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www.myessentialsaving.com Open in urlscan Pro
13.224.189.103  Public Scan

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URL: https://www.myessentialsaving.com/
Submission: On February 23 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST #

<form id="certback-form" action="#" method="POST" class="mt-9 gap-8 md:grid grid-cols-2">
  <div class="space-y-4">
    <div class="lg:grid grid-cols-2 gap-8">
      <div><label for="first-name" class="block text-sm font-medium text-gray-800">First name*</label>
        <div class="mt-1"><input type="text" name="first-name" id="first-name" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="Mia" required=""
            autocomplete="false"></div>
      </div>
      <div><label for="last-name" class="block text-sm font-medium text-gray-800">Last name*</label>
        <div class="mt-1"><input type="text" name="last-name" id="last-name" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="Smith" required=""
            autocomplete="false"></div>
      </div>
    </div>
    <div class="lg:col-span-2"><label for="email-address" class="block text-sm font-medium text-gray-800">Email*</label>
      <div class="mt-1"><input id="email-address" name="email-address" type="email" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md"
          placeholder="miasmith@myessential.com" required="" autocomplete="false"></div>
    </div>
    <div class="lg:col-span-2">
      <div class="flex justify-between"><label for="phonenumber" class="block text-sm font-medium text-gray-800">Phone Number*</label></div>
      <div class="mt-1"><input type="text" name="phonenumber" id="phonenumber" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="(519) 555-0148"
          required="" autocomplete="false"></div>
    </div>
  </div>
  <div class="space-y-4">
    <div class="lg:col-span-2">
      <div class="flex justify-between"><label for="dob" class="block text-sm font-medium text-gray-800">Date of Birth (Optional)</label></div>
      <div class="mt-1"><input type="text" name="dob" id="dob" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="mm/dd/yyyy" autocomplete="false"></div>
    </div>
    <div class="lg:col-span-2"><label for="address1" class="block text-sm font-medium text-gray-800">Street Address (Optional)</label>
      <div class="mt-1"><input type="text" name="address1" id="address1" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="737 Walnutwood Avenue"
          autocomplete="false"></div>
    </div>
    <div class="lg:grid grid-cols-3 gap-8">
      <div><label for="city" class="block text-sm font-medium text-gray-800">City (Optional)</label>
        <div class="mt-1"><input type="text" name="city" id="city" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="Chelmsford" autocomplete="false">
        </div>
      </div>
      <div><label for="state" class="block text-sm font-medium text-gray-800">State (Optional)</label>
        <div class="mt-1"><input type="text" name="state" id="state" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="California" autocomplete="false">
        </div>
      </div>
      <div><label for="zipcode" class="block text-sm font-medium text-gray-800">Zip Code*</label>
        <div class="mt-1"><input type="text" name="zipcode" id="zipcode" class="block w-full shadow-sm w-full pl-2 pr-3 py-2 lowercase border-2 border-gray-200 outline-none focus:border-blue-800 rounded-md" placeholder="90210" required=""
            autocomplete="false"></div>
      </div>
    </div>
  </div>
  <div class="text-right lg:col-span-2"><input id="ip_address" type="hidden" name="ip_address" value="146.70.117.70"> <input id="consent" type="hidden" name="consent"
      value="By submitting this form, I expressly consent to be contacted by any partner in the AcquireCrowd Partner Network with materials for services via direct or electronic mail, phone calls to the number provided, text/SMS messages via automatic or automated dialing system(s), and pre-recorded messages. Consent is not a condition of purchase and may be revoked at any time.">
    <input id="leadid_token" name="universal_leadid" type="hidden" value="D6F4366D-FF2E-F80A-C44D-401625C484A8"> <button id="submit" type="submit"
      class="register block w-full max-w-xs mx-auto bg-indigo-600 hover:bg-indigo-700 focus:bg-indigo-700 text-white mt-4 mb-5 px-3 py-3 font-semibold">REGISTER</button></div>
  <div class="lg:col-span-2"><label><input id="leadid_tcpa_disclosure" type="hidden">
      <p id="tcpa" class="text-xs">By submitting this form, I expressly consent to be contacted by any <a href="https://www.acquirecrowd.com/partners/" target="_blank" style="text-decoration:underline">partner</a> in the AcquireCrowd Partner Network
        with materials for services via direct or electronic mail, phone calls to the number provided, text/SMS messages via automatic or automated dialing system(s), and pre-recorded messages. Consent is not a condition of purchase and may be
        revoked at any time.</p>
    </label>
    <div class="text-center underline text-sm mt-5">
      <div class="space-x-4"><a href="https://www.reservetechinc.com/privacy/">Privacy Policy</a> <a href="https://www.reservetechinc.com/termsandconditions.php">Terms &amp; Conditions</a></div>
      <div class="space-x-4"><a href="https://www.reservetechinc.com/ccpa-do-not-sell-my-information.php">Do Not Sell My Information</a> <a href="https://www.reservetechinc.com/ccpa-your-california-privacy-rights.php">For Our California Audience</a>
      </div>
    </div>
  </div><input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/1a29af91d45ae902eafa546044b639c88f357596"><input type="hidden" name="trusted_form" id="trusted_form_0"
    value="https://cert.trustedform.com/1a29af91d45ae902eafa546044b639c88f357596"><input type="hidden" name="trusted_form_ping_url" id="trusted_form_ping_url_0"
    value="https://ping.trustedform.com/0.xHKK8Ub7lpQz67ZpeRwd6cv57BbNjaW3lu44Klmet99fnpmI9EwDbsQKmnv7sWUL56DVzV9n.PsHN24DvclG8yI58l1pbsA.lf9rgyNgdBjt84ZbuvFp8w">
</form>

Text Content

My Essential Saving


REGISTER


ENTER YOUR INFORMATION TO REGISTER



First name*

Last name*

Email*

Phone Number*

Date of Birth (Optional)

Street Address (Optional)

City (Optional)

State (Optional)

Zip Code*

REGISTER

By submitting this form, I expressly consent to be contacted by any partner in
the AcquireCrowd Partner Network with materials for services via direct or
electronic mail, phone calls to the number provided, text/SMS messages via
automatic or automated dialing system(s), and pre-recorded messages. Consent is
not a condition of purchase and may be revoked at any time.

Privacy Policy Terms & Conditions
Do Not Sell My Information For Our California Audience


WHAT ARE THE BENEFITS OF USING MY ESSENTIAL SAVING?

Using our proprietary tools and accessing our team of experienced service
agents, you can find the right savings plan for you and your family. Simply
complete the registration form and start saving money instantly!

ONLY TAKES A MINUTE

Complete a short registration and discover your savings plan options!

SAFE AND SECURE

We will never store your personal information or data.

WON’T IMPACT YOUR CREDIT

Completing our short registration form will not impact your credit negatively.


FIND THE ESSENTIAL SAVINGS OPTIONS YOU NEED

My Essential Saving makes finding the right savings plan online easy!

REGISTER FOR SAVINGS
My Essential Saving
Privacy Policy Terms & Conditions
Do Not Sell My Information For Our California Audience