translations['CHECKBOX_147194479388348000_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-147194479388348000"
data-screenset-element-id-publish="true" data-screenset-roles="instance" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_CollectConsent.email.isSubscribed" data-original-value="false"
id="gigya-checkbox-147194479388348000" aria-required="false" data-display-name="This field is required" data-uw-rm-form="nfx"> <label class="gigya-label" data-binding="true"
data-screenset-element-id="__gig_template_element_19_1718774262345" data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-checkbox-147194479388348000"><span class="gigya-label-text gigya-checkbox-text"
data-translation-key="CHECKBOX_147194479388348000_LABEL" data-screenset-element-id="__gig_template_element_14_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="instance,template">Consent to collect consumer
health data <span style="color: red">*</span></span><label class="gigya-required-display gigya-reset gigya-hidden" data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" style=""
data-screenset-element-id="__gig_template_element_10_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label> </div><span class="gigya-error-msg"
data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" data-screenset-element-id="__gig_template_element_4_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
<div>
<p class="error" style="display: none; margin-bottom: 0; color: rgb(237, 106, 106);">This field is required</p>
<p style="display: block; margin: 5px 0px 15px;">I consent to the Haleon group of companies and brands ("Haleon") collecting my Consumer Health Data.
<a href="#" class="js-expand" aria-controls="section1" aria-expanded="false" aria-label="Continue reading... I understand that my Consumer Health Data may be used by Haleon as described in our" uw-rm-vague-link-id="https://www.nicorette.com/wh=#$continue reading" data-uw-rm-vglnk="" data-uw-rm-brl="PR" data-uw-original-href="https://www.nicorette.com/wh=#">Continue reading...</a><span
style="display:none; color:white;">I understand that my Consumer Health Data may be used by Haleon as described in our
<a href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" aria-label="Washington Consumer Health Data Notice - open in a new tab" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice$washingtonconsumerhealthdatanotice">Washington Consumer Health Data Notice</a>,
where I can find the categories of data collected, the purposes of collection, and with whom we may share your information. I understand that if I choose not to consent to Haleon's collection of my Consumer Health Data, I may not be
able to receive certain marketing or informational materials or other forms of communication directly from Haleon or participate in surveys and focus groups. I further understand that I may withdraw my consent at any time as described
in the
<a href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" aria-label="Haleon Washington Consumer Health Data Notice - open in a new tab" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice$haleonwashingtonconsumerhealthdatanotice">Haleon Washington Consumer Health Data Notice</a>
or the
<a href="https://www.privacy.haleon.com/en-us/" target="_blank" aria-label="Privacy Notice - open in a new tab" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/$privacynotice">Haleon Privacy Notice</a>.</span>
</p>
</div>
</div>
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterFooterShareConsent" style="display: block !important;" data-on-render="true" data-show-error-message="true">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start" aria-invalid="false"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-dashlane-rid="0d0f18d911364ebe" gigya-expression:data-display-name="screenset.translations['CHECKBOX_129875165883594030_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-129875165883594030"
data-screenset-element-id-publish="true" data-screenset-roles="instance" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_ShareConsent.email.isSubscribed" data-original-value="false"
id="gigya-checkbox-129875165883594030" aria-required="false" data-display-name="." data-uw-rm-form="nfx"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_20_1718774262345"
data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-checkbox-129875165883594030"><span class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_129875165883594030_LABEL"
data-screenset-element-id="__gig_template_element_15_1718774262344" data-screenset-element-id-publish="false" data-screenset-roles="instance,template">Consent to share consumer health data</span><label
class="gigya-required-display gigya-reset gigya-hidden" data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed" style="" data-screenset-element-id="__gig_template_element_11_1718774262343"
data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label> </div><span class="gigya-error-msg" data-bound-to="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-screenset-element-id="__gig_template_element_5_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
<div>
<p style="display: block; margin: 5px 0px 15px;">I consent to the Haleon group of companies and brands ("Haleon") sharing my Consumer Health Data with third parties
<a href="#" class="js-expand" aria-controls="section2" aria-expanded="false" aria-label="I consent to the Haleon group of companies and brands ("Haleon") sharing my Consumer Health Data with third parties Continue reading... as described in the" uw-rm-vague-link-id="https://www.nicorette.com/wh=#$continue reading" data-uw-rm-vglnk="" data-uw-rm-brl="PR" data-uw-original-href="https://www.nicorette.com/wh=#">Continue reading...</a><span
style="display:none; color:white;"> as described in the
<a href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" aria-label="Washington Consumer Health Data Notice - open in a new tab" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice$washingtonconsumerhealthdatanotice">Washington Consumer Health Data Notice</a>.
I understand that I may withdraw my consent at any time as described in the
<a href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" target="_blank" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice" aria-label="Haleon Washington Consumer Health Data Notice - open in a new tab" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/washington-consumer-health-data-notice$haleonwashingtonconsumerhealthdatanotice">Haleon Washington Consumer Health Data Notice</a>
or the
<a href="https://www.privacy.haleon.com/en-us/" target="_blank" aria-label="Privacy Notice - open in a new tab" rel="noopener noreferrer" data-uw-rm-brl="PR" data-uw-original-href="https://www.privacy.haleon.com/en-us/" data-uw-rm-ext-link="" uw-rm-external-link-id="https://www.privacy.haleon.com/en-us/$privacynotice">Haleon Privacy Notice</a>.</span>
</p>
</div>
</div>
<div class="gigya-composite-control" data-binding="true" data-translation-key="LABEL_159830830330976700_LABEL" data-screenset-element-id="__gig_template_element_16_1718774262344" data-screenset-element-id-publish="false"
data-screenset-roles="template,instance,instance">By providing the above information I confirm that I am a US citizen, that I am aged 18 years or older and I would like to opt-in to receive emails with exclusive offers from, and information
about Nicorette, a brand under the Haleon group of companies (“Haleon”).</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-submit">
<input type="submit" class="gigya-input-submit" tabindex="0" data-gigya-type="submit" data-dashlane-rid="7d774cde9aac6547" gigya-expression:value="screenset.translations['SUBMIT_157099189634519600_VALUE']"
data-screenset-element-id="__gig_template_element_7_1718774262343" data-screenset-element-id-publish="false" data-screenset-roles="instance" gigya-default-value="null" value="SUBMIT" data-uw-rm-form="fx" aria-label="Submit button">
</div>
<div class="gigya-clear"></div>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-layout-cell responsive">
<div class="gigya-error-display gigya-composite-control gigya-composite-control-form-error" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_1_1718774262340"
data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true">
<div class="gigya-error-msg gigya-form-error-msg" data-bound-to="gigya-subscribe-with-email-form" data-screenset-element-id="__gig_template_element_6_1718774262341" data-screenset-element-id-publish="false" data-screenset-roles="instance"
aria-atomic="true"></div>
</div>
</div>
</div>
<div class="gigya-clear"></div>
</form>
POST
<form class="gigya-subscribe-with-email-form" data-on-success-screen="ciam-nico-newsletter-toaster-success" data-dashlane-rid="e76c112785317756" onsubmit="return false;" method="post" data-screenset-element-id="gigya-subscribe-with-email-form"
data-screenset-element-id-publish="true" data-screenset-roles="instance" id="gigya-subscribe-with-email-form">
<div class="gigya-layout-row">
<div class="gigya-layout-row">
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-spacer gigya-spacer-divider" data-units="1" style="height: 1px;"></div>
</div>
<div class="gigya-layout-row with-two-inputs">
<div class="gigya-layout-cell">
</div>
<div class="gigya-layout-cell">
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-textbox" style="display: block;"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_38_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-textbox-76244957432260020"><span class="gigya-label-text" data-translation-key="TEXTBOX_127949858627390800_LABEL"
data-screenset-element-id="__gig_template_element_33_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="instance,template">First Name</span><label class="gigya-required-display gigya-reset"
data-bound-to="profile.firstName" style="" data-screenset-element-id="__gig_template_element_29_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label>
<input type="text" aria-label="First name" class="gigya-input-text" name="profile.firstName" formnovalidate="formnovalidate" tabindex="0" data-gigya-type="text" data-required="true" data-dashlane-rid="33f002cc6a8e1e8d"
gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_127949858627390800_PLACEHOLDER']" data-screenset-element-id="gigya-textbox-76244957432260020" data-screenset-element-id-publish="true" data-screenset-roles="instance"
gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.firstName" data-original-value="" id="gigya-textbox-76244957432260020" aria-required="true" data-gigya-placeholder="Your first name" placeholder="Your first name *">
<span class="gigya-error-msg" data-bound-to="profile.firstName" data-screenset-element-id="__gig_template_element_23_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-textbox"><label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_39_1718774266664" data-screenset-element-id-publish="false"
data-screenset-roles="instance" for="gigya-textbox-email"><span class="gigya-label-text" data-translation-key="TEXTBOX_71129149656114700_LABEL" data-screenset-element-id="__gig_template_element_34_1718774266663"
data-screenset-element-id-publish="false" data-screenset-roles="instance,template">Email</span><label class="gigya-required-display gigya-reset" data-bound-to="profile.email" style=""
data-screenset-element-id="__gig_template_element_30_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label>
<input type="text" name="profile.email" class="gigya-input-text" formnovalidate="formnovalidate" tabindex="0" data-required="true" autocomplete="email" data-gigya-type="text" data-dashlane-rid="21aa18ca6026a496"
gigya-expression:data-display-name="screenset.translations['TEXTBOX_71129149656114700_DISPLAY_NAME']" gigya-expression:data-gigya-placeholder="screenset.translations['TEXTBOX_71129149656114700_PLACEHOLDER']"
data-screenset-element-id="gigya-textbox-email" data-screenset-element-id-publish="true" data-screenset-roles="instance" gigya-default-data-display-name="null" gigya-default-data-gigya-placeholder="null" data-gigya-name="profile.email"
data-original-value="" id="gigya-textbox-email" aria-required="true" data-display-name="email." data-gigya-placeholder="name@email.com" placeholder="name@email.com *">
<span class="gigya-error-msg" data-bound-to="email" data-screenset-element-id="__gig_template_element_24_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
</div>
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterToasterCollectConsent" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start" aria-invalid="false"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_CollectConsent.email.isSubscribed"
data-dashlane-rid="5ccaf91c7d07fc4a" data-required="true" gigya-expression:data-display-name="screenset.translations['CHECKBOX_12003265228481024_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-12003265228481024"
data-screenset-element-id-publish="true" data-screenset-roles="instance" gigya-default-data-display-name="null" data-gigya-name="subscriptions.B90155_CollectConsent.email.isSubscribed" data-original-value="false"
id="gigya-checkbox-12003265228481024" aria-required="false" data-display-name="This field is required"> <label class="gigya-label" data-binding="true" data-screenset-element-id="__gig_template_element_40_1718774266664"
data-screenset-element-id-publish="false" data-screenset-roles="instance" for="gigya-checkbox-12003265228481024"><span class="gigya-label-text gigya-checkbox-text" data-translation-key="CHECKBOX_12003265228481024_LABEL"
data-screenset-element-id="__gig_template_element_35_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="instance,template">Consent to collect consumer health data <span
style="color: red">*</span></span><label class="gigya-required-display gigya-reset gigya-hidden" data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" style=""
data-screenset-element-id="__gig_template_element_31_1718774266663" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-hidden="true">*</label></label> </div><span class="gigya-error-msg"
data-bound-to="subscriptions.B90155_CollectConsent.email.isSubscribed" data-screenset-element-id="__gig_template_element_25_1718774266660" data-screenset-element-id-publish="false" data-screenset-roles="instance" aria-atomic="true"></span>
</div>
</div>
<div class="gigya-layout-row">
<div class="gigya-composite-control gigya-composite-control-checkbox newsletterToasterShareConsent" data-show-error-message="true" style="display: block !important;">
<div class="gigya-checkbox-container" style="display: flex; align-items: flex-start" aria-invalid="false"> <input type="checkbox" class="gigya-input-checkbox fd-checkbox" name="subscriptions.B90155_ShareConsent.email.isSubscribed"
data-dashlane-rid="d02e967f287389f5" gigya-expression:data-display-name="screenset.translations['CHECKBOX_55025377899651704_DISPLAY_NAME']" data-screenset-element-id="gigya-checkbox-55025377899651704"
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