domainpest.pestportals.com
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3.85.200.127
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Submitted URL: https://u8604143.ct.sendgrid.net/ls/click?upn=0r0kSqlUL0wV6jyx5vXEZ-2FEhuJnBCRXNfd7rJCcSq-2Bln5GOHcz6rrPiobzMbSNZH6wRenADlcPImuFt...
Effective URL: https://domainpest.pestportals.com/signAgreement?code=1884&cID=2117&codex=37393735323039&lID=6c0494c8f9ff4d56a1b95836b2393089
Submission: On October 07 via manual from US — Scanned from DE
Effective URL: https://domainpest.pestportals.com/signAgreement?code=1884&cID=2117&codex=37393735323039&lID=6c0494c8f9ff4d56a1b95836b2393089
Submission: On October 07 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOM<form id="paymentProfileForm" class="billingForm" style="display: none;">
<input name="newACHGateway" type="hidden" value="authorize">
<input name="newCCGateway" type="hidden" value="element">
<input class="id" name="id" value="0" type="hidden">
<input name="paymentMethod" type="hidden" value="">
<input name="gateway" type="hidden" value="">
<input name="vault" value="" type="hidden">
<input name="profileID" type="hidden" value="">
<input name="paymentProfileID" type="hidden" value="">
<input name="customerID" value="1844" type="hidden">
<p class="bold">Billing Address</p>
<div class="row form-group-sm">
<div class="col-md-6">
<label for="billingFName">First Name</label>
<input type="text" name="billingFName" id="billingFName" value="Bill" placeholder="First Name">
</div>
<div class="col-md-6">
<label for="billingLName">Last Name</label>
<input type="text" name="billingLName" id="billingLName" value="Kennedy" placeholder="Last Name">
</div>
</div>
<div class="row form-group-sm">
<div class="col-md-12">
<label for="billingAddress1">Billing Address</label>
<input type="text" name="billingAddress1" id="billingAddress1" value="162 Bayberry Cir" placeholder="Billing Address">
</div>
</div>
<div class="row form-group-sm">
<div class="col-md-8">
<label for="billingCity">City</label>
<input type="text" name="billingCity" id="billingCity" value="Mustang Ridge" placeholder="City">
</div>
<div class="col-md-4">
<label for="billingState">State</label>
<select name="billingState" id="billingState" statehelper="">
<option value="AA" countryid="US">AA</option>
<option value="AE" countryid="US">AE</option>
<option value="AK" countryid="US">AK</option>
<option value="AL" countryid="US">AL</option>
<option value="AP" countryid="US">AP</option>
<option value="AR" countryid="US">AR</option>
<option value="AZ" countryid="US">AZ</option>
<option value="CA" countryid="US">CA</option>
<option value="CO" countryid="US">CO</option>
<option value="CT" countryid="US">CT</option>
<option value="DC" countryid="US">DC</option>
<option value="DE" countryid="US">DE</option>
<option value="FL" countryid="US">FL</option>
<option value="GA" countryid="US">GA</option>
<option value="HI" countryid="US">HI</option>
<option value="IA" countryid="US">IA</option>
<option value="ID" countryid="US">ID</option>
<option value="IL" countryid="US">IL</option>
<option value="IN" countryid="US">IN</option>
<option value="KS" countryid="US">KS</option>
<option value="KY" countryid="US">KY</option>
<option value="LA" countryid="US">LA</option>
<option value="MA" countryid="US">MA</option>
<option value="MD" countryid="US">MD</option>
<option value="ME" countryid="US">ME</option>
<option value="MI" countryid="US">MI</option>
<option value="MN" countryid="US">MN</option>
<option value="MO" countryid="US">MO</option>
<option value="MS" countryid="US">MS</option>
<option value="MT" countryid="US">MT</option>
<option value="NC" countryid="US">NC</option>
<option value="ND" countryid="US">ND</option>
<option value="NE" countryid="US">NE</option>
<option value="NH" countryid="US">NH</option>
<option value="NJ" countryid="US">NJ</option>
<option value="NM" countryid="US">NM</option>
<option value="NV" countryid="US">NV</option>
<option value="NY" countryid="US">NY</option>
<option value="OH" countryid="US">OH</option>
<option value="OK" countryid="US">OK</option>
<option value="OR" countryid="US">OR</option>
<option value="PA" countryid="US">PA</option>
<option value="PR" countryid="US">PR</option>
<option value="RI" countryid="US">RI</option>
<option value="SC" countryid="US">SC</option>
<option value="SD" countryid="US">SD</option>
<option value="TN" countryid="US">TN</option>
<option value="TX" selected="SELECTED" countryid="US">TX</option>
<option value="UT" countryid="US">UT</option>
<option value="VA" countryid="US">VA</option>
<option value="VT" countryid="US">VT</option>
<option value="WA" countryid="US">WA</option>
<option value="WI" countryid="US">WI</option>
<option value="WV" countryid="US">WV</option>
<option value="WY" countryid="US">WY</option>
</select>
</div>
</div>
<div class="row form-group-sm">
<div class="col-md-6">
<label for="billingZip">Zip</label>
<input type="text" name="billingZip" id="billingZip" size="7" value="78610" placeholder="Zip">
</div>
<div class="col-md-6">
<label for="billingCountryID">Country</label>
<select name="billingCountryID" id="billingCountryID">
<option value="BR">Brazil</option>
<option value="CA">Canada</option>
<option value="DE">Germany</option>
<option value="GU">Guam</option>
<option value="UK">United Kingdom</option>
<option value="US" selected="SELECTED">United States</option>
<option value="VI">Virgin Islands</option>
</select>
</div>
</div>
<div class="text-center form-group" id="paymentType">
<div class="btn-group btn-group-md" role="group" aria-label="achMethod">
<button type="button" class="btn showCCForm">Credit Card</button>
<button type="button" class="btn showACHForm">Bank Account</button>
</div>
</div>
<div class="cardLogoGroup">
<img src="/resources/img/card-logos/visa.svg" class="card-logo" style="margin-left:26%">
<img src="/resources/img/card-logos/mastercard.svg" class="card-logo" style="margin-left:6%">
<img src="/resources/img/card-logos/discover.svg" class="card-logo" style="margin-left:6%">
<img src="/resources/img/card-logos/amex.svg" class="card-logo" style="margin-left:6%">
</div>
<div class="clr"><br></div>
<div id="form_cc" class="row cc-related">
<div class="col-md-12">
<p class="bold">Secure Credit Card Form</p>
</div>
<div id="elementPaymentProfileContainer" class="col-md-12"></div>
<div class="col-md-12 secureCardDisplay">When you're finished entering billing address, click the button below to securely enter the credit card number:</div>
<script>
$('#paymentFormModal').on('hide.bs.modal', function() {
$("#elementFrame").remove();
$('.secureCardDisplay').show().removeClass('hidden');
});
function toggleElementForm() {
let frame = $("#elementFrame");
if (frame.length) {
$('.secureCardDisplay').hide();
} else {
$('.secureCardDisplay').show().removeClass('hidden');
$("#paymentProfileForm input").removeAttr('readonly');
$("#paymentProfileForm select").removeAttr('disabled');
}
}
function newElementFrameLoadEvent() {
try {
let iframeBody = $(this).contents().find("body");
new Promise((resolve, reject) => {
iframeBody.hide();
setTimeout(() => resolve("done!"), 500);
}).then(() => {
var response = JSON.parse(iframeBody.text());
if (response.message == 'TransactionID required' && response.success == false) { //Possible Transaction decline. Element will not send response to pestroutes attempt to create the account
console.log("ELEMENT: TransactionID required error!")
}
if (response.success == false) {
$("#elementFrame").remove();
toggleElementForm();
let message = '';
for (var i in response.messages) {
if (response.messages[i].text != null) {
message += response.messages[i].text + "\n\r";
}
}
alert(message);
}
if (response.success == true) {
$("#elementFrame").remove();
saveBillingProfileCallback(response);
}
});
} catch (err) {
var response = {
id: 0
};
}
}
function setupElement() {
var values = $("#paymentProfileForm").serializeFormJSON();
values.action = "elementSetup";
values.method = 1;
values.paymentProfileID = 0;
values.enableAPay = $('#enableAPay:checked').length;
$('.secureCardDisplay').hide();
$("#paymentProfileForm input").attr('readonly', 'readonly');
$("#paymentProfileForm select").attr('disabled', 'disabled');
$("#elementPaymentProfileContainer").html(loadingGif);
$.post(vaultEndPoint, values, function(response) {
if (response.success) {
$("#elementPaymentProfileContainer").data('newPaymentProfileID', response.paymentProfileID);
$("#elementPaymentProfileContainer").html('');
$("#elementPaymentProfileContainer").append('<iframe src="' + response.url + '" style="width:100%;height:180px;border:none;" id="elementFrame" seamless="seamless"><p>Your browser does not support iframes.</p></iframe>');
$("#elementFrame").load(newElementFrameLoadEvent);
} else {
alert(response.errorMessage);
}
}, "json");
}
</script>
</div>
<div id="form_ach" class="updatePaymentForm row ach-related">
<div class="col-md-12">
<p class="bold">Secure Bank Account Form</p>
</div>
<div class="col-md-12">
<label for="bankName">Bank Name</label>
<input name="bankName" id="bankName" type="text" value="" placeholder="Bank Name">
<div class="bankNameError ACHValidationError"></div>
</div>
<div class="col-md-6">
<label for="routingNumber">Routing Number</label>
<input name="routingNumber" id="routingNumber" type="text" value="" placeholder="Routing Number">
<div class="routingNumberError ACHValidationError"></div>
</div>
<div class="col-md-6">
<label for="accountNumber">Account Number</label>
<input name="accountNumber" id="accountNumber" type="text" value="" placeholder="Account Number">
<div class="accountNumberError ACHValidationError"></div>
</div>
<div class="col-md-6">
<label for="accountType">Account Type</label>
<select name="accountType" id="accountType">
<option value="0">Checking Account</option>
<option value="1">Savings Account</option>
</select>
</div>
<div class="col-md-6">
<label for="checkType">Account Usage</label>
<select name="checkType" id="checkType">
<option value="0">Personal Account</option>
<option value="1">Business Account</option>
</select>
</div>
</div>
<script>
function addPaymentMethodACH() {
let customerID = $('.wallet').data('customer-id');
let container = $("#paymentProfileForm"),
form = container.serializeFormJSON();
let failedValidation = false;
clearErrorValidation();
if (form.billingFName == '') {
alert('Please enter Billing First Name');
return;
}
if (form.billingLName == '') {
alert('Please enter Billing Last Name');
return;
}
if (form.billingAddress1 == '') {
alert('Please enter Billing Address');
return;
}
if (form.billingCity == '') {
alert('Please enter Billing City');
return;
}
if (form.billingZip == '') {
alert('Please enter Billing Zip');
return;
}
if (form.billingCountryID == '') {
alert('Please enter Billing Country');
return;
}
if (form.billingState == '') {
alert('Please enter Billing State');
return;
}
if (form.bankName == '') {
$('.bankNameError').html('Bank Name is required');
$('#bankName').addClass('ACHInputErrorBorder');
failedValidation = true;
}
if (form.routingNumber.length != 9) {
$('.routingNumberError').html('Routing Number must be 9 digits');
$('#routingNumber').addClass('ACHInputErrorBorder');
failedValidation = true;
}
if (form.accountNumber.length < 5 || form.accountNumber.length > 17) {
$('.accountNumberError').html('Account Number must be between 5 and 17 digits');
$('#accountNumber').addClass('ACHInputErrorBorder');
failedValidation = true;
}
if (form.enableAPay == '1' && form.autopayInitials == '') {
alert('Please enter your initials to proceed!');
return;
}
if (failedValidation) {
return;
}
// enableAPay doesn't get sent in the form if it is turned off
if (!form.hasOwnProperty('enableAPay')) {
form.enableAPay = '0'
}
let params = {
customerID: form.customerID,
action: "addNewPaymentMethodACH",
form: form
}
// if in edit mode
if (parseInt(form.id) !== 0) {
params.action = 'savePaymentMethodACH';
params.paymentProfileID = form.id;
}
$.post(vaultEndPoint, params, function(data) {
let response = JSON.parse(data);
if (response.success) {
saveBillingProfileCallback(response);
} else {
alert(response.message);
}
});
}
function clearErrorValidation() {
$('.ACHInputErrorBorder').removeClass('ACHInputErrorBorder');
$('.ACHValidationError').html('');
}
$().ready(function() {
$("#achSaveSubmit").on('click', addPaymentMethodACH);
});
</script>
<div class="row form-group">
<div class="customerAutoPayInput col-md-6 checkbox">
<label for="enableAPay">
<input type="checkbox" name="enableAPay" id="enableAPay" value="1"> Default AutoPay </label>
</div>
</div>
<div class="row form-group autoPayInitialsWrapper">
<div class="col-md-12">
<input type="text" name="autopayInitials" id="autopayInitials" maxlength="2">
<label for="autopayInitials" name="autopayInitials" style="display: inline;color: inherit;">I authorize Domain Pest , together with its affiliates, designees, and other service providers, to electronically debit or charge my payment method for
the applicable amount as services are provided. I agree that no prior notification may be provided. I understand that this preauthorized electronic transfer is to remain in effect until I contact Domain Pest and remove my
authorization.</label>
</div>
</div>
</form>
<form>
<div class="aLeft">
<label for="agreeConsent"><input type="checkbox" name="Accept" id="agreeConsent"> I have read the terms of this <a href="#" class="eca link-color">Electronic Consent Agreement</a> and agree to receive the Contract Documents
electronically.</label>
<input type="hidden" name="action" value="signElectronicConsent">
<input type="hidden" name="linkID" id="linkID" value="">
</div>
</form>
Text Content
Welcome Bill Thank you for choosing Domain Pest ! CONGRATULATIONS ON CHOOSING THE BEST PEST SERVICE!! Please review the following agreement and then sign. You will receive a copy via email for your records. Thanks! Domain Pest 245 silver springs bend kyle, TX 78640 (512) 813-7378 | austin@domainpest.com License #: 0774223 Licensed and regulated by: Texas Department of Agriculture, P.O. Box 12847, Austin, TX 78711-2847, Phone (866) 918-4481, Fax (888) 232-2567. RESIDENTIAL SERVICE AGREEMENT SERVICE ADDRESS Bill Kennedy 162 Bayberry Cir Mustang Ridge, TX 78610 CUSTOMER INFORMATION bkenn0004@gmail.com (469) 371-1950 | Notes: WARRANTY COVERAGE Ants Spiders Scorpions American Cockroach Mice Fleas Paper Wasps Smokey Brown Roach Rats Ticks Mud Daubers Brown Banded Roach House Crickets Earwigs Centipedes Oriental Cockroach Field Crickets Pillbugs Millipedes Silverfish SPECIALITY PESTS Aphid / Snail Warranty Flea & Tick Indoor Warranty Mice & Rats Outdoor Warranty German Cockroach Warranty BREAKING THE EGG CYCLE The first treatment around your home is what is called an 'initial flush out'. This special treatment attempts to gain control over existing pest populations. Your first regular treatment should follow within 20-45 days of the initial treatment to help break up egg cycles. Insects are immune to treatments while in their egg shells and our products must be active to catch pests as they hatch. Initially you may see a slight increase in pest activity as pest populations are disrupted. Within a few weeks you should see this activity drastically decline as our products take effect. Over time, these pest levels will continually decrease as regular services are performed. Regular treatments are critical in maintaining protective barriers and preventing infestations from reoccurring. If you see more than the occasional pest around your home, please call (512) 813-7378 at any time for a complimentary retreat! QUARTERLY SERVICE SUBSCRIPTION Oct '22 (S)149.00 Nov '22 (S)99.00 Dec '22 Jan '23 Feb '23 (S)99.00 Mar '23 Apr '23 May '23 (S)99.00 Jun '23 Jul '23 Aug '23 (S)99.00 Sep '23 INITIAL SERVICE / WARRANTIES Initial Quote: $249.00 Initial Discount: ($100.00) Sub Total: $149.00 Tax (8.25%): $12.29 Initial Total: $161.29 RECURRING SERVICES Service Charge: $99.00 Tax (8.25%): $8.17 Recurring Total: $107.17 This service agreement shall be continued for a minimum of twelve (12) months according to the dates and prices listed above. After the initial one-year period, service will continue until cancelled with a thirty day written notice. Domain will provide continuous service under the terms and conditions in this agreement. Domain guarantees the pricing in this agreement two years from start date, and may reasonably increase price after for inflation, etc. The Services do not include control or prevention of termites, or any wood destroying organism, bees, wildlife, or pests not mentioned above. Virtually all pesticides have some odor that may be present for a short time after application. If you or any member of your household is sensitive to odors or chemicals, Domain recommends you consult your family physician prior to treatment. Interest shall accrue at the lesser of 18% per annum or the maximum lawful rate on all past due amounts and a service fee of the lesser of $25 or the maximum lawful rate will be applied in the event of any check or transfer rejected for insufficient funds or other fault of customer. Domain also reserves the right to suspend performance or terminate service without prior notice if customer has not timely paid all amounts when due to Domain. The first service performed on a home under 3,500 square feet has a minimum cost of $249.00. Customer understands that more time and treatments are required during the first months to bring pest problems under control, therefore an initial treatment costing less than $249.00 is based on a minimum twelve-month agreement. The customer may cancel this transaction any time prior to midnight of the third business day after the date of this transaction with written notice to Domain. If for any reason service is cancelled prior to fulfilling the agreement, by refusing to receive or pay for service, and the initial service has been performed, the customer agrees to pay the difference between $249.00 and the discounted price of the initial treatment.The fee for the initial Treatment is due at the time of the Initial Treatment. The fee for each Standard Treatment is due within thirty (30) days after the treatment is performed. If you have selected Domain’s Monthly Payment option, your first Monthly Payment will be due on the first day of the month after the Initial Treatment in the amount set forth above, and then on the first day of each month until the total of all Standard Treatments have been paid in full. Domain's first treatment may include the interior of customers home for specific pest infestations. All treatments after the initial treatment will be only to the exterior of Customer's home, unless Customer specifically requests an interior treatment for specific pests or reoccurring infestations. The first two treatments must be performed within approximately 20-45 days to break the egg cycle. The first treatment will flush adult pests from the nesting and breeding sites, while the second will help control newly hatched and persistent pests. Please allow 10 days for the product to take effect. The interior and exterior of the home are always under warranty. If the customer would like inside or additional outside service, once notified Domain will return between regularly scheduled visits at no additional charge. BY SIGNING BELOW, YOU CONFIRM THAT YOU AGREE TO THE TERMS AND CONDITIONS FOUND AT: https://domainpest.com/terms-and-conditions/ AS THEY MAY BE UPDATED FROM TIME TO TIME. IF YOU WANT TO TERMINATE THIS CONTRACT, YOU MAY DO SO ON AT LEAST 30 DAYS’ NOTICE BUT MUST PAY FOR ANY DISCOUNTS APPLIED TO TREATMENTS YOU DID RECEIVE DURING THE INITIAL TERM. CONSUMER INFORMATION SHEET AVAILABLE UPON REQUEST. BILLING INFO Bill Kennedy 162 Bayberry Cir Mustang Ridge, TX 78610 PAYMENT INFORMATION Bill Kennedy Credit Card # ∗∗∗∗ ∗∗∗∗ ∗∗∗∗ 6069 Expires: 03/2023 Sign above I have read and agree to the terms and conditions of this agreement including any additional terms and disclosures listed above. I confirm that my email address is entered correctly and agree to receive my agreement, additional disclosures, and future account notifications electronically. I authorize Domain Pest , together with its affiliates, designees, and other service providers, to electronically debit or charge my payment method for the applicable amount as services are provided. I agree that no prior notification may be provided. I understand that this preauthorized electronic transfer is to remain in effect until I contact Domain Pest and remove my authorization. Clear Sign Agreement 162 Bayberry Cir Mustang Ridge, TX 78610 US Edit Info Billing Address First Name Last Name Billing Address City State AAAEAKALAPARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWY Zip Country BrazilCanadaGermanyGuamUnited KingdomUnited StatesVirgin Islands Credit Card Bank Account Secure Credit Card Form When you're finished entering billing address, click the button below to securely enter the credit card number: Secure Bank Account Form Bank Name Routing Number Account Number Account Type Checking AccountSavings Account Account Usage Personal AccountBusiness Account Default AutoPay I authorize Domain Pest , together with its affiliates, designees, and other service providers, to electronically debit or charge my payment method for the applicable amount as services are provided. I agree that no prior notification may be provided. I understand that this preauthorized electronic transfer is to remain in effect until I contact Domain Pest and remove my authorization. Cancel Enter Credit Card Save I have read the terms of this Electronic Consent Agreement and agree to receive the Contract Documents electronically. * Powered by * * DOMAIN PEST 245 silver springs bend kyle, TX 78640 (512) 813-7378 https://domainpest.com ×Close LINKED PROPERTIES Click on a property to load account: Thank You! ×Close PLEASE SHARE THE LOVE! We appreciate your review! We use reviews to help improve our service, train our employees, and compliment our technicians. Reviews are also a powerful tool to help us grow our business. We would really appreciate it if you could take just a few seconds to share this review on one of our social media pages as well: (click an icon below to be redirected) Copy Thank You!