14.section8assistanceforyou.com Open in urlscan Pro
172.67.157.162  Public Scan

Submitted URL: https://www.b4pqvtrk.com/2FMZLP/XX2NLN/
Effective URL: https://14.section8assistanceforyou.com/index.php?pid=1152&utm_source=1152&utm_campaign=1152&chk=1&cid=715940b5335c419bad44a8d83d2289a9&...
Submission: On May 14 via manual from VN — Scanned from US

Form analysis 1 forms found in the DOM

POST handlepost.php

<form action="handlepost.php" method="POST" id="PageForm">
  <script type="text/javascript">
    (function() {
      var field = 'xxTrustedFormCertUrl';
      var provideReferrer = false;
      var invertFieldSensitivity = false;
      var tf = document.createElement('script');
      tf.type = 'text/javascript';
      tf.async = true;
      tf.src = 'http' + ('https:' == document.location.protocol ? 's' : '') + '://api.trustedform.com/trustedform.js?provide_referrer=' + escape(provideReferrer) + '&field=' + escape(field) + '&l=' + new Date().getTime() + Math.random() +
        '&invert_field_sensitivity=' + invertFieldSensitivity;
      var s = document.getElementsByTagName('script')[0];
      s.parentNode.insertBefore(tf, s);
    })();
  </script>
  <input type="hidden" name="page" value="1">
  <div class="row">
    <div class="col">
      <input type="text" class="form-control user-input" id="first" name="first" placeholder="First Name" title="Enter your first name" value="" required="" style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
    <div class="col">
      <input type="text" class="form-control user-input" id="last" name="last" placeholder="Last Name" title="Enter your last name" value="" required="" style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
  </div>
  <div class="row">
    <div class="col">
      <input type="text" class="form-control user-input" id="address" name="address" placeholder="Address" title="Enter your address" value="" required="" style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
    <div class="col">
      <input type="tel" class="form-control user-input" id="zip" name="zip" minlength="3" maxlength="5" pattern="[0-9]{3,5}" placeholder="ZIP Code" value="" title="Enter your 5-digit ZIP code" onkeypress="return isNumber(event)" required=""
        style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
  </div>
  <div class="row">
    <div class="col">
      <input type="text" name="emailidaddress" id="emailidaddress" value="" style="display: none;">
      <input type="email" class="form-control user-input" id="email" name="email" value="" placeholder="Email" title="Enter your email" required="" style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
    <div class="col">
      <input type="tel" class="form-control user-input" name="phone" id="phone" placeholder="Phone Number" title="Enter your 10-digit phone number" value="" minlength="10" maxlength="11" onkeypress="return isNumber(event)" required=""
        style="font-size: 16px; padding-top: 20px; padding-bottom: 20px;">
    </div>
  </div>
  <div class="row">
    <div class="col">
      <div class="form-group">
        <select id="birth_month" name="dobmonth" value="" class="browser-default custom-select selectpicker select-input" title="Please enter birth month" required="true" style="height: 42px; font-size: 14px;">
          <option value="" disabled="" selected="">Birth Month</option>
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
          <option value="9">9</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
        </select>
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <select id="birth_day" name="dobday" value="" class="browser-default custom-select selectpicker select-input" title="Please enter birth day" required="true" style="height: 42px; font-size: 14px;">
          <option value="" disabled="" selected="">Birth Day</option>
          <option value="1">1</option>
          <option value="2">2</option>
          <option value="3">3</option>
          <option value="4">4</option>
          <option value="5">5</option>
          <option value="6">6</option>
          <option value="7">7</option>
          <option value="8">8</option>
          <option value="9">9</option>
          <option value="10">10</option>
          <option value="11">11</option>
          <option value="12">12</option>
          <option value="13">13</option>
          <option value="14">14</option>
          <option value="15">15</option>
          <option value="16">16</option>
          <option value="17">17</option>
          <option value="18">18</option>
          <option value="19">19</option>
          <option value="20">20</option>
          <option value="21">21</option>
          <option value="22">22</option>
          <option value="23">23</option>
          <option value="24">24</option>
          <option value="25">25</option>
          <option value="26">26</option>
          <option value="27">27</option>
          <option value="28">28</option>
          <option value="29">29</option>
          <option value="30">30</option>
          <option value="31">31</option>
        </select>
      </div>
    </div>
    <div class="col">
      <div class="form-group">
        <select id="birth_year" name="dobyear" value="" class="browser-default custom-select selectpicker select-input" title="Please enter birth year" required="true" style="height: 42px; font-size: 14px;">
          <option value="" disabled="" selected="">Birth Year</option>
          <option value="2006">2006</option>
          <option value="2005">2005</option>
          <option value="2004">2004</option>
          <option value="2003">2003</option>
          <option value="2002">2002</option>
          <option value="2001">2001</option>
          <option value="2000">2000</option>
          <option value="1999">1999</option>
          <option value="1998">1998</option>
          <option value="1997">1997</option>
          <option value="1996">1996</option>
          <option value="1995">1995</option>
          <option value="1994">1994</option>
          <option value="1993">1993</option>
          <option value="1992">1992</option>
          <option value="1991">1991</option>
          <option value="1990">1990</option>
          <option value="1989">1989</option>
          <option value="1988">1988</option>
          <option value="1987">1987</option>
          <option value="1986">1986</option>
          <option value="1985">1985</option>
          <option value="1984">1984</option>
          <option value="1983">1983</option>
          <option value="1982">1982</option>
          <option value="1981">1981</option>
          <option value="1980">1980</option>
          <option value="1979">1979</option>
          <option value="1978">1978</option>
          <option value="1977">1977</option>
          <option value="1976">1976</option>
          <option value="1975">1975</option>
          <option value="1974">1974</option>
          <option value="1973">1973</option>
          <option value="1972">1972</option>
          <option value="1971">1971</option>
          <option value="1970">1970</option>
          <option value="1969">1969</option>
          <option value="1968">1968</option>
          <option value="1967">1967</option>
          <option value="1966">1966</option>
          <option value="1965">1965</option>
          <option value="1964">1964</option>
          <option value="1963">1963</option>
          <option value="1962">1962</option>
          <option value="1961">1961</option>
          <option value="1960">1960</option>
          <option value="1959">1959</option>
          <option value="1958">1958</option>
          <option value="1957">1957</option>
          <option value="1956">1956</option>
          <option value="1955">1955</option>
          <option value="1954">1954</option>
          <option value="1953">1953</option>
          <option value="1952">1952</option>
          <option value="1951">1951</option>
          <option value="1950">1950</option>
          <option value="1949">1949</option>
          <option value="1948">1948</option>
          <option value="1947">1947</option>
          <option value="1946">1946</option>
          <option value="1945">1945</option>
          <option value="1944">1944</option>
          <option value="1943">1943</option>
          <option value="1942">1942</option>
          <option value="1941">1941</option>
          <option value="1940">1940</option>
          <option value="1939">1939</option>
          <option value="1938">1938</option>
          <option value="1937">1937</option>
          <option value="1936">1936</option>
          <option value="1935">1935</option>
          <option value="1934">1934</option>
          <option value="1933">1933</option>
          <option value="1932">1932</option>
          <option value="1931">1931</option>
          <option value="1930">1930</option>
          <option value="1929">1929</option>
          <option value="1928">1928</option>
          <option value="1927">1927</option>
          <option value="1926">1926</option>
          <option value="1925">1925</option>
          <option value="1924">1924</option>
          <option value="1923">1923</option>
          <option value="1922">1922</option>
          <option value="1921">1921</option>
          <option value="1920">1920</option>
          <option value="1919">1919</option>
          <option value="1918">1918</option>
          <option value="1917">1917</option>
          <option value="1916">1916</option>
          <option value="1915">1915</option>
          <option value="1914">1914</option>
          <option value="1913">1913</option>
          <option value="1912">1912</option>
          <option value="1911">1911</option>
          <option value="1910">1910</option>
          <option value="1909">1909</option>
          <option value="1908">1908</option>
          <option value="1907">1907</option>
          <option value="1906">1906</option>
          <option value="1905">1905</option>
          <option value="1904">1904</option>
          <option value="1903">1903</option>
          <option value="1902">1902</option>
          <option value="1901">1901</option>
          <option value="1900">1900</option>
        </select>
      </div>
    </div>
  </div>
  <script>
    console.log('showing twyne');
  </script>
  <script>
    $(function() {
      $("#birth_month, #birth_day, #birth_year").change(function() {
        var m = $("#birth_month").val()
        var d = $("#birth_day").val()
        var y = $("#birth_year").val()
        if (m && d && y && window.twyne && window.twyne.form) twyne.form.setValue('dob', m + '/' + d + '/' + y)
      })
    });
  </script>
  <div id="embed" style="display: none;">
    <script type="text/javascript" src="//shift44.api.twyne.io/assets/form.js"></script>
    <script type="text/javascript" id="twyne-embed" class="twyne-embed">
      (function(global) {
        function twyne_load() {
          var data = {};
          data.pid = '1';
          data.sid = '70';
          data.first = '';
          data.last = '';
          data.email = '';
          data.address1 = '';
          data.address2 = '';
          data.city = '';
          data.gender = '';
          data.state = '';
          data.zip = '';
          data.country = 'US';
          data.phone = '';
          data.dob = '';
          data.istest = 'N'; //Y - N
          data.subid1 = '1152';
          data.subid2 = '__embed__control';
          // return URL for when a user completes the path
          data.rurl = '';
          data.embedUrlOverride = 'https://shift44.api.twyne.io';
          data.loading = {
            enabled: false
          };
          data.formRegistration = {
            binders: {
              'first': 'first',
              'last': 'last',
              'address1': 'address',
              'city': 'city',
              'gender': 'gender',
              'state': 'state',
              'zip': 'zip',
              'phone': 'phone',
              'email': 'email'
            },
            customFields: ['dob', 'address2'],
            percent: 0
          }
          global.twyne.initEmbed(data);
        }
        document.addEventListener("DOMContentLoaded", twyne_load);
      })(this);
    </script>
    <script async="" type="text/javascript"
      src="https://shift44.api.twyne.io/aserving/index?pid=1&amp;sid=70&amp;first=&amp;last=&amp;email=&amp;address1=&amp;address2=&amp;city=&amp;gender=&amp;state=&amp;zip=&amp;country=US&amp;phone=&amp;dob=&amp;istest=N&amp;subid1=1152&amp;subid2=__embed__control&amp;twid=418dca7c4db747acafc50dcd942a57d7&amp;domainUrl=https%3A%2F%2F14.section8assistanceforyou.com%2Findex.php%3Fpid%3D1152%26utm_source%3D1152%26utm_campaign%3D1152%26chk%3D1%26cid%3D715940b5335c419bad44a8d83d2289a9%26oid%3D1199&amp;optout=false">
    </script>
    <div id="twy-placement-170" class="twyne-path-content"></div>
  </div>
  <script>
    gtag('event', 'embed_twy');
  </script>
  <div class="tcpadiv grid-container consent-container" name="consent" id="consent" onclick="toggleConsentOnClick()">
    <button type="button" style="background: none; font-weight: bolder; border-style: none; grid-template-columns: 1fr;" class="consent-button"
      onclick="$(&quot;.iagree&quot;).prop(&quot;checked&quot;, !$(&quot;.iagree&quot;).prop(&quot;checked&quot;)); toggleConsent(); event.stopPropagation();">
      <input type="checkbox" name="iagree" class="iagree" onclick="javascript:event.stopPropagation(); toggleConsent();"></button>
    <p class="consent-text" style="color: red; margin-bottom: 0px; font-size: 12px; font-weight: 400; text-align: left; margin-top: 0px;"> <span style="font-weight: 600; font-size: 12px;">I confirm all my information is accurate</span> and consent to
      be texted as provided below.</p>
  </div>
  <div class="row">
    <div class="col">
      <label>
        <input type="hidden" id="leadid_tcpa_disclosure">
        <p id="notice" style="font-size: 12px; margin-bottom: 25px; margin-top: 25px;"> By checking the box below I expressly consent to receive marketing and informational phone calls and text messages from Section8AssistanceForYou, Unified
          Marketing Partners LLC, and our <a class="housing-links" href="/marketing-partners/" style="cursor:pointer;text-decoration:underline;" target="_BLANK">Marketing Partners</a> on the land line and/or mobile number I provided. I confirm that
          the phone number set forth above is accurate and I am the regular user of the phone. I understand these calls may be generated using an autodialer and may contain pre-recorded and artificial voice messages and I do not need to check the box
          to participate in the deals promoted, offers or to claim a Reward. For SMS message campaigns: Text STOP to stop and HELP for help. Msg &amp; data rates may apply. Periodic messages; max. 30 / month. <br><br> By clicking below, I agree to
          receive relevant email from Section8AssistanceForYou &amp; Fortifynance, and other marketing partners, the <a href="tc.php" class="housing-links" target="_blank" id="terms">Terms &amp; Conditions</a> (which include mandatory arbitration),
          and the <a href="pp.php" class="housing-links" target="_blank">Privacy Policy</a>. </p>
      </label>
    </div>
  </div>
  <div class="row justify-content-center align-items-center">
    <div class="col" id="terms-col">
      <style>
        .tcpadiv {
          display: grid;
          font-size: 12px;
          font-weight: bold;
          border: 1px solid #9e9993;
          /* Make this 1fr 4fr on anything not small / mobile */
          grid-template-columns: 1fr 4fr;
          grid-gap: 10px;
          padding: 5px;
          color: #4b4b4b;
          align-items: center;
          border: 1px solid #ff5d5d;
          border-radius: 6px;
          display: flex;
          min-height: 55px;
          background-color: white;
        }

        .tcpadiv p,
        .tcpadiv button {
          font-size: 12px;
        }

        .modal_TCPA_confirmation {
          position: fixed;
          z-index: 200;
          left: 0;
          top: 0;
          width: 100%;
          height: 100%;
          background-color: rgba(187, 187, 187, 0.65);
        }

        .modal_TCPA_container {
          font-family: "Lato", sans-serif !important;
          background: #fff;
          max-width: 500px;
          width: 100%;
          margin: 15% auto;
          border-radius: 8px;
          padding: 8px;
        }

        .modal_TCPA_container .button_action {
          display: flex;
          justify-content: center;
          min-height: 50px;
          margin-bottom: 2rem;
        }

        .modal_TCPA_container .button_action a {
          display: flex;
          align-items: center;
          justify-content: center;
          max-width: 300px;
          width: 100%;
          margin: 0 12px;
          border: 1px solid #a6a6a6;
          text-decoration: none;
          border-radius: 6px;
          cursor: pointer;
          font-size: 1.25em;
          font-weight: 600;
        }

        .modal_TCPA_container .title {
          margin: 3px auto 5% auto;
          color: #83d2ff;
          width: 100%;
          font-size: 24px;
          text-align: center;
        }

        .modal_TCPA_confirmation .modal_TCPA_container .title h1 {
          color: #ff5d5d;
        }

        .modal_TCPA_container .reminder {
          margin: 0 0 5% 0;
          color: #a6a6a6;
          font-size: 1.2em;
          text-align: center;
        }

        .modal_TCPA_container .reminder {
          color: #909090;
        }

        .modal_TCPA_confirmation .modal_TCPA_container .button_action a:first-child {
          border: 1px solid #5aa362;
        }

        .modal_TCPA_container .button_action .confirm {
          background: #5aa362;
          color: #fff;
        }

        .modal_TCPA_confirmation .modal_TCPA_container .button_action .disregard {
          color: #a6a6a6;
        }

        @media only screen and (max-width: 420px) {

          /* mobile */
          .tcpadiv {
            grid-template-columns: 1fr 1.5fr;
            font-size: 11px;
          }

          .tcpadiv p,
          .tcpadiv button {
            font-size: 11px;
          }

          modal_TCPA_container .button_action a {
            display: flex;
            align-items: center;
            justify-content: center;
            max-width: 300px;
            width: 100%;
            margin: 0 12px;
            border: 1px solid #a6a6a6;
            text-decoration: none;
            border-radius: 6px;
            cursor: pointer;
            font-size: 1.25em;
            font-weight: 600;
          }

          .modal_TCPA_confirmation .modal_TCPA_container {
            width: 90%;
            top: 14%;
            position: relative;
          }

          .modal_TCPA_container .title h1 {
            font-size: 1.25em;
            line-height: 28px;
          }

          .modal_TCPA_container .button_action {
            display: flex;
            justify-content: center;
            min-height: 50px;
          }
        }

        @media screen and (max-width: 500px) {
          .modal_TCPA_container .button_action a {
            height: 50px;
            max-width: 300px;
            margin-bottom: 15px;
          }

          .modal_TCPA_container .button_action {
            flex-direction: column;
            width: 100%;
            align-items: center;
            margin-bottom: 1rem;
          }
        }

        .iagree {
          width: 16px !important;
          height: 16px !important;
          /*margin-right: 5px !important;*/
          margin-top: 0 !important;
          background: none;
          border: none;
        }
      </style>
    </div>
  </div>
  <div class="modal_TCPA_confirmation" id="consent_modal" style="display: none;">
    <div class="modal_TCPA_container">
      <div class="title">
        <h1>Don't Forget To Review &amp; Confirm Your Profile Details</h1>
      </div>
      <div class="reminder"><span>(Click "Close &amp; Review" Then Check The Red Box)</span></div>
      <div class="button_action"><a href="#consent" class="confirm" onclick="close_modal();"><span>Close &amp; Review</span></a><a href="#consent" class="disregard" onclick="formSubmit(); close_modal();"><span>Disregard</span></a></div>
    </div>
  </div>
  <script>
    $('#consent_modal').hide();
  </script>
  <div class="row">
    <div class="col">
      <input type="submit" id="submit-btn" value="CONTINUE" onclick="">
    </div>
  </div>
  <input type="hidden" id="gender" name="gender" value="">
  <input type="hidden" id="city" name="city" value="">
  <input type="hidden" id="state" name="state" value="">
  <input type="hidden" id="leadid_token" name="universal_leadid" value="9D759878-4E63-A2EE-EEE8-0126CE2B531E">
  <input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/970d5aab332ba243ce724f9cd7bd0062437dd3d1" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
    value="https://cert.trustedform.com/970d5aab332ba243ce724f9cd7bd0062437dd3d1" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.uldDlH6CgGSIt5nz_6Vxf-UFX6VyAqANpkxfzRz8vo20HjULCfj9gAOhOqk_VoYk11dlIGOj.cSq3raVlOSTEpQY7kURk8w.XzyrK70658qYVCKWl3tB7Q" id="xxTrustedFormPingUrl_0">
</form>

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I confirm all my information is accurate and consent to be texted as provided
below.

By checking the box below I expressly consent to receive marketing and
informational phone calls and text messages from Section8AssistanceForYou,
Unified Marketing Partners LLC, and our Marketing Partners on the land line
and/or mobile number I provided. I confirm that the phone number set forth above
is accurate and I am the regular user of the phone. I understand these calls may
be generated using an autodialer and may contain pre-recorded and artificial
voice messages and I do not need to check the box to participate in the deals
promoted, offers or to claim a Reward. For SMS message campaigns: Text STOP to
stop and HELP for help. Msg & data rates may apply. Periodic messages; max. 30 /
month.

By clicking below, I agree to receive relevant email from
Section8AssistanceForYou & Fortifynance, and other marketing partners, the Terms
& Conditions (which include mandatory arbitration), and the Privacy Policy.




DON'T FORGET TO REVIEW & CONFIRM YOUR PROFILE DETAILS

(Click "Close & Review" Then Check The Red Box)
Close & ReviewDisregard


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