Birthday
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x=0,E=e(4)},{}]},{},["loader"]);</script><meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1" /><link rel="shortcut icon" href="/Content/themes/home/img/Collect-Favicon.ico" /> <link rel="apple-touch-icon" sizes="60x60" href="/Content/themes/home/img/Collect-Favicon.ico" /> <!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags --> <meta name="description" content="" /><meta name="author" content="" /><title>Complete Birthdate</title><link rel="stylesheet" href="/Content/themes/home/bootstrap/css/bootstrap.min.css" /> <link rel="stylesheet" href="/Content/themes/home/css/collect-icons.css" /> <link rel="stylesheet" href="/Content/themes/uji/css/collect-shopify.css" /> <link rel="stylesheet" href="/Content/themes/home/css/collect-portal.css" /> <link rel="stylesheet" href="/Content/themes/home/bootstrap/css/bootstrap-datepicker.min.css" /> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/font-awesome/4.5.0/css/font-awesome.min.css" /> <link rel="stylesheet" href="https://file.myfontastic.com/n6vo44Re5QaWo8oCKShBs7/icons.css" /> <link rel="stylesheet" href="https://portal.collectapps.io/Content/plugins/jquery.toast/jquery.toast.min.css" /> <link href="https://fonts.googleapis.com/css?family=Open+Sans:300,400,700" rel="stylesheet" type="text/css" /> <!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries --> <!-- [if lt IE 9]> <script src="https://oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script> <script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script> <![endif]--></head><body class="portal"><!-- Modal / Referred --> <div class="portal-container"> <div class="portal-content"> <div class="p-top-10 text-center"><img class="portal-logo m-top-20 m-btm-20" src="https://s3.amazonaws.com/collectapps.images.accounts/5944ef6402022b07a0f2b382-5ccc43ce-4198-45e4-8948-7d6e11528554.jpg" 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background-size:100% auto; background-position: 0 0; } .portal-container { max-height: 500px; position: absolute; top: 125px; } .portal-body { margin-top: 0; padding-top: 0; height: calc(100% - 180px); } .portal-footer { background-color:#fff; } @media (max-height: 624px) { div.portal-container { max-width:520px; } .portal-content { max-width:520px; } .portal-footer { max-width:520px; } } </style><style type="text/css"> input, select { font-size:16px; } </style> <div class="portal-body text-center p-top-20 p-btm-20"> <h4 class="title-subhead m-btm-10">Get <strong>50 Points</strong> on your birthday!</h4> <p class="m-top-5">Enter your birthdate to receive Points once a year.</p> <div class="field-set m-top-20 text-left m-btm-40"> <form action="/Portal/Shopify/CompleteBirthdate/5944ef6402022b07a0f2b382" method="post"><input name="__RequestVerificationToken" type="hidden" value="ISDP2YWIl1YX4EiVtNq1K51o682pvcE2yvlx49i4L2tcu3gNN4bJEs8Jcuh2tePrjychyrUIJ9z-pgWuljT5khBnMAI-u4--XQ0AY10b-6K_wKwF0" /> <label for="Birthdate" class="field-lg m-top-10">Birthdate</label> <input id="Birthdate" name="Birthdate" class="field-lg" type="text" placeholder="YYYY/MM/DD" /> <span class="field-validation-valid field-lg" data-valmsg-for="Birthdate" data-valmsg-replace="true"></span><input id="AccountId" name="AccountId" type="hidden" value="5944ef6402022b07a0f2b382" /><input id="CustomerId" name="CustomerId" type="hidden" value="5944f435146c7ccad408ccdc" /><input data-val="true" data-val-number="The field BirthdayPointsToGive must be a number." data-val-required="The BirthdayPointsToGive field is required." id="BirthdayPointsToGive" name="BirthdayPointsToGive" type="hidden" value="50" /><input id="CompanyLogo" name="CompanyLogo" type="hidden" value="https://s3.amazonaws.com/collectapps.images.accounts/5944ef6402022b07a0f2b382-5ccc43ce-4198-45e4-8948-7d6e11528554.jpg" /><input id="CompanyName" name="CompanyName" type="hidden" value="JMLEGAZEL Online Store" /><input id="PrimaryColor" name="PrimaryColor" type="hidden" value="#473a63" /><input id="PointsLabel" name="PointsLabel" type="hidden" value="Points" /><input id="CustomerSourceId" name="CustomerSourceId" type="hidden" value="2591067911" /><input id="PortalFont" name="PortalFont" type="hidden" value=""Open Sans", sans-serif" /> <div><input id="signupBtn" type="submit" class="btn btn-default m-top-10 btn-xl m-top-20" value="Save" /></div> </form> </div> <div class="portal-footer text-center"> <p class="m-btm-0"><a href="/Portal/Shopify/Rewards/5944ef6402022b07a0f2b382?shopifyCustomerId=2591067911" class="text-link">Back</a></p> </div> </div> </div> </div> <!-- Footer banner / Add member card --> <!-- only show on iOS --> <!-- Bootstrap core JavaScript ================================================== --> <!-- Placed at the end of the document so the pages load faster --><script 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