www.leaffilter.com Open in urlscan Pro
2606:4700::6812:164d  Public Scan

Submitted URL: https://go.leafhomesolutions.com/MjQ5LU5FQy00MTAAAAGO3PHcMgfUslJJN1O2J0-khzz2c5RVnc1ZmXw-7OPVPgYt8UYvhdukhy1wnKkih5-sO_naHBE=
Effective URL: https://www.leaffilter.com/?mkt_tok=MjQ5LU5FQy00MTAAAAGO3PHcMrXclGcDU-yV39NNNzx6ljtOfvEFS1-Pax1tAgI7oruNb-VVPcoNKNSL7LRNg24...
Submission: On October 17 via api from ES — Scanned from ES

Form analysis 4 forms found in the DOM

<form id="estimate_step1" class="zip-coder-checker form-centered">
  <div class="fieldset-wrapper">
    <input type="text" name="zipCode" id="estimate_step1_postal" pattern="[0-9]{5}(-[0-9]{4})?" inputmode="numeric" title="Enter a valid zip code" placeholder="Enter your zip code" size="8" required="">
    <button type="submit" class="btn btn-primary">Get Estimate</button>
    <input id="modalTrigger" type="hidden" data-bs-toggle="modal" data-bs-target="#estimateModal">
  </div>
</form>

POST /?mkt_tok=MjQ5LU5FQy00MTAAAAGO3PHcMrXclGcDU-yV39NNNzx6ljtOfvEFS1-Pax1tAgI7oruNb-VVPcoNKNSL7LRNg24BdZj453XFTW95Vd2ObfdBjPT3hy1zQFn1ImzRPFs#gf_2

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_2" id="gform_2" class="lf-form-main lf-modal-form diTrack modal-form form-estimate"
  action="/?mkt_tok=MjQ5LU5FQy00MTAAAAGO3PHcMrXclGcDU-yV39NNNzx6ljtOfvEFS1-Pax1tAgI7oruNb-VVPcoNKNSL7LRNg24BdZj453XFTW95Vd2ObfdBjPT3hy1zQFn1ImzRPFs#gf_2" data-formid="2" novalidate="" data-lf-form="" data-lf-form-variant="estimate"
  data-form-id="estimate">
  <div id="gf_progressbar_wrapper_2" class="gf_progressbar_wrapper">
    <p class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">4</span>
    </p>
    <div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
      <div class="gf_progressbar_percentage percentbar_blue percentbar_25" style="width:25%;"><span>25%</span></div>
    </div>
  </div>
  <div class="gform-body gform_body">
    <div id="gform_page_2_1" class="gform_page step-1" data-js="page-field-id-1">
      <div class="gform_page_fields">
        <div id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_2_1" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_1">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="active_campaign" name="input_1" id="input_2_1" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_2" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_2">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="adgroupid" name="input_2" id="input_2_2" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_3" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_3">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="adposition" name="input_3" id="input_2_3" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_4" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_4">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="campaignid" name="input_4" id="input_2_4" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_5" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_5">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="country" name="input_5" id="input_2_5" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_6" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_6">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="creative" name="input_6" id="input_2_6" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_7" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_7">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="device" name="input_7" id="input_2_7" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_8" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_8">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="feeditemid" name="input_8" id="input_2_8" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_9" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_9">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="gclid" name="input_9" id="input_2_9" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_10" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_10">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="guid" name="input_10" id="input_2_10" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_11" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_11">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="keyword" name="input_11" id="input_2_11" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_12" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_12">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="landing_page" name="input_12" id="input_2_12" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_13" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_13">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="list_name" name="input_13" id="input_2_13" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_14" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_14">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="loc_physical_ms" name="input_14" id="input_2_14" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_15" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_15">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="_mkto_trk" name="input_15" id="input_2_15" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_16" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_16">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="network" name="input_16" id="input_2_16" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_17" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_17">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="Offer" name="input_17" id="input_2_17" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_18" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_18">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="fbc" name="input_18" id="input_2_18" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_19" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_19">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="fbp" name="input_19" id="input_2_19" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_20" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_20">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_token" name="input_20" id="input_2_20" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_21" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_21">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_score" name="input_21" id="input_2_21" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_22" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_22">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_pass" name="input_22" id="input_2_22" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_23" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_23">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_campaign" name="input_23" id="input_2_23" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_24" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_24">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_content" name="input_24" id="input_2_24" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_25" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_25">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_medium" name="input_25" id="input_2_25" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_26" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_26">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_term" name="input_26" id="input_2_26" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_27" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_27">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="Web Lead Source" name="input_27" id="input_2_27" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_33" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_33">
            <div class="ginput_container ginput_container_text"><input name="input_33" id="input_2_33" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_2_68" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_68">
            <h3>Start your FREE no-obligation estimate -- good for one full year!</h3>
          </div>
          <div id="field_2_32" class="gfield gfield--type-text gfield--width-full field-100 input-50 zipcode-prefill-step-one gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden"
            data-js-reload="field_2_32">
            <div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label gform-field-label" for="input_2_32">Zip Code<span class="gfield_required"><span
                  class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="zipCode" name="input_32" id="input_2_32" type="text" value="" class="large" placeholder="E.g., 10001" aria-required="true" aria-invalid="false"> </div>
          </div>
          <fieldset id="field_2_35"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 field-home-stories field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_2_35">
            <legend class="gfield_label gform-field-label">Levels on Your Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_2_35">
                <div class="gchoice gchoice_2_35_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="1 Story" id="choice_2_35_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_35_0" id="label_2_35_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"></span><span class="image-choices-choice-text">1 Story</span></label>
                </div>
                <div class="gchoice gchoice_2_35_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="2 Story" id="choice_2_35_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_35_1" id="label_2_35_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"></span><span class="image-choices-choice-text">2 Story</span></label>
                </div>
                <div class="gchoice gchoice_2_35_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="3 Story" id="choice_2_35_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_35_2" id="label_2_35_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"></noscript></span><span
                      class="image-choices-choice-text">3 Story</span></label>
                </div>
              </div>
            </div>
          </fieldset>
          <fieldset id="field_2_37"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_2_37">
            <legend class="gfield_label gform-field-label">Estimated Square Footage of Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_2_37">
                <div class="gchoice gchoice_2_37_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="0 - 1,999" id="choice_2_37_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_37_0" id="label_2_37_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"></noscript></span><span
                      class="image-choices-choice-text">0 - 1,999</span></label>
                </div>
                <div class="gchoice gchoice_2_37_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="2,000 - 2,999" id="choice_2_37_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_37_1" id="label_2_37_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"></noscript></span><span
                      class="image-choices-choice-text">2,000 - 2,999</span></label>
                </div>
                <div class="gchoice gchoice_2_37_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="3,000+" id="choice_2_37_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_37_2" id="label_2_37_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"></noscript></span><span
                      class="image-choices-choice-text">3,000+</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_2_38" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_2_2" class="gform_page step-2" data-js="page-field-id-38" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_2_2" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_2_69" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_69">
            <div data-v-9fc31dd6="" class="row m-b-sm">
              <h3 data-v-9fc31dd6="" class="col-xs-7 col-sm-8">Does anyone in your household qualify for an extra 10% senior or military discount?</h3>
              <div data-v-9fc31dd6="" class="col-xs-5 col-sm-4 usa-flag"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" class="perfmatters-lazy"
                  data-src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"><noscript><img
                    src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"></noscript> </div>
            </div>
          </div>
          <fieldset id="field_2_63"
            class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_2_63">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Do any of these extra discounts apply to&nbsp;you?</legend>
            <div class="ginput_container ginput_container_checkbox">
              <div class="gfield_checkbox" id="input_2_63">
                <div class="gchoice gchoice_2_63_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.1" type="checkbox" value="Senior" id="choice_2_63_1">
                  <label for="choice_2_63_1" id="label_2_63_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"></noscript></span><span
                      class="image-choices-choice-text">Senior</span></label>
                </div>
                <div class="gchoice gchoice_2_63_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.2" type="checkbox" value="Military" id="choice_2_63_2">
                  <label for="choice_2_63_2" id="label_2_63_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"></noscript></span><span
                      class="image-choices-choice-text">Military</span></label>
                </div>
                <div class="gchoice gchoice_2_63_3 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.3" type="checkbox" value="Neither" id="choice_2_63_3">
                  <label for="choice_2_63_3" id="label_2_63_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"></noscript></span><span
                      class="image-choices-choice-text">Neither</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_2_67" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_2_67"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_2_3" class="gform_page step-3" data-js="page-field-id-67" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_2_3" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_2_70" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_70">
            <h3>Who are we personalizing this estimate for?</h3>
          </div>
          <div id="field_2_28"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_28"><label class="gfield_label gform-field-label" for="input_2_28">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="firstName" name="input_28" id="input_2_28" type="text" value="" class="large" placeholder="E.g., John" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_2_29"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_29"><label class="gfield_label gform-field-label" for="input_2_29">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="lastName" name="input_29" id="input_2_29" type="text" value="" class="large" placeholder="E.g., Smith" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_2_31"
            class="gfield gfield--type-email gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_31"><label class="gfield_label gform-field-label" for="input_2_31">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input data-lf-field-name="emailAddress" name="input_31" id="input_2_31" type="email" value="" class="large" placeholder="E.g., john.smith@leaffilter.com" aria-required="true" aria-invalid="false">
            </div>
          </div>
          <div id="field_2_73" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_73">
            <h3>Applied discounts for your estimate:</h3>
          </div>
          <div id="field_2_75" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_75">
            <h4 class="percent_discount">{offer_name} Promo</h4>
          </div>
          <div id="field_2_76" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_76">
            <h4 class="percent_discount_extra">10% Senior/Military Discount</h4>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_2_59" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_2_59"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_2&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_2&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_2_4" class="gform_page step-4" data-js="page-field-id-59" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_2_4" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_2_72" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_72">
            <h3>To ensure your pricing is 100% accurate, we need to verify a few details.</h3>
          </div>
          <div id="field_2_30" class="gfield gfield--type-phone gfield--width-full field-100 input-50 phone-field gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible"
            data-js-reload="field_2_30"><label class="gfield_label gform-field-label" for="input_2_30">Phone Number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_phone"><input data-lf-field-name="phoneNumber" name="input_30" id="input_2_30" type="tel" value="" class="large" placeholder="E.g., 555-867-5309" aria-required="true" aria-invalid="false"
                aria-describedby="gfield_description_2_30"></div>
            <div class="gfield_description" id="gfield_description_2_30">I consent to receive marketing text messages or phone calls from Leaf Home or its affiliates at the phone number provided, including messages or calls from an autodialer. Msg
              &amp; data rates may apply. Msg frequency varies. Unsubscribe to text messages at any time by replying STOP or clicking the unsubscribe link (where available).</div>
          </div>
          <fieldset id="field_2_71"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full hear-about-us field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_2_71">
            <legend class="gfield_label gform-field-label">How Did You Hear About Us?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_2_71">
                <div class="gchoice gchoice_2_71_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="41P" id="choice_2_71_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_0" id="label_2_71_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/online.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/online.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg"></noscript></span><span
                      class="image-choices-choice-text">Online</span></label>
                </div>
                <div class="gchoice gchoice_2_71_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="81" id="choice_2_71_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_1" id="label_2_71_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/tv.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/tv.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/tv.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/tv.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/tv.svg"></noscript></span><span
                      class="image-choices-choice-text">TV</span></label>
                </div>
                <div class="gchoice gchoice_2_71_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="41TCTV" id="choice_2_71_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_2" id="label_2_71_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg"></noscript></span><span
                      class="image-choices-choice-text">TV (Streaming)</span></label>
                </div>
                <div class="gchoice gchoice_2_71_3 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="91" id="choice_2_71_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_3" id="label_2_71_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/radio.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/radio.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/radio.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/radio.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/radio.svg"></noscript></span><span
                      class="image-choices-choice-text">Radio</span></label>
                </div>
                <div class="gchoice gchoice_2_71_4 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="99w" id="choice_2_71_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_4" id="label_2_71_4" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/event.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/event.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/event.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/event.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/event.svg"></noscript></span><span
                      class="image-choices-choice-text">Event</span></label>
                </div>
                <div class="gchoice gchoice_2_71_5 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="88w" id="choice_2_71_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_5" id="label_2_71_5" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg"></noscript></span><span
                      class="image-choices-choice-text">Print Ad</span></label>
                </div>
                <div class="gchoice gchoice_2_71_6 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="10w" id="choice_2_71_6" onchange="gformToggleRadioOther( this )">
                  <label for="choice_2_71_6" id="label_2_71_6" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/postcard.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
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                          src="https://www.leaffilter.com/app/uploads/2022/03/postcard.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/postcard.svg"></noscript></span><span
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg"></noscript></span><span
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg"></noscript></span><span
                      class="image-choices-choice-text">YouTube</span></label>
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          onclick="if(window[&quot;gf_submitting_2&quot;]){return false;}  if( !jQuery(&quot;#gform_2&quot;)[0].checkValidity || jQuery(&quot;#gform_2&quot;)[0].checkValidity()){window[&quot;gf_submitting_2&quot;]=true;}  "
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        <input type="hidden" name="gform_ajax" value="form_id=2&amp;title=&amp;description=&amp;tabindex=0">
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        <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
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<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" class="lf-form-main lf-inline-form diTrack inline-form form-estimate"
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  <div id="gf_progressbar_wrapper_1" class="gf_progressbar_wrapper">
    <p class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">4</span>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="active_campaign" name="input_1" id="input_1_1" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="adgroupid" name="input_2" id="input_1_2" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="creative" name="input_6" id="input_1_6" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="feeditemid" name="input_8" id="input_1_8" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="gclid" name="input_9" id="input_1_9" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="guid" name="input_10" id="input_1_10" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="loc_physical_ms" name="input_14" id="input_1_14" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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          <div id="field_1_15" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_15">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="_mkto_trk" name="input_15" id="input_1_15" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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          <div id="field_1_16" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_16">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="network" name="input_16" id="input_1_16" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="Offer" name="input_17" id="input_1_17" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="fbc" name="input_18" id="input_1_18" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_token" name="input_20" id="input_1_20" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_score" name="input_21" id="input_1_21" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_pass" name="input_22" id="input_1_22" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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          <div id="field_1_23" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_23">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_campaign" name="input_23" id="input_1_23" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_1_24" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_24">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_content" name="input_24" id="input_1_24" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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          <div id="field_1_25" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_25">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_medium" name="input_25" id="input_1_25" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_1_26" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_26">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_term" name="input_26" id="input_1_26" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_1_27" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_27">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="Web Lead Source" name="input_27" id="input_1_27" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_1_33" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_1_33">
            <div class="ginput_container ginput_container_text"><input name="input_33" id="input_1_33" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
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          <div id="field_1_68" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_68">
            <h3>Start your FREE no-obligation estimate -- good for one full year!</h3>
          </div>
          <div id="field_1_32" class="gfield gfield--type-text gfield--width-full field-100 input-50 zipcode-prefill-step-one gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
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            <div class="ginput_container ginput_container_text"><input data-lf-field-name="zipCode" name="input_32" id="input_1_32" type="text" value="" class="large" placeholder="E.g., 10001" aria-required="true" aria-invalid="false"> </div>
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          <fieldset id="field_1_35"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 field-home-stories field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_35">
            <legend class="gfield_label gform-field-label">Levels on Your Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_1_35">
                <div class="gchoice gchoice_1_35_0 image-choices-choice gform-theme__no-reset--children">
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"></span><span class="image-choices-choice-text">1 Story</span></label>
                </div>
                <div class="gchoice gchoice_1_35_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="2 Story" id="choice_1_35_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_35_1" id="label_1_35_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"></span><span class="image-choices-choice-text">2 Story</span></label>
                </div>
                <div class="gchoice gchoice_1_35_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="3 Story" id="choice_1_35_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_35_2" id="label_1_35_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"></noscript></span><span
                      class="image-choices-choice-text">3 Story</span></label>
                </div>
              </div>
            </div>
          </fieldset>
          <fieldset id="field_1_37"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_37">
            <legend class="gfield_label gform-field-label">Estimated Square Footage of Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_1_37">
                <div class="gchoice gchoice_1_37_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="0 - 1,999" id="choice_1_37_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_37_0" id="label_1_37_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"></noscript></span><span
                      class="image-choices-choice-text">0 - 1,999</span></label>
                </div>
                <div class="gchoice gchoice_1_37_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="2,000 - 2,999" id="choice_1_37_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_37_1" id="label_1_37_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"></noscript></span><span
                      class="image-choices-choice-text">2,000 - 2,999</span></label>
                </div>
                <div class="gchoice gchoice_1_37_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="3,000+" id="choice_1_37_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_37_2" id="label_1_37_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"></noscript></span><span
                      class="image-choices-choice-text">3,000+</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_1_38" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_1_2" class="gform_page step-2" data-js="page-field-id-38" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_1_2" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_1_69" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_69">
            <div data-v-9fc31dd6="" class="row m-b-sm">
              <h3 data-v-9fc31dd6="" class="col-xs-7 col-sm-8">Does anyone in your household qualify for an extra 10% senior or military discount?</h3>
              <div data-v-9fc31dd6="" class="col-xs-5 col-sm-4 usa-flag"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" class="perfmatters-lazy"
                  data-src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"><noscript><img
                    src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"></noscript> </div>
            </div>
          </div>
          <fieldset id="field_1_63"
            class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_63">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Do any of these extra discounts apply to&nbsp;you?</legend>
            <div class="ginput_container ginput_container_checkbox">
              <div class="gfield_checkbox" id="input_1_63">
                <div class="gchoice gchoice_1_63_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.1" type="checkbox" value="Senior" id="choice_1_63_1">
                  <label for="choice_1_63_1" id="label_1_63_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"></noscript></span><span
                      class="image-choices-choice-text">Senior</span></label>
                </div>
                <div class="gchoice gchoice_1_63_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.2" type="checkbox" value="Military" id="choice_1_63_2">
                  <label for="choice_1_63_2" id="label_1_63_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"></noscript></span><span
                      class="image-choices-choice-text">Military</span></label>
                </div>
                <div class="gchoice gchoice_1_63_3 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.3" type="checkbox" value="Neither" id="choice_1_63_3">
                  <label for="choice_1_63_3" id="label_1_63_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"></noscript></span><span
                      class="image-choices-choice-text">Neither</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_1_67" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_1_67"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_1_3" class="gform_page step-3" data-js="page-field-id-67" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_1_3" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_1_70" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_70">
            <h3>Who are we personalizing this estimate for?</h3>
          </div>
          <div id="field_1_28"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_28"><label class="gfield_label gform-field-label" for="input_1_28">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="firstName" name="input_28" id="input_1_28" type="text" value="" class="large" placeholder="E.g., John" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_1_29"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_29"><label class="gfield_label gform-field-label" for="input_1_29">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="lastName" name="input_29" id="input_1_29" type="text" value="" class="large" placeholder="E.g., Smith" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_1_31"
            class="gfield gfield--type-email gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_31"><label class="gfield_label gform-field-label" for="input_1_31">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input data-lf-field-name="emailAddress" name="input_31" id="input_1_31" type="email" value="" class="large" placeholder="E.g., john.smith@leaffilter.com" aria-required="true" aria-invalid="false">
            </div>
          </div>
          <div id="field_1_73" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_73">
            <h3 class="gotr_discount2_title">Applied discounts for your estimate:</h3>
          </div>
          <div id="field_1_74" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_74">
            <h4 class="percent_discount">{offer_name} Promo</h4>
          </div>
          <div id="field_1_75" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_75">
            <h4 class="percent_discount_extra">10% Senior/Military Discount</h4>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_1_59" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_1_59"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_1&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_1&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_1_4" class="gform_page step-4" data-js="page-field-id-59" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_1_4" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_1_72" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_72">
            <h3>To ensure your pricing is 100% accurate, we need to verify a few details.</h3>
          </div>
          <div id="field_1_30" class="gfield gfield--type-phone gfield--width-full field-100 input-50 phone-field gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible"
            data-js-reload="field_1_30"><label class="gfield_label gform-field-label" for="input_1_30">Phone Number<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_phone"><input data-lf-field-name="phoneNumber" name="input_30" id="input_1_30" type="tel" value="" class="large" placeholder="E.g., 555-867-5309" aria-required="true" aria-invalid="false"
                aria-describedby="gfield_description_1_30"></div>
            <div class="gfield_description" id="gfield_description_1_30">I consent to receive marketing text messages or phone calls from Leaf Home or its affiliates at the phone number provided, including messages or calls from an autodialer. Msg
              &amp; data rates may apply. Msg frequency varies. Unsubscribe to text messages at any time by replying STOP or clicking the unsubscribe link (where available).</div>
          </div>
          <fieldset id="field_1_71"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_1_71">
            <legend class="gfield_label gform-field-label">How Did You Hear About Us?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_1_71">
                <div class="gchoice gchoice_1_71_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="41P" id="choice_1_71_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_71_0" id="label_1_71_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/online.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/online.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/online.svg"></noscript></span><span
                      class="image-choices-choice-text">Online</span></label>
                </div>
                <div class="gchoice gchoice_1_71_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" data-lf-field-name="source" name="input_71" type="radio" value="81" id="choice_1_71_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_1_71_1" id="label_1_71_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
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                          src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/ctv.svg"></noscript></span><span
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/event.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/print-ad.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
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                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/nascar.svg"><noscript><img
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                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/youtube.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
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          </div>
          <div id="field_5_20" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_20">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_token" name="input_20" id="input_5_20" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_21" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_21">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_score" name="input_21" id="input_5_21" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_22" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_22">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="recaptcha_pass" name="input_22" id="input_5_22" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_23" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_23">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_campaign" name="input_23" id="input_5_23" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_24" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_24">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_content" name="input_24" id="input_5_24" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_25" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_25">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_medium" name="input_25" id="input_5_25" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_26" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_26">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="utm_term" name="input_26" id="input_5_26" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_27" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_27">
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="Web Lead Source" name="input_27" id="input_5_27" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_33" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_5_33">
            <div class="ginput_container ginput_container_text"><input name="input_33" id="input_5_33" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
          </div>
          <div id="field_5_68" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_68">
            <h3>Start your FREE no-obligation estimate -- good for one full year!</h3>
          </div>
          <div id="field_5_32" class="gfield gfield--type-text gfield--width-full field-100 input-50 zipcode-prefill-step-one gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_32"><label class="gfield_label gform-field-label" for="input_5_32">Zip Code<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="zipCode" name="input_32" id="input_5_32" type="text" value="" class="large" placeholder="E.g., 10001" aria-required="true" aria-invalid="false"> </div>
          </div>
          <fieldset id="field_5_35"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 field-home-stories field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_5_35">
            <legend class="gfield_label gform-field-label">Levels on Your Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_5_35">
                <div class="gchoice gchoice_5_35_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="1 Story" id="choice_5_35_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_35_0" id="label_5_35_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/one-story.svg"></span><span class="image-choices-choice-text">1 Story</span></label>
                </div>
                <div class="gchoice gchoice_5_35_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="2 Story" id="choice_5_35_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_35_1" id="label_5_35_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"><img data-perfmatters-preload="" src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg" alt="" class="image-choices-choice-image"
                        data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/two-story.svg"></span><span class="image-choices-choice-text">2 Story</span></label>
                </div>
                <div class="gchoice gchoice_5_35_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_35" type="radio" value="3 Story" id="choice_5_35_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_35_2" id="label_5_35_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/three-story.svg"></noscript></span><span
                      class="image-choices-choice-text">3 Story</span></label>
                </div>
              </div>
            </div>
          </fieldset>
          <fieldset id="field_5_37"
            class="gfield gfield--type-radio gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_5_37">
            <legend class="gfield_label gform-field-label">Estimated Square Footage of Home</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_5_37">
                <div class="gchoice gchoice_5_37_0 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="0 - 1,999" id="choice_5_37_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_37_0" id="label_5_37_0" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/1999.svg"></noscript></span><span
                      class="image-choices-choice-text">0 - 1,999</span></label>
                </div>
                <div class="gchoice gchoice_5_37_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="2,000 - 2,999" id="choice_5_37_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_37_1" id="label_5_37_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/2000.svg"></noscript></span><span
                      class="image-choices-choice-text">2,000 - 2,999</span></label>
                </div>
                <div class="gchoice gchoice_5_37_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_37" type="radio" value="3,000+" id="choice_5_37_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_5_37_2" id="label_5_37_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/3000.svg"></noscript></span><span
                      class="image-choices-choice-text">3,000+</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_5_38" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_5_2" class="gform_page step-2" data-js="page-field-id-38" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_5_2" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_5_69" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_69">
            <div data-v-9fc31dd6="" class="row m-b-sm">
              <h3 data-v-9fc31dd6="" class="col-xs-7 col-sm-8">Does anyone in your household qualify for an extra 10% senior or military discount?</h3>
              <div data-v-9fc31dd6="" class="col-xs-5 col-sm-4 usa-flag"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" class="perfmatters-lazy"
                  data-src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"><noscript><img
                    src="https://ik.imagekit.io/leaf/get_leaffilter_com/2022-LeafFilter-Assembled-In-The-USA-Badge_nUT78tlGa.png?updatedAt=1679012084631"></noscript> </div>
            </div>
          </div>
          <fieldset id="field_5_63"
            class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full field-100 input-50 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions "
            data-field-class="image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-cols--fixed ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions" data-js-reload="field_5_63">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Do any of these extra discounts apply to&nbsp;you?</legend>
            <div class="ginput_container ginput_container_checkbox">
              <div class="gfield_checkbox" id="input_5_63">
                <div class="gchoice gchoice_5_63_1 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.1" type="checkbox" value="Senior" id="choice_5_63_1">
                  <label for="choice_5_63_1" id="label_5_63_1" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/senior.svg"></noscript></span><span
                      class="image-choices-choice-text">Senior</span></label>
                </div>
                <div class="gchoice gchoice_5_63_2 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.2" type="checkbox" value="Military" id="choice_5_63_2">
                  <label for="choice_5_63_2" id="label_5_63_2" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/military.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/military.svg"></noscript></span><span
                      class="image-choices-choice-text">Military</span></label>
                </div>
                <div class="gchoice gchoice_5_63_3 image-choices-choice gform-theme__no-reset--children">
                  <input class="gfield-choice-input" name="input_63.3" type="checkbox" value="Neither" id="choice_5_63_3">
                  <label for="choice_5_63_3" id="label_5_63_3" class="gform-field-label gform-field-label--type-inline"><span class="image-choices-choice-image-wrap perfmatters-lazy" style=""
                      data-bg="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20width='0'%20height='0'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt=""
                        class="image-choices-choice-image perfmatters-lazy" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" data-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"><noscript><img
                          src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg" alt="" class="image-choices-choice-image" data-lightbox-src="https://www.leaffilter.com/app/uploads/2022/03/neither.svg"></noscript></span><span
                      class="image-choices-choice-text">Neither</span></label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_5_67" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_5_67"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_5&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_5&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_5_3" class="gform_page step-3" data-js="page-field-id-67" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_5_3" class="gform_fields top_label form_sublabel_below description_below">
          <div id="field_5_70" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_70">
            <h3>Who are we personalizing this estimate for?</h3>
          </div>
          <div id="field_5_28"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_28"><label class="gfield_label gform-field-label" for="input_5_28">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="firstName" name="input_28" id="input_5_28" type="text" value="" class="large" placeholder="E.g., John" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_5_29"
            class="gfield gfield--type-text gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_29"><label class="gfield_label gform-field-label" for="input_5_29">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_text"><input data-lf-field-name="lastName" name="input_29" id="input_5_29" type="text" value="" class="large" placeholder="E.g., Smith" aria-required="true" aria-invalid="false"> </div>
          </div>
          <div id="field_5_31"
            class="gfield gfield--type-email gfield--width-full field-100 input-50 label-left label-sm m-b-10 m-t-0 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
            data-js-reload="field_5_31"><label class="gfield_label gform-field-label" for="input_5_31">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input data-lf-field-name="emailAddress" name="input_31" id="input_5_31" type="email" value="" class="large" placeholder="E.g., john.smith@leaffilter.com" aria-required="true" aria-invalid="false">
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            <h3 class="gotr_discount2_title">Applied discounts for your estimate:</h3>
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          <div id="field_5_74" class="gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
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            <h4 class="percent_discount_extra">10% Senior/Military Discount</h4>
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THE PERMANENT SOLUTION TO CLOGGED GUTTERS

Protect your gutters – and entire home – with LeafFilter Gutter Protection.
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25%


START YOUR FREE NO-OBLIGATION ESTIMATE -- GOOD FOR ONE FULL YEAR!

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2,000 - 2,999
3,000+



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DISCOUNT?


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WHO ARE WE PERSONALIZING THIS ESTIMATE FOR?

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10% SENIOR/MILITARY DISCOUNT




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LEAFFILTER PROTECTS YOUR ENTIRE HOME

From roof to foundation, the damage caused by clogged gutters can be devastating
for your home. With LeafFilter, you’re protected and backed by a lifetime
warranty.

 * Roofing Damage
 * Rotting Wood & Fascia
 * Basement Flooding
 * Foundation Damage


GUTTER CLEANING IS DIRTY AND ANNOYING

Gutter cleaning is a tedious, messy, and potentially dangerous task that you
have to complete year after year. With LeafFilter Gutter Protection, you can end
the hassle of cleaning out gutters for good.

 * Fewer trips up the ladder
 * More free time to do the things you want


THE PERMANENT SOLUTION TO CLOGGED GUTTERS

LeafFilter’s award-winning and patented technology is scientifically designed to
keep everything out of your gutters — except for water.

 * Installs on Existing Gutters
 * Stainless Steel Micromesh
 * Damage Control


THE NATION’S LARGEST GUTTER PROTECTION COMPANY

With hundreds of thousands of satisfied customers, LeafFilter is the largest
gutter protection company in the nation. From coast to coast, we provide the
most effective debris-blocking professionally installed gutter protection system
on the market, paired with an exceptional customer experience from beginning to
end.

189,003,180

--------------------------------------------------------------------------------

Feet of LeafFilter installed
1,260,060

--------------------------------------------------------------------------------

Feet of Total LeafFilter Customers
0

--------------------------------------------------------------------------------

Number of Clogged LeafFilter Gutters
“LeafFilter was a great investment for our home.”
Bill and Jan M.
“The estimator was very knowledgeable. He answered all the questions that I had,
including some that I didn’t know I had.”
Doug L.
“Great product by a great company. Price was right, 0% financing, and lifetime
guarantee.”
Frank P.
“The estimator made us extremely confident about LeafFilter from the very
beginning.”
Kyle and Carlene M.
Lifetime Warranty

With our lifetime, transferable warranty, you’ll enjoy the peace of mind
that your gutters and entire home are protected for life.

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Step 1 of 4

25%


START YOUR FREE NO-OBLIGATION ESTIMATE -- GOOD FOR ONE FULL YEAR!

Zip Code*

Levels on Your Home
1 Story
2 Story
3 Story
Estimated Square Footage of Home
0 - 1,999
2,000 - 2,999
3,000+



DOES ANYONE IN YOUR HOUSEHOLD QUALIFY FOR AN EXTRA 10% SENIOR OR MILITARY
DISCOUNT?


Do any of these extra discounts apply to you?
Senior
Military
Neither



WHO ARE WE PERSONALIZING THIS ESTIMATE FOR?

First Name*

Last Name*

Email*



APPLIED DISCOUNTS FOR YOUR ESTIMATE:

{OFFER_NAME} PROMO

10% SENIOR/MILITARY DISCOUNT




TO ENSURE YOUR PRICING IS 100% ACCURATE, WE NEED TO VERIFY A FEW DETAILS.

Phone Number*

I consent to receive marketing text messages or phone calls from Leaf Home or
its affiliates at the phone number provided, including messages or calls from an
autodialer. Msg & data rates may apply. Msg frequency varies. Unsubscribe to
text messages at any time by replying STOP or clicking the unsubscribe link
(where available).
How Did You Hear About Us?
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TV (Streaming)
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Comments

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By submitting this form, I agree to the Leaf Home Terms of Use and Privacy
Policy, as well as to receive SMS and calls about my projects.

3rd Largest Remodeler in the US
Preferred Partner Since 2014
75,000+ Reviews
Get Estimate
1-800-290-6106

"*" indicates required fields

Step 1 of 4

25%


START YOUR FREE NO-OBLIGATION ESTIMATE -- GOOD FOR ONE FULL YEAR!

Zip Code*

Levels on Your Home
1 Story
2 Story
3 Story
Estimated Square Footage of Home
0 - 1,999
2,000 - 2,999
3,000+



DOES ANYONE IN YOUR HOUSEHOLD QUALIFY FOR AN EXTRA 10% SENIOR OR MILITARY
DISCOUNT?


Do any of these extra discounts apply to you?
Senior
Military
Neither



WHO ARE WE PERSONALIZING THIS ESTIMATE FOR?

First Name*

Last Name*

Email*



APPLIED DISCOUNTS FOR YOUR ESTIMATE:

{OFFER_NAME} PROMO

10% SENIOR/MILITARY DISCOUNT




TO ENSURE YOUR PRICING IS 100% ACCURATE, WE NEED TO VERIFY A FEW DETAILS.

Phone Number*

I consent to receive marketing text messages or phone calls from Leaf Home or
its affiliates at the phone number provided, including messages or calls from an
autodialer. Msg & data rates may apply. Msg frequency varies. Unsubscribe to
text messages at any time by replying STOP or clicking the unsubscribe link
(where available).
How Did You Hear About Us?
Online
TV
TV (Streaming)
Radio
Event
Print Ad
Postcard
NASCAR
YouTube
Email

This field is for validation purposes and should be left unchanged.


By submitting this form, I agree to the Leaf Home Terms of Use and Privacy
Policy, as well as to receive SMS and calls about my projects.

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