orderforms.wufoo.com Open in urlscan Pro
52.222.236.107  Public Scan

Submitted URL: https://aptf.ulfm.com/
Effective URL: https://orderforms.wufoo.com/forms/w2d70p1dn0nes/
Submission: On August 06 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form643POST https://orderforms.wufoo.com/forms/w2d70p1dn0nes/

<form id="form643" name="form643" class="wufoo topLabel page1" accept-charset="UTF-8" autocomplete="off" enctype="multipart/form-data" method="post" novalidate="" action="https://orderforms.wufoo.com/forms/w2d70p1dn0nes/">
  <header id="header" class="info">
    <h2 class="0">Alarm Partner Transfer Form.</h2>
    <div class="0">Please complete this form for EACH account that is within your dealer group.</div>
  </header>
  <ul>
    <li id="fo643li1" data-wufoo-field="" data-field-type="text" class="notranslate      ">
      <label class="desc" id="title1" for="Field1"> ACCOUNT NUMBER <span id="req_1" class="req">*</span>
      </label>
      <div>
        <input id="Field1" name="Field1" type="text" class="field text small" value="" maxlength="8" tabindex="0" onkeyup="handleInput(this); validateRange(1, 'character');" onchange="handleInput(this);" required="" placeholder="">
        <label>Enter <var id="rangeMinMsg1">8</var> characters.&nbsp;&nbsp;&nbsp; <em class="currently">Currently Used: <var id="rangeUsedMsg1">0</var> characters.</em></label>
      </div>
    </li>
    <li id="fo643li3" data-wufoo-field="" data-field-type="text" class="notranslate      ">
      <label class="desc" id="title3" for="Field3"> SUBSCRIBERS LAST NAME or BUSINESS NAME<p>(To verify Account Number is Correct) <span id="req_3" class="req">*</span>
        </p>
        <div>
          <input id="Field3" name="Field3" type="text" class="field text small" value="" maxlength="255" tabindex="0" onkeyup="handleInput(this); " onchange="handleInput(this);" required="" placeholder="">
        </div>
      </label>
    </li>
    <li id="fo643li5" class="     ">
      <fieldset>
        <!--[if !IE | (gte IE 8)]-->
        <legend id="title5" class="desc notranslate"> ACCOUNTS FINANCIAL STANDING <span id="req_5" class="req">*</span>
        </legend>
        <!--[endif]-->
        <!--[if lt IE 8]>
	<label id="title5" class="desc">
		ACCOUNTS FINANCIAL STANDING
				<span id="req_5" class="req">*</span>
			</label>
	<![endif]-->
        <div>
          <input id="radioDefault_5" name="Field5" type="hidden" value="">
          <span>
            <input id="Field5_0" name="Field5" type="radio" class="field radio" value="PREPAID UNTIL THIS NEXT MONTH" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field5_0">
              <span class="choice__text notranslate">PREPAID UNTIL THIS NEXT MONTH</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field5_1" name="Field5" type="radio" class="field radio" value="PREPAID FURTHER INTO THE FUTURE" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field5_1">
              <span class="choice__text notranslate">PREPAID FURTHER INTO THE FUTURE</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field5_2" name="Field5" type="radio" class="field radio" value="PAST DUE FOR THIS MONTH" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field5_2">
              <span class="choice__text notranslate">PAST DUE FOR THIS MONTH</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field5_3" name="Field5" type="radio" class="field radio" value="PAST DUE FURTHER BACK" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field5_3">
              <span class="choice__text notranslate">PAST DUE FURTHER BACK</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
          <span>
            <input id="Field5_4" name="Field5" type="radio" class="field radio" value="CANCEL THIS ACCOUNT NOW" tabindex="0" onchange="handleInput(this);" onmouseup="handleInput(this);" required="">
            <label class="choice" for="Field5_4">
              <span class="choice__text notranslate">CANCEL THIS ACCOUNT NOW</span>
              <span class="choice__qty">
              </span>
            </label>
          </span>
        </div>
      </fieldset>
    </li>
    <li class="buttons ">
      <div>
        <input type="hidden" name="currentPage" id="currentPage" value="9NbnGnKeTx0I7mUdF3NvcuuI4muhaGnrmcN7OxBNfjw=">
        <input type="hidden" id="nextPage" name="nextPage" value="N7okwuBe43tEU4uwuslashQYzOguskKSJeMNfbErnFtXojdDKdkg=">
        <input type="hidden" name="previousPage" id="previousPage" value="rzUMeshtdCUawuslash6ccRE74Ff6UhlH74oHdezG7ZaGA8Sk=">
        <input id="nextPageButton" name="nextPageButton" class="btTxt submit" onmousedown="doSubmitEvents();" type="submit" value="Next Page">
        <span class="marker">
          <b>1</b> / <b>2</b>
        </span>
      </div>
    </li>
    <li class="hide">
      <label for="comment">Do Not Fill This Out</label>
      <textarea name="comment" id="comment" rows="1" cols="1"></textarea>
      <input type="hidden" id="idstamp" name="idstamp" value="05C3cSmwTp2w9ePj3BvvOw==">
      <input type="hidden" id="encryptedPassword" name="encryptedPassword" value="">
      <input type="hidden" id="grcToken" name="grcToken" value="" data-site-key="6LeASGocAAAAADj3Vpi-QsmxJutvYUg4DQcU-MNB">
      <input type="hidden" id="stats" name="stats" value="{&quot;errors&quot;:0,&quot;startTime&quot;:0,&quot;endTime&quot;:0,&quot;referer&quot;:null}">
      <input type="hidden" id="clickOrEnter" name="clickOrEnter">
    </li>
  </ul>
</form>

Text Content

ALARM MONITORING SERVICES


ALARM PARTNER TRANSFER FORM.

Please complete this form for EACH account that is within your dealer group.
 * ACCOUNT NUMBER *
   Enter 8 characters.    Currently Used: 0 characters.
 * SUBSCRIBERS LAST NAME or BUSINESS NAME
   
   (To verify Account Number is Correct) *
   
   
 * ACCOUNTS FINANCIAL STANDING *
   PREPAID UNTIL THIS NEXT MONTH PREPAID FURTHER INTO THE FUTURE PAST DUE FOR
   THIS MONTH PAST DUE FURTHER BACK CANCEL THIS ACCOUNT NOW
 * 1 / 2
 * Do Not Fill This Out

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