www.specialtycontactdatabases.com
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urlscan Pro
72.167.68.39
Public Scan
Submitted URL: http://t.pr00.net/s/c?4ad.1bzw7.10.7yht8.g9mi
Effective URL: https://www.specialtycontactdatabases.com/contact-us
Submission: On January 22 via api from US — Scanned from DE
Effective URL: https://www.specialtycontactdatabases.com/contact-us
Submission: On January 22 via api from US — Scanned from DE
Form analysis
3 forms found in the DOMName: contact-form — POST
<form role="form" method="post" id="contactForm" name="contact-form">
<div class="row">
<div class="col-md-12">
<p>Submit your comments, questions, or requests below. If you include your phone number, we will call you back.</p>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="name" name="name" placeholder="Name" data-error="Please enter your name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="email" class="form-control" id="email" name="email" placeholder="Email" data-error="Please enter your Email">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="tel" class="form-control" id="phone" name="phone" placeholder="Phone" data-error="Please enter your phone number">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="row">
<div class="col-md-7">
<div class="form-group source-c-boxes">
<p style="text-align: left;">Source:</p>
<div class="c-row">
<input type="checkbox" class="form-control" id="google_search" name="google_search">
<label for="google_search">Google Search</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="facebook" name="facebook">
<label for="facebook">Facebook</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="linkedin" name="linkedin">
<label for="linkedin">LinkedIn</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="received_an_email" name="received_an_email">
<label for="received_an_email">Received an Email</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="other" name="other">
<label for="other">Other</label>
<input type="text" class="form-control" id="other_txt" name="other_txt">
</div>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-5">
<div class="form-group source-c-boxes">
<p style="text-align: left;">I am Interested In:</p>
<div class="c-row">
<input type="checkbox" class="form-control" id="loan_officer_lists" name="loan_officer_lists">
<label for="loan_officer_lists">Loan Officer Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="insurance_agent_lists" name="insurance_agent_lists">
<label for="insurance_agent_lists">Insurance Agent Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="f_p_w_m_lists" name="f_p_w_m_lists">
<label for="f_p_w_m_lists">Investment/Annuity Advisor Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="real_estate_lists" name="real_estate_lists">
<label for="real_estate_lists">Real Estate Agents Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="contractor_lists" name="contractor_lists">
<label for="contractor_lists">Contractor Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="real_estate_appraiser_lists" name="real_estate_appraiser_lists">
<label for="real_estate_appraiser_lists">Real Estate Appraiser Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="title_insurance_escrow_lists" name="title_insurance_escrow_lists">
<label for="title_insurance_escrow_lists">Title Insurance/Escrow Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="home_inspector_lists" name="home_inspector_lists">
<label for="home_inspector_lists">Home Inspector Lists</label>
</div>
<div class="c-row">
<input type="checkbox" class="form-control" id="accountant_cpa_lists" name="accountant_cpa_lists">
<label for="accountant_cpa_lists">Accountant/CPA Lists</label>
</div>
<div class="help-block with-errors"></div>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<textarea class="form-control" rows="4" id="comment" name="comment" placeholder="Comment - "Please Advise--Segment & State(s) Interested In"" data-error="Write your comment"></textarea>
<div class="help-block with-errors"></div>
</div>
<div class="form-submit">
<button type="submit" class="btn btn-common" id="form-submit"> Submit </button>
<div id="msgSubmit" class="h3 text-center hidden"></div>
</div>
</div>
</div>
</form>
Name: do-not-sell-form — POST
<form role="form" method="post" id="doNotSellForm" name="do-not-sell-form">
<div class="row">
<div class="col-md-12">
<p class="text-left">If you are a California resident and would like to submit a consumer request under the California Consumer Privacy Act (CCPA), please complete and submit the below web form. We will send a confirmation email to the email
address below, if you successfully submit this form.</p>
<p class="text-left">If we require further information from you in order to verify or process your request, or we need clarification about the nature of your request, we will contact you at the email you indicated below.</p>
<p class="text-left text-danger">Tell us about your data request</p>
<p class="text-red text-muted text-left">*All fields are required unless marked optional.</p>
</div>
<div class="col-md-12">
<div class="form-group source-c-boxes">
<p class="text-left">Select the type of Request:</p>
<div class="radio-row">
<input type="radio" class="form-control" id="request_to_know_access" name="type_of_request" value="request_to_know_access">
<label for="request_to_know_access">Request to Know (Access)</label>
<p class="text-left extended-radio">Request a report of the categories of personal information that we have collected and disclosed about you.</p>
</div>
<div class="radio-row">
<input type="radio" class="form-control" id="delete_my_info" name="type_of_request" value="delete_my_info">
<label for="delete_my_info">Delete my info</label>
<p class="text-left extended-radio">Request that we delete personal information collected about you.</p>
</div>
<div class="radio-row">
<input type="radio" class="form-control" id="do_not_sell_my_info" name="type_of_request" value="do_not_sell_my_info">
<label for="do_not_sell_my_info">Do not sell my info</label>
<p class="text-left extended-radio">Request to opt out of the "sale" of your personal information by us.</p>
</div>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="first_name" name="first_name" placeholder="First name" data-error="Please enter your first name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="last_name" name="last_name" placeholder="Last Name" data-error="Please enter your last name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="email" class="form-control" id="email" name="email" placeholder="Email" data-error="Please enter your Email">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="tel" class="form-control" id="phone" name="phone" placeholder="Phone" data-error="Please enter your phone number">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="address_1" name="address_1" placeholder="Address 1" data-error="Please enter your Address">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="address_2" name="address_2" placeholder="Address 2(optional)">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="city" name="city" placeholder="City" data-error="Please enter your City">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<label class="select_label" for="state_of_residence">State of residence</label>
<select id="state_of_residence" name="state_of_residence" class="form-control">
<option value="0"> - Choose -</option>
<option value="AL">Alabama</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AR">Arkansas</option>
<option value="CA" selected="selected">California</option>
<option value="CA" selected="selected">California</option>
<option value="CO">Colorado</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="DC">District of Columbia</option>
<option value="FM">Federated States of Micronesia</option>
<option value="FM">Federated States of Micronesia</option>
<option value="FL">Florida</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="ME">Maine</option>
<option value="MH">Marshall Islands</option>
<option value="MH">Marshall Islands</option>
<option value="MD">Maryland</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="zip_code" name="zip_code" placeholder="Zip Code" data-error="Please enter your Zip Code">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<label class="select_label" for="country_of_residence">Country of residence</label>
<select id="country_of_residence" name="country_of_residence" class="form-control">
<option value="0"> - Choose -</option>
<option value="af">Afghanistan</option>
<option value="ax">Aland Islands</option>
<option value="al">Albania</option>
<option value="dz">Algeria</option>
<option value="as">American Samoa</option>
<option value="ad">Andorra</option>
<option value="ao">Angola</option>
<option value="ai">Anguilla</option>
<option value="aq">Antarctica</option>
<option value="ag">Antigua and Barbuda</option>
<option value="ar">Argentina</option>
<option value="am">Armenia</option>
<option value="aw">Aruba</option>
<option value="ap">Asia-Pacific</option>
<option value="au">Australia</option>
<option value="at">Austria</option>
<option value="az">Azerbaijan</option>
<option value="bs">Bahamas</option>
<option value="bh">Bahrain</option>
<option value="bd">Bangladesh</option>
<option value="bb">Barbados</option>
<option value="by">Belarus</option>
<option value="be">Belgium</option>
<option value="bz">Belize</option>
<option value="bj">Benin</option>
<option value="bm">Bermuda</option>
<option value="bt">Bhutan</option>
<option value="bo">Bolivia</option>
<option value="bq">Bonaire, Sint Eustatius and Saba</option>
<option value="ba">Bosnia and Herzegovina</option>
<option value="bw">Botswana</option>
<option value="bv">Bouvet Island</option>
<option value="br">Brazil</option>
<option value="io">British Indian Ocean Territory</option>
<option value="bn">Brunei Darussalam</option>
<option value="bg">Bulgaria</option>
<option value="bf">Burkina Faso</option>
<option value="mm">Burma (Myanmar)</option>
<option value="bi">Burundi</option>
<option value="kh">Cambodia</option>
<option value="cm">Cameroon</option>
<option value="ca">Canada</option>
<option value="cv">Cape Verde</option>
<option value="ky">Cayman Islands</option>
<option value="cf">Central African Republic</option>
<option value="td">Chad</option>
<option value="cl">Chile</option>
<option value="cn">China</option>
<option value="cx">Christmas Island</option>
<option value="cc">Cocos (Keeling) Islands</option>
<option value="co">Colombia</option>
<option value="km">Comoros</option>
<option value="cg">Congo</option>
<option value="ck">Cook Islands</option>
<option value="cr">Costa Rica</option>
<option value="hr">Croatia (Hrvatska)</option>
<option value="cu">Cuba</option>
<option value="cw">Curacao</option>
<option value="cy">Cyprus</option>
<option value="cz">Czech Republic</option>
<option value="cd">Democratic Republic of Congo</option>
<option value="dk">Denmark</option>
<option value="dj">Djibouti</option>
<option value="dm">Dominica</option>
<option value="do">Dominican Republic</option>
<option value="tl">East Timor</option>
<option value="ec">Ecuador</option>
<option value="eg">Egypt</option>
<option value="sv">El Salvador</option>
<option value="gq">Equatorial Guinea</option>
<option value="er">Eritrea</option>
<option value="ee">Estonia</option>
<option value="et">Ethiopia</option>
<option value="eu">Europe</option>
<option value="fk">Falkland Islands (Malvinas)</option>
<option value="fo">Faroe Islands</option>
<option value="fj">Fiji</option>
<option value="fi">Finland</option>
<option value="fr">France</option>
<option value="gf">French Guiana</option>
<option value="pf">French Polynesia</option>
<option value="tf">French Southern Territories</option>
<option value="ga">Gabon</option>
<option value="gm">Gambia</option>
<option value="ge">Georgia</option>
<option value="de">Germany</option>
<option value="gh">Ghana</option>
<option value="gi">Gibraltar</option>
<option value="gr">Greece</option>
<option value="gl">Greenland</option>
<option value="gd">Grenada</option>
<option value="gp">Guadeloupe</option>
<option value="gu">Guam</option>
<option value="gt">Guatemala</option>
<option value="gg">Guernsey</option>
<option value="gn">Guinea</option>
<option value="gw">Guinea-Bissau</option>
<option value="gy">Guyana</option>
<option value="ht">Haiti</option>
<option value="hm">Heard and McDonald Islands</option>
<option value="hn">Honduras</option>
<option value="hk">Hong Kong</option>
<option value="hu">Hungary</option>
<option value="is">Iceland</option>
<option value="in">India</option>
<option value="id">Indonesia</option>
<option value="ir">Iran</option>
<option value="iq">Iraq</option>
<option value="ie">Ireland</option>
<option value="im">Isle of Man</option>
<option value="il">Israel</option>
<option value="it">Italy</option>
<option value="ci">Ivory Coast</option>
<option value="jm">Jamaica</option>
<option value="jp">Japan</option>
<option value="je">Jersey</option>
<option value="jo">Jordan</option>
<option value="kz">Kazakhstan</option>
<option value="ke">Kenya</option>
<option value="ki">Kiribati</option>
<option value="kp">Korea (North)</option>
<option value="kr">Korea (South)</option>
<option value="kw">Kuwait</option>
<option value="kg">Kyrgyzstan</option>
<option value="la">Laos</option>
<option value="lv">Latvia</option>
<option value="lb">Lebanon</option>
<option value="ls">Lesotho</option>
<option value="lr">Liberia</option>
<option value="ly">Libya</option>
<option value="li">Liechtenstein</option>
<option value="lt">Lithuania</option>
<option value="lu">Luxembourg</option>
<option value="mo">Macau</option>
<option value="mk">Macedonia</option>
<option value="mg">Madagascar</option>
<option value="mw">Malawi</option>
<option value="my">Malaysia</option>
<option value="mv">Maldives</option>
<option value="ml">Mali</option>
<option value="mt">Malta</option>
<option value="mh">Marshall Islands</option>
<option value="mq">Martinique</option>
<option value="mr">Mauritania</option>
<option value="mu">Mauritius</option>
<option value="yt">Mayotte</option>
<option value="mx">Mexico</option>
<option value="fm">Micronesia</option>
<option value="md">Moldova</option>
<option value="mc">Monaco</option>
<option value="mn">Mongolia</option>
<option value="me">Montenegro</option>
<option value="ms">Montserrat</option>
<option value="ma">Morocco</option>
<option value="mz">Mozambique</option>
<option value="na">Namibia</option>
<option value="nr">Nauru</option>
<option value="np">Nepal</option>
<option value="nl">Netherlands</option>
<option value="an">Netherlands Antilles</option>
<option value="nt">Neutral Zone</option>
<option value="nc">New Caledonia</option>
<option value="nz">New Zealand (Aotearoa)</option>
<option value="ni">Nicaragua</option>
<option value="ne">Niger</option>
<option value="ng">Nigeria</option>
<option value="nu">Niue</option>
<option value="nf">Norfolk Island</option>
<option value="mp">Northern Mariana Islands</option>
<option value="no">Norway</option>
<option value="om">Oman</option>
<option value="pk">Pakistan</option>
<option value="pw">Palau</option>
<option value="ps">Palestinian Territory, Occupied</option>
<option value="pa">Panama</option>
<option value="pg">Papua New Guinea</option>
<option value="py">Paraguay</option>
<option value="pe">Peru</option>
<option value="ph">Philippines</option>
<option value="pn">Pitcairn</option>
<option value="pl">Poland</option>
<option value="pt">Portugal</option>
<option value="pr">Puerto Rico</option>
<option value="qa">Qatar</option>
<option value="rs">Republic of Serbia</option>
<option value="re">Reunion</option>
<option value="ro">Romania</option>
<option value="ru">Russia</option>
<option value="rw">Rwanda</option>
<option value="gs">S. Georgia and S. Sandwich Isls.</option>
<option value="bl">Saint Barthelemy</option>
<option value="kn">Saint Kitts and Nevis</option>
<option value="lc">Saint Lucia</option>
<option value="mf">Saint Martin (French part)</option>
<option value="vc">Saint Vincent and the Grenadines</option>
<option value="ws">Samoa</option>
<option value="sm">San Marino</option>
<option value="st">Sao Tome and Principe</option>
<option value="sa">Saudi Arabia</option>
<option value="sn">Senegal</option>
<option value="cs">Serbia and Montenegro</option>
<option value="sc">Seychelles</option>
<option value="sl">Sierra Leone</option>
<option value="sg">Singapore</option>
<option value="sx">Sint Maarten (Dutch part)</option>
<option value="sk">Slovak Republic</option>
<option value="si">Slovenia</option>
<option value="sb">Solomon Islands</option>
<option value="so">Somalia</option>
<option value="za">South Africa</option>
<option value="ss">South Sudan</option>
<option value="es">Spain</option>
<option value="lk">Sri Lanka</option>
<option value="sh">St. Helena</option>
<option value="pm">St. Pierre and Miquelon</option>
<option value="sd">Sudan</option>
<option value="sr">Suriname</option>
<option value="sj">Svalbard and Jan Mayen Islands</option>
<option value="sz">Swaziland</option>
<option value="se">Sweden</option>
<option value="ch">Switzerland</option>
<option value="sy">Syrian Arab Republic</option>
<option value="tw">Taiwan</option>
<option value="tj">Tajikistan</option>
<option value="tz">Tanzania</option>
<option value="th">Thailand</option>
<option value="tg">Togo</option>
<option value="tk">Tokelau</option>
<option value="to">Tonga</option>
<option value="tt">Trinidad and Tobago</option>
<option value="tn">Tunisia</option>
<option value="tr">Turkey</option>
<option value="tm">Turkmenistan</option>
<option value="tc">Turks and Caicos Islands</option>
<option value="tv">Tuvalu</option>
<option value="ug">Uganda</option>
<option value="ua">Ukraine</option>
<option value="ae">United Arab Emirates</option>
<option value="uk">United Kingdom</option>
<option value="us" selected="selected">United States</option>
<option value="um">United States Minor Outlying Islands</option>
<option value="uy">Uruguay</option>
<option value="uz">Uzbekistan</option>
<option value="vu">Vanuatu</option>
<option value="va">Vatican City State (Holy See)</option>
<option value="ve">Venezuela</option>
<option value="vn">Viet Nam</option>
<option value="vg">Virgin Islands (British)</option>
<option value="vi">Virgin Islands (U.S.)</option>
<option value="wf">Wallis and Futuna Islands</option>
<option value="eh">Western Sahara</option>
<option value="ye">Yemen</option>
<option value="yu">Yugoslavia</option>
<option value="zm">Zambia</option>
<option value="zw">Zimbabwe</option>
</select>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-submit">
<div class="row">
<div class="col-md-12 text-center mt-2 mb-4">
<div class="g-recaptcha" data-sitekey="6Lc1S9AdAAAAAFUOvaobrrjzqHhVu9NKSHAlW9w_" data-callback="DoNotFormSubmitRecaptcha" data-expired-callback="DoNotFormSubmitRecaptchaExpired" data-error-callback="DoNotFormSubmitRecaptchaError">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-435rm1hgd0tu" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lc1S9AdAAAAAFUOvaobrrjzqHhVu9NKSHAlW9w_&co=aHR0cHM6Ly93d3cuc3BlY2lhbHR5Y29udGFjdGRhdGFiYXNlcy5jb206NDQz&hl=de&v=Ya-Cd6PbRI5ktAHEhm9JuKEu&size=normal&cb=k2ytn87rs5g3"></iframe>
</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 style="display: none;"></iframe>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<button type="button" class="btn btn-default" data-dismiss="modal" id="sample-form-close">Close</button>
</div>
<div class="col-md-6">
<button type="submit" class="btn btn-common" id="do-not-form-submit">Submit</button>
</div>
</div>
<div id="doNotSellSubmit" class="h3 text-center hidden"></div>
</div>
</div>
</div>
</form>
Name: sample-form — POST
<form role="form" method="post" id="sampleForm" name="sample-form">
<div class="row">
<div class="col-md-12">
<p>Please fill the form in order to download the sample.</p>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="text" class="form-control" id="name" name="name" placeholder="Name" data-error="Please enter your name">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="email" class="form-control" id="email" name="email" placeholder="Email" data-error="Please enter your Email">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<input type="tel" class="form-control" id="phone" name="phone" placeholder="Phone" data-error="Please enter your phone number">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<textarea class="form-control" rows="4" id="intention" name="intention" placeholder="What do you plan on using the list for?" data-error="Write your intention"></textarea>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<textarea class="form-control" rows="4" id="comment" name="comment" placeholder="Comment - "Any additional information you would want to share?"" data-error="Write your comment"></textarea>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="col-md-12">
<div class="form-submit">
<div class="row">
<div class="col-md-6">
<button type="button" class="btn btn-default" data-dismiss="modal" id="sample-form-close">Close</button>
</div>
<div class="col-md-6">
<input type="hidden" id="clicked-state" name="clicked-state">
<button type="submit" class="btn btn-common" id="sample-form-submit">Submit</button>
</div>
</div>
<div id="sampleSubmit" class="h3 text-center hidden"></div>
</div>
</div>
</div>
</form>
Text Content
* JD@LO-EmailList.com 260 223 9203 * The Story * Residential Loan Officers * Insurance Professionals * * Real Estate Agents * Networking * Investment/Annuity Advisors * Other Lists * Bulk Email Marketing Services * FAQ’s * Contact Us * Mortgage News CONTACT US/ORDER SAMPLES For any questions OR a sample of the records please submit the following form. Submit your comments, questions, or requests below. If you include your phone number, we will call you back. Source: Google Search Facebook LinkedIn Received an Email Other I am Interested In: Loan Officer Lists Insurance Agent Lists Investment/Annuity Advisor Lists Real Estate Agents Lists Contractor Lists Real Estate Appraiser Lists Title Insurance/Escrow Lists Home Inspector Lists Accountant/CPA Lists Submit We offer by far the highest quality with the highest quantity of contacts in the financial services industry. On average we add 50,000 new records monthly and remove 20,000 records that were once good but became bad. Discounts Available for Multi State Purchases. Pricing is volume based. * The Story * Residential Loan Officers * Insurance Professionals * Investment/Annuity Advisors * Other Lists * Real Estate Agents * Networking * Bulk Email Marketing Services * FAQ’s * Terms of Use * Do Not Sell * CALIFORNIA CONSUMER PRIVACY ACT * Contact Us * Blog - Disabled in code (Jay's request) * © 2024 LO-EmailListcom LLC DBA Specialty Contact Databases. All rights reserved. * The Story * Residential Loan Officers * Insurance Professionals * Bank/Credit Union Senior Management * Real Estate Agents * Networking * Investment/Annuity Advisors * Other Lists * Bulk Email Marketing Services * FAQ’s * Terms of Use * Do Not Sell * CALIFORNIA CONSUMER PRIVACY ACT * Contact Us * Blog - Disabled in code (Jay's request) * Mortgage News * Insurance * Investment × TERMS OF USE TERMS OF USE AGREEMENT BY BUYING THIS PRODUCT, YOU ARE AGREEING TO BE BOUND BY THE TERMS OF THIS LICENSE. 1. Use Restrictions: LO-EmailListcom LLC dba Specialty Contact Databases grants to you, the End-User a non-exclusive, non-transferable license to use this product and the information it contains (the database "Content") subject to the following restriction: It may be used only by the purchasing End-user and may not be made available for any other use by loan or rental. 2. Proprietary Rights: The Databases are proprietary to LO-EmailListcom LLC dba Specialty Contact Databases and its sources and suppliers, and will remain the exclusive property of LO-EmailListcom LLC dba Specialty Contact Databases and its sources and suppliers, and the End-user obtains no rights therein except as set forth in this License. The Databases and the information contained therein may not be duplicated, transferred, sold or commercially exploited in any manner. End-user agrees to take reasonable measures, which ensure that such unauthorized use is not made. THE DATABASES HAVE BEEN "SEEDED" WITH A NUMBER OF FICTITIOUS RECORDS IN ORDER TO MONITOR AND ENFORCE COMPLIANCE WITH THIS AGREEMENT. THE DATABASE IS NOT MADE AVAILABLE FOR SALE TO TRADE PUBLICATIONS OR RESOURCE GUIDES THAT COMPETE IN A MANNER WITH LO-EmailListcom LLC dba Specialty Contact Databases PARTNER COMPANY, MORTGAGE PRO RESOURCES LLC WHOSE WEBSITE IS MORTGAGEPRORESOURCES.COM. 3. Disclaimer of Warranty on Databases and Software: THE DATABASES ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF FITNESS FOR ANY PARTICULAR PURPOSE OR WARRANTY OF MERCHANTABILITY. NEITHER LO-EmailListcom LLC dba Specialty Contact Databases NOR ITS SUPPLIERS WARRANT, GUARANTEE OR MAKE ANY REPRESENTATIONS REGARDING THE USE OR THE RESULTS OF THE USE OF THIS PRODUCT IN TERMS OF THE ACCURACY, RELIABILITY, CURRENTNESS, OR OTHERWISE OF THEIR CONTENTS. THE ENTIRE RISK AS TO THE RESULTS AND PERFORMANCE OF THIS PRODUCT IS ASSUMED BY THE END-USER. 4. Limitations of Liability: In no event shall LO-EmailListcom LLC dba Specialty Contact Databases’s total liability to the End-User for all damages, losses and causes of action, whether in contract, tort (including negligence and strict liability) or otherwise, exceed the license fee for the product. NEITHER LO-EmailListcom LLC dba Specialty Contact Databases NOR ANYONE ELSE WHO HAS BEEN INVOLVED IN THE CREATION, PRODUCTION, OR DELIVERY OF THIS PRODUCT SHALL BE LIABLE FOR ANY DIRECT, INDIRECT, CONSEQUENTIAL OR INCIDENTAL DAMAGES (INCLUDING DAMAGES FOR LOSS OF BUSINESS PROFITS, BUSINESS INTERRUPTION, LOSS OF BUSINESS INFORMATION AND THE LIKE) ARISING OUT OF THE USE OF OR INABILITY TO USE SUCH PRODUCT EVEN IF LO-EmailListcom LLC dba Specialty Contact Databases HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 5. Updates are available at any time. Cost per net new record is 5 cents. Additional updates may be provided and a fee may be charged for the updates, however, they are not a mandatory obligation of LO-EmailListcom LLC dba Specialty Contact Databases, for the purposes of this license agreement or any other purposes or implications. 6. Usage and Support: All LO-EmailListcom LLC dba Specialty Contact Databases, databases are "information", not "software". The product is delivered in popular database "formats" simply making it easily accessible for any database applications. "Information" requires no technical support. LO-EmailListcom LLC dba Specialty Contact Databases has no liability and is not authorized to support other vendor's database software. LO-EmailListcom LLC dba Specialty Contact Databases, as a courtesy, may post help pages on its web site or provide other technical support, yet holds no liability to do so. 7. End user is solely responsible to adhere to all regulatory requirements including, but not limited to, the CAN-Spam Act and the California Consumer Privacy Act. LO-EmailListcom LLC dba Specialty Contact Databases assumes no responsibility for the failure of the End User to comply with any and all federal, state and municipal regulations. 8. Undeliverable Records/Hard Bounces: Company will replace with new records or will refund the money by presented FAILURE list on over 1% of undeliverable records. The refund is available for the first 14 days after purchase. 9. DUE TO THE NATURE OF THIS SERVICE, ALL SALES ARE FINAL AND NON-REFUNDABLE. By processing your order and submitting your contact information you are entering into a binding purchase contract. This has been done to protect the integrity of our databases from fraudulent activity. I authorize LO-EmailListcom LLC dba Specialty Contact Databases to charge me in full for any products purchased. I further affirm that the name and personal information provided on this form are true and correct. I further declare that I have read, understand and accept LO-EmailListcom LLC dba Specialty Contact Databases business terms as published on their web site. 10. Complete Agreement: This license constitutes the entire agreement between the End-User and LO-EmailListcom LLC dba Specialty Contact Databases, which supercedes any proposal or prior agreement, oral or written, and any other communications between the End-User and LO-EmailListcom LLC dba Specialty Contact Databases relating to the subject matter of this License. No dealer, distributor, agent or employee is authorized to make any modifications or additions to this license. The laws of the State of Arizona and/or the United States of America shall govern any question concerning the validity, construction, or performance of this Agreement. End-User and LO-EmailListcom LLC dba Speciialty Contact Databases hereby further agree that venue and jurisdiction for any disputes shall be laid in the Courts of Pima County, Arizona, which the parties agree shall be the sole and exclusive venue of the resolution of any such disputes arising hereunder. 11. LISTS ARE NOT AVAILABLE FOR SALE TO OR FOR USE BY TRADE PUBLICATIONS AND DIRECTORIES. Close × CCPA CONSUMER REQUEST FORM FOR CALIFORNIA RESIDENTS If you are a California resident and would like to submit a consumer request under the California Consumer Privacy Act (CCPA), please complete and submit the below web form. We will send a confirmation email to the email address below, if you successfully submit this form. If we require further information from you in order to verify or process your request, or we need clarification about the nature of your request, we will contact you at the email you indicated below. Tell us about your data request *All fields are required unless marked optional. Select the type of Request: Request to Know (Access) Request a report of the categories of personal information that we have collected and disclosed about you. Delete my info Request that we delete personal information collected about you. Do not sell my info Request to opt out of the "sale" of your personal information by us. State of residence - Choose - Alabama Alabama Alaska Alaska American Samoa American Samoa Arizona Arizona Arkansas Arkansas California California Colorado Colorado Connecticut Connecticut Delaware Delaware District of Columbia District of Columbia Federated States of Micronesia Federated States of Micronesia Florida Florida Georgia Georgia Guam Guam Hawaii Hawaii Idaho Idaho Illinois Illinois Indiana Indiana Iowa Iowa Kansas Kansas Kentucky Kentucky Louisiana Louisiana Maine Maine Marshall Islands Marshall Islands Maryland Maryland Massachusetts Massachusetts Michigan Michigan Minnesota Minnesota Mississippi Mississippi Missouri Missouri Montana Montana Nebraska Nebraska Nevada Nevada New Hampshire New Hampshire New Jersey New Jersey New Mexico New Mexico New York New York North Carolina North Carolina North Dakota North Dakota Northern Mariana Islands Northern Mariana Islands Ohio Ohio Oklahoma Oklahoma Oregon Oregon Palau Palau Pennsylvania Pennsylvania Puerto Rico Puerto Rico Rhode Island Rhode Island South Carolina South Carolina South Dakota South Dakota Tennessee Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Country of residence - Choose - Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Asia-Pacific Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia (Hrvatska) Cuba Curacao Cyprus Czech Republic Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand (Aotearoa) Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Serbia Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Isls. Saint Barthelemy Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Close Submit × DOWNLOAD STATE SAMPLE Please fill the form in order to download the sample. 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