epb.com
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74.221.178.70
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Submitted URL: http://www.epb.com//start/-service//
Effective URL: https://epb.com//start/-service//
Submission: On September 30 via api from US — Scanned from DE
Effective URL: https://epb.com//start/-service//
Submission: On September 30 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form class="vanilla-form">
<div id="form-grid">
<div class="lg:col-start-1 lg:col-end-3">
<div class="row lg:py-3">
<div class="col-12 lg:py-0 lg:col-6">
<div class="input-field">
<label for="first_name" class="text-grey-body block font-circular-book font-hairline text-lg raised" translate="yes">
<span>* </span>First Name </label>
<input required="" type="text" class="text-grey-body font-circular-book font-hairline text-xl border-solid border border-grey-border block w-full h-12 cursor-auto mt-2 pl-4 empty" name="first_name">
</div>
</div>
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="input-field">
<label for="last_name" class="text-grey-body block font-circular-book font-hairline text-lg raised" translate="yes">
<span>* </span>Last Name </label>
<input required="" type="text" class="text-grey-body font-circular-book font-hairline text-xl border-solid border border-grey-border block w-full h-12 cursor-auto mt-2 pl-4 empty" name="last_name">
</div>
</div>
</div>
<div class="row lg:py-3">
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="input-field">
<label for="phone_number" class="text-grey-body block font-circular-book font-hairline text-lg raised" translate="yes">
<span>* </span>Phone Number </label>
<input required="" type="tel" class="text-grey-body font-circular-book font-hairline text-xl border-solid border border-grey-border block w-full h-12 cursor-auto pl-4 empty" name="phone_number">
</div>
</div>
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="select-field">
<label class="raised" for="call_when" translate="yes"><span>* </span>What's the best time to call?</label>
<select required="" name="call_when" class="not-empty w-full" value="now">
<option value="now" translate="yes">Call Now</option>
<option value="later" translate="yes">Call Later</option>
</select>
</div>
</div>
</div>
<div class="hidden" id="call-when-time">
<div class="row hidden lg:py-3">
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="select-field">
<label for="call_day" class="raised">Day</label>
<select translate="yes" name="call_day" class="not-empty w-full" value="2024-09-30">
<option value="2024-09-30">Today</option>
<option value="2024-10-01">Tuesday</option>
<option value="2024-10-02">Wednesday</option>
<option value="2024-10-03">Thursday</option>
</select>
</div>
</div>
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="input-field">
<label for="call_time" class="raised" translate="yes">Time</label>
<input type="text" class="text-grey-body font-circular-book font-hairline text-xl border-solid border border-grey-border block w-full h-12 cursor-auto pl-4 empty" name="call_time" value="12:00AM">
</div>
</div>
</div>
</div>
<div class="row lg:py-3">
<div class="col-12 py-3 lg:py-0 lg:col-6">
<div class="select-field">
<label for="call_target" class="raised" translate="yes"><span>* </span>I'd like to speak with</label>
<select required="" name="call_target" class="w-full not-empty" value="customer_service">
<option value="CUSTOMER_SERVICE" translate="yes">Customer Service</option>
<option value="TECH_SUPPORT" translate="yes">Technical Support</option>
</select>
</div>
</div>
</div>
</div>
</div>
<div class="row pt-10">
<div class="col-12 lg:col-6">
<input class="submit bg-white py-4 px-12 border border-blue-dark hover:bg-grey-05 hover:cursor-pointer" type="submit" value="Submit">
</div>
<div class="form-success hidden col-12 lg:col-6">
<p translate="yes">Thanks, we'll be in touch soon!</p>
</div>
</div>
</form>Text Content
404 WE CAN'T FIND THE PAGE YOU'RE LOOKING FOR Return to Homepage LOADING We're here for you! * First Name * Last Name * Phone Number * What's the best time to call? Call Now Call Later Day Today Tuesday Wednesday Thursday Time * I'd like to speak with Customer Service Technical Support Thanks, we'll be in touch soon! Unknown Error We are currently unable to process your request. Please refresh or try again later. If you continue to experience this issue please contact us at (423)648-1EPB. We are currently unable to process your request. Please refresh or try again later. If you continue to experience this issue please contact us at (423)648-1EPB.