www.similac.com
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143.204.89.70
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Submitted URL: https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwiribzcsOv-AhVK6cgKHYgZASsYABAAGgJxdQ&ohost=www.google.com&cid=CAESa-D...
Effective URL: https://www.similac.com/getrewards.html?gad=1&gclid=CjwKCAjwge2iBhBBEiwAfXDBR9mqbhK94zd5jKc-7I2wv8ug8urcjx_iotE-vlKrDz6d...
Submission: On May 10 via manual from US — Scanned from DE
Effective URL: https://www.similac.com/getrewards.html?gad=1&gclid=CjwKCAjwge2iBhBBEiwAfXDBR9mqbhK94zd5jKc-7I2wv8ug8urcjx_iotE-vlKrDz6d...
Submission: On May 10 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
#
<form action="#" class="similac-form">
<h4> Hi! Thanks for stopping by. </h4>
<p>Sign in to your Similac<sup>®</sup> Rewards account to check your points balance or to update your profile information. </p>
<p>Log in with 1-click by using an existing online profile. </p>
<div>
<p class="errorMessage text-danger text-center"></p>
<fieldset class="form-group similac-form-group">
<div id="SocialLoginDivSamplesID" class="gigya-style-modern gigya-windows gigya-chrome" style="width: 100%;">
<div id="SocialLoginDivSamplesID_uiContainer" style="width: 100%;">
<div class="gigya-login-providers" style="height: 40px;">
<label id="social-buttons-login-caption" aria-label="Sign in with"></label>
<table class="gigya-login-providers-container" role="presentation" style="width: 100%;">
<tbody>
<tr>
<td class="gigya-login-providers-arrow-left gigya-login-providers-arrow-disabled gigya-login-providers-arrow-marker-arrows" style="width: 0px; max-width: 0px;">
<div class="gigya-wrapper-login-providers-arrow-marker">
<button type="button" tabindex="-1" class="tabbing-button gigya-login-providers-arrow-marker" aria-label="Previous Providers" disabled="disabled">
</button>
</div>
</td>
<td class="gigya-login-providers-list-container" style="width: 78px;">
<div class="gigya-active">
<div class="gigya-login-providers-list">
<div class="gigya-login-provider-row" style="height: 30px;"><span data-gigya-provider="facebook" style="width: 78px; height: 30px; margin-right: 0px;" class="gigya-login-provider gigya-login-provider-last"
gigid="facebook"><button aria-label="Facebook" alt="Facebook" type="button" class="tabbing-button" style="height:30px;" tabindex="-1" title="Facebook" id="Facebook_btn"
aria-labelledby="social-buttons-login-caption Facebook_btn">
<div aria-hidden="true"
style="background-image:url('https://cdns2.gigya.com/gs/GetSprite.ashx?path=%2FHTMLLogin%2FFullLogoColored%2F%5Bfacebook%2Cgoogleplus%5D_30.png%7C78%2C30');background-position:-0px 0px;width: 78px;height: 30px;line-height: 30px;background-repeat:no-repeat;position:static;">
</div>
</button></span></div>
</div>
</div>
<div>
<div class="gigya-login-providers-list">
<div class="gigya-login-provider-row" style="height: 30px;"><span data-gigya-provider="googleplus" style="width: 78px; height: 30px; margin-right: 0px;" class="gigya-login-provider gigya-login-provider-last"
gigid="googleplus"><button aria-label="Google" alt="Google" type="button" class="tabbing-button" style="height:30px;" tabindex="-1" title="Google" id="Google_btn" aria-labelledby="social-buttons-login-caption Google_btn">
<div aria-hidden="true"
style="background-image:url('https://cdns2.gigya.com/gs/GetSprite.ashx?path=%2FHTMLLogin%2FFullLogoColored%2F%5Bfacebook%2Cgoogleplus%5D_30.png%7C78%2C30');background-position:-78px 0px;width: 78px;height: 30px;line-height: 30px;background-repeat:no-repeat;position:static;">
</div>
</button></span></div>
</div>
</div>
</td>
<td class="gigya-login-providers-arrow-right gigya-login-providers-arrow-marker-arrows" style="width: 0px; max-width: 0px;">
<div class="gigya-wrapper-login-providers-arrow-marker">
<button type="button" tabindex="-1" class="tabbing-button gigya-login-providers-arrow-marker" aria-label="More Providers">
</button>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
</fieldset>
</div>
<div class="divider ">OR</div>
<fieldset class="form-group similac-form-group isBlured" id="emailField">
<label for="react-form-field-loginID" class="similac-label-floating">Email Address*</label>
<input type="text" class="form-control " id="loginId" name="loginID" maxlength="64" value="" data-regex="^\\w+([\\.-]?\\w+)+@\\w+([\\.:]?\\w+)+(\\.[a-zA-Z0-9]{2,4})+$">
<span class="input-icon "></span>
<span class="form-text a-input-field--text-require similac-error-group invalid-feedback">Email Address is required.</span>
<span class="form-text a-input-field--text-regex similac-error-group invalid-feedback"> Email Address must contain a valid email address, e.g. "name@server.com".</span>
</fieldset>
<fieldset class="form-group similac-form-group isBlured" id="passwordField">
<label for="react-form-field-password" class="similac-label-floating">Password*</label>
<input type="password" class="form-control " id="passwordLogin" name="password" maxlength="64" value="" data-regex="^(?=.*?[A-Z])(?=.*?[a-z])(?=.*?[0-9])(?=.*?[#?!@$%^&*-]).{8,25}$">
<span class="input-icon clickable">
</span><span class="form-text a-input-field--text-require similac-error-group invalid-feedback">Password is required.</span>
<span class="form-text a-input-field--text-regex similac-error-group invalid-feedback">One upper case and one lower case letter, a number, and a special character. A minimum of eight characters must be used for a valid password
combination.</span>
</fieldset>
<fieldset class="form-group similac-form-group"><button type="button" id="siteSubmit" class="btn btn-primary btn col-lg-12 col-md-12 col-sm-12"> SIGN IN</button></fieldset>
<fieldset class="form-group similac-form-group"><a href="/rewards/admin/forgot-password.html">Forgot Your Password?</a></fieldset>
<fieldset class="form-group similac-form-group">
<div class="form-check checkbox-container">
<span class="checkbox-wrapper"><label for="react-form-field-rememberme">
<input type="checkbox" name="rememberme" id="react-form-field-rememberme" class="form-check-input" value="true">
<span class="checkbox-inner"></span></label>
</span><label class="form-check-label" for="react-form-field-rememberme"><strong>Remember Me</strong></label>
</div>
</fieldset>
<p>Do not check this box if youre using a public computer. </p>
<h4 class="mt-1_875">Not a Member Yet? </h4>
<p>Experience the benefits of Similac<sup>®</sup> Rewards. All the benefits of membership are only a few minutes away. </p>
<fieldset class="form-group similac-form-group"><a href="/rewards.html" class="btn btn btn-secondary col-lg-12 col-md-12 col-sm-12">SIGN UP</a></fieldset>
</form>https://services.abbott/api/public/registration/register-user
<form action="https://services.abbott/api/public/registration/register-user" data-ajax-method="POST" class="o-form-container__main-form" autocomplete="off">
<div class="form-container">
<div class="text">
</div>
<div class="text">
<div id="required_info" class="cmp-text">
<p>Fill out the required information (*) in the form below.</p>
</div>
</div>
<div class="hidden">
<input type="hidden" id="formError" name="formError" data-hidden-type="static" data-request="body" value=" ">
</div>
<div class="fields text">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Email Address</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="new-email" aria-label="Email Address" type="email" id="email_id" name="emailId" required="" data-regex="/^\w+([!#$%&'*+-/=?^_`{|}~;]\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$/"
maxlength="64">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em>Email Address must contain a valid email address, e.g. 'name@server.com'.</span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Email Address is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>Email Address must contain a valid email address, e.g. 'name@server.com'.</span>
</div>
</div>
</div>
<div class="text">
<div id="emailExists" class="cmp-text">
<div class="field-loader field-loader-userName" style="display: none;">
<div class="bullet-wrap">
<div class="bullet b-1"> </div>
<div class="bullet b-2"> </div>
<div class="bullet b-3"> </div>
</div>
</div>
<div class="emailError" style="display: none;">This email address is already registered. Click here to <a href="/rewards/admin/login.html">Log In</a></div>
</div>
</div>
<div class="column-control">
<section class="card-section mt-0">
<div class="container">
<div class="row">
<div class="col-12 col-sm-6 col-lg-6 card-wrapper">
<div class="fields text section shortField firstName">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">First Name</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="off" aria-label="First Name" type="text" id="first-name" name="firstName" required="" data-regex="/^([a-zA-Z]|[']|[-]|[.]|[\s]){0,40}$/" maxlength="40">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em>constraint msg</span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>First Name is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>First Name must contain only letters, spaces, apostrophes, hyphens, and periods.</span>
</div>
</div>
</div>
</div>
<div class="col-12 col-sm-6 col-lg-6 card-wrapper">
<div class="fields text section shortField lastName">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Last Name</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="off" aria-label="Last Name" type="text" id="last-name" name="lastName" required="" data-regex="/^([a-zA-Z]|[']|[-]|[.]|[\s]){0,40}$/" maxlength="40">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Last name is required</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>Last Name must contain only letters, spaces, apostrophes, hyphens, and periods.</span>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
</div>
<div class="fields text passwordId">
<div class="a-input-field mt-0" data-required="true" data-confirm-password="false" data-component-type="input-field-password" data-password-policy="false">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Password</span><span class="a-input-field--required">*</span></label>
<div class=" input-group a-input-grp right-icon"> <span class="icon icon-right"><svg viewBox="0 0 100 100" class="sim-icon">
<use href="#icon-hide"></use>
</svg></span>
<input class="form-control a-input-control" autocomplete="off" aria-label="Password" type="password" id="password" name="password" required="" data-regex="/^(?=.*?[A-Z])(?=.*?[a-z])(?=.*?[0-9])(?=.*?[#?!@$%^&*-]).{8,25}$/"
maxlength="25">
</div>
<div class="password-empty" id="password-meter">
<div class="password-strength-meter">Password Strength: <span>No Password</span></div>
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Password is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>One upper case and one lower case letter, a number, and a special character. A minimum of eight characters must be used for a valid password
combination.</span>
</div>
</div>
</div>
<div class="fields text" style="display: none;">
<div class="a-input-field mt-0" data-confirm-password="false" data-component-type="input-field-password" data-password-policy="false">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Confirm Password</span><span class="a-input-field--required">*</span></label>
<div class=" input-group a-input-grp right-icon"> <span class="icon icon-right">
<em class="abt-icon abt-icon-eye" aria-hidden="true"></em>
</span>
<input class="form-control a-input-control" autocomplete="off" aria-label="Confirm Password" type="password" id="confirmPassword" name="confirmpassword">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Re-type Password is required.</span>
</div>
</div>
</div>
<div class="fields text">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Address</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control ui-autocomplete-input" autocomplete="off" aria-label="Address" type="text" id="lineOne" name="address" required="" data-regex="/^([0-9a-zA-Z]|[']|[,]|[-]|[.]|[\s]){5,60}$/" maxlength="60">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Address is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>Minimum number of characters not met.</span>
</div>
</div>
</div>
<div class="fields text">
<div class="a-input-field mt-0" data-required="false">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Apt, Suite, Unit, Building (optional)</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="off" aria-label="Apt, Suite, Unit, Building (optional)" type="text" id="lineTwo" name="address2" data-regex="/^([0-9a-zA-Z]|[']|[,]|[-]|[.]|[\s]){0,60}$/" maxlength="60">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>Apartment, unit, floor, etc must contain only letters, numbers, spaces, comma, number signs, hyphens, and periods.</span>
</div>
</div>
</div>
<div class="fields text city">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">City</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="off" aria-label="City" type="text" id="city-id" name="city" required="" data-regex="/^([a-zA-Z]|[']|[-]|[.]|[\s]){2,40}$/" maxlength="40">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>City is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>City must be between 2 and 40 characters.</span>
</div>
</div>
</div>
<div class="options">
<fieldset class="drop-down" id="state-id-options">
<legend class="d-none"> </legend>
<div class="a-dropdown a-input-field mt-0" data-required="true" data-js-component="form-dropdown" tabindex="0">
<div class="a-dropdown__container form-group mt-0">
<label class="a-dropdown__title form-label a-input-label" for="state-id">
<span class="a-dropdown__title-text">State</span><span class="a-dropdown__title--required">*</span>
</label>
<div class="a-dropdown__field " tabindex="0">
<span class="a-dropdown__placeholder">State</span>
<ul class="a-dropdown__menu" name="state">
<li data-optionvalue="AK">
<span class="a-dropdown__option-text"> Alaska</span>
</li>
<li data-optionvalue="AL">
<span class="a-dropdown__option-text"> Alabama</span>
</li>
<li data-optionvalue="AR">
<span class="a-dropdown__option-text"> Arkansas</span>
</li>
<li data-optionvalue="AZ">
<span class="a-dropdown__option-text"> Arizona</span>
</li>
<li data-optionvalue="CA">
<span class="a-dropdown__option-text"> California</span>
</li>
<li data-optionvalue="CO">
<span class="a-dropdown__option-text"> Colorado</span>
</li>
<li data-optionvalue="CT">
<span class="a-dropdown__option-text"> Connecticut</span>
</li>
<li data-optionvalue="DC">
<span class="a-dropdown__option-text"> District of Columbia</span>
</li>
<li data-optionvalue="DE">
<span class="a-dropdown__option-text"> Delaware</span>
</li>
<li data-optionvalue="FL">
<span class="a-dropdown__option-text"> Florida</span>
</li>
<li data-optionvalue="GA">
<span class="a-dropdown__option-text"> Georgia</span>
</li>
<li data-optionvalue="HI">
<span class="a-dropdown__option-text"> Hawaii</span>
</li>
<li data-optionvalue="IA">
<span class="a-dropdown__option-text"> Iowa</span>
</li>
<li data-optionvalue="ID">
<span class="a-dropdown__option-text"> Idaho</span>
</li>
<li data-optionvalue="IL">
<span class="a-dropdown__option-text"> Illinois</span>
</li>
<li data-optionvalue="IN">
<span class="a-dropdown__option-text"> Indiana</span>
</li>
<li data-optionvalue="KS">
<span class="a-dropdown__option-text"> Kansas</span>
</li>
<li data-optionvalue="KY">
<span class="a-dropdown__option-text"> Kentucky</span>
</li>
<li data-optionvalue="LA">
<span class="a-dropdown__option-text"> Louisiana</span>
</li>
<li data-optionvalue="MA">
<span class="a-dropdown__option-text"> Massachusetts</span>
</li>
<li data-optionvalue="MD">
<span class="a-dropdown__option-text"> Maryland</span>
</li>
<li data-optionvalue="ME">
<span class="a-dropdown__option-text"> Maine</span>
</li>
<li data-optionvalue="MI">
<span class="a-dropdown__option-text"> Michigan</span>
</li>
<li data-optionvalue="MN">
<span class="a-dropdown__option-text"> Minnesota</span>
</li>
<li data-optionvalue="MO">
<span class="a-dropdown__option-text"> Missouri</span>
</li>
<li data-optionvalue="MS">
<span class="a-dropdown__option-text"> Mississippi</span>
</li>
<li data-optionvalue="MT">
<span class="a-dropdown__option-text"> Montana</span>
</li>
<li data-optionvalue="NC">
<span class="a-dropdown__option-text"> North Carolina</span>
</li>
<li data-optionvalue="ND">
<span class="a-dropdown__option-text"> North Dakota</span>
</li>
<li data-optionvalue="NE">
<span class="a-dropdown__option-text"> Nebraska</span>
</li>
<li data-optionvalue="NH">
<span class="a-dropdown__option-text"> New Hampshire</span>
</li>
<li data-optionvalue="NJ">
<span class="a-dropdown__option-text"> New Jersey</span>
</li>
<li data-optionvalue="NM">
<span class="a-dropdown__option-text"> New Mexico</span>
</li>
<li data-optionvalue="NV">
<span class="a-dropdown__option-text"> Nevada</span>
</li>
<li data-optionvalue="NY">
<span class="a-dropdown__option-text"> New York</span>
</li>
<li data-optionvalue="OH">
<span class="a-dropdown__option-text"> Ohio</span>
</li>
<li data-optionvalue="OK">
<span class="a-dropdown__option-text"> Oklahoma</span>
</li>
<li data-optionvalue="OR">
<span class="a-dropdown__option-text"> Oregon</span>
</li>
<li data-optionvalue="PA">
<span class="a-dropdown__option-text"> Pennsylvania</span>
</li>
<li data-optionvalue="RI">
<span class="a-dropdown__option-text"> Rhode Island</span>
</li>
<li data-optionvalue="SC">
<span class="a-dropdown__option-text"> South Carolina</span>
</li>
<li data-optionvalue="SD">
<span class="a-dropdown__option-text"> South Dakota</span>
</li>
<li data-optionvalue="TN">
<span class="a-dropdown__option-text"> Tennessee</span>
</li>
<li data-optionvalue="TX">
<span class="a-dropdown__option-text"> Texas</span>
</li>
<li data-optionvalue="UT">
<span class="a-dropdown__option-text"> Utah</span>
</li>
<li data-optionvalue="VA">
<span class="a-dropdown__option-text"> Virginia</span>
</li>
<li data-optionvalue="VT">
<span class="a-dropdown__option-text"> Vermont</span>
</li>
<li data-optionvalue="WA">
<span class="a-dropdown__option-text"> Washington</span>
</li>
<li data-optionvalue="WI">
<span class="a-dropdown__option-text"> Wisconsin</span>
</li>
<li data-optionvalue="WV">
<span class="a-dropdown__option-text"> West Virginia</span>
</li>
<li data-optionvalue="WY">
<span class="a-dropdown__option-text"> Wyoming</span>
</li>
</ul>
</div>
</div>
<span class="form-text a-input-field--text-require"></span>
</div>
<p>State is required</p>
</fieldset>
</div>
<div class="fields text zipCode">
<div class="a-input-field mt-0" data-required="true">
<div class="form-group a-form-grp" data-component="input-field">
<label class="form-label a-input-label"><span class="a-input-field__label">Zip Code</span><span class="a-input-field--required">*</span></label>
<div class="input-group a-input-grp">
<input class="form-control a-input-control" autocomplete="off" aria-label="Zip Code" type="text" id="zipcode-id" name="zipcode" required="" data-regex="/(^\d{5}$)|(^\d{9}$)|(^\d{5}-\d{4}$)/ " maxlength="10">
</div>
<span class="form-text a-input-field--text-error"><em class="abt-icon abt-icon-exclamation"></em></span>
<span class="form-text a-input-field--text-require"><em class="abt-icon abt-icon-exclamation"></em>Zip Code is required.</span>
<span class="form-text a-input-field--text-regex"><em class="abt-icon abt-icon-exclamation"></em>Please enter a valid Zip code with numbers and hyphen (5-4 format or only 5 digit format).</span>
</div>
</div>
</div>
<div class="hidden">
<input type="hidden" id="form-hidden-947811626" name="adult" data-hidden-type="static" data-request="body" value="true">
</div>
<div class="datepicker datepicker-fullwidth">
<div class="a-date-picker a-date-picker--single" data-js-component="date-picker" data-type="single" data-date-format="MM/DD/YYYY" data-disabled-years="0" data-disabled-aftermonths="0" data-disabled-afterdays="0"
data-enable-dropdown-month="true" data-enable-dropdown-year="true">
<div class="a-date-picker__input-start">
<div class="a-input-field" data-required="true">
<div class="form-group a-form-grp">
<label class="form-label a-input-label">Baby's Birthday or Anticipated Arrival*</label>
<div class="input-group a-input-grp right-icon">
<input class="form-control a-input-control a-date-picker__single-date" aria-label="Date" type="text" placeholder="MM/DD/YYYY" name="birthdate" autocomplete="off" required="" maxlength="10" id="datepicker-77551c0559"
style="color: rgb(255, 255, 255);">
<span class="icon icon-right default-icon">
<em class="abt-icon-calendar" aria-hidden="true">
</em>
</span>
<span class="icon icon-right focused-icon">
<em class="abt-icon-calendar-focus" aria-hidden="true">
</em>
</span>
</div>
<div class="a-date-picker__input-hidden d-none" aria-hidden="true">
<input type="text" class="hidden-start-date" autocomplete="off">
<div class="litepicker-backdrop"></div>
</div>
<span class="form-text a-input-field--text-help"></span>
<span class="form-text a-input-field--text-require">Date is required.</span>
<div class="a-date-picker--error">
<div class="a-date-picker--error-format">Wrong Date.</div>
<div class="a-date-picker--error-date">Invalid Date.</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="options">
<fieldset class="radio" id="premature-id-options">
<legend class="d-none"> </legend>
<label class="a-radio-label" for="premature-id">
<span class="a-radio__title-text">My baby was born:</span><span class="a-dropdown__title--required">*</span>
</label>
<div class="a-radio a-radio--horizontal a-radio--default">
<label class="a-radio__label" for="options_455091025951030">
<span class="a-radio__text" id="earlier">Earlier than 37 weeks</span>
<input type="radio" class="a-radio__input" value="earlier" name="preemie" id="options_455091025951030" data-required="true">
<span class="a-radio__custom" aria-labelledby="earlier" tabindex="0" role="radio"></span>
</label>
</div>
<div class="a-radio a-radio--horizontal a-radio--default">
<label class="a-radio__label" for="options_455091026134933">
<span class="a-radio__text" id="later">Later than 37 weeks</span>
<input type="radio" class="a-radio__input" value="later" name="preemie" id="options_455091026134933" data-required="true">
<span class="a-radio__custom" aria-labelledby="later" tabindex="0" role="radio"></span>
</label>
</div>
<span class="radio--text-require"><em class="abt-icon abt-icon-exclamation"></em></span>
</fieldset>
</div>
<div class="options">
<fieldset class="drop-down" id="preemie-age-options">
<legend class="d-none"> </legend>
<div class="a-dropdown a-input-field mt-0 a-dropdown__container form-group" data-required="true" data-js-component="form-dropdown" tabindex="0">
<label class="a-dropdown__title form-label a-input-label" id="field_label_preemie-age" for="preemie-age">
<span class="a-dropdown__title-text">My baby was born prematurely at</span><span class="a-dropdown__title--required">*</span>
</label>
<div class="a-dropdown__field " tabindex="0">
<span class="a-dropdown__placeholder" role="button" aria-labelledby="field_label_preemie-age dropdown_label_preemie-age" id="dropdown_label_preemie-age" aria-haspopup="listbox">Select Week</span>
<ul class="a-dropdown__menu" name="premature-age" aria-labelledby="field_label_preemie-age" aria-expanded="false">
<li data-optionvalue="36" id="field_label_preemie-age_1" class=" ">
<span class="a-dropdown__option-text"> 36 Weeks</span>
</li>
<li data-optionvalue="35" id="field_label_preemie-age_2" class=" ">
<span class="a-dropdown__option-text"> 35 Weeks</span>
</li>
<li data-optionvalue="34" id="field_label_preemie-age_3" class=" ">
<span class="a-dropdown__option-text"> 34 Weeks</span>
</li>
<li data-optionvalue="33" id="field_label_preemie-age_4" class=" ">
<span class="a-dropdown__option-text"> 33 Weeks</span>
</li>
<li data-optionvalue="32" id="field_label_preemie-age_5" class=" ">
<span class="a-dropdown__option-text"> 32 Weeks</span>
</li>
<li data-optionvalue="31" id="field_label_preemie-age_6" class=" ">
<span class="a-dropdown__option-text"> 31 Weeks</span>
</li>
<li data-optionvalue="30" id="field_label_preemie-age_7" class=" ">
<span class="a-dropdown__option-text"> 30 Weeks</span>
</li>
<li data-optionvalue="29" id="field_label_preemie-age_8" class=" ">
<span class="a-dropdown__option-text"> 29 Weeks</span>
</li>
<li data-optionvalue="28" id="field_label_preemie-age_9" class=" ">
<span class="a-dropdown__option-text"> 28 Weeks</span>
</li>
</ul>
</div>
<span class="form-text a-input-field--text-require">This field is required.</span>
</div>
</fieldset>
</div>
<div class="container responsivegrid a-container">
<section id="section-momcarewmt">
<style>
#section-momcarewmt {
--container-start-color: ;
--container-start-position: %;
--container-end-color: ;
--container-end-position: %;
}
</style>
<div class="a-container__row">
<div class="a-container__content">
<div id="momcarewmt" class="cmp-container">
<div class="text">
<div id="text-b7c7522873" class="cmp-text">
<p><span class="d-none">You will receive your $8 MomCare offer and future offers in the form of Digital Coupons.</span></p>
</div>
</div>
</div>
</div>
<div class="a-container__media">
<div class="a-container__image">
</div>
</div>
<div class="a-container__media__mobile">
</div>
</div>
</section>
</div>
<div class="container responsivegrid a-container">
<section id="section-digitalOfferSSM">
<style>
#section-digitalOfferSSM {
--container-start-color: ;
--container-start-position: %;
--container-end-color: ;
--container-end-position: %;
}
</style>
<div class="a-container__row">
<div class="a-container__content">
<div id="digitalOfferSSM" class="cmp-container">
<div class="text">
<div id="text-2b39dfa639" class="cmp-text">
<p><span class="d-none">You will receive your offers in the form of Digital Coupons.</span></p>
</div>
</div>
</div>
</div>
<div class="a-container__media">
<div class="a-container__image">
</div>
</div>
<div class="a-container__media__mobile">
</div>
</div>
</section>
</div>
<div class="options">
<fieldset class="radio" id="bonusOffer-options">
<legend class="d-none"> </legend>
<label class="a-radio-label" for="bonusOffer">
<span class="a-radio__title-text">I would like to receive my savings as digital coupons and get a $10 BONUS OFFER*.</span>
</label>
<div class="a-radio a-radio--horizontal a-radio--selected">
<label class="a-radio__label" for="options_455091044429209">
<span class="a-radio__text" id="true">Yes</span>
<input type="radio" class="a-radio__input" checked="" value="true" name="bonusOffer" id="options_455091044429209" data-group="false" data-group-name="groupA">
<span class="a-radio__custom" aria-labelledby="true" tabindex="0" role="radio" aria-checked=""></span>
</label>
</div>
<div class="a-radio a-radio--horizontal a-radio--default">
<label class="a-radio__label" for="options_455091044557510">
<span class="a-radio__text" id="false">No</span>
<input type="radio" class="a-radio__input" value="false" name="bonusOffer" id="options_455091044557510" data-group="false" data-group-name="groupA">
<span class="a-radio__custom" aria-labelledby="false" tabindex="0" role="radio"></span>
</label>
</div>
<span class="radio--text-require"><em class="abt-icon abt-icon-exclamation"></em></span>
</fieldset>
</div>
<div class="options">
<fieldset class="checkbox" id="spi-id-options">
<legend class="d-none"> </legend>
<label class="a-checkbox-label" for="spi-id">
<span class="a-checkbox__title-text"></span><span class="a-dropdown__title--required">*</span>
</label>
<div class="a-checkbox a-checkbox--vertical a-checkbox--default">
<label class="a-checkbox__label" for="options_455091047918461">
<span class="a-checkbox__text" id="rememberMe">I agree to the <a href="https://www.similac.com/rewards/admin/terms-conditions.html" target="_blank" rel="noopener noreferrer">MySimilac Rewards Terms and Conditions</a> and I have read and
understand the <a href="http://abbottnutrition.com/privacy-policy" target="_blank" data-gtm=">registration|click|strongmoms_privacy-policy_link" rel="noopener noreferrer">Abbott Nutrition Privacy Policy</a> and the
<a href="https://www.similac.com/rewards/admin/terms-conditions.html#Notice" target="_blank" rel="noopener noreferrer">Notice of Financial Incentives</a>.</span>
<input type="checkbox" class="a-checkbox__input" value="rememberMe" name="spioptin" id="options_455091047918461" data-required="true" data-group="false" data-group-name="groupA">
<span class="a-checkbox__custom" aria-labelledby="rememberMe" tabindex="0" role="checkbox"></span>
</label>
</div>
<span class="checkbox--text-require"><em class="abt-icon abt-icon-exclamation"></em>This Field is Required.</span>
</fieldset>
</div>
<div class="text">
<div id="text-ca68e64e7d" class="cmp-text">
<p class="register-privacy" style=" width: 100.0%;
">By clicking “Complete Sign-Up”, I agree to join the MySimilac Rewards Program, and the information I have provided will be used by Abbott and its service providers to contact me by mail and/or email with helpful information and offers about
Similac and other Abbott products. Limit one enrollment per household. Offers and values may vary.</p>
<div class="g-recaptcha" data-sitekey="6LdOS6AcAAAAAExTgZZbD-7wW-CEXGgZtGewPdfj" data-size="invisible">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdOS6AcAAAAAExTgZZbD-7wW-CEXGgZtGewPdfj&co=aHR0cHM6Ly93d3cuc2ltaWxhYy5jb206NDQz&hl=de&v=1h-hbVSJRMOQsmO_2qL9cO0z&size=invisible&cb=y0r75bfx13i3"
width="256" height="60" role="presentation" name="a-g47g2gdu40gw" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"
data-gtm-yt-inspected-2346846_589="true" data-gtm-yt-inspected-35="true"></iframe></div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe data-gtm-yt-inspected-2346846_589="true" data-gtm-yt-inspected-35="true" style="display: none;"></iframe>
</div>
</div>
</div>
<div class="options">
<fieldset class="checkbox" id="pampers-id-options">
<legend class="d-none"> </legend>
<label class="a-checkbox-label" for="pampers-id">
<span class="a-checkbox__title-text"></span>
</label>
<div class="a-checkbox a-checkbox--vertical a-checkbox--default">
<label class="a-checkbox__label" for="options_455091053271842">
<span class="a-checkbox__text" id="unlockPampers">
<div class="form-check-label text"><img src="/content/dam/an/similac/global/icons/pampers-club-logo.png" alt="logo"><br>
<p>Unlock exclusive savings and offers!<br> By checking this box, I would like my information to be shared with Pampers, and I understand it will be used according to Pampers’
<a id="pampersPrivacyLink" href="https://www.pg.com/privacy/english/privacy_statement.shtml" target="_blank" data-gtm="registration|click|strongmoms_privacy-policy_link" rel="noopener noreferrer">privacy policy</a>.</p>
</div>
</span>
<input type="checkbox" class="a-checkbox__input" value="unlockPampers" name="pampers" id="options_455091053271842" data-required="false">
<span class="a-checkbox__custom" aria-labelledby="unlockPampers" tabindex="0" role="checkbox"></span>
</label>
</div>
<span class="checkbox--text-require"><em class="abt-icon abt-icon-exclamation"></em></span>
</fieldset>
</div>
</div>
</form>#
<form action="#" class="similac-form" autocomplete="off">
<h4> Hi! Thanks for stopping by. </h4>
<p>Sign in to your Similac<sup>®</sup> Rewards account to check your points balance or to update your profile information. </p>
<p>Log in with 1-click by using an existing online profile. </p>
<div>
<p class="errorMessage text-danger text-center"></p>
<fieldset class="form-group similac-form-group">
<div id="SocialLoginDivSamplesID"></div>
</fieldset>
</div>
<div class="divider ">OR</div>
<fieldset class="form-group similac-form-group isBlured" id="emailField">
<label for="react-form-field-loginID" class="similac-label-floating">Email Address*</label>
<input type="text" class="form-control " id="loginId" name="loginID" maxlength="64" value="" data-regex="^\\w+([\\.-]?\\w+)+@\\w+([\\.:]?\\w+)+(\\.[a-zA-Z0-9]{2,4})+$">
<span class="input-icon "></span>
<span class="form-text a-input-field--text-require similac-error-group invalid-feedback">Email Address is required.</span>
<span class="form-text a-input-field--text-regex similac-error-group invalid-feedback"> Email Address must contain a valid email address, e.g. "name@server.com".</span>
</fieldset>
<fieldset class="form-group similac-form-group isBlured" id="passwordField">
<label for="react-form-field-password" class="similac-label-floating">Password*</label>
<input type="password" class="form-control " id="passwordLogin" name="password" maxlength="64" value="" data-regex="^(?=.*?[A-Z])(?=.*?[a-z])(?=.*?[0-9])(?=.*?[#?!@$%^&*-]).{8,25}$">
<span class="input-icon clickable">
</span><span class="form-text a-input-field--text-require similac-error-group invalid-feedback">Password is required.</span>
<span class="form-text a-input-field--text-regex similac-error-group invalid-feedback">One upper case and one lower case letter, a number, and a special character. A minimum of eight characters must be used for a valid password
combination.</span>
</fieldset>
<fieldset class="form-group similac-form-group"><button type="button" id="siteSubmit" class="btn btn-primary btn col-lg-12 col-md-12 col-sm-12"> SIGN IN</button></fieldset>
<fieldset class="form-group similac-form-group"><a href="/rewards/admin/forgot-password.html">Forgot Your Password?</a></fieldset>
<fieldset class="form-group similac-form-group">
<div class="form-check checkbox-container">
<span class="checkbox-wrapper"><label for="react-form-field-rememberme">
<input type="checkbox" name="rememberme" id="react-form-field-rememberme" class="form-check-input" value="true">
<span class="checkbox-inner"></span></label>
</span><label class="form-check-label" for="react-form-field-rememberme"><strong>Remember Me</strong></label>
</div>
</fieldset>
<p>Do not check this box if youre using a public computer. </p>
<h4 class="mt-1_875">Not a Member Yet? </h4>
<p>Experience the benefits of Similac<sup>®</sup> Rewards. All the benefits of membership are only a few minutes away. </p>
<fieldset class="form-group similac-form-group"><a href="/rewards.html" class="btn btn btn-secondary col-lg-12 col-md-12 col-sm-12">SIGN UP</a></fieldset>
</form>Text Content
My Cart1LoginSearchResources & ToolsCoupons & SamplesYour PregnancyBaby Feeding
& DevelopmentSimilac ProductsFor HCPEnglishWhy Similac®Find a RetailerShop
NowJoin StrongMoms®CTALorem ipsum dolor sit amet, consectetur adipiscing elit,
sed do eiusmod temporLorem Ipsum dolorForgot
Password?CTA••••••••Password*InputEmail Address*ORFACEBOOKGOOGLELorem ipsum
dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor.Lorem Ipsum
dolor
* Welcome user X
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*
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* Baby
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* MomCare
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Baby Feeding & Development
* Supplementing & Breastfeeding Basics
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* Baby Milestones | Months 1-12
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Resources & Tools
* Infant Formula & Toddler Drink Finder
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* Sign Out
* Join Rewards
* Shop Now
* Find a Retailer
* Why Similac®
* Translate Page
* No Translations Available
* No Translations Available
* For HCP
*
* Search
* Login
HI! THANKS FOR STOPPING BY.
Sign in to your Similac® Rewards account to check your points balance or to
update your profile information.
Log in with 1-click by using an existing online profile.
OR
Email Address* Email Address is required. Email Address must contain a valid
email address, e.g. "name@server.com". Password* Password is required. One
upper case and one lower case letter, a number, and a special character. A
minimum of eight characters must be used for a valid password combination.
SIGN IN Forgot Your Password?
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Do not check this box if youre using a public computer.
NOT A MEMBER YET?
Experience the benefits of Similac® Rewards. All the benefits of membership
are only a few minutes away.
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1. Home >
2. Coupons & Samples >
3. MySimilac® Rewards—Get Baby Coupons & Samples >
JOIN MYSIMILAC® REWARDS FOR UP TO $400† IN BENEFITS AND SUPPORT THROUGH YOUR
JOURNEY.
WHEN YOU SIGN UP, YOU’LL RECEIVE EXCLUSIVE BENEFITS LIKE:
* Baby formula coupons and samples
* Nutrition guidance for you and baby
* Free‡ Shutterfly® photo book
--------------------------------------------------------------------------------
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Fill out the required information (*) in the form below.
Email Address*
Email Address must contain a valid email address, e.g. 'name@server.com'. Email
Address is required. Email Address must contain a valid email address, e.g.
'name@server.com'.
This email address is already registered. Click here to Log In
First Name*
constraint msg First Name is required. First Name must contain only letters,
spaces, apostrophes, hyphens, and periods.
Last Name*
Last name is required Last Name must contain only letters, spaces, apostrophes,
hyphens, and periods.
Password*
Password Strength: No Password
Password is required. One upper case and one lower case letter, a number, and a
special character. A minimum of eight characters must be used for a valid
password combination.
Confirm Password*
Re-type Password is required.
Address*
Address is required. Minimum number of characters not met.
Apt, Suite, Unit, Building (optional)
Apartment, unit, floor, etc must contain only letters, numbers, spaces, comma,
number signs, hyphens, and periods.
City*
City is required. City must be between 2 and 40 characters.
State*
State
* Alaska
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Zip Code is required. Please enter a valid Zip code with numbers and hyphen (5-4
format or only 5 digit format).
Baby's Birthday or Anticipated Arrival*
Date is required.
Wrong Date.
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My baby was born:*
Earlier than 37 weeks
Later than 37 weeks
My baby was born prematurely at*
Select Week
* 36 Weeks
* 35 Weeks
* 34 Weeks
* 33 Weeks
* 32 Weeks
* 31 Weeks
* 30 Weeks
* 29 Weeks
* 28 Weeks
This field is required.
You will receive your $8 MomCare offer and future offers in the form of Digital
Coupons.
You will receive your offers in the form of Digital Coupons.
I would like to receive my savings as digital coupons and get a $10 BONUS
OFFER*.
Yes
No
*
I agree to the MySimilac Rewards Terms and Conditions and I have read and
understand the Abbott Nutrition Privacy Policy and the Notice of Financial
Incentives.
This Field is Required.
By clicking “Complete Sign-Up”, I agree to join the MySimilac Rewards Program,
and the information I have provided will be used by Abbott and its service
providers to contact me by mail and/or email with helpful information and offers
about Similac and other Abbott products. Limit one enrollment per household.
Offers and values may vary.
Unlock exclusive savings and offers!
By checking this box, I would like my information to be shared with Pampers, and
I understand it will be used according to Pampers’ privacy policy.
Complete Sign Up
OR
Register quickly and easily with a preferred online profile (no new passwords to
remember).
WHEN YOU SIGN UP, YOU’LL RECEIVE EXCLUSIVE BENEFITS LIKE:
* Nutrition guidance for you and baby
* Free‡ Shutterfly® photo book
* Formula samples
* Savings on Similac.com Schedule & Save purchases
† Offers may vary.
‡ Submit registration to read details.
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SHOP SIMILAC PRODUCTS
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Checkout
HI! THANKS FOR STOPPING BY.
Sign in to your Similac® Rewards account to check your points balance or to
update your profile information.
Log in with 1-click by using an existing online profile.
OR
Email Address* Email Address is required. Email Address must contain a valid
email address, e.g. "name@server.com". Password* Password is required. One upper
case and one lower case letter, a number, and a special character. A minimum of
eight characters must be used for a valid password combination. SIGN IN Forgot
Your Password?
Remember Me
Do not check this box if youre using a public computer.
NOT A MEMBER YET?
Experience the benefits of Similac® Rewards. All the benefits of membership are
only a few minutes away.
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* QTY
*
QTY
.
§ By entering my phone number, I agree to receive reoccurring automated
promotional and personalized marketing text messages from MySimilac Rewards.
Message and data rates may apply. Message frequency varies. I can opt-out at any
time by texting STOP to 41691 or request support by texting HELP to 41691, or
get help directly from the toll-free number, 800-515-7677. I understand that
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