www.valleycjdr.com Open in urlscan Pro
2a02:26f0:3500:1b::1724:a392 Public Scan

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Submitted URL:
https://ramservice.valleycjdr.com/
Effective URL:
https://www.valleycjdr.com/service/index.htm
Submission: On January 24 via automatic, source certstream-suspicious (January 24th 2023, 7:02:01 am UTC) — Scanned from DE

Form analysis
10 forms found in the DOM

<form class="mycars-form register-form" id="mycars-register-form-login" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.login-container" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.login-container" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required=""
    pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}" data-initialized="true" data-original-title="" title="">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="c30fe6c865b94fe9a377b897f1c84bab">
  <input type="hidden" name="userSessionId" class="hidden" data-id="" value="a089a397b3e74192a5ccfd3c6ade3728"><input type="hidden" name="userSessionReferrer" class="hidden" data-id="" value="https://ramservice.valleycjdr.com">
</form>

<form class="mycars-form forgot-password-form" data-mycars-form-tracking-id="MYCARS_FORGOT_PASSWORD">
  <div class="error-text"></div>
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input type="submit" class="mycars-form-btn" value="Request Password Reset">
  <input class="hidden" type="hidden" name="formEventId" value="acf091a7021149998dc1f28f9bcd0c0e">
</form>

<form class="mycars-form login-form" data-mycars-form-tracking-id="MYCARS_LOGIN">
  <div class="error-text"></div>
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input class="mycars-form-textfield password" type="password" name="contact.password" placeholder="Password*" required="">
  <input type="submit" class="mycars-form-btn" value="Log In">
  <input class="hidden" type="hidden" name="formEventId" value="347f2cf2e93e483e863bc4e16137c7f8">
</form>

<form class="mycars-form register-form" id="mycars-register-form-registerWrapperRecent" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.recent-cars" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.recent-cars" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="5eb3e4ee43d144c69268d8b49c433a5c">
  <input type="hidden" name="userSessionId" class="hidden" data-id="" value="a089a397b3e74192a5ccfd3c6ade3728"><input type="hidden" name="userSessionReferrer" class="hidden" data-id="" value="https://ramservice.valleycjdr.com">
</form>

GET /all-inventory/compare.htm

<form class="mycars-compare-form" method="get" action="/all-inventory/compare.htm">
  <input type="submit" class="mycars-form-btn compare-btn disabled" data-mycars-compare-btn="" value="Compare Selected">
  <input type="hidden" name="mycarsr" value="compare-recent-cars">
  <input type="hidden" name="itemIds">
  <input class="hidden" type="hidden" name="formEventId" value="">
</form>

<form class="mycars-form register-form" id="mycars-register-form-registerWrapperSaved" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.saved-cars" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.saved-cars" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="e6add4d0401743c2a8b4da76ffccee3a">
  <input type="hidden" name="userSessionId" class="hidden" data-id="" value="a089a397b3e74192a5ccfd3c6ade3728"><input type="hidden" name="userSessionReferrer" class="hidden" data-id="" value="https://ramservice.valleycjdr.com">
</form>

GET /all-inventory/compare.htm

<form class="mycars-compare-form" method="get" action="/all-inventory/compare.htm">
  <input type="submit" class="mycars-form-btn compare-btn disabled" data-mycars-compare-btn="" value="Compare Selected">
  <input type="hidden" name="mycarsr" value="compare-saved-cars">
  <input type="hidden" name="itemIds">
  <input class="hidden" type="hidden" name="formEventId" value="">
</form>

<form class="mycars-form register-form" id="mycars-register-form-register" data-form-tracking-id="MYCARS_REGISTER" data-mycars-form-tracking-id="MYCARS_REGISTER">
  <div class="error-text"></div>
  <input class="mycars-form-textfield first" type="text" name="contact.firstName" placeholder="First Name*" required="">
  <input class="mycars-form-textfield last" type="text" name="contact.lastName" placeholder="Last Name*" required="">
  <input class="mycars-form-textfield email" type="email" name="contact.email" placeholder="Email Address*" required="" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}">
  <input class="mycars-form-textfield password" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.price-alerts" type="password" name="contact.password" placeholder="Create Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input class="mycars-form-textfield password-confirm" maxlength="20" data-toggle="popover" data-placement="left" data-trigger="focus" data-html="true"
    data-content="<ul class='list-unstyled password-requirements-list'><li class='character-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> 6 or more characters</li><li class='numerical-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> At least 1 number</li><li class='uppercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> An uppercase letter</li><li class='lowercase-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> A lower case letter</li><li class='match-requirements'><i class='ddc-icon ddc-icon-checkmark-circle'></i> Confirm Password</li></ul> "
    data-container=".mycars-default .popup.price-alerts" type="password" name="contact.passwordConfirm" placeholder="Confirm Password*" required="" pattern="(?=.*\d)(?=.*[a-z])(?=.*[A-Z])[\w!&quot;#\$%&amp;'\(\)\*\+,-\./:;<=>\?@\[\]\^_`\{\|}~\\]{6,}"
    data-initialized="true" data-original-title="" title="">
  <input type="submit" disabled="" class="mycars-form-btn disabled" value="Sign Up Now!">
  <input class="hidden" type="hidden" name="formEventId" value="fac3540582cf4051a83e2eb6e4226c30">
  <input type="hidden" name="userSessionId" class="hidden" data-id="" value="a089a397b3e74192a5ccfd3c6ade3728"><input type="hidden" name="userSessionReferrer" class="hidden" data-id="" value="https://ramservice.valleycjdr.com">
</form>

POST /form/confirm.htm?formId=service_lead_shift&pageAlias=SERVICE_LEAD&formTrackingName=service-lead&formEventId=3c06a89e6f9b4fcba05d1b7d34aecc34

<form action="/form/confirm.htm?formId=service_lead_shift&amp;pageAlias=SERVICE_LEAD&amp;formTrackingName=service-lead&amp;formEventId=3c06a89e6f9b4fcba05d1b7d34aecc34" method="post" class="validate  form-horizontal" charset="utf8" role="form"
  data-form-id="0wa180lm" data-form-tracking-id="SERVICE_APPT" data-form-tracking-name="service-lead" aria-label="Schedule Service" ddc.form.onpage="true" data-email-required="false" data-phone-required="false" novalidate="novalidate">
  <input type="hidden" name="_action" class="hidden" data-id="" value="SubmitServiceAppointment">
  <input type="hidden" name="formId" class="hidden" data-id="" value="service_lead_shift">
  <input type="hidden" name="form.id" class="hidden" data-id="" value="SERVICE_APPT">
  <input type="hidden" name="formEventId" class="hidden" data-id="" value="3c06a89e6f9b4fcba05d1b7d34aecc34">
  <fieldset>
    <h2>Contact Information<em aria-hidden="true">*</em></h2>
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.firstName" class="ddc-span4 name contact-firstName">
        <span>First Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.firstName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.firstName"
          class="text form-control required" required="true" data-id="contact.firstName" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.lastName" class="ddc-span4 name contact-lastName">
        <span>Last Name<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="contact.lastName" pattern="(^$)|(^[a-zA-Z\u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF][-a-zA-Z.' \u00C0-\u00D6\u00D8-\u00F6\u00F8-\u00FF]{1,}$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.lastName"
          class="text form-control required" required="true" data-id="contact.lastName" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.preferredContact" class="ddc-span4 preferred-contact contact-preferredContact">
        <span> Contact Me by<em aria-hidden="true">*</em> </span>
      </label>
      <div class="ddc-span8">
        <select name="contact.preferredContact" aria-required="true" data-id="contact.preferredContact" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.preferredContact" class="form-control required preferred-contact" required="required">
          <option value="email">Email</option>
          <option value="phone">Phone</option>
        </select>
      </div>
    </div><!-- end form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.email" class="ddc-span4 email contact-email">
        <span>Email Address<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="email" name="contact.email" pattern="(^$)|(^.*(\S+).*$)" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.email" class="email form-control required" data-id="contact.email" value="" required="required" aria-required="true">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.phone" class="ddc-span4 phone contact-phone">
        <span>Phone</span>
      </label>
      <div class="ddc-span8">
        <input type="tel" name="contact.phone" pattern="(^$)|(^\+?[1]?[-. ]?\(?[\d]{3}\)?[-. ]?[\d]{3}[-. ]?[\d]{4}[ a-zA-Z0-9.:]{0,20}$)" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.phone" class="tel form-control" data-id="contact.phone" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-contact.address.postalCode" class="ddc-span4 postal-code contact-address-postalCode">
        <span>Zip Code<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="number" name="contact.address.postalCode" pattern="(^$)|(^[0-9]{5}(-[0-9]{4})?$)|(^[A-Za-z][0-9][A-Za-z](\s+)?[0-9][A-Za-z][0-9]$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-contact.address.postalCode"
          class="number form-control required" required="true" data-id="contact.address.postalCode" value="">
      </div>
    </div><!-- end .form-group -->
  </fieldset>
  <fieldset>
    <h2>Appointment Information</h2>
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-preferredAppointmentDate" class="ddc-span4 date preferredAppointmentDate">
        <span>Preferred Appointment Date</span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="preferredAppointmentDate" data-max-date="" data-min-date="+6" data-date-format="mm/dd/yy" pattern="(^$)|(^[0-9]{4}\-[0-9]{1,2}\-[0-9]{1,2}$)|(^[0-9]{1,2}\/[0-9]{1,2}\/[0-9]{4}$)" placeholder="mm/dd/yyyy"
          id="0eeff7e2dd4849a7a422b7762fba0e27-preferredAppointmentDate" class="text date form-control hasDatepicker" data-id="preferredAppointmentDate" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-preferredAppointmentTime" class="ddc-span4 time preferredAppointmentTime">
        <span> Preferred Appointment Time </span>
      </label>
      <div class="ddc-span8">
        <select name="preferredAppointmentTime" data-id="preferredAppointmentTime" id="0eeff7e2dd4849a7a422b7762fba0e27-preferredAppointmentTime" class="form-control time">
          <option value="">Please Select</option>
          <option value="Anytime">Anytime</option>
          <option value="Morning">Morning</option>
          <option value="Mid-day">Mid-day</option>
          <option value="Afternoon">Afternoon</option>
          <option value="Evening">Evening</option>
        </select>
      </div>
    </div><!-- end form-group -->
  </fieldset>
  <fieldset>
    <h2>Service Information<em aria-hidden="true">*</em></h2>
    <input type="hidden" name="accountId" id="0eeff7e2dd4849a7a422b7762fba0e27-accountId" class="hidden" data-id="accountId" value="valleychryslerdodgejeepramcllc">
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-year" class="ddc-span4 text year">
        <span>Year<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="year" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-year" class="text form-control required" required="true" data-id="year" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-make" class="ddc-span4 text make">
        <span>Make<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="make" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-make" class="text form-control required" required="true" data-id="make" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-model" class="ddc-span4 text model">
        <span>Model<em aria-hidden="true">*</em></span>
      </label>
      <div class="ddc-span8">
        <input type="text" name="model" pattern="(^$)|(^.*(\S+).*$)" aria-required="true" id="0eeff7e2dd4849a7a422b7762fba0e27-model" class="text form-control required" required="true" data-id="model" value="">
      </div>
    </div><!-- end .form-group -->
    <div class="form-group">
      <span class="ddc-span12">
        <strong> Type of Service Needed </strong>
        <label checkbox-group-validation-error=""></label>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label for="0eeff7e2dd4849a7a422b7762fba0e27-servicetypes">
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" id="0eeff7e2dd4849a7a422b7762fba0e27-servicetypes" class="checkbox" data-id="servicetypes"
                value="Adjust Brakes">
              <span>Adjust Brakes</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Air Conditioner Repair">
              <span>Air Conditioner Repair</span>
            </label>
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        <div class="ddc-offset4 ddc-span8">
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            <label>
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                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Balance Tires">
              <span>Balance Tires</span>
            </label>
          </div><!-- end .form-group -->
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                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Coolant Flush">
              <span>Coolant Flush</span>
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        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
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                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Engine Tune-Up">
              <span>Engine Tune-Up</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Front-end Alignment">
              <span>Front-End Alignment</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Oil Change">
              <span>Oil Change</span>
            </label>
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        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Replace Muffler">
              <span>Replace Muffler</span>
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        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="State Inspection">
              <span>State Inspection</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Tire Rotation">
              <span>Tire Rotation</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Transmission Flush">
              <span>Transmission Flush</span>
            </label>
          </div><!-- end .form-group -->
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        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Wash, Wax, and Clean Interior">
              <span>Wash, Wax &amp; Interior Clean</span>
            </label>
          </div><!-- end .form-group -->
        </div>
        <div class="ddc-offset4 ddc-span8">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="servicetypes" data-other-service="OTHER_SERVICE" data-wash-wax-and-clean-interior="WASH_WAX_INTERIOR_CLEAN" data-transmission-flush="TRANSMISSION_FLUSH" data-tire-rotation="TIRE_ROTATION"
                data-state-inspection="STATE_INSPECTION" data-replace-muffler="REPLACE_MUFFLER" data-oil-change="OIL_CHANGE" data-front-end-alignment="FRONT_END_ALIGNMENT" data-engine-tune-up="ENGINE_TUNE_UP" data-coolant-flush="COOLANT_FLUSH"
                data-balance-tires="BALANCE_TIRES" data-air-conditioner-repair="AIR_CONDITIONER_REPAIR" data-adjust-brakes="ADJUST_BRAKES" class="checkbox" data-id="servicetypes" value="Other Service">
              <span>Other Service</span>
            </label>
          </div><!-- end .form-group -->
        </div>
      </span>
    </div>
  </fieldset>
  <fieldset>
    <div class="form-group">
      <label for="0eeff7e2dd4849a7a422b7762fba0e27-comments" class="ddc-span4 textarea comments">
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      <div class="ddc-span8"> <textarea class="form-control textarea" name="comments" id="0eeff7e2dd4849a7a422b7762fba0e27-comments"></textarea>
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  <div class="form-group clearfix">
    <div class="ddc-offset4 ddc-span8">
      <button class="btn btn-primary btn-lg ui-button-submit pull-right" type="submit"> Submit </button>
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  <input type="hidden" name="service" id="0eeff7e2dd4849a7a422b7762fba0e27-service" class="hidden ddc-dynamic-field" data-id="service" value="" data-val="|servicetypes|">
  <input type="hidden" name="serviceMenuUuids" id="0eeff7e2dd4849a7a422b7762fba0e27-serviceMenuUuids" class="hidden ddc-dynamic-field" data-id="serviceMenuUuids" value="" data-val="|serviceMenuUuids|">
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    <small class="alert-danger  alert">
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  <div class="text-muted clear-both form-disclaimer">
    <p class="ddc-font-size-xsmall">By submitting your contact information, you consent to be contacted by telephone about purchasing a vehicle or obtaining vehicle financing. Clicking on the Submit button above is your electronic signature. </p>
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  <input class="hidden" type="hidden" name="vv" value="0wa180lm"><input type="hidden" name="userSessionId" class="hidden" data-id="" value="a089a397b3e74192a5ccfd3c6ade3728"><input type="hidden" name="userSessionReferrer" class="hidden" data-id=""
    value="https://ramservice.valleycjdr.com">
</form>

POST /form/confirm.htm?formId=contact_shift&pageAlias=SERVICE_LEAD&formTrackingName=contact&formEventId=bbdcfb56cc18401eb4a22249aa1b62e0

<form action="/form/confirm.htm?formId=contact_shift&amp;pageAlias=SERVICE_LEAD&amp;formTrackingName=contact&amp;formEventId=bbdcfb56cc18401eb4a22249aa1b62e0" method="post" class="validate  form-default" charset="utf8" role="form"
  data-form-id="r9u71z64" data-form-tracking-id="CONTACT" data-form-tracking-name="contact" aria-label="Make an Inquiry" ddc.form.onpage="true" data-email-required="false" data-phone-required="false" novalidate="novalidate">
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    <div class="form-group">
      <label for="6e6b9f37ddd34e03bd8647dec5b56d38-contact.lastName" class="name contact-lastName">
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        <option value="email">Email</option>
        <option value="phone">Phone</option>
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    <div class="form-group">
      <label for="6e6b9f37ddd34e03bd8647dec5b56d38-contact.email" class="email contact-email">
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    <div class="form-group">
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