www.safestreets.com Open in urlscan Pro
162.159.134.42  Public Scan

Submitted URL: http://www.texasuc.com/
Effective URL: https://www.safestreets.com/texasutility
Submission: On September 18 via api from US — Scanned from DE

Form analysis 3 forms found in the DOM

GET https://www.safestreets.com/

<form role="search" action="https://www.safestreets.com/" method="GET">
  <input type="text" name="s" value="" aria-label="Search" placeholder="Search">
  <span>Hit enter to search or ESC to close</span>
  <input type="hidden" name="xxtrustedformcerturl" value="https://cert.trustedform.com/cbdb725f0406040b04a6e88ca3a86b7e7107ff70" id="xxtrustedformcerturl_0"><input type="hidden" name="xxTrustedFormToken"
    value="https://cert.trustedform.com/cbdb725f0406040b04a6e88ca3a86b7e7107ff70" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.ZnGWGXIqcA51Zeg3HHLoJnfCpm4Iq0b9ZjKQcaNg3zIHsQ1Ns7QdkjiGvtV-TdhOdl7HB60.wkh0hC1iFmbApwY9kkac8w.2ABGlohT-YHSpE_RwEIo3g" id="xxTrustedFormPingUrl_0">
</form>

<form>
  <div>
    <div class="nf-before-form-content"><nf-section>
        <div class="nf-form-fields-required">Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required</div>
      </nf-section></div>
    <div class="nf-form-content "><nf-rows-wrap>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-163-container" class="nf-field-container textbox-container  label-above ">
                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
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                        <div class="nf-field-label">
                          <label for="nf-field-163" id="nf-label-field-163" class=""> First Name <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-163" name="nf-field-163-textbox" autocomplete="on" aria-invalid="false" aria-describedby="nf-error-163 nf-description-163"
                            aria-labelledby="nf-label-field-163" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-163" class="nf-error-wrap nf-error" role="alert"></div>
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                </nf-field></nf-fields>
            </div>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-164-container" class="nf-field-container textbox-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-164-wrap" class="field-wrap textbox-wrap" data-field-id="164">
                        <div class="nf-field-label">
                          <label for="nf-field-164" id="nf-label-field-164" class=""> Last Name <span class="ninja-forms-req-symbol">*</span>
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                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-164" name="nf-field-164-textbox" autocomplete="on" aria-invalid="false" aria-describedby="nf-error-164 nf-description-164"
                            aria-labelledby="nf-label-field-164" aria-required="true" required="">
                        </div>
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                    </div>
                    <div class="nf-after-field"><nf-section>
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                        <div id="nf-error-164" class="nf-error-wrap nf-error" role="alert"></div>
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        <div class="nf-row">
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            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
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                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
                      <div id="nf-field-160-wrap" class="field-wrap phone-wrap textbox-wrap" data-field-id="160">
                        <div class="nf-field-label">
                          <label for="nf-field-160" id="nf-label-field-160" class=""> Phone <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="tel" value="" class="ninja-forms-field nf-element" id="nf-field-160" name="phone" autocomplete="tel" placeholder="(555) 555-5555" aria-invalid="false" aria-describedby="nf-error-160 nf-description-160"
                            aria-labelledby="nf-label-field-160" aria-required="true" required="">
                        </div>
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                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-160" class="nf-error-wrap nf-error" role="alert"></div>
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            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-161-container" class="nf-field-container zip-container  label-above ">
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                    <div class="nf-field">
                      <div id="nf-field-161-wrap" class="field-wrap zip-wrap" data-field-id="161">
                        <div class="nf-field-label">
                          <label for="nf-field-161" id="nf-label-field-161" class=""> Zip Code <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-161" name="zip" autocomplete="postal-code" aria-invalid="false" aria-describedby="nf-error-161 nf-description-161"
                            aria-labelledby="nf-label-field-161" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit" aria-live="polite" role="status" aria-relevant="additions" aria-atomic="true"> 5 of 5 Character(s) left </div>
                        <div id="nf-error-161" class="nf-error-wrap nf-error" role="alert"></div>
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        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-158-container" class="nf-field-container email-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-158-wrap" class="field-wrap email-wrap" data-field-id="158">
                        <div class="nf-field-label">
                          <label for="nf-field-158" id="nf-label-field-158" class=""> Email <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="email" value="" class="ninja-forms-field nf-element" id="nf-field-158" name="email" autocomplete="email" aria-invalid="false" aria-describedby="nf-error-158 nf-description-158"
                            aria-labelledby="nf-label-field-158" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-158" class="nf-error-wrap nf-error" role="alert"></div>
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                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-176-container" class="nf-field-container listradio-container  label-above  list-container">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-176-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="176">
                        <div class="nf-field-label">
                          <span id="nf-label-field-176" class="nf-label-span "> Choose your FREE offer <span class="ninja-forms-req-symbol">*</span>
                          </span>
                        </div>
                        <div class="nf-field-element">
                          <ul aria-describedby="nf-error-176 nf-description-176">
                            <li>
                              <input type="radio" id="nf-field-176-0" name="nf-field-176" class="ninja-forms-field nf-element " value="doorbell" aria-labelledby="nf-label-class-field-176-0" tabindex="0" required="" aria-required="true">
                              <label for="nf-field-176-0" id="nf-label-class-field-176-0" class="">Free Doorbell</label>
                            </li>
                            <li>
                              <input type="radio" id="nf-field-176-1" name="nf-field-176" class="ninja-forms-field nf-element " value="camera" aria-labelledby="nf-label-class-field-176-1" tabindex="0" required="" aria-required="true">
                              <label for="nf-field-176-1" id="nf-label-class-field-176-1" class="">Free HD Camera</label>
                            </li>
                          </ul>
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-176" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-162-container" class="nf-field-container html-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-162-wrap" class="field-wrap html-wrap" data-field-id="162">
                        <div class="nf-field-label">
                          <label for="nf-field-162" id="nf-label-field-162" class=""> Opt in Web form Language </label>
                        </div>
                        <div class="nf-field-element">
                          <i style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">Safe Streets USA LLC Express Written Consent Form MARKETING AUTHORIZATION: I, the undersigned, hereby authorize Safe Streets USA, LLC (“Safe Streets”), directly or through its affiliates and marketing partners, to contact me from time-to-time by telephone, text, email and/or direct mail with information and offers about products and services that might interest me. By clicking contact me below, I hereby authorize the receipt of such solicitations at the telephone number(s), (including cellular numbers), emails address(es) and/or mailing address(es) shown below, even if such telephone number(s), email address(es) or mailing addresses are listed on any “do not call” or other do not solicit registry or list and I agree that any such telephone calls and text messages may be generated using an automated phone dialing system. To discontinue or opt out of text messages reply with stop. I understand I am not required to consent to make a purchase.&nbsp; Message and data rates may apply, Message frequency varies,</i><span
                            style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">&nbsp;</span><b style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">"Call us at 855-432-6247 if you need any help!"</b><span
                            style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">&nbsp;</span><i style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">Carriers are not liable for delayed or undelivered messages.</i>
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-162" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-1407-container" class="nf-field-container recaptcha-container  label-above  textbox-container">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-1407-wrap" class="field-wrap recaptcha-wrap textbox-wrap" data-field-id="1407">
                        <div class="nf-field-label">
                          <label for="nf-field-1407" id="nf-label-field-1407" class=""> Recaptcha v2 </label>
                        </div>
                        <div class="nf-field-element">
                          <input id="nf-field-1407" name="nf-field-1407" class="ninja-forms-field nf-element" type="hidden" value="">
                          <div class="g-recaptcha" data-callback="nf_recaptcha_response_1407" data-theme="light" data-sitekey="6LfDYzwqAAAAAHq3F6tiQC960FL76-YZvBqxEIdN" data-fieldid="1407">
                            <div style="width: 304px; height: 78px;">
                              <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-rhssg1q39uw3" frameborder="0" scrolling="no"
                                  sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                                  src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LfDYzwqAAAAAHq3F6tiQC960FL76-YZvBqxEIdN&amp;co=aHR0cHM6Ly93d3cuc2FmZXN0cmVldHMuY29tOjQ0Mw..&amp;hl=de&amp;v=EGbODne6buzpTnWrrBprcfAY&amp;theme=light&amp;size=normal&amp;cb=iqka9c22y6tk"></iframe>
                              </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
                                style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;" aria-hidden="true" aria-label="Silent reCaptcha security check"
                                aria-readonly="true"></textarea>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-1407" class="nf-error-wrap nf-error" role="alert"></div>
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                </nf-field></nf-fields>
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        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-159-container" class="nf-field-container submit-container  label-above  textbox-container">
                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
                      <div id="nf-field-159-wrap" class="field-wrap submit-wrap textbox-wrap" data-field-id="159">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input id="nf-field-159" class="ninja-forms-field nf-element " type="submit" value="Contact Me">
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                        <div class="nf-error-wrap"></div>
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                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-159" class="nf-error-wrap nf-error" role="alert"></div>
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        <div class="nf-row">
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            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-165-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-165-wrap" class="field-wrap hidden-wrap" data-field-id="165">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-165" name="nf-field-165" class="ninja-forms-field nf-element" value="09/18/2024 1:23 pm">
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                        <div class="nf-error-wrap"></div>
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                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-165" class="nf-error-wrap nf-error" role="alert"></div>
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        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
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                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
                      <div id="nf-field-166-wrap" class="field-wrap hidden-wrap" data-field-id="166">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
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                        <div class="nf-error-wrap"></div>
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                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-166" class="nf-error-wrap nf-error" role="alert"></div>
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                      <div id="nf-field-169-wrap" class="field-wrap hidden-wrap" data-field-id="169">
                        <div class="nf-field-label"></div>
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                        <div class="nf-error-wrap"></div>
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                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
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              <nf-fields><nf-field>
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                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
                      <div id="nf-field-173-wrap" class="field-wrap hidden-wrap" data-field-id="173">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
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                    <div class="nf-before-field"><nf-section>
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                    <div class="nf-field">
                      <div id="nf-field-167-wrap" class="field-wrap hidden-wrap" data-field-id="167">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
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                        <div class="nf-error-wrap"></div>
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          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-168-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-168-wrap" class="field-wrap hidden-wrap" data-field-id="168">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-168" name="nf-field-168" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-168" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-174-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-174-wrap" class="field-wrap hidden-wrap" data-field-id="174">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-174" name="nf-field-174" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-174" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-170-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-170-wrap" class="field-wrap hidden-wrap" data-field-id="170">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-170" name="nf-field-170" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-170" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-175-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-175-wrap" class="field-wrap hidden-wrap" data-field-id="175">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-175" name="nf-field-175" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-175" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-502-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-502-wrap" class="field-wrap hidden-wrap" data-field-id="502">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-502" name="nf-field-502" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-502" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-950-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-950-wrap" class="field-wrap hidden-wrap" data-field-id="950">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-950" name="nf-field-950" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-950" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-1003-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-1003-wrap" class="field-wrap hidden-wrap" data-field-id="1003">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-1003" name="nf-field-1003" class="ninja-forms-field nf-element" value="">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-1003" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-1177-container" class="nf-field-container hidden-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-1177-wrap" class="field-wrap hidden-wrap" data-field-id="1177">
                        <div class="nf-field-label"></div>
                        <div class="nf-field-element">
                          <input type="hidden" id="nf-field-1177" name="nf-field-1177" class="ninja-forms-field nf-element" value="https://cert.trustedform.com/cbdb725f0406040b04a6e88ca3a86b7e7107ff70">
                        </div>
                        <div class="nf-error-wrap"></div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-1177" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
      </nf-rows-wrap></div>
    <div class="nf-after-form-content"><nf-section>
        <div id="nf-form-errors-11" class="nf-form-errors" role="alert"><nf-errors></nf-errors></div>
        <div class="nf-form-hp"><nf-section>
            <label id="nf-label-field-hp-11" for="nf-field-hp-11" aria-hidden="true"> If you are a human seeing this field, please leave it empty. <input id="nf-field-hp-11" name="nf-field-hp" class="nf-element nf-field-hp" type="text" value=""
                aria-labelledby="nf-label-field-hp-11">
            </label>
          </nf-section></div>
      </nf-section></div>
  </div>
  <input type="hidden" name="xxtrustedformcerturl" value="https://cert.trustedform.com/cbdb725f0406040b04a6e88ca3a86b7e7107ff70" id="xxtrustedformcerturl_1"><input type="hidden" name="xxTrustedFormToken"
    value="https://cert.trustedform.com/cbdb725f0406040b04a6e88ca3a86b7e7107ff70" id="xxTrustedFormToken_1"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.ZnGWGXIqcA51Zeg3HHLoJnfCpm4Iq0b9ZjKQcaNg3zIHsQ1Ns7QdkjiGvtV-TdhOdl7HB60.wkh0hC1iFmbApwY9kkac8w.2ABGlohT-YHSpE_RwEIo3g" id="xxTrustedFormPingUrl_1">
</form>

<form>
  <div>
    <div class="nf-before-form-content"><nf-section>
        <div class="nf-form-fields-required">Fields marked with an &lt;span class="ninja-forms-req-symbol"&gt;*&lt;/span&gt; are required</div>
      </nf-section></div>
    <div class="nf-form-content "><nf-rows-wrap>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-163_1-container" class="nf-field-container textbox-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-163_1-wrap" class="field-wrap textbox-wrap" data-field-id="163_1">
                        <div class="nf-field-label">
                          <label for="nf-field-163_1" id="nf-label-field-163_1" class=""> First Name <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-163_1" name="nf-field-163_1-textbox" autocomplete="on" aria-invalid="false" aria-describedby="nf-error-163_1 nf-description-163_1"
                            aria-labelledby="nf-label-field-163_1" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-163_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-164_1-container" class="nf-field-container textbox-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-164_1-wrap" class="field-wrap textbox-wrap" data-field-id="164_1">
                        <div class="nf-field-label">
                          <label for="nf-field-164_1" id="nf-label-field-164_1" class=""> Last Name <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-164_1" name="nf-field-164_1-textbox" autocomplete="on" aria-invalid="false" aria-describedby="nf-error-164_1 nf-description-164_1"
                            aria-labelledby="nf-label-field-164_1" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-164_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-160_1-container" class="nf-field-container phone-container  label-above  textbox-container">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-160_1-wrap" class="field-wrap phone-wrap textbox-wrap" data-field-id="160_1">
                        <div class="nf-field-label">
                          <label for="nf-field-160_1" id="nf-label-field-160_1" class=""> Phone <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="tel" value="" class="ninja-forms-field nf-element" id="nf-field-160_1" name="phone" autocomplete="tel" placeholder="(555) 555-5555" aria-invalid="false" aria-describedby="nf-error-160_1 nf-description-160_1"
                            aria-labelledby="nf-label-field-160_1" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-160_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
            <div class="nf-cell" style="width: 50%;">
              <nf-fields><nf-field>
                  <div id="nf-field-161_1-container" class="nf-field-container zip-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-161_1-wrap" class="field-wrap zip-wrap" data-field-id="161_1">
                        <div class="nf-field-label">
                          <label for="nf-field-161_1" id="nf-label-field-161_1" class=""> Zip Code <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-161_1" name="zip" autocomplete="postal-code" aria-invalid="false" aria-describedby="nf-error-161_1 nf-description-161_1"
                            aria-labelledby="nf-label-field-161_1" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit" aria-live="polite" role="status" aria-relevant="additions" aria-atomic="true"> 5 of 5 Character(s) left </div>
                        <div id="nf-error-161_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-158_1-container" class="nf-field-container email-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-158_1-wrap" class="field-wrap email-wrap" data-field-id="158_1">
                        <div class="nf-field-label">
                          <label for="nf-field-158_1" id="nf-label-field-158_1" class=""> Email <span class="ninja-forms-req-symbol">*</span>
                          </label>
                        </div>
                        <div class="nf-field-element">
                          <input type="email" value="" class="ninja-forms-field nf-element" id="nf-field-158_1" name="email" autocomplete="email" aria-invalid="false" aria-describedby="nf-error-158_1 nf-description-158_1"
                            aria-labelledby="nf-label-field-158_1" aria-required="true" required="">
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-158_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-176_1-container" class="nf-field-container listradio-container  label-above  list-container">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-176_1-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="176_1">
                        <div class="nf-field-label">
                          <span id="nf-label-field-176_1" class="nf-label-span "> Choose your FREE offer <span class="ninja-forms-req-symbol">*</span>
                          </span>
                        </div>
                        <div class="nf-field-element">
                          <ul aria-describedby="nf-error-176_1 nf-description-176_1">
                            <li>
                              <input type="radio" id="nf-field-176_1-0" name="nf-field-176_1" class="ninja-forms-field nf-element " value="doorbell" aria-labelledby="nf-label-class-field-176_1-0" tabindex="0" required="" aria-required="true">
                              <label for="nf-field-176_1-0" id="nf-label-class-field-176_1-0" class="">Free Doorbell</label>
                            </li>
                            <li>
                              <input type="radio" id="nf-field-176_1-1" name="nf-field-176_1" class="ninja-forms-field nf-element " value="camera" aria-labelledby="nf-label-class-field-176_1-1" tabindex="0" required="" aria-required="true">
                              <label for="nf-field-176_1-1" id="nf-label-class-field-176_1-1" class="">Free HD Camera</label>
                            </li>
                          </ul>
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-176_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-162_1-container" class="nf-field-container html-container  label-above ">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-162_1-wrap" class="field-wrap html-wrap" data-field-id="162_1">
                        <div class="nf-field-label">
                          <label for="nf-field-162_1" id="nf-label-field-162_1" class=""> Opt in Web form Language </label>
                        </div>
                        <div class="nf-field-element">
                          <i style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">Safe Streets USA LLC Express Written Consent Form MARKETING AUTHORIZATION: I, the undersigned, hereby authorize Safe Streets USA, LLC (“Safe Streets”), directly or through its affiliates and marketing partners, to contact me from time-to-time by telephone, text, email and/or direct mail with information and offers about products and services that might interest me. By clicking contact me below, I hereby authorize the receipt of such solicitations at the telephone number(s), (including cellular numbers), emails address(es) and/or mailing address(es) shown below, even if such telephone number(s), email address(es) or mailing addresses are listed on any “do not call” or other do not solicit registry or list and I agree that any such telephone calls and text messages may be generated using an automated phone dialing system. To discontinue or opt out of text messages reply with stop. I understand I am not required to consent to make a purchase.&nbsp; Message and data rates may apply, Message frequency varies,</i><span
                            style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">&nbsp;</span><b style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">"Call us at 855-432-6247 if you need any help!"</b><span
                            style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">&nbsp;</span><i style="font-family: -apple-system, system-ui, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;">Carriers are not liable for delayed or undelivered messages.</i>
                        </div>
                      </div>
                    </div>
                    <div class="nf-after-field"><nf-section>
                        <div class="nf-input-limit"></div>
                        <div id="nf-error-162_1" class="nf-error-wrap nf-error" role="alert"></div>
                      </nf-section></div>
                  </div>
                </nf-field></nf-fields>
            </div>
          </nf-cells>
        </div>
        <div class="nf-row">
          <nf-cells>
            <div class="nf-cell" style="width: 100%;">
              <nf-fields><nf-field>
                  <div id="nf-field-1407_1-container" class="nf-field-container recaptcha-container  label-above  textbox-container">
                    <div class="nf-before-field"><nf-section>
                      </nf-section></div>
                    <div class="nf-field">
                      <div id="nf-field-1407_1-wrap" class="field-wrap recaptcha-wrap textbox-wrap" data-field-id="1407_1">
                        <div class="nf-field-label">
                          <label for="nf-field-1407_1" id="nf-label-field-1407_1" class=""> Recaptcha v2 </label>
                        </div>
                        <div class="nf-field-element">
                          <input id="nf-field-1407_1" name="nf-field-1407_1" class="ninja-forms-field nf-element" type="hidden" value="">
                          <div class="g-recaptcha" data-callback="nf_recaptcha_response_1407_1" data-theme="light" data-sitekey="6LfDYzwqAAAAAHq3F6tiQC960FL76-YZvBqxEIdN" data-fieldid="1407_1">
                            <div style="width: 304px; height: 78px;">
                              <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-gxe6wj4dx2gu" frameborder="0" scrolling="no"
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*6 MONTH ADT MONEY-BACK GUARANTEE: MONEY BACK GUARANTEE ONLY APPLIES AFTER ADT
HAS MADE ATTEMPTS TO RESOLVE A SYSTEM RELATED ISSUE AND HAS NOT BEEN ABLE TO
RESOLVE THAT ISSUE WITHIN THE FIRST 6 MONTHS OF YOUR CONTRACT. EQUIPMENT MUST BE
FULLY REMOVED BEFORE A REFUND WILL BE PROCESSED. CONDITIONS PREVENTING NORMAL
SYSTEM OPERATION CANNOT BE CAUSED BY THE CUSTOMER.
**RESTRICTIONS APPLY. VISA GIFT CARDS ISSUED BY METABANK™, MEMBERFDIC, PURSUANT
TO A LICENSE FROM VISA U.S.A.INC. NEITHER METABANK NOR VISA IS A SPONSOR,
ENDORSER OR PARTICIPANT IN THIS PROMOTION. MONTHLY INACTIVITY FEE OF $2.95 AFTER
12 CONSECUTIVE MONTHS OF INACTIVITY. LOST/STOLEN REPLACEMENT CARD FEE OF $5.00.
SEE THE CARDHOLDER AGREEMENT FOR MORE DETAILS.

License Numbers: Safe Streets USA License Numbers:WA – SAFESSU854P8, EC –
SAFESSU846BO, OR – 208546CLE429,NM – 387294,TX – B18742ACR-2072317,CO–
2015-BFN-0008204,AL–BA13-99AESBL #993,AR – BAE20110029Safe Streets License
#CMPY.0002025,CT –CLELC.0185208-L5,DC– BL602511000104,DE – BA11-201,FL –
BAEG13000404,GA – BLLVA205866,IA – BAAC0129,IL – BA127001452,IN – BALAC000190,MD
– BA107168001981855,MI – BA3601206276,MN – BATS02343,MS – BA1501302310429325,NC–
BL624CSA, NJ – BA34BF0001880013VH06160200,NY– BA12000302109,PA– CLPA 024334, SC
– BABAC 13455,TN – BA0000-1611,VA– BA11-6617,WV – BAWV047939, NV – 0081024,AZ –
30296719898,LA – F2164,OK – AC440557,UT – 9439243-6501,CA5685;ASC Security USA
License Numbers: CA – ACO5314



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