www.flashrewards.co
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urlscan Pro
2a06:98c1:3121::3
Public Scan
URL:
https://www.flashrewards.co/default.aspx?Flow=5B988E89-0842-C1E7-6AD7-B8378BDA7BDF77C650B3&&PubSrc=%26reward%3Ddoordash500%2...
Submission: On October 08 via manual from US — Scanned from NL
Submission: On October 08 via manual from US — Scanned from NL
Form analysis 2 forms found in the DOM
POST ./default.aspx?Flow=5B988E89-0842-C1E7-6AD7-B8378BDA7BDF77C650B3&&PubSrc=%26reward%3ddoordash500%26transaction_id%3d1027c7c4ff6317645b612467aa48f0%26gclid%3d1028ea552b59cc1cbe6ec484aee37a%26fbclid%3d1028ea552b59cc1cbe6ec484aee37a&ipage=%26pubsrc1%3d..%2fCampImg%2f1718%2fSuperDynamic%2fgenericimg%2fdoordash500disclaimer.png%26pubsrc2%3d%24500+Towards+DoorDash%26termspid%3duplevelrewards%26subaff5%3dlevels%26uxmode%3dlevels%26incval%3d500&SubAff=10841-_203279_91330-PLATFORM-11470_doordash500&AffSecID=1027c7c4ff6317645b612467aa48f0&entrancevid=ZEFzwsoUbm6LxJhiWq4KHg2&Freq=0&isUserLookUp=False&isULUDone=True&fdp=1.8&fdq=4g&fdr=100&fds=&PIY=uVggZGKOJWH%257CXg44dWslyM7-vjMSK5XN9zTMrFj36Mzeq9BBB4DxGc6bTogC14Mm4PGQyosdRXtlfTCxwcqy%257Ctxatmn3CYPsTQNFmizzF7Abjl0WbD6AT5iduWsHLTRx0&speed=4g
<form method="post"
action="./default.aspx?Flow=5B988E89-0842-C1E7-6AD7-B8378BDA7BDF77C650B3&&PubSrc=%26reward%3ddoordash500%26transaction_id%3d1027c7c4ff6317645b612467aa48f0%26gclid%3d1028ea552b59cc1cbe6ec484aee37a%26fbclid%3d1028ea552b59cc1cbe6ec484aee37a&ipage=%26pubsrc1%3d..%2fCampImg%2f1718%2fSuperDynamic%2fgenericimg%2fdoordash500disclaimer.png%26pubsrc2%3d%24500+Towards+DoorDash%26termspid%3duplevelrewards%26subaff5%3dlevels%26uxmode%3dlevels%26incval%3d500&SubAff=10841-_203279_91330-PLATFORM-11470_doordash500&AffSecID=1027c7c4ff6317645b612467aa48f0&entrancevid=ZEFzwsoUbm6LxJhiWq4KHg2&Freq=0&isUserLookUp=False&isULUDone=True&fdp=1.8&fdq=4g&fdr=100&fds=&PIY=uVggZGKOJWH%257CXg44dWslyM7-vjMSK5XN9zTMrFj36Mzeq9BBB4DxGc6bTogC14Mm4PGQyosdRXtlfTCxwcqy%257Ctxatmn3CYPsTQNFmizzF7Abjl0WbD6AT5iduWsHLTRx0&speed=4g"
id="form1">
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwULLTE2OTg0OTkwNTNkZPRt/i7et2zhJlrxvP2ODDxXin5fAz3fexx4V0zBEAbO">
</div>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334">
</div>
</form>Name: FlowSQForm — POST /default.aspx?Flow=5B988E89-0842-C1E7-6AD7-B8378BDA7BDF77C650B3
<form id="FlowSQForm" name="FlowSQForm" method="post" action="/default.aspx?Flow=5B988E89-0842-C1E7-6AD7-B8378BDA7BDF77C650B3">
<table width="100%" cellspacing="0" cellpadding="0" border="0" align="center" id="OffersListTB">
<tbody>
<tr>
<td>
<div id="RPc13070dv">
<meta content="minimum-scale=1.0, width=device-width, maximum-scale=0.6667, user-scalable=no" name="viewport">
<link href="https://fonts.googleapis.com/css?family=Poppins:300,400,500,600,700,800,900&display=swap" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Inconsolata:400,700&display=swap" rel="stylesheet">
<link href="https://fonts.googleapis.com/css2?family=Roboto:wght@300;400;500;700;900&display=swap" rel="stylesheet">
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery.mask/1.14.16/jquery.mask.min.js" integrity="sha512-pHVGpX7F/27yZ0ISY+VVjyULApbDlD0/X0rgGbTqCE7WFW5MezNTWG/dnhtbBuICzsd0WQPgpE4REBLv+UqChw==" crossorigin="anonymous"></script>
<input type="hidden" id="creativeSettings" name="creativeSettings" data-keystroke="submitCid(); return false;">
<input type="hidden" name="email" value="firedragon1114@yahoo.com">
<input type="hidden" name="address2">
<input type="hidden" name="phoneprefix" value="">
<input type="hidden" name="phonecode" value="">
<input type="hidden" name="phonesuffix" value="">
<input type="hidden" name="telephone" value="">
<input type="hidden" name="fdf" value="0">
<input type="hidden" name="fd6" value="doordash500">
<input type="hidden" name="fd7" value="ZEFzwsoUbm6LxJhiWq4KHg2">
<input type="hidden" name="fd8" value="$500 Towards DoorDash">
<style>
/*template overwrite */
#ncc-logo {
width: 20px !important;
}
#hf-termbox #m-requirements a {
font-size: 14px !important;
color: #939393 !important;
font-weight: 500 !important;
letter-spacing: 0.01em;
line-height: 1.2em;
}
#footer-terms {
color: #939393 !important;
padding-top: 30px !important;
font-weight: 400 !important;
font-family: "Roboto", sans-serif;
letter-spacing: 0;
}
#footer-terms * a,
#footer-terms a {
color: #939393 !important;
font-weight: 400 !important;
}
/*end template */
::-webkit-input-placeholder {
/* Edge */
color: #a5a5a5;
}
:-ms-input-placeholder {
/* Internet Explorer 10-11 */
color: #a5a5a5;
}
::placeholder {
color: #a5a5a5;
}
body {
margin: 0px;
}
.ccpa {
display: block !important;
}
#Sitefooter {
display: none;
}
#cid-global {
padding-bottom: 0;
}
#cid-global,
#cid-global * {
font-family: 'Poppins', sans-serif;
outline: none;
}
/*** REG SECTION **/
#global-reg {
margin: auto;
background: #f3f4f6;
padding-bottom: 14.66vw;
}
#reg-header {
line-height: 18.13VW;
font-style: normal;
font-weight: bold;
font-size: 5.33VW;
text-align: center;
color: #F3F4F6;
background: #1e1e1e;
background: url(/CampImg/13069/backgroundv2.png) no-repeat center top transparent;
background-size: 100% auto;
background-position: center -17.33VW;
background: #1E1E1E;
}
#reg-header b {
color: #8FFF00;
font-weight: bold;
}
#dyn-reward {
text-align: center;
padding-top: 10vw;
}
#dyn-reward img {
height: 24VW;
}
#reward-number {
font-family: Inconsolata;
font-style: normal;
font-weight: bold;
font-size: 3.46VW;
line-height: 4.8VW;
text-align: center;
letter-spacing: 0.02em;
color: #A5A5A5;
margin: 0px;
padding-top: 1.3vw;
}
#reward-number i {
font-style: normal;
font-family: Inconsolata;
}
#global-reg h3 {
font-style: normal;
font-weight: bold;
font-size: 5.06VW;
line-height: 7.46VW;
text-align: left;
color: #1E1E1E;
margin: auto;
width: 80%;
padding-top: 6.4vw;
padding-bottom: 6.66667vw;
text-align: center;
}
#global-reg h6 {
font-style: normal;
font-weight: normal;
font-size: 4.26VW;
line-height: 6.4VW;
text-align: center;
color: #1E1E1E;
margin: auto;
width: 67%;
padding-top: 6.4vw;
padding-bottom: 0px;
}
.reg-section {
padding-bottom: 5.33333vw;
text-align: center;
margin: auto;
width: 90%;
background: white;
padding: 6.66667vw 4.8vw 5.06667vw 4.8vw;
box-sizing: border-box;
border-radius: 1.33333vw;
margin-bottom: 2.66667vw;
}
.reg-title {
font-style: normal;
font-weight: 600;
font-size: 3.4VW;
line-height: 2.93VW;
letter-spacing: 0.03em;
color: #1e1e1e;
padding-bottom: 4vw;
}
.reg-fields input,
.reg-fields select {
border: 1px solid #a5a5a5;
border-radius: 0.53333vw;
box-sizing: border-box;
height: 12.8VW;
display: block;
margin-bottom: 4VW;
padding-left: 4VW;
text-align: left;
color: #1e1e1e;
transition: border .2s;
font-size: 4VW;
width: 100%;
background: white;
-webkit-appearance: none;
-moz-appearance: none;
appearance: none;
}
.reg-fields select {
color: #a5a5a5;
}
.reg-fields input.valid,
.reg-fields select.valid {
border-color: #78D600;
}
.reg-fields select.valid {
color: #1e1e1e;
}
.reg-fields input.valid {
background: url(/CampImg/13070/green-chk.svg) no-repeat 96% center white;
background-size: 4.53333vw auto;
padding-right: 12vw;
}
.reg-fields select#state.valid,
.reg-fields input#zp.valid {
background: url(/CampImg/13070/green-chk.svg) no-repeat 90% center white;
background-size: 4.53333vw auto;
}
.reg-fields select#dobday.valid,
.reg-fields select#dobmonth.valid,
.reg-fields select#dobyear.valid {
background: url(/CampImg/13070/green-chk.svg) no-repeat 83% center white;
background-size: 4.53333vw auto;
}
.reg-location {
display: flex;
justify-content: space-between;
align-items: flex-start;
}
.reg-location>.field-item {
width: 48%;
}
.reg-location input {
width: 100%;
}
.reg-location select {
width: 100%;
}
.field {
display: inline-block;
vertical-align: top;
width: 32%;
margin: 0px;
}
#dob,
#gender {
display: flex;
justify-content: space-between;
align-items: center;
}
#dob-holder {
display: flex;
justify-content: space-between;
align-items: center;
}
#gender {
margin-bottom: 4vw;
}
#gender>div {
width: 32%;
border: 1px solid #a5a5a5;
border-radius: 0.53333vw;
box-sizing: border-box;
height: 12.8VW;
cursor: pointer;
text-align: center;
color: #A5A5A5;
transition: all .2s;
font-size: 4VW;
line-height: 12.8VW;
font-weight: normal;
}
#gender>div.btnselected {
border-color: #78D600;
background: #78D600;
color: #fff;
font-weight: 500;
}
.p-title {
text-align: center;
font-style: normal;
font-weight: 500;
font-size: 4VW;
line-height: 5.06VW;
letter-spacing: 0.02em;
color: #1E1E1E;
padding-bottom: 1.6vw;
text-align: left;
}
#reg-disclaimer {
font-family: "Roboto", sans-serif;
font-size: 2.93VW;
line-height: 3.73VW;
text-align: center;
margin: auto;
width: 80%;
padding-bottom: 8vw;
padding-top: 0;
color: #939393;
padding-top: 2.13333vw;
}
#reg-disclaimer a {
color: #939393;
font-family: "Roboto", sans-serif;
}
.sbtn {
background-color: #BFBFBF;
background-image: url(//www.cdn925.com/CampImg/13070/arrow.svg);
background-repeat: no-repeat;
background-position: 95% center;
margin: 2em auto 0;
border-radius: 27.20VW;
line-height: 14.66VW;
text-align: center;
color: white;
font-weight: bold;
width: 80VW;
font-style: normal;
letter-spacing: 0.02em;
font-size: 5.33VW;
position: relative;
transition: .3s all linear;
cursor: pointer;
}
.sbtn:before {
content: "";
position: absolute;
width: 100%;
top: -3em;
left: 0;
color: #1E1E1E;
font-size: 4.27vw;
transition: .1s all ease-out;
opacity: 0;
}
.sbtn.active {
background-color: #135EC7;
}
.sbtn.active:before {
content: "You’re all set! Please continue.";
opacity: 1;
}
/** ERRORS */
.field-item {
position: relative;
text-align: left;
width: 100%;
display: block;
}
.error-entry {
display: none;
font-family: Roboto !important;
font-style: normal;
font-weight: normal;
font-size: 2.66667vw;
line-height: 2.13333vw;
text-align: right;
letter-spacing: 0.03em;
padding-bottom: 2.66667vw;
color: #EE4853;
position: relative;
top: -1.33333vw;
}
.label-entry {
display: none;
position: absolute;
height: 3.2vw;
text-align: left;
font-family: Roboto !important;
font-style: normal;
font-weight: normal;
font-size: 2.66667vw;
line-height: 4vw;
color: #a5a5a5;
background: white;
z-index: 99;
padding-left: 1.33333vw;
padding-right: 1.33333vw;
text-align: center;
left: 3.2vw;
top: -1.86667vw;
text-transform: lowercase;
}
.non-empty .label-entry {
display: inline-block;
}
.valid .label-entry {
color: #78D600;
}
.invalid .error-entry {
display: block;
}
div.invalid .label-entry {
color: #EE4853;
}
.invalid select,
.invalid input {
border-color: #EE4853 !important;
background: none !important;
}
@media all and (min-width:868px) {
#global-reg {
margin: auto;
background: white;
width: 900px;
margin-bottom: 55px;
padding-bottom: 65px;
box-shadow: 20px 10px 104px rgb(0 0 0 / 8%);
}
#reg-header {
line-height: 50px;
font-size: 18px;
}
#dyn-reward {
text-align: center;
padding-top: 25px;
}
#dyn-reward img {
height: 160px;
}
#reward-number {
font-size: 15px;
line-height: 25px;
color: #A5A5A5;
padding-top: 11px;
}
#global-reg h3 {
font-size: 24px;
line-height: 25px;
padding-top: 25px;
padding-bottom: 25px;
}
.reg-section {
text-align: center;
margin: auto;
width: 90%;
background: white;
padding: 32px 25px 0px 25px;
box-sizing: border-box;
border-radius: 8px;
margin-bottom: 0px;
}
.reg-title {
font-style: normal;
font-weight: 600;
font-size: 17px;
line-height: 15px;
letter-spacing: 0.03em;
color: #1e1e1e;
padding-bottom: 20px;
text-align: left;
}
.reg-fields input,
.reg-fields select {
border: 1px solid #a5a5a5;
border-radius: 5px;
box-sizing: border-box;
height: 50px;
display: block;
margin-bottom: 13px;
padding-left: 15px;
text-align: left;
color: #1e1e1e;
transition: border .2s;
font-size: 15px;
width: 100%;
background: white;
-webkit-appearance: none;
-moz-appearance: none;
appearance: none;
}
.label-entry {
height: 20px;
font-size: 13px;
line-height: 20px;
padding-left: 6px;
padding-right: 6px;
left: 12px;
top: -10px;
}
.reg-fields input.valid {
background-position: 98% center;
background-size: 20px auto;
padding-right: 11px;
}
.error-entry {
font-size: 12px;
line-height: 15px;
text-align: left;
padding-bottom: 11px;
top: -3px;
}
.reg-fields select#state.valid,
.reg-fields input#zp.valid {
background-position: 95.5% center;
background-size: 20px auto;
}
.reg-fields select#dobday.valid,
.reg-fields select#dobmonth.valid,
.reg-fields select#dobyear.valid {
background-position: 92.5% center;
background-size: 20px auto;
}
.p-title {
text-align: center;
font-style: normal;
font-weight: 500;
font-size: 13px;
line-height: 15px;
letter-spacing: 0.02em;
color: #1E1E1E;
padding-bottom: 9px;
text-align: left;
padding-top: 8px;
}
.reg-location>.field-item {
width: 49%;
}
#gender>div {
border-radius: 5px;
height: 50px;
font-size: 18px;
line-height: 50px;
}
#gender {
margin-bottom: 10px;
}
#reg-disclaimer {
font-size: 12px;
line-height: 15px;
width: 90%;
padding-bottom: 21px;
padding-top: 21px;
}
.sbtn {
margin: 5px auto;
border-radius: 55px;
line-height: 55px;
width: 334px;
font-size: 25px;
margin-top: 42px;
cursor: pointer;
}
.sbtn:before {
width: 100%;
top: -52px;
font-size: 18px;
}
}
</style>
<script>
var LMReg = null;
$(document).ready(function() {
var currentReward = jPubSrcParam('reward') || "visagc100new";
var currentRewardName = jPubSrcParam('pubsrc2') || "$100 Visa Gift Card";
LMReg = new LMRegistgration($("#sub-btn"), $(".gbtn"), $("#cid-global"), currentReward);
LMReg.init();
$('#tl').mask('(000) 000-0000');
$("#RPc" + _jCid + "dv").find('[name="fdf"]').val(UC(AF.Lead.v.Freq));
$("#RPc" + _jCid + "dv").find('[name="fd6"]').val(currentReward);
$("#RPc" + _jCid + "dv").find('[name="fd8"]').val(currentRewardName);
$("#RPc" + _jCid + "dv").find('[name="fd7"]').val(UC(AF.Lead.v.EntranceVID));
});
var LMRegistgration = function(btn, gbtn, scope, reward) {
var ref = this;
ref.errors = "";
ref.tags = [];
ref.btn = btn;
ref.gbtn = gbtn;
ref.stepsAwaitTime = 3100;
ref.global = scope;
ref.loaderAwaitTime = 5000;
ref.time = 3000;
ref.itemNo = reward;
ref.span = $("#label-generator span");
ref.init = function() {
ref.setListeners();
}
ref.setPhoneValue = function(val) {
val = val.replace(/[^0-9]/g, '');
console.log(val)
$("input[name='telephone']").val(val);
$("input[name='phonecode']").val(val.substring(0, 3));
$("input[name='phoneprefix']").val(val.substring(3, 6));
$("input[name='phonesuffix']").val(val.substring(6, 10));
}
ref.setListeners = function() {
if (jLead.phone) {
var tl_pop = (jLead.phone > 10) ? jLead.phone.slice(-10) : jLead.phone;
$('#tl').val(tl_pop);
ref.setPhoneValue(tl_pop);
$('#tl').mask('(000) 000-0000');
// activate submit button when prepopping
setTimeout(function() {
$('#tl').blur();
}, 500)
}
$("#tl").change(function() {
var val = $(this).val();
ref.setPhoneValue(val);
}).blur(function() {
var val = $(this).val();
ref.setPhoneValue(val);
}).keyup(function() {
var val = $(this).val();
ref.setPhoneValue(val);
});
ref.btn.click(function() {
ref.validateReg();
});
/* select gender */
ref.gbtn.click(function() {
var obj = $(this);
var gd = $("input[name=gender]");
obj.siblings().removeClass('btnselected');
obj.addClass('btnselected');
gd.val(obj.data('gender'));
ref.validateReg2();
ref.setItemClass(gd);
});
ref.global.find('input, select').keyup(function() {});
ref.global.find('input, select').blur(function() {
ref.setClass($(this));
ref.validateReg2();
});
ref.global.find('select').change(function() {
ref.setClass($(this));
ref.validateReg2();
});
ref.global.find('input, select').keyup(function() {
ref.setItemClass($(this));
}).change(function() {
ref.setItemClass($(this));
});
ref.global.find('input, select').each(function() {
$(this).trigger('blur');
});
ref.populateGenderBtn();
}
ref.validateReg = function() {
ref.tags = [];
ref.global.find('input, select').each(function() {
var obj = $(this);
var field = obj.attr('name');
var val = obj.val();
if (!ref.fieldValidator[field]) {
return;
}
var valid = ref.fieldValidator[field].valid(obj);
if (!valid) {
ref.tags.push(field);
ref.errors += ref.fieldValidator[field].error + "\n";
}
});
// gender
var gender = ref.fieldValidator['gender'];
if (!gender.valid($("input[name=gender]"))) {
ref.tags.push('gender');
ref.errors += gender.error;
}
if (ref.errors.length > 0) {
ref.setUIErrors(ref.tags);
ref.errors = "";
return false;
} else {
jOfferSubmit(_jCid, 1);
}
}
ref.setUIErrors = function(fields) {
var target = $("body");
for (var i = 0; i < fields.length; i++) {
var f = fields[i];
$(".field-item").each(function() {
var obj = $(this);
var tags = obj.attr('data-tag')
tags = tags.split(',');
for (var p = 0; p < tags.length; p++) {
if (tags[p] == f) {
if (i == 0) {
target = obj;
}
obj.addClass('invalid');
}
}
});
}
// animate to first error
$('html, body').animate({
scrollTop: target.offset().top - 50
}, 300);
}
/* Highlight Button */
ref.validateReg2 = function() {
ref.global.find('input, select').each(function() {
var obj = $(this);
var field = obj.attr('name');
var val = obj.val();
if (!ref.fieldValidator[field]) {
return;
}
var valid = ref.fieldValidator[field].valid(obj);
if (!valid) {
ref.errors += ref.fieldValidator[field].error + "\n";
}
});
// gender
var gender = ref.fieldValidator['gender'];
if (!gender.valid($("input[name=gender]"))) {
ref.errors += gender.error;
}
if (ref.errors.length > 0) {
ref.btn.removeClass("active");
ref.errors = "";
return false;
} else {
ref.btn.addClass("active");
}
}
/** UTILITIES **/
ref.isEmail = function(email) {
var re = /\S+@\S+\.\S+/;
return re.test(email);
}
ref.isNumber = function(val) {
return !isNaN(val);
}
ref.isGenderCollected = function(obj) {
return obj.val().length > 0;
}
ref.isCorrectLength = function(val, length) {
return parseInt(val) === parseInt(length);
}
ref.meetsCorrectLength = function(val, length) {
return parseInt(val) >= parseInt(length);
}
ref.getRandom = function(min, max) {
return Math.floor(Math.random() * (max - min + 1) + min);
}
ref.countUp = function(num, time, elem, callback) {
$("#reward-number i").html("#" + num);
var int = setInterval(function() {
var curr = ref.GetRandomReward(8);
elem.html(curr);
}, (30));
setTimeout(function() {
clearInterval(int);
elem.html(num);
if (callback && typeof callback == 'function') callback();
}, time);
}
ref.populateGenderBtn = function() {
if (GetFlowVariable(AF.Lead.v.Gender) == "True") {
$(".female").removeClass('btnselected');
$(".male").addClass('btnselected');
$("input[name=gender]").val("M");
}
if (GetFlowVariable(AF.Lead.v.Gender) == "False") {
$(".male").removeClass('btnselected');
$(".female").addClass('btnselected');
$("input[name=gender]").val("F");
}
}
ref.setClass = function(obj) {
var field = obj.attr('name');
var val = obj.val();
if (!ref.fieldValidator[field]) {
return;
}
var valid = ref.fieldValidator[field].valid(obj);
if (!valid) {
obj.removeClass('valid');
obj.closest('.field-item').removeClass('valid');
} else {
obj.addClass('valid');
obj.closest('.field-item').addClass('valid');
}
}
ref.setItemClass = function(obj) {
var field = obj.attr('name');
var val = obj.val();
var valid = val.length > 0;
obj.closest('.field-item').removeClass('invalid');
if (!valid) {
obj.closest('.field-item').removeClass('non-empty');
} else {
obj.closest('.field-item').addClass('non-empty');
}
}
ref.GetRandomReward = function(len, charSet) {
charSet = charSet || 'ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz0123456789';
var randomString = '';
for (var i = 0; i < len; i++) {
var randomPoz = Math.floor(Math.random() * charSet.length);
randomString += charSet.substring(randomPoz, randomPoz + 1);
}
return randomString;
}
/** Validation **/
ref.fieldValidator = {
"email": {
"valid": function(obj) {
return ref.isEmail(obj.val());
},
"error": "Please enter a valid Email"
},
"firstname": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 2);
},
"error": "Please enter a First Name"
},
"lastname": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 2);
},
"error": "Please enter a Last Name"
},
"address1": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 2);
},
"error": "Please enter a Street Address"
},
"zippost": {
"valid": function(obj) {
return ref.isCorrectLength(obj.val().length, 5) && ref.isNumber(obj.val());
},
"error": "Please enter a Zip Code"
},
"city": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 2);
},
"error": "Please enter a City"
},
"state": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 1);
},
"error": "Please select a State"
},
"dobmonth": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 1);
},
"error": "Please select DOB Month"
},
"dobday": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 1);
},
"error": "Please select DOB Day"
},
"dobyear": {
"valid": function(obj) {
return ref.meetsCorrectLength(obj.val().length, 1);
},
"error": "Please select DOB Year"
},
"gender": {
"valid": function(obj) {
return ref.isGenderCollected(obj);
},
"error": "Please select Gender"
},
"telephone": {
"valid": function(obj) {
return ref.isCorrectLength(obj.val().length, 10) && ref.isNumber(obj.val());
},
"error": "Enter a 10 digits Phone Number"
},
"telephone_two": {
"valid": function(obj) {
return ref.isCorrectLength(obj.val().length, 14);
},
"error": "Enter a 10 digits Phone #"
}
}
}
</script>
<div id="cid-global">
<script>
var stepsAwaitTime = 3100;
var loaderAwaitTime = 5000;
var spaner = ""
var globaldiv = $("#cid-global");
var timingdelay = 3000;
var itemNo = "";
$(document).ready(function() {
itemNo = jPubSrcParam('reward') || "visagc100new";
spaner = $("#label-generator > span");
animateLoader();
});
var animateLoader = function() {
var slider = $("#loading-slide div i");
$("#loader-thanks").delay(400).fadeIn(300);
setTimeout(function() {
$("#loader-thanks").hide();
$("#loader-clap").fadeIn(300);
setTimeout(function() {
$("#loader-clap").addClass('slide');
}, 800)
}, loaderAwaitTime / 2.2);
setTimeout(function() {
$("#loader-clap").hide();
$("#loader-wait").fadeIn(300);
$("#label-generator").addClass('revealed');
countUpCount(itemNo, timingdelay, spaner, rewardReadyFunc);
}, loaderAwaitTime + 2100);
}
var animateClap = function() {
var curObj = $("div#l-clap div i").eq(0);
var w = curObj.width();
curObj.animate({
marginLeft: -w + "px"
}, {
duration: 400,
easing: "linear",
complete: function() {
curObj.clone().css('marginLeft', '25px').appendTo('div#l-clap div');
curObj.remove();
animateClap();
}
});
}
var rewardReadyFunc = function() {
globaldiv.addClass('success');
$("#loader-wait").hide();
$("#loader-ready").fadeIn(300);
setTimeout(function() {
globaldiv.addClass('completed');
}, loaderAwaitTime / 1.3);
}
var getRandom = function(min, max) {
return Math.floor(Math.random() * (max - min + 1) + min);
}
var countUpCount = function(num, time, elem, callback) {
$("#reward-number i").html("#" + num);
var int = setInterval(function() {
var curr = GetRandomReward(8);
elem.html(curr);
}, (30));
setTimeout(function() {
clearInterval(int);
elem.html(num);
if (callback && typeof callback == 'function') callback();
}, time);
}
GetRandomReward = function(len, charSet) {
charSet = charSet || 'ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz0123456789';
var randomString = '';
for (var i = 0; i < len; i++) {
var randomPoz = Math.floor(Math.random() * charSet.length);
randomString += charSet.substring(randomPoz, randomPoz + 1);
}
return randomString;
}
</script>
<style>
/** LOADER **/
#overlay-loader {
position: fixed;
top: 0px;
left: 0px;
transition: all .4s;
background: #135EC7;
width: 100%;
height: 100%;
z-index: 999;
display: flex;
justify-content: flex-start;
align-items: center;
flex-direction: column;
border-radius: 3px;
}
.loader-container {
position: relative;
display: none;
top: 0px;
left: 0px;
width: 100%;
text-align: center;
padding-top: 100px;
margin-bottom: 75px;
}
.loader-container h4 {
text-align: center;
font-family: Poppins;
font-style: normal;
font-weight: 800;
font-size: 8VW;
line-height: 12.8VW;
text-align: center;
letter-spacing: 0.02em;
color: #FFFFFF;
margin: 0px;
}
.success .loader-container h4 {
color: #1e1e1e;
}
#loader-thanks.loader-container {}
.loader-container>div {
width: 18.93VW;
height: 18.93VW;
margin: auto;
margin-bottom: 9.8VW;
}
.loader-container>div#l-ready {
text-align: center;
width: 38VW;
}
.loader-container>div#l-ready img {
max-width: 38VW;
max-height: 25VW;
text-align: center;
}
#l-check {
background: url(//www.cdn925.com/CampImg/13070/check.svg) no-repeat center top transparent;
background-size: 18.93VW 18.93VW;
}
#l-wait {
background: url(//www.cdn925.com/CampImg/13070/circle-empty.svg) no-repeat center top transparent;
background-size: 18.93VW 18.93VW;
display: flex;
justify-content: center;
align-content: center;
align-items: center;
opacity: 0;
}
#l-wait>div {
text-align: center;
height: 9px;
display: flex;
justify-content: space-evenly;
}
.loader-container>div#l-clap {
width: 100%;
height: 19VW;
overflow: hidden;
position: relative;
}
.loader-container>div#l-clap i {
background: url(//www.cdn925.com/CampImg/13070/clap-hands.svg) 0 0 transparent;
background-size: 18.93VW 18.93VW;
height: 18.93VW;
display: block;
width: 18.93VW;
float: left;
margin-left: 25px;
margin-bottom: 10px;
background-repeat: no-repeat;
}
.loader-container>div#l-clap div {
position: absolute;
top: 0px;
left: 100%;
width: 600%;
height: 18.93VW;
-o-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
-webkit-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
-moz-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
}
.slide div#l-clap div {
left: -600%;
}
#overlay-loader .step2 {
display: none;
}
#label-generator {
position: relative;
width: 90%;
margin: auto;
background: #fff;
height: 21.86VW;
line-height: 21.86VW;
text-align: center;
box-shadow: 0px 5px 9px rgba(0, 0, 0, 0.1);
margin-top: 100px;
margin-bottom: 25px;
box-sizing: border-box;
border-radius: 6px;
margin-top: 0px;
margin-bottom: 0px;
border-radius: 21VW;
transition: all .4s;
opacity: 0;
}
#label-generator.revealed {
opacity: 1;
}
#loading-slide {
overflow: hidden;
width: 96%;
margin: auto;
display: block;
height: 3px;
border-radius: 6px;
background: white;
position: absolute;
bottom: 5px;
left: 50%;
transform: translateX(-50%);
}
#loading-slide div {
height: 3px;
width: 100%;
position: relative;
overflow: hidden;
}
#loading-slide div i {
display: block;
height: 3px;
width: 100%;
position: absolute;
background: #78D600;
left: -100%;
top: 0px;
border-radius: 6px;
}
#label-generator span {
display: block;
line-height: 21.86VW;
position: relative;
z-index: 99;
font-size: 6.46VW;
color: #A5A5A5;
letter-spacing: 4VW;
text-align: center;
font-family: 'Inconsolata', monospace;
font-weight: bold;
left: 1.5VW;
overflow: hidden;
text-overflow: ellipsis;
box-sizing: border-box;
padding-right: 15px;
text-transform: uppercase;
}
#label-generator span:before {
content: "#";
display: inline;
}
/** SUCCESS **/
.success #overlay-loader h1,
.success #overlay-loader h2 {
color: #1e1e1e;
}
.success #label-generator span {
color: #1e1e1e;
}
.success #overlay-loader {
background: #8FFF00;
}
.success #overlay-loader .step1 {
display: none;
}
.success #overlay-loader .step2 {
display: block;
}
.completed #overlay-loader {
left: -105%;
}
/** ANIMATIONS **/
#l-wait>div span {
display: inline-block;
width: 9px;
height: 9px;
margin: 0px 3px 0px 3px;
border-radius: 50%;
background-color: #fff;
opacity: 0;
-moz-transform-origin: center center 50%;
-ms-transform-origin: center center 50%;
-webkit-transform-origin: center center 50%;
transform-origin: center center 50%;
-moz-animation-name: pulse;
-webkit-animation-name: pulse;
animation-name: pulse;
-moz-animation-duration: 1.2s;
-webkit-animation-duration: 1.2s;
animation-duration: 1.2s;
-moz-animation-iteration-count: infinite;
-webkit-animation-iteration-count: infinite;
vertical-align: top;
animation-iteration-count: infinite;
}
#l-wait>div span:nth-child(2) {
width: 9px;
height: 9px;
margin-top: 0;
-moz-animation-delay: 0.12s;
-webkit-animation-delay: 0.12s;
animation-delay: 0.12s;
}
#l-wait>div span:nth-child(3) {
-moz-animation-delay: 0.24s;
-webkit-animation-delay: 0.24s;
animation-delay: 0.24s;
}
@media all and (min-width:868px) {
/** LOADER **/
#overlay-loader {
position: fixed;
top: 0px;
left: 0px;
transition: all .4s;
background: #135EC7;
width: 100%;
height: 100%;
z-index: 99999;
display: flex;
justify-content: flex-start;
align-items: center;
flex-direction: column;
border-radius: 3px;
}
.loader-container {
position: relative;
display: none;
top: 0px;
left: 0px;
width: 100%;
text-align: center;
padding-top: 160px;
margin-bottom: 75px;
}
.loader-container h4 {
text-align: center;
font-family: Poppins;
font-style: normal;
font-weight: 800;
font-size: 34px;
line-height: 53px;
text-align: center;
letter-spacing: 0.02em;
color: #FFFFFF;
margin: 0px;
}
.success .loader-container h4 {
color: #1e1e1e;
}
#loader-thanks.loader-container {}
.loader-container>div {
width: 88px;
height: 112px;
margin: auto;
margin-bottom: 45px;
}
.loader-container>div#l-ready {
text-align: center;
width: 800px;
}
.loader-container>div#l-ready img {
max-width: 210px;
max-height: 145px;
text-align: center;
}
#l-check {
background: url(//www.cdn925.com/CampImg/13070/check.svg) no-repeat center top transparent;
background-size: 100% 100%;
}
#l-wait {
background: url(//www.cdn925.com/CampImg/13070/circle-empty.svg) no-repeat center top transparent;
background-size: 100% 100%;
display: flex;
justify-content: center;
align-content: center;
align-items: center;
opacity: 0;
}
#l-wait>div {
text-align: center;
height: 9px;
display: flex;
justify-content: space-evenly;
}
.loader-container>div#l-clap {
width: 100%;
height: 88px;
overflow: hidden;
position: relative;
max-width: 900px;
}
.loader-container>div#l-clap:after {
position: absolute;
z-index: 999;
content: "";
height: 100%;
width: 100px;
right: 0px;
top: 0px;
background: linear-gradient(90deg, rgba(19, 94, 199, 0) 0%, rgba(19, 94, 199, 1) 49%, rgba(19, 94, 199, 1) 100%);
}
.loader-container>div#l-clap:before {
position: absolute;
z-index: 999;
content: "";
height: 100%;
width: 100px;
left: 0px;
top: 0px;
background: linear-gradient(270deg, rgba(19, 94, 199, 0) 0%, rgba(19, 94, 199, 1) 49%, rgba(19, 94, 199, 1) 100%);
}
.loader-container>div#l-clap i {
background: url(//www.cdn925.com/CampImg/13070/clap-hands.svg) 0 0 transparent;
background-size: 100% 100%;
height: 88px;
display: block;
width: 88px;
float: left;
margin-left: 25px;
margin-bottom: 10px;
background-repeat: no-repeat;
}
.loader-container>div#l-clap div {
position: absolute;
top: 0px;
left: 100%;
width: 600%;
height: 88px;
-o-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
-webkit-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
-moz-transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
transition: all 4.5s cubic-bezier(0.85, 0.07, 0.13, 0.94);
}
.slide div#l-clap div {
left: -450%;
}
#overlay-loader .step2 {
display: none;
}
#label-generator {
position: relative;
width: 90%;
margin: auto;
background: #fff;
height: 75px;
line-height: 75px;
text-align: center;
box-shadow: 0px 5px 9px rgba(0, 0, 0, 0.1);
margin-top: 100px;
margin-bottom: 25px;
box-sizing: border-box;
border-radius: 6px;
margin-top: 0px;
margin-bottom: 0px;
border-radius: 21VW;
transition: all .4s;
opacity: 0;
max-width: 450px;
}
#label-generator.revealed {
opacity: 1;
}
#loading-slide {
overflow: hidden;
width: 96%;
margin: auto;
display: block;
height: 3px;
border-radius: 6px;
background: white;
position: absolute;
bottom: 5px;
left: 50%;
transform: translateX(-50%);
}
#loading-slide div {
height: 3px;
width: 100%;
position: relative;
overflow: hidden;
}
#loading-slide div i {
display: block;
height: 3px;
width: 100%;
position: absolute;
background: #78D600;
left: -100%;
top: 0px;
border-radius: 6px;
}
#label-generator span {
display: block;
line-height: 75px;
position: relative;
z-index: 99;
font-size: 28px;
color: #A5A5A5;
letter-spacing: 8px;
text-align: center;
font-family: 'Inconsolata', monospace;
font-weight: bold;
left: 10px;
overflow: hidden;
text-overflow: ellipsis;
box-sizing: border-box;
padding-right: 15px;
text-transform: uppercase;
}
#label-generator span:before {
content: "#";
display: inline;
}
/** SUCCESS **/
.success #overlay-loader h1,
.success #overlay-loader h2 {
color: #282828;
}
.success #label-generator span {
color: #1e1e1e;
}
.success #overlay-loader {
background: #8FFF00;
}
.success #overlay-loader .step1 {
display: none;
}
.success #overlay-loader .step2 {
display: block;
}
.completed #overlay-loader {
left: -105%;
}
/** ANIMATIONS **/
#l-wait>div span {
display: inline-block;
width: 9px;
height: 9px;
margin: 0px 3px 0px 3px;
border-radius: 50%;
background-color: #fff;
opacity: 0;
-moz-transform-origin: center center 50%;
-ms-transform-origin: center center 50%;
-webkit-transform-origin: center center 50%;
transform-origin: center center 50%;
-moz-animation-name: pulse;
-webkit-animation-name: pulse;
animation-name: pulse;
-moz-animation-duration: 1.2s;
-webkit-animation-duration: 1.2s;
animation-duration: 1.2s;
-moz-animation-iteration-count: infinite;
-webkit-animation-iteration-count: infinite;
vertical-align: top;
animation-iteration-count: infinite;
}
#l-wait>div span:nth-child(2) {
width: 9px;
height: 9px;
margin-top: 0;
-moz-animation-delay: 0.12s;
-webkit-animation-delay: 0.12s;
animation-delay: 0.12s;
}
#l-wait>div span:nth-child(3) {
-moz-animation-delay: 0.24s;
-webkit-animation-delay: 0.24s;
animation-delay: 0.24s;
}
}
@-moz-keyframes pulse {
0% {
opacity: .15;
-moz-transform: scale(1, 1);
transform: scale(1, 1);
}
24% {
opacity: 1;
-moz-transform: scale(1.2, 1.2);
transform: scale(1.2, 1.2);
}
48% {
opacity: .15;
-moz-transform: scale(1, 1);
transform: scale(1, 1);
}
}
@-webkit-keyframes pulse {
0% {
opacity: .15;
-webkit-transform: scale(1, 1);
transform: scale(1, 1);
}
24% {
opacity: 1;
-webkit-transform: scale(1.2, 1.2);
transform: scale(1.2, 1.2);
}
48% {
opacity: .15;
-webkit-transform: scale(1, 1);
transform: scale(1, 1);
}
}
@keyframes pulse {
0% {
opacity: .15;
-moz-transform: scale(1, 1);
-ms-transform: scale(1, 1);
-webkit-transform: scale(1, 1);
transform: scale(1, 1);
}
24% {
opacity: 1;
-moz-transform: scale(1.2, 1.2);
-ms-transform: scale(1.2, 1.2);
-webkit-transform: scale(1.2, 1.2);
transform: scale(1.2, 1.2);
}
48% {
opacity: .15;
-moz-transform: scale(1, 1);
-ms-transform: scale(1, 1);
-webkit-transform: scale(1, 1);
transform: scale(1, 1);
}
}
@keyframes scrollGood {
0% {
background-position: 0 0;
}
100% {
background-position: -320px 0px;
}
}
</style>
<div id="overlay-loader">
<div class="loader-container" id="loader-thanks" style="display: none;">
<div id="l-check"></div>
<h4>Thanks!<br> Email confirmed.</h4>
</div>
<div class="loader-container slide" id="loader-clap" style="display: block;">
<div id="l-clap">
<div>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
<i></i>
</div>
</div>
<h4>It's time<br> to get excited!</h4>
</div>
<div class="loader-container" id="loader-wait">
<div id="l-wait">
<div>
<span></span>
<span></span>
<span></span>
</div>
</div>
<h4>We're generating<br> your Reward #</h4>
</div>
<div class="loader-container" id="loader-ready">
<div class="DynDivCont1" id="l-ready"><img src="../CampImg/1718/SuperDynamic/genericimg/doordash500disclaimer.png" alt=""></div>
<h4>Please<br> register next.</h4>
</div>
<div id="label-generator">
<span>27994048</span>
</div>
</div>
<div id="global-reg">
<div id="reg-header"> Registration <b>required.</b>
</div>
<div id="dyn-reward">
<div class="DynDivCont1"><img src="../CampImg/1718/SuperDynamic/genericimg/doordash500disclaimer.png" alt=""></div>
<h4 id="reward-number">Reward <i></i></h4>
</div>
<h3>Please fill out the basics.</h3>
<div id="reg-container">
<div class="reg-section">
<div class="reg-title">Your name:</div>
<div class="reg-fields">
<div class="field-item" data-tag="firstname">
<span class="label-entry">first name</span>
<input type="text" id="fn" name="firstname" placeholder="First Name">
<span class="error-entry">Please enter a first name</span>
</div>
<div class="field-item" data-tag="lastname">
<span class="label-entry">last name</span>
<input type="text" id="ln" name="lastname" placeholder="Last Name">
<span class="error-entry">Please enter a last name</span>
</div>
</div>
</div>
<div class="reg-section">
<div class="reg-title">Your shipping address:</div>
<div class="reg-fields">
<div class="field-item" data-tag="address1">
<span class="label-entry">Street Address</span>
<input type="text" id="ad" name="address1" placeholder="Street Address">
<span class="error-entry">Please enter a street address</span>
</div>
<div class="reg-location">
<div class="field-item" data-tag="zippost">
<span class="label-entry">Zip Code</span>
<input type="tel" id="zp" name="zippost" maxlength="5" placeholder="Zip Code">
<span class="error-entry">Please enter a zip code</span>
</div>
<div class="field-item" data-tag="state">
<span class="label-entry">state</span>
<select id="state" name="state" tabindex="0">
<option value="" selected="">State</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SD">SD</option>
<option value="SC">SC</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
</select>
<span class="error-entry">Select state</span>
</div>
</div>
<div class="field-item" data-tag="city">
<span class="label-entry">City/Town</span>
<input type="text" placeholder="City/Town" id="ct" name="city">
<span class="error-entry">Please enter a city/town</span>
</div>
</div>
</div>
<div class="reg-section">
<div class="reg-title">Last few details:</div>
<div class="reg-fields">
<div class="field-item" data-tag="telephone_two">
<span class="label-entry">Mobile Phone #</span>
<input type="tel" id="tl" name="telephone_two" placeholder="Mobile Phone #" maxlength="14">
<span class="error-entry">Please enter a 10 digits phone #</span>
</div>
<div class="personal">
<div class="p-title">Date of Birth</div>
<div id="dob">
<div class="field-item" data-tag="dobday,dobyear,dobmonth">
<div id="dob-holder">
<div class="field">
<select id="dobmonth" name="dobmonth">
<option value="" selected="">Month</option>
<option value="01">JAN</option>
<option value="02">FEB</option>
<option value="03">MAR</option>
<option value="04">APR</option>
<option value="05">MAY</option>
<option value="06">JUN</option>
<option value="07">JUL</option>
<option value="08">AUG</option>
<option value="09">SEP</option>
<option value="10">OCT</option>
<option value="11">NOV</option>
<option value="12">DEC</option>
</select>
</div>
<div class="field">
<select id="dobday" name="dobday">
<option value="" selected="">Day</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
<div class="field">
<select id="dobyear" name="dobyear">
<option value="" selected="">Year</option>
<option value="1920">1920</option>
<option value="1921">1921</option>
<option value="1922">1922</option>
<option value="1923">1923</option>
<option value="1924">1924</option>
<option value="1925">1925</option>
<option value="1926">1926</option>
<option value="1927">1927</option>
<option value="1928">1928</option>
<option value="1929">1929</option>
<option value="1930">1930</option>
<option value="1931">1931</option>
<option value="1932">1932</option>
<option value="1933">1933</option>
<option value="1934">1934</option>
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
</select>
</div>
</div>
<span class="error-entry">Please complete date of birth</span>
</div>
</div>
</div>
<div class="personal">
<div class="p-title">Select Gender</div>
<div class="field-item" data-tag="gender">
<div id="gender">
<div id="male" data-gender="M" class="male gbtn">Male</div>
<div id="female" data-gender="F" class="female gbtn">Female</div>
<div id="other" data-gender="M" class="other gbtn">Other</div>
<input type="text" name="gender" id="genderid" style="display: none">
</div>
<span class="error-entry">Please select gender</span>
</div>
</div>
</div>
</div>
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</div>
</td>
</tr>
</tbody>
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</form>Text Content
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