orderforms.wufoo.com
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52.222.236.107
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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
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 DOMName: form643 — POST 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. <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="{"errors":0,"startTime":0,"endTime":0,"referer":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 This site is protected by reCAPTCHA Enterprise and the Google Privacy Policy and Terms of Service apply.