{"id":176,"date":"2020-10-02T22:50:32","date_gmt":"2020-10-02T22:50:32","guid":{"rendered":"https:\/\/credit.savagesquad.com\/?page_id=176"},"modified":"2025-11-03T19:27:20","modified_gmt":"2025-11-03T19:27:20","slug":"sign_up","status":"publish","type":"page","link":"https:\/\/credit.savagesquad.com\/index.php\/sign_up\/","title":{"rendered":"Sign Up"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#ffbc40&#8243; module_alignment=&#8221;center&#8221; min_height=&#8221;182px&#8221; custom_margin=&#8221;||3px|||&#8221; custom_padding=&#8221;80px||80px||true|false&#8221; custom_padding_tablet=&#8221;80px|80px|80px|80px|true|true&#8221; custom_padding_phone=&#8221;40px|40px|40px|40px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; width=&#8221;100%&#8221; max_width=&#8221;980px&#8221; max_width_tablet=&#8221;980px&#8221; max_width_phone=&#8221;980px&#8221; max_width_last_edited=&#8221;on|tablet&#8221; module_alignment=&#8221;center&#8221; min_height_tablet=&#8221;&#8221; min_height_phone=&#8221;&#8221; min_height_last_edited=&#8221;on|desktop&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|phone&#8221; max_height_tablet=&#8221;&#8221; max_height_phone=&#8221;&#8221; max_height_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;0px|0px|-34px|0px|false|false&#8221; custom_margin_tablet=&#8221;0px|0px|-173px|0px|false|false&#8221; custom_margin_phone=&#8221;0px|0px|0px|0px|false|false&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;6px|63px|6px|63px|true|true&#8221; custom_padding_tablet=&#8221;||||true|true&#8221; custom_padding_phone=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat|800|on|||on|||&#8221; text_text_color=&#8221;#101010&#8243; text_font_size=&#8221;50px&#8221; text_line_height=&#8221;1em&#8221; header_font=&#8221;|600|||||||&#8221; header_font_size=&#8221;24px&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;|-64px||-42px||&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; custom_padding_tablet=&#8221;2px||2px||true|false&#8221; custom_padding_phone=&#8221;0px||20px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Let&#8217;s Get savage with your Credit!<\/span><\/p>\n<div id=\"gtx-trans\" style=\"position: absolute; left: -244px; top: 38px;\">\n<div class=\"gtx-trans-icon\"><\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/credit.savagesquad.com\/wp-content\/uploads\/2024\/04\/ss_home_texture_bg.png&#8221; min_height=&#8221;1288px&#8221; custom_padding=&#8221;4px||4px||true|false&#8221; custom_padding_tablet=&#8221;0px||0px||true|false&#8221; custom_padding_phone=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221; custom_margin=&#8221;-55px|||||&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;100%&#8221; width_last_edited=&#8221;on|phone&#8221; max_width=&#8221;980px&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; custom_css_main_element=&#8221;overflow: hidden !important;&#8221; custom_css_free_form=&#8221;<\/p>\n<form action=%22https:\/\/pulse.disputeprocess.com\/CustumFieldController%22 onsubmit=%22return submitForm(this);%22 enctype=%22multipart\/form-data%22 method=%22POST%22 style=%22width: 100%;max-width: 700px;min-height: 100px;min-width: auto; margin: 49px auto 50px; padding: 36px 10px 90px;clear: both; border: 5px solid #dae0eb; border-radius: 5px; font-family: Lato, sans-serif; color: #363d4b; line-height: 18px;%22><input type=%22hidden%22 name=%22method%22 value=%22addWebFormData%22><input type=%22hidden%22 name=%22tab_info_id%22 value=%22bEkwVmpSaXE0THlmemlUNWV3L3Jtdz09%22><input type=%22hidden%22 name=%22redirect_url%22 value=%22https:\/\/portal.savagesquad.com\/Portal\/meeting.jsp?id=7ff2e042-ac2f-41f4-bae3-24fdb1f43d65%22><input type=%22hidden%22 name=%22company_id%22 value=%22VGhseWE3WVFyZnhkSTBnT0lzUm5JUT09%22><input type=%22hidden%22 name=%22cust_type%22 value=%222%22><input type=%22hidden%22 name=%22add_affiliate_flag%22 value=%220%22><input type=%22hidden%22 name=%22assignedto_id%22 value=%2210202%22><input type=%22hidden%22 name=%22sales_representative_id%22 value=%2210202%22><input type=%22hidden%22 name=%22workflow_statusid%22 value=%2230%22><input type=%22hidden%22 name=%22folder_statusid%22 value=%221%22><input type=%22hidden%22 name=%22customer_statusid%22 value=%225234%22><input type=%22hidden%22 name=%22portalAccess%22 value=%221%22><input type=%22hidden%22 name=%22customerAgreementIDs%22 value=%221633%22><\/p>\n<div><img id=%22companyLogoForCustomInstall%22 src=%22https:\/\/pulse.disputeprocess.com\/\/static-resources\/company-logo\/c433e3d7-2486-4638-b682-0a7b310d037c.png%22 alt=%22%22 style=%22display: block; margin: 0 auto; border: 0; width: 300px;%22><\/div>\n<p style=%22margin-bottom: 4px; text-align: center; font-size: 30px; line-height: 30px; font-weight: 700;%22 >ENTER DETAILS BELOW<\/p>\n<p style=%22margin-bottom: 20px; font-size: 15px; text-align: center;%22 >Then check your email. If you Don&#8217;t have Identity IQ, Sign Up after you Submit Form.<\/p>\n<div style=%22display: grid; grid-template-columns: auto auto;%22>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>First Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22firstName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22lastName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Email<\/label><\/p>\n<div><input type=%22email%22 name=%22email%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Current Address<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22currentAddress%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>City<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22city%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>State<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22state%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>ZIP CODE<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22zipCode%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22> <label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Date Of Birth<\/label> <\/p>\n<div><input type=%22date%22 name=%22dateOfBirth%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22 required><\/div>\n<\/p><\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Mobile Phone<\/label><\/p>\n<div><input type=%22text%22 name=%22mobilePhone%22 placeholder=%22(___) ___-____%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last 4 digits of Social Security Number<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22socialSecurityNumber%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>To Expedite: Full Social Security Number <\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22socialSecurityNumber2%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>How did you hear about us?<\/label><\/p>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22google%22 > Google <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22referredByPersonBusiness%22 > Referred by Person\/Business <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22foundUsOnSocialMedia%22 > Found us on Social Media <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22other%22 > Other <\/label><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>If Referred: (Name or Company)?<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22textField1%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Enter Identity IQ Login\/Password<\/label><\/p>\n<div><textarea type=%22text%22 name=%22textArea1%22 placeholder=%22Write text here..%22 style = %22height: 45px; margin-bottom: 0px;font-family: Lato, sans-serif; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/textarea><\/div>\n<\/div>\n<\/div>\n<div style=%22margin: 10px; float: left;%22><button type=%22submit%22 class=%22btn btn-info%22style = %22display: block; margin-top: 0px;padding-top: 20px; padding-bottom: 20px;border-radius: 8px; background-color: #1192f4; font-size: 15px; font-weight: 900;padding: 9px 15px;color: white;border: 0;line-height: 33px;text-decoration: none;cursor: pointer;%22> Submit <\/button><\/div>\n<\/form>\n<p> <script> var formData1 = new FormData(); const submitForm = function submitForm(form) { var elements = form; var formData = new FormData(); var firstName=%22%22, lastName=%22%22,currentAddress=%22%22,city=%22%22,state=%22%22,zipCode=%22%22,mobilePhone=%22%22,email=%22%22, userPassword=%22%22; for (var i = 0; i < elements.length; i++) { var currentElement = elements%91i%93.name; if(currentElement.includes(%22firstName%22)) firstName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined? elements%91i%93.value : %22%22; if(currentElement.includes(%22lastName%22)) lastName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22currentAddress%22)) currentAddress = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22city%22)) city = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22state%22)) state = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22zipCode%22)) zipCode = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22mobilePhone%22)) mobilePhone = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22monitoringUsername%22)) email = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22password%22)) userPassword = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if (currentElement.includes(%22socialSecurityNumber%22)) { if(elements%91i%93.value.length > 0){ var ssnValidResult = SSNValidation(elements%91i%93.value); if(!ssnValidResult) return false; } } if (currentElement.includes(%22selectBoxes%22)) { var obj = {}; obj%91elements%91i%93.value%93 = elements%91i%93.checked ? true : false; try { formData.append(elements%91i%93.name, JSON.stringify(obj)); } catch (error) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22uploadDocument%22)) { formData.append(currentElement, elements%91i%93.value+%22~~~~%22+formData1.get(currentElement)); } else if (currentElement.includes(%22radio%22)) { if (elements%91i%93.checked) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22checkbox%22)) { formData.append(elements%91i%93.name, elements%91i%93.checked ); }else { formData.append(elements%91i%93.name, elements%91i%93.value); } } var xmlHttp = new XMLHttpRequest(); xmlHttp.onreadystatechange = function() { if (xmlHttp.readyState == 4 && xmlHttp.status == 200) { redirectUrl = xmlHttp.responseText; if (redirectUrl != %22%22 && ! redirectUrl.includes(%22Account is in-activated%22)) { if(redirectUrl.includes(%22para=1%22)) redirectUrl += %22&firstname=%22+firstName+%22&lastname=%22+lastName+%22&bill_address=%22+currentAddress+%22&bill_city=%22+city+%22&bill_state=%22+state+%22&bill_zip=%22+zipCode+%22&phone=%22+mobilePhone+%22&email=%22+email+%22&pGUID=%22+btoa(userPassword); redirectUrl = redirectUrl.indexOf(%22http%22) > -1 ? redirectUrl : %22http:\/\/%22+redirectUrl; window.location.replace(redirectUrl); } if (redirectUrl != %22%22 && redirectUrl.includes(%22Account is in-activated%22)) { alert(%22Account Inactive: We apologize, but the service associated with this link is currently inactive. Please contact the business or individual who provided you with this link for further assistance. Thank you for your understanding%22); } } }; xmlHttp.open(%22post%22, %22https:\/\/pulse.disputeprocess.com\/CustumFieldController?method=addWebFormData%22); xmlHttp.send(formData); alert(%22Submission Complete%22); return false; }; function SSNValidation(ssn) { var matchArr = ssn.match(\/^%910-9%93+$\/); if (matchArr == null) { alert(%22Invalid SSN. Digits only.%22); return false; } else if(matchArr%910%93.length > 9){ alert(%22SSN number should be 9 digits only.%22); return false; }else if(matchArr%910%93.length < 4){ alert(%22Please enter last 4 digits of SSN.%22); return false; } else{ return true; } } var convertToBinaryData=function(thisEle) { if((thisEle.files%910%93.size\/ (1024*1024)).toFixed(2)>10){ thisEle.style.border=%221px solid red%22; thisEle.value=''; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22File upload size should be less than 10MB%22 ); return false; }else if(thisEle.files%910%93.name.includes('.heic') || %91%22png%22,%22jpg%22,%22jpeg%22,%22heic%22,%22heif%22,%22pdf%22,%22html%22,%22htm%22%93.includes(thisEle.files%910%93.type.split(%22\/%22)%911%93) ) { const f = thisEle.files%910%93; const reader = new FileReader(); reader.onload = function(evt) { const contents = evt.target.result; formData1.append(thisEle.name, contents); }; reader.readAsDataURL(f); }else { thisEle.value=''; thisEle.style.border=%221px solid red%22; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22Please upload .png, .jpg, .jpeg, .heic, .pdf, .html, .htm format file types only%22 ); return false; } }<\/script>&#8221; global_colors_info=&#8221;{}&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; custom_padding_tablet=&#8221;0px||0px||true|false&#8221; custom_padding_phone=&#8221;0px||0px||true|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_code raw_content_tablet=&#8221;<\/p>\n<form action=%22https:\/\/pulse.disputeprocess.com\/CustumFieldController%22 onsubmit=%22return submitForm(this);%22 enctype=%22multipart\/form-data%22 method=%22POST%22 style=%22width: 100%;max-width: 700px;min-height: 100px;min-width: auto; margin: 49px auto 50px; padding: 36px 10px 90px;clear: both; border: 5px solid #dae0eb; border-radius: 5px; font-family: Lato, sans-serif; color: #363d4b; line-height: 18px;%22><input type=%22hidden%22 name=%22method%22 value=%22addWebFormData%22><input type=%22hidden%22 name=%22tab_info_id%22 value=%22bEkwVmpSaXE0THlmemlUNWV3L3Jtdz09%22><input type=%22hidden%22 name=%22redirect_url%22 value=%22https:\/\/portal.savagesquad.com\/Portal\/meeting.jsp?id=7ff2e042-ac2f-41f4-bae3-24fdb1f43d65%22><input type=%22hidden%22 name=%22company_id%22 value=%22VGhseWE3WVFyZnhkSTBnT0lzUm5JUT09%22><input type=%22hidden%22 name=%22cust_type%22 value=%222%22><input type=%22hidden%22 name=%22add_affiliate_flag%22 value=%220%22><input type=%22hidden%22 name=%22assignedto_id%22 value=%2210202%22><input type=%22hidden%22 name=%22sales_representative_id%22 value=%2210202%22><input type=%22hidden%22 name=%22workflow_statusid%22 value=%2230%22><input type=%22hidden%22 name=%22folder_statusid%22 value=%221%22><input type=%22hidden%22 name=%22customer_statusid%22 value=%225234%22><input type=%22hidden%22 name=%22portalAccess%22 value=%221%22><input type=%22hidden%22 name=%22customerAgreementIDs%22 value=%221633%22><\/p>\n<div><img id=%22companyLogoForCustomInstall%22 src=%22https:\/\/pulse.disputeprocess.com\/\/static-resources\/company-logo\/c433e3d7-2486-4638-b682-0a7b310d037c.png%22 alt=%22%22 style=%22display: block; margin: 0 auto; border: 0; width: 300px;%22><\/div>\n<p style=%22margin-bottom: 4px; text-align: center; font-size: 30px; line-height: 30px; font-weight: 700;%22 >Enter your details below, then check your email for the Next Steps.<\/p>\n<p style=%22margin-bottom: 20px; font-size: 15px; text-align: center;%22 >\n<div style=%22display: grid; grid-template-columns: auto auto;%22>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>First Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22firstName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22lastName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Email<\/label><\/p>\n<div><input type=%22email%22 name=%22email%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Current Address<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22currentAddress%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>City<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22city%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>State<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22state%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>ZIP CODE<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22zipCode%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22> <label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Date Of Birth<\/label> <\/p>\n<div><input type=%22date%22 name=%22dateOfBirth%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22 required><\/div>\n<\/p><\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Mobile Phone<\/label><\/p>\n<div><input type=%22text%22 name=%22mobilePhone%22 placeholder=%22(___) ___-____%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last 4 digits of Social Security Number<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22socialSecurityNumber%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>How did you hear about us?<\/label><\/p>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22google%22 > Google <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22referredByPersonBusiness%22 > Referred by Person\/Business <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22foundUsOnSocialMedia%22 > Found us on Social Media <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22other%22 > Other <\/label><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>If Referred: (Name or Company)?<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22textField1%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Enter Identity IQ Login\/Password<\/label><\/p>\n<div><textarea type=%22text%22 name=%22textArea1%22 placeholder=%22Write text here..%22 style = %22height: 45px; margin-bottom: 0px;font-family: Lato, sans-serif; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/textarea><\/div>\n<\/div>\n<\/div>\n<div style=%22margin: 10px; float: left;%22><button type=%22submit%22 class=%22btn btn-info%22style = %22display: block; margin-top: 0px;padding-top: 20px; padding-bottom: 20px;border-radius: 8px; background-color: #1192f4; font-size: 15px; font-weight: 900;padding: 9px 15px;color: white;border: 0;line-height: 33px;text-decoration: none;cursor: pointer;%22> Submit <\/button><\/div>\n<\/form>\n<p> <script> var formData1 = new FormData(); const submitForm = function submitForm(form) { var elements = form; var formData = new FormData(); var firstName=%22%22, lastName=%22%22,currentAddress=%22%22,city=%22%22,state=%22%22,zipCode=%22%22,mobilePhone=%22%22,email=%22%22, userPassword=%22%22; for (var i = 0; i < elements.length; i++) { var currentElement = elements%91i%93.name; if(currentElement.includes(%22firstName%22)) firstName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined? elements%91i%93.value : %22%22; if(currentElement.includes(%22lastName%22)) lastName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22currentAddress%22)) currentAddress = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22city%22)) city = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22state%22)) state = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22zipCode%22)) zipCode = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22mobilePhone%22)) mobilePhone = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22monitoringUsername%22)) email = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22password%22)) userPassword = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if (currentElement.includes(%22socialSecurityNumber%22)) { if(elements%91i%93.value.length > 0){ var ssnValidResult = SSNValidation(elements%91i%93.value); if(!ssnValidResult) return false; } } if (currentElement.includes(%22selectBoxes%22)) { var obj = {}; obj%91elements%91i%93.value%93 = elements%91i%93.checked ? true : false; try { formData.append(elements%91i%93.name, JSON.stringify(obj)); } catch (error) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22uploadDocument%22)) { formData.append(currentElement, elements%91i%93.value+%22~~~~%22+formData1.get(currentElement)); } else if (currentElement.includes(%22radio%22)) { if (elements%91i%93.checked) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22checkbox%22)) { formData.append(elements%91i%93.name, elements%91i%93.checked ); }else { formData.append(elements%91i%93.name, elements%91i%93.value); } } var xmlHttp = new XMLHttpRequest(); xmlHttp.onreadystatechange = function() { if (xmlHttp.readyState == 4 && xmlHttp.status == 200) { redirectUrl = xmlHttp.responseText; if (redirectUrl != %22%22 && ! redirectUrl.includes(%22Account is in-activated%22)) { if(redirectUrl.includes(%22para=1%22)) redirectUrl += %22&firstname=%22+firstName+%22&lastname=%22+lastName+%22&bill_address=%22+currentAddress+%22&bill_city=%22+city+%22&bill_state=%22+state+%22&bill_zip=%22+zipCode+%22&phone=%22+mobilePhone+%22&email=%22+email+%22&pGUID=%22+btoa(userPassword); redirectUrl = redirectUrl.indexOf(%22http%22) > -1 ? redirectUrl : %22http:\/\/%22+redirectUrl; window.location.replace(redirectUrl); } if (redirectUrl != %22%22 && redirectUrl.includes(%22Account is in-activated%22)) { alert(%22Account Inactive: We apologize, but the service associated with this link is currently inactive. Please contact the business or individual who provided you with this link for further assistance. Thank you for your understanding%22); } } }; xmlHttp.open(%22post%22, %22https:\/\/pulse.disputeprocess.com\/CustumFieldController?method=addWebFormData%22); xmlHttp.send(formData); alert(%22Submission Complete%22); return false; }; function SSNValidation(ssn) { var matchArr = ssn.match(\/^%910-9%93+$\/); if (matchArr == null) { alert(%22Invalid SSN. Digits only.%22); return false; } else if(matchArr%910%93.length > 9){ alert(%22SSN number should be 9 digits only.%22); return false; }else if(matchArr%910%93.length < 4){ alert(%22Please enter last 4 digits of SSN.%22); return false; } else{ return true; } } var convertToBinaryData=function(thisEle) { if((thisEle.files%910%93.size\/ (1024*1024)).toFixed(2)>10){ thisEle.style.border=%221px solid red%22; thisEle.value=''; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22File upload size should be less than 10MB%22 ); return false; }else if(thisEle.files%910%93.name.includes('.heic') || %91%22png%22,%22jpg%22,%22jpeg%22,%22heic%22,%22heif%22,%22pdf%22,%22html%22,%22htm%22%93.includes(thisEle.files%910%93.type.split(%22\/%22)%911%93) ) { const f = thisEle.files%910%93; const reader = new FileReader(); reader.onload = function(evt) { const contents = evt.target.result; formData1.append(thisEle.name, contents); }; reader.readAsDataURL(f); }else { thisEle.value=''; thisEle.style.border=%221px solid red%22; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22Please upload .png, .jpg, .jpeg, .heic, .pdf, .html, .htm format file types only%22 ); return false; } }<\/script>&#8221; raw_content_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.27.4&#8243; width=&#8221;100%&#8221; min_height=&#8221;1080px&#8221; min_height_tablet=&#8221;1080px&#8221; min_height_phone=&#8221;1126px&#8221; min_height_last_edited=&#8221;on|desktop&#8221; custom_margin=&#8221;-89px||-39px||false|false&#8221; custom_margin_tablet=&#8221;-59px||-40px||false|false&#8221; custom_margin_phone=&#8221;||-5px||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px||0px|0px||&#8221; animation_style=&#8221;roll&#8221; animation_duration=&#8221;1050ms&#8221; global_colors_info=&#8221;{}&#8221; raw_content_phone=&#8221;<\/p>\n<form action=%22https:\/\/pulse.disputeprocess.com\/CustumFieldController%22 onsubmit=%22return submitForm(this);%22 enctype=%22multipart\/form-data%22 method=%22POST%22 style=%22width: 100%;max-width: 700px;min-height: 100px;min-width: auto; margin: 49px auto 50px; padding: 36px 10px 90px;clear: both; border: 5px solid #dae0eb; border-radius: 5px; font-family: Lato, sans-serif; color: #363d4b; line-height: 18px;%22><input type=%22hidden%22 name=%22method%22 value=%22addWebFormData%22><input type=%22hidden%22 name=%22tab_info_id%22 value=%22bEkwVmpSaXE0THlmemlUNWV3L3Jtdz09%22><input type=%22hidden%22 name=%22redirect_url%22 value=%22https:\/\/portal.savagesquad.com\/Portal\/meeting.jsp?id=7ff2e042-ac2f-41f4-bae3-24fdb1f43d65%22><input type=%22hidden%22 name=%22company_id%22 value=%22VGhseWE3WVFyZnhkSTBnT0lzUm5JUT09%22><input type=%22hidden%22 name=%22cust_type%22 value=%222%22><input type=%22hidden%22 name=%22add_affiliate_flag%22 value=%220%22><input type=%22hidden%22 name=%22assignedto_id%22 value=%2210202%22><input type=%22hidden%22 name=%22sales_representative_id%22 value=%2210202%22><input type=%22hidden%22 name=%22workflow_statusid%22 value=%2230%22><input type=%22hidden%22 name=%22folder_statusid%22 value=%221%22><input type=%22hidden%22 name=%22customer_statusid%22 value=%225234%22><input type=%22hidden%22 name=%22portalAccess%22 value=%221%22><input type=%22hidden%22 name=%22customerAgreementIDs%22 value=%221633%22><\/p>\n<div><img id=%22companyLogoForCustomInstall%22 src=%22https:\/\/pulse.disputeprocess.com\/\/static-resources\/company-logo\/c433e3d7-2486-4638-b682-0a7b310d037c.png%22 alt=%22%22 style=%22display: block; margin: 0 auto; border: 0; width: 300px;%22><\/div>\n<p style=%22margin-bottom: 4px; text-align: center; font-size: 30px; line-height: 30px; font-weight: 700;%22 >Enter your details below, then check your email for the Next Steps.<\/p>\n<p style=%22margin-bottom: 20px; font-size: 15px; text-align: center;%22 >\n<div style=%22display: grid; grid-template-columns: auto auto;%22>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>First Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22firstName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last Name<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22lastName%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Email<\/label><\/p>\n<div><input type=%22email%22 name=%22email%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Current Address<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22currentAddress%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>City<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22city%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>State<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22state%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>ZIP CODE<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22zipCode%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22> <label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Date Of Birth<\/label> <\/p>\n<div><input type=%22date%22 name=%22dateOfBirth%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22 required><\/div>\n<\/p><\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Mobile Phone<\/label><\/p>\n<div><input type=%22text%22 name=%22mobilePhone%22 placeholder=%22(___) ___-____%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Last 4 digits of Social Security Number<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22socialSecurityNumber%22 required style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style = %22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>How did you hear about us?<\/label><\/p>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22google%22 > Google <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22referredByPersonBusiness%22 > Referred by Person\/Business <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22foundUsOnSocialMedia%22 > Found us on Social Media <\/label><\/div>\n<div><label> <input type=%22checkbox%22 name=%22selectBoxes1%22 value=%22other%22 > Other <\/label><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22 margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>If Referred: (Name or Company)?<\/label><\/p>\n<div style=%22%22><input type=%22text%22 class=%22form-control%22 name = %22textField1%22 style = %22height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/div>\n<\/div>\n<div style=%22margin: 10px;%22><label style=%22margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;%22>Enter Identity IQ Login\/Password<\/label><\/p>\n<div><textarea type=%22text%22 name=%22textArea1%22 placeholder=%22Write text here..%22 style = %22height: 45px; margin-bottom: 0px;font-family: Lato, sans-serif; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;%22><\/textarea><\/div>\n<\/div>\n<\/div>\n<div style=%22margin: 10px; float: left;%22><button type=%22submit%22 class=%22btn btn-info%22style = %22display: block; margin-top: 0px;padding-top: 20px; padding-bottom: 20px;border-radius: 8px; background-color: #1192f4; font-size: 15px; font-weight: 900;padding: 9px 15px;color: white;border: 0;line-height: 33px;text-decoration: none;cursor: pointer;%22> Submit <\/button><\/div>\n<\/form>\n<p> <script> var formData1 = new FormData(); const submitForm = function submitForm(form) { var elements = form; var formData = new FormData(); var firstName=%22%22, lastName=%22%22,currentAddress=%22%22,city=%22%22,state=%22%22,zipCode=%22%22,mobilePhone=%22%22,email=%22%22, userPassword=%22%22; for (var i = 0; i < elements.length; i++) { var currentElement = elements%91i%93.name; if(currentElement.includes(%22firstName%22)) firstName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined? elements%91i%93.value : %22%22; if(currentElement.includes(%22lastName%22)) lastName = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22currentAddress%22)) currentAddress = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22city%22)) city = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22state%22)) state = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22zipCode%22)) zipCode = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22mobilePhone%22)) mobilePhone = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22monitoringUsername%22)) email = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if(currentElement.includes(%22password%22)) userPassword = elements%91i%93.value.length > 0 && elements%91i%93.value != undefined ? elements%91i%93.value : %22%22; if (currentElement.includes(%22socialSecurityNumber%22)) { if(elements%91i%93.value.length > 0){ var ssnValidResult = SSNValidation(elements%91i%93.value); if(!ssnValidResult) return false; } } if (currentElement.includes(%22selectBoxes%22)) { var obj = {}; obj%91elements%91i%93.value%93 = elements%91i%93.checked ? true : false; try { formData.append(elements%91i%93.name, JSON.stringify(obj)); } catch (error) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22uploadDocument%22)) { formData.append(currentElement, elements%91i%93.value+%22~~~~%22+formData1.get(currentElement)); } else if (currentElement.includes(%22radio%22)) { if (elements%91i%93.checked) { formData.append(elements%91i%93.name, elements%91i%93.value); } } else if (currentElement.includes(%22checkbox%22)) { formData.append(elements%91i%93.name, elements%91i%93.checked ); }else { formData.append(elements%91i%93.name, elements%91i%93.value); } } var xmlHttp = new XMLHttpRequest(); xmlHttp.onreadystatechange = function() { if (xmlHttp.readyState == 4 && xmlHttp.status == 200) { redirectUrl = xmlHttp.responseText; if (redirectUrl != %22%22 && ! redirectUrl.includes(%22Account is in-activated%22)) { if(redirectUrl.includes(%22para=1%22)) redirectUrl += %22&firstname=%22+firstName+%22&lastname=%22+lastName+%22&bill_address=%22+currentAddress+%22&bill_city=%22+city+%22&bill_state=%22+state+%22&bill_zip=%22+zipCode+%22&phone=%22+mobilePhone+%22&email=%22+email+%22&pGUID=%22+btoa(userPassword); redirectUrl = redirectUrl.indexOf(%22http%22) > -1 ? redirectUrl : %22http:\/\/%22+redirectUrl; window.location.replace(redirectUrl); } if (redirectUrl != %22%22 && redirectUrl.includes(%22Account is in-activated%22)) { alert(%22Account Inactive: We apologize, but the service associated with this link is currently inactive. Please contact the business or individual who provided you with this link for further assistance. Thank you for your understanding%22); } } }; xmlHttp.open(%22post%22, %22https:\/\/pulse.disputeprocess.com\/CustumFieldController?method=addWebFormData%22); xmlHttp.send(formData); alert(%22Submission Complete%22); return false; }; function SSNValidation(ssn) { var matchArr = ssn.match(\/^%910-9%93+$\/); if (matchArr == null) { alert(%22Invalid SSN. Digits only.%22); return false; } else if(matchArr%910%93.length > 9){ alert(%22SSN number should be 9 digits only.%22); return false; }else if(matchArr%910%93.length < 4){ alert(%22Please enter last 4 digits of SSN.%22); return false; } else{ return true; } } var convertToBinaryData=function(thisEle) { if((thisEle.files%910%93.size\/ (1024*1024)).toFixed(2)>10){ thisEle.style.border=%221px solid red%22; thisEle.value=''; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22File upload size should be less than 10MB%22 ); return false; }else if(thisEle.files%910%93.name.includes('.heic') || %91%22png%22,%22jpg%22,%22jpeg%22,%22heic%22,%22heif%22,%22pdf%22,%22html%22,%22htm%22%93.includes(thisEle.files%910%93.type.split(%22\/%22)%911%93) ) { const f = thisEle.files%910%93; const reader = new FileReader(); reader.onload = function(evt) { const contents = evt.target.result; formData1.append(thisEle.name, contents); }; reader.readAsDataURL(f); }else { thisEle.value=''; thisEle.style.border=%221px solid red%22; setTimeout(function(){thisEle.style.border=%221px none rgb(218, 224, 235)%22; }, 5000); alert(%22Please upload .png, .jpg, .jpeg, .heic, .pdf, .html, .htm format file types only%22 ); return false; } }<\/script>&#8220;]<\/p>\n<form action=\"https:\/\/pulse.disputeprocess.com\/CustumFieldController\" onsubmit=\"return submitForm(this);\" enctype=\"multipart\/form-data\" method=\"POST\" style=\"width: 100%;max-width: 700px;min-height: 100px;min-width: auto; margin: 49px auto 50px; padding: 36px 10px 90px;clear: both; border: 5px solid #dae0eb; border-radius: 5px; font-family: Lato, sans-serif; color: #363d4b; line-height: 18px;\"><input type=\"hidden\" name=\"method\" value=\"addWebFormData\"><input type=\"hidden\" name=\"tab_info_id\" value=\"bEkwVmpSaXE0THlmemlUNWV3L3Jtdz09\"><input type=\"hidden\" name=\"redirect_url\" value=\"https:\/\/portal.savagesquad.com\/Portal\/meeting.jsp?id=7ff2e042-ac2f-41f4-bae3-24fdb1f43d65\"><input type=\"hidden\" name=\"company_id\" value=\"VGhseWE3WVFyZnhkSTBnT0lzUm5JUT09\"><input type=\"hidden\" name=\"cust_type\" value=\"2\"><input type=\"hidden\" name=\"add_affiliate_flag\" value=\"0\"><input type=\"hidden\" name=\"assignedto_id\" value=\"10202\"><input type=\"hidden\" name=\"sales_representative_id\" value=\"10202\"><input type=\"hidden\" name=\"workflow_statusid\" value=\"30\"><input type=\"hidden\" name=\"folder_statusid\" value=\"1\"><input type=\"hidden\" name=\"customer_statusid\" value=\"5234\"><input type=\"hidden\" name=\"portalAccess\" value=\"1\"><input type=\"hidden\" name=\"customerAgreementIDs\" value=\"1633\"><\/p>\n<div><img decoding=\"async\" id=\"companyLogoForCustomInstall\" src=\"https:\/\/pulse.disputeprocess.com\/\/static-resources\/company-logo\/c433e3d7-2486-4638-b682-0a7b310d037c.png\" alt=\"\" style=\"display: block; margin: 0 auto; border: 0; width: 300px;\"><\/div>\n<pee style=\"margin-bottom: 4px; text-align: center; font-size: 30px; line-height: 30px; font-weight: 700;\" >Enter your details below, then check your email for the Next Steps.<\/pee><pee style=\"margin-bottom: 20px; font-size: 15px; text-align: center;\" ><\/pee>\n<div style=\"display: grid; grid-template-columns: auto auto;\">\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">First Name<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"firstName\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Last Name<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"lastName\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\"margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Email<\/label><\/p>\n<div><input type=\"email\" name=\"email\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Current Address<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"currentAddress\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">City<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"city\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">State<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"state\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">ZIP CODE<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"zipCode\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"> <label style=\"margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Date Of Birth<\/label> <\/p>\n<div><input type=\"date\" name=\"dateOfBirth\" style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\" required><\/div>\n<\/p><\/div>\n<div style=\"margin: 10px;\"><label style = \"margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Mobile Phone<\/label><\/p>\n<div><input type=\"text\" name=\"mobilePhone\" placeholder=\"(___) ___-____\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Last 4 digits of Social Security Number<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"socialSecurityNumber\" required style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style = \"margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">How did you hear about us?<\/label><\/p>\n<div><label> <input type=\"checkbox\" name=\"selectBoxes1\" value=\"google\" > Google <\/label><\/div>\n<div><label> <input type=\"checkbox\" name=\"selectBoxes1\" value=\"referredByPersonBusiness\" > Referred by Person\/Business <\/label><\/div>\n<div><label> <input type=\"checkbox\" name=\"selectBoxes1\" value=\"foundUsOnSocialMedia\" > Found us on Social Media <\/label><\/div>\n<div><label> <input type=\"checkbox\" name=\"selectBoxes1\" value=\"other\" > Other <\/label><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\" margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">If Referred: (Name or Company)?<\/label><\/p>\n<div style=\"\"><input type=\"text\" class=\"form-control\" name = \"textField1\" style = \"height: 45px; margin-bottom: 0px; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/div>\n<\/div>\n<div style=\"margin: 10px;\"><label style=\"margin-bottom: 0px; color: #475572; font-size: 13px; line-height: 16px; font-weight: 700;\">Enter Identity IQ Login\/Password<\/label><\/p>\n<div><textarea type=\"text\" name=\"textArea1\" placeholder=\"Write text here..\" style = \"height: 45px; margin-bottom: 0px;font-family: Lato, sans-serif; padding-top: 10px; padding-bottom: 10px; padding-left: 12px; border: 1px none #dae0eb; border-radius: 4px; background-color: rgba(241, 243, 246, 0.73); color: #242b3a; font-size: 16px; font-weight: 700;display: block; width: 100%;\"><\/textarea><\/div>\n<\/div>\n<\/div>\n<div style=\"margin: 10px; float: left;\"><button type=\"submit\" class=\"btn btn-info\"style = \"display: block; margin-top: 0px;padding-top: 20px; padding-bottom: 20px;border-radius: 8px; background-color: #1192f4; font-size: 15px; font-weight: 900;padding: 9px 15px;color: white;border: 0;line-height: 33px;text-decoration: none;cursor: pointer;\"> Submit <\/button><\/div>\n<\/form>\n<p> <script> var formData1 = new FormData(); const submitForm = function submitForm(form) { var elements = form; var formData = new FormData(); var firstName=\"\", lastName=\"\",currentAddress=\"\",city=\"\",state=\"\",zipCode=\"\",mobilePhone=\"\",email=\"\", userPassword=\"\"; for (var i = 0; i < elements.length; i++) { var currentElement = elements[i].name; if(currentElement.includes(\"firstName\")) firstName = elements[i].value.length > 0 && elements[i].value != undefined? elements[i].value : \"\"; if(currentElement.includes(\"lastName\")) lastName = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"currentAddress\")) currentAddress = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"city\")) city = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"state\")) state = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"zipCode\")) zipCode = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"mobilePhone\")) mobilePhone = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"monitoringUsername\")) email = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if(currentElement.includes(\"password\")) userPassword = elements[i].value.length > 0 && elements[i].value != undefined ? elements[i].value : \"\"; if (currentElement.includes(\"socialSecurityNumber\")) { if(elements[i].value.length > 0){ var ssnValidResult = SSNValidation(elements[i].value); if(!ssnValidResult) return false; } } if (currentElement.includes(\"selectBoxes\")) { var obj = {}; obj[elements[i].value] = elements[i].checked ? true : false; try { formData.append(elements[i].name, JSON.stringify(obj)); } catch (error) { formData.append(elements[i].name, elements[i].value); } } else if (currentElement.includes(\"uploadDocument\")) { formData.append(currentElement, elements[i].value+\"~~~~\"+formData1.get(currentElement)); } else if (currentElement.includes(\"radio\")) { if (elements[i].checked) { formData.append(elements[i].name, elements[i].value); } } else if (currentElement.includes(\"checkbox\")) { formData.append(elements[i].name, elements[i].checked ); }else { formData.append(elements[i].name, elements[i].value); } } var xmlHttp = new XMLHttpRequest(); xmlHttp.onreadystatechange = function() { if (xmlHttp.readyState == 4 && xmlHttp.status == 200) { redirectUrl = xmlHttp.responseText; if (redirectUrl != \"\" && ! redirectUrl.includes(\"Account is in-activated\")) { if(redirectUrl.includes(\"para=1\")) redirectUrl += \"&firstname=\"+firstName+\"&lastname=\"+lastName+\"&bill_address=\"+currentAddress+\"&bill_city=\"+city+\"&bill_state=\"+state+\"&bill_zip=\"+zipCode+\"&phone=\"+mobilePhone+\"&email=\"+email+\"&pGUID=\"+btoa(userPassword); redirectUrl = redirectUrl.indexOf(\"http\") > -1 ? redirectUrl : \"http:\/\/\"+redirectUrl; window.location.replace(redirectUrl); } if (redirectUrl != \"\" && redirectUrl.includes(\"Account is in-activated\")) { alert(\"Account Inactive: We apologize, but the service associated with this link is currently inactive. Please contact the business or individual who provided you with this link for further assistance. Thank you for your understanding\"); } } }; xmlHttp.open(\"post\", \"https:\/\/pulse.disputeprocess.com\/CustumFieldController?method=addWebFormData\"); xmlHttp.send(formData); alert(\"Submission Complete\"); return false; }; function SSNValidation(ssn) { var matchArr = ssn.match(\/^[0-9]+$\/); if (matchArr == null) { alert(\"Invalid SSN. Digits only.\"); return false; } else if(matchArr[0].length > 9){ alert(\"SSN number should be 9 digits only.\"); return false; }else if(matchArr[0].length < 4){ alert(\"Please enter last 4 digits of SSN.\"); return false; } else{ return true; } } var convertToBinaryData=function(thisEle) { if((thisEle.files[0].size\/ (1024*1024)).toFixed(2)>10){ thisEle.style.border=\"1px solid red\"; thisEle.value=''; setTimeout(function(){thisEle.style.border=\"1px none rgb(218, 224, 235)\"; }, 5000); alert(\"File upload size should be less than 10MB\" ); return false; }else if(thisEle.files[0].name.includes('.heic') || [\"png\",\"jpg\",\"jpeg\",\"heic\",\"heif\",\"pdf\",\"html\",\"htm\"].includes(thisEle.files[0].type.split(\"\/\")[1]) ) { const f = thisEle.files[0]; const reader = new FileReader(); reader.onload = function(evt) { const contents = evt.target.result; formData1.append(thisEle.name, contents); }; reader.readAsDataURL(f); }else { thisEle.value=''; thisEle.style.border=\"1px solid red\"; setTimeout(function(){thisEle.style.border=\"1px none rgb(218, 224, 235)\"; }, 5000); alert(\"Please upload .png, .jpg, .jpeg, .heic, .pdf, .html, .htm format file types only\" ); return false; } }<\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#f2f2f2&#8243; module_alignment=&#8221;center&#8221; min_height=&#8221;660.7px&#8221; custom_margin_tablet=&#8221;||||false|true&#8221; custom_margin_phone=&#8221;-192px||57px||false|true&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;223px||223px||true|true&#8221; custom_padding_tablet=&#8221;|80px||80px|true|true&#8221; custom_padding_phone=&#8221;210px|40px|210px|40px|true|true&#8221; global_colors_info=&#8221;{}&#8221; custom_margin=&#8221;-81px||-231px|||&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; width=&#8221;100%&#8221; max_width=&#8221;980px&#8221; module_alignment=&#8221;center&#8221; min_height_tablet=&#8221;&#8221; min_height_phone=&#8221;&#8221; min_height_last_edited=&#8221;on|desktop&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|phone&#8221; max_height_tablet=&#8221;&#8221; max_height_phone=&#8221;&#8221; max_height_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_margin_tablet=&#8221;0px|0px|0px|0px|false|false&#8221; custom_margin_phone=&#8221;0px|0px|0px|0px|false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; custom_padding_tablet=&#8221;||||true|true&#8221; custom_padding_phone=&#8221;||||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Montserrat|800||on|||||&#8221; text_text_color=&#8221;#101010&#8243; text_font_size=&#8221;50px&#8221; text_line_height=&#8221;1em&#8221; width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; custom_padding_tablet=&#8221;0px||0px||true|false&#8221; custom_padding_phone=&#8221;0px||20px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Have a question?<span style=\"color: #f6bb43;\"> e<\/span><span style=\"color: #f6bb43;\">mail us<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_contact_form _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; _unique_id=&#8221;d4e46d67-8a91-423f-bce0-746f4b1e326a&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_contact_field field_id=&#8221;Name&#8221; field_title=&#8221;Name&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_contact_field][et_pb_contact_field field_id=&#8221;Email&#8221; field_title=&#8221;Email Address&#8221; field_type=&#8221;email&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_contact_field][et_pb_contact_field field_id=&#8221;Message&#8221; field_title=&#8221;Message&#8221; field_type=&#8221;text&#8221; fullwidth_field=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Let&#8217;s Get savage with your Credit! Have a question? email us<\/p>\n","protected":false},"author":3,"featured_media":1231,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-176","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/pages\/176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":22,"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/pages\/176\/revisions"}],"predecessor-version":[{"id":1251,"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/pages\/176\/revisions\/1251"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/media\/1231"}],"wp:attachment":[{"href":"https:\/\/credit.savagesquad.com\/index.php\/wp-json\/wp\/v2\/media?parent=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}