totalcardnow.com
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52.165.133.74
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Submitted URL: http://totalcardnow.com/Apply/3978bc8d-9306-406b-b816-92bf114d9a70
Effective URL: https://totalcardnow.com/Apply/3978bc8d-9306-406b-b816-92bf114d9a70
Submission: On November 01 via manual from IN — Scanned from DE
Effective URL: https://totalcardnow.com/Apply/3978bc8d-9306-406b-b816-92bf114d9a70
Submission: On November 01 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form method="post" id="PageForm" novalidate="novalidate">
<input type="hidden" id="LeadDetails_SessionId" name="LeadDetails.SessionId" value="3978bc8d-9306-406b-b816-92bf114d9a70">
<div class="row">
<!-- Registration -->
<div class="medium-6 columns" id="two">
<div class="reg-box">
<div class="row">
<div class="medium-12 columns">
<h1 class="form-title">Apply in 4 Easy Steps!</h1>
<img src="/images/step-bar_01-v2.png" width="500" height="68" alt="Step 1 Start Application">
<p style="font-size:11px; margin: 0px 0px 20px 0px; color:darkred; font-weight:100;">*required fields</p>
</div>
</div>
<!-- First Name/Last Name -->
<div class="row">
<div class="medium-8 small-8 columns">
<label for="LeadDetails_FirstName" class="form-label">First Name <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.FirstName" data-valmsg-replace="true"></span>
<input type="text" data-val="true" data-val-length="The First Name must be between 2 and 40 characters long." data-val-length-max="40" data-val-length-min="2"
data-val-regex="First Name must contain letters only and be between 2 and 40 characters." data-val-regex-pattern="^[a-zA-Z\s]{2,40}$" data-val-required="Required" id="LeadDetails_FirstName" maxlength="40" name="LeadDetails.FirstName"
value="Zxsdv">
</div>
<div class="medium-4 small-4 columns">
<label for="LeadDetails_MiddleInitial" class="form-label">MI <span class="field-validation-valid" data-valmsg-for="LeadDetails.MiddleInitial" data-valmsg-replace="true"></span></label>
<input maxlength="1" type="text" id="LeadDetails_MiddleInitial" name="LeadDetails.MiddleInitial" value="4">
</div>
<div class="medium-8 small-8 columns">
<label for="LeadDetails_LastName" class="form-label">Last Name <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.LastName" data-valmsg-replace="true"></span>
<input type="text" data-val="true" data-val-length="The Last Name must be between 2 and 40 characters long." data-val-length-max="40" data-val-length-min="2"
data-val-regex="Last Name must contain letters only and be between 2 and 40 characters." data-val-regex-pattern="^[a-zA-Z\s]{2,40}$" data-val-required="Required" id="LeadDetails_LastName" maxlength="40" name="LeadDetails.LastName"
value="Ergh">
</div>
<div class="medium-4 small-4 columns">
<label for="LeadDetails_Suffix" class="form-label">Suffix</label>
<select id="LeadDetails_Suffix" name="LeadDetails.Suffix">
<option value=""></option>
<option value="JR">JR</option>
<option value="SR" selected="selected">SR</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
</select>
</div>
</div>
<!-- Email Address -->
<div class="row">
<div class="medium-12 columns">
<label for="LeadDetails_EmailAddress" class="form-label">Email Address <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.EmailAddress" data-valmsg-replace="true"></span>
<input type="email" data-val="true" data-val-email="Please provide a valid email address." data-val-length="The Email Address must be between 7 and 100 characters long." data-val-length-max="100" data-val-length-min="7"
data-val-required="Required" id="LeadDetails_EmailAddress" maxlength="100" name="LeadDetails.EmailAddress" value="ghvje38@gmail.com">
</div>
</div>
<div class="row">
<div class="medium-12 columns">
<label for="LeadDetails_ConfirmEmailAddress" class="form-label">Verify Email Address <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.ConfirmEmailAddress"
data-valmsg-replace="true"></span>
<input type="email" data-val="true" data-val-email="Please confirm your email address." data-val-equalto="Confirm Email Address must match provided Email Address." data-val-equalto-other="*.EmailAddress"
data-val-length="The Confirm Email Address must be between 7 and 100 characters long." data-val-length-max="100" data-val-length-min="7" data-val-required="Required" id="LeadDetails_ConfirmEmailAddress" maxlength="100"
name="LeadDetails.ConfirmEmailAddress" value="GHvje38@gmail.com">
</div>
</div>
<!-- Home Address -->
<div class="row">
<div class="medium-12 columns">
<label for="LeadDetails_AddressLineOne" class="form-label">Street Address (No PO Boxes) <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.AddressLineOne"
data-valmsg-replace="true"></span>
<input type="text" data-val="true" data-val-regex="Home Address must contain letters, numbers or # sign only and be between 4 and 25 characters." data-val-regex-pattern="^[a-zA-Z0-9.#''-'\s]{4,25}$" data-val-required="Required"
id="LeadDetails_AddressLineOne" name="LeadDetails.AddressLineOne" value="Drht 5">
</div>
</div>
<!-- City / State -->
<div class="row">
<div class="medium-6 small-8 columns">
<label for="LeadDetails_City" class="form-label">City <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.City" data-valmsg-replace="true"></span>
<input type="text" data-val="true" data-val-regex="City must contain letters only and be between 4 and 40 characters." data-val-regex-pattern="^[a-zA-Z''-'\s]{2,40}$" data-val-required="Required" id="LeadDetails_City"
name="LeadDetails.City" value="Sdfrb">
</div>
<div class="medium-6 small-4 columns">
<label for="LeadDetails_State" class="form-label">State <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.State" data-valmsg-replace="true"></span>
<select data-val="true" data-val-required="Required" id="LeadDetails_State" name="LeadDetails.State">
<option selected="selected" value="">State</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AS">AS</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="GU">GU</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID" selected="selected">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MP">MP</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PR">PR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VI">VI</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
</select>
</div>
</div>
<!-- Zip / Phone -->
<div class="row">
<div class="medium-12 columns">
<label for="LeadDetails_ZipCode" class="form-label">Zip Code <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.ZipCode" data-valmsg-replace="true"></span>
<input maxlength="5" type="tel" data-val="true" data-val-regex="Zip Code must contain numbers only and be between 4 and 5 digits." data-val-regex-pattern="^[0-9]{4,5}$" data-val-required="Required" id="LeadDetails_ZipCode"
name="LeadDetails.ZipCode" value="42665">
</div>
<div class="medium-12 columns">
<span style="font-size: 11px; margin: 25px 0px 5px 0px; font-weight: 100; color: darkred;">Minimum one phone number required. </span>
<span class="field-validation-valid" data-valmsg-for="LeadDetails.PrimaryPhone" data-valmsg-replace="true"></span><span> </span><span class="field-validation-valid" data-valmsg-for="LeadDetails.SecondaryPhone"
data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="medium-6 small-6 columns">
<label for="LeadDetails_PrimaryPhone" class="form-label">Home Phone</label>
<input type="tel" maxlength="10" data-val="true" data-val-eitherrequired="At least one phone number is required." data-val-regex="Home Phone must contain numbers only and be 10 digits long." data-val-regex-pattern="^[0-9-]{10}$"
id="LeadDetails_PrimaryPhone" name="LeadDetails.PrimaryPhone" value="9256387243">
</div>
<div class="medium-6 small-6 columns">
<label for="LeadDetails_SecondaryPhone" class="form-label">Mobile Phone</label>
<input type="tel" maxlength="10" data-val="true" data-val-regex="Mobile Phone must contain numbers only and be 10 digits long." data-val-regex-pattern="^[0-9-]{10}$" id="LeadDetails_SecondaryPhone" name="LeadDetails.SecondaryPhone"
value="9256387243">
</div>
</div>
<div class="row">
<div class="medium-12 columns">
<label class="form-label">Do you have an active checking account? <span style="color:darkred;">*</span></label> <span class="field-validation-valid" data-valmsg-for="LeadDetails.ActiveCheckingAccount" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="small-3 columns">
<div class="reg-box-question">
<label><input value="True" type="radio" id="activeYes" data-val="true" data-val-required="Required" name="LeadDetails.ActiveCheckingAccount"> Yes</label>
</div>
</div>
<div class="small-3 columns">
<div class="reg-box-question">
<label><input value="False" type="radio" id="activeNo" checked="checked" name="LeadDetails.ActiveCheckingAccount"> No</label>
</div>
</div>
<div class="small-6 columns"> </div>
</div>
<div class="card-design-small">
<div class="card-section-2">
<div class="row">
<div class="medium-12 columns">
<span class="form-label">Choose your card design</span><span style="color:darkred;">*</span>
<p style="font-size:13px;">Select your Total Card Visa card design below by clicking on the card design of your choice</p>
</div>
<input value="J1" type="hidden" data-val="true" data-val-required="You must make a card selection." id="LeadDetails_CardSelection" name="LeadDetails.CardSelection">
</div>
<div class="row">
<div class="form-label">Free Designs</div>
<div class="hide-for-small-only">
<div class="medium-4 small-4 columns active"><img data-value="J1" src="/images/Card_large_J1.png" width="489" height="326" alt=""></div>
</div>
<div id="free-cards-slider" class="show-for-small-only medium-12 small-12 columns swiper swiper-coverflow swiper-3d swiper-initialized swiper-horizontal swiper-pointer-events">
<div class="swiper-button-prev" data-controls="prev" aria-controls="swiper-wrapper-5d59218b5d504a39" tabindex="0" role="button" aria-label="Previous slide">
<i class="fa fa-caret-left fa-3x"></i>
</div>
<div class="swiper-button-next" data-controls="next" aria-controls="swiper-wrapper-5d59218b5d504a39" tabindex="0" role="button" aria-label="Next slide">
<i class="fa fa-caret-right fa-3x"></i>
</div>
<div class="swiper-wrapper" id="swiper-wrapper-5d59218b5d504a39" aria-live="polite" style="cursor: grab; transition-duration: 0ms;">
<div class="swiper-slide active swiper-slide-duplicate swiper-slide-duplicate-active" data-swiper-slide-index="0"><img data-value="J1" src="/images/Card_large_J1.png" width="489" height="326" alt=""></div>
<div class="swiper-slide active" data-swiper-slide-index="0"><img data-value="J1" src="/images/Card_large_J1.png" width="489" height="326" alt=""></div>
<div class="swiper-slide active swiper-slide-duplicate swiper-slide-duplicate-active" data-swiper-slide-index="0"><img data-value="J1" src="/images/Card_large_J1.png" width="489" height="326" alt=""></div>
</div>
<span class="swiper-notification" aria-live="assertive" aria-atomic="true"></span>
</div>
</div>
<br>
</div>
</div>
<div class="row">
<div class="medium-12 columns">
<p class="opt-in">
<label>
<input type="checkbox" style="vertical-align: top; padding: 0px; margin: 0px 5px 0px 0px; height: 20px; width: 20px;" checked="checked" data-val="true" data-val-enforcetrue="You must be a U.S. resident over the age of 18"
data-val-required="The Is Eighteen field is required." id="LeadDetails_IsEighteen" name="LeadDetails.IsEighteen" value="true"> I certify that I am a U.S. resident over the age of 18. <span style="color:darkred;">*</span> <span
class="field-validation-valid" data-valmsg-for="LeadDetails.IsEighteen" data-valmsg-replace="true"></span>
</label>
</p>
<p class="opt-in">
<label>
<input type="checkbox" style="vertical-align: top; padding: 0px; margin: 0px 0px 0px 0px;height: 20px; width: 20px;" checked="checked" data-val="true" data-val-required="The Opt In Agreement field is required."
id="LeadDetails_OptInAgreement" name="LeadDetails.OptInAgreement" value="true"> I consent and understand I will receive physical and digital communications from Infusion Strategies and its selected marketing partners under the
TotalCardNow.com brand that comply with the
<a style="text-decoration:underline;color:black;" href="https://docs.icommissions.com/infusionstrategiesprivacy.aspx?sid=13" target="_blank" onclick="window.open(this.href,'privacy','scrollbars=yes,resizable=yes,width=1000,height=700');return false;">Marketers Privacy Policy</a>.
</label>
</p>
</div>
</div>
<div class="row">
<div class="medium-12 columns">
<span class="field-validation-error"> </span>
<div id="recaptcha" class="g-recaptcha" data-sitekey="6Lc0xW8UAAAAAB1WL2PSNOs2PLXudjw4DHGDUcvU" data-callback="onSubmit" data-size="invisible">
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lc0xW8UAAAAAB1WL2PSNOs2PLXudjw4DHGDUcvU&co=aHR0cHM6Ly90b3RhbGNhcmRub3cuY29tOjQ0Mw..&hl=de&v=NJPGLzpIZgjszqyOymHUP0XR&size=invisible&cb=asnqgkps6wc6"
width="256" height="60" role="presentation" name="a-8tfhqzmzqype" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
<div> </div>
</div>
<div class="row">
<div class="medium-12 columns">
<div id="submitButton">
<input type="submit" value="Apply Now" id="submit" name="submit" class="button radius btn-submit" onclick="fireRecaptcha();">
</div>
<div id="waitProcessing" style="display:none;"><img src="/images/loading_black.gif" width="100" height="100" alt=""></div>
</div>
</div>
<div class="clear"></div>
</div>
</div>
<div class="medium-2 columns"></div>
<div class="medium-4 columns">
<div class="card-display">
<div class="show-d1"><img data-value="J1" src="/images/Card_large_J1.png" width="489" height="326" alt=""></div>
<div class="hide-d2"><img data-value="J2" src="/images/Card_large_J2.png" width="489" height="326" alt=""></div>
<div class="hide-j6"><img data-value="J6" src="/images/Card_large_J6.png" width="489" height="317" alt=""></div>
<div class="hide-tm3rainp"><img data-value="TM3RainP" src="/images/Card_large_TM3RainP.png" width="489" height="304" alt=""></div>
<div class="hide-tm3mountp"><img data-value="TM3MountP" src="/images/Card_large_TM3MountP.png" width="489" height="304" alt=""></div>
<div class="hide-tm3liap"><img data-value="TM3LiaP" src="/images/Card_large_TM3LiaP.png" width="489" height="304" alt=""></div>
<div class="hide-tm3autop"><img data-value="TM3AutoP" src="/images/Card_large_TM3AutoP.png" width="489" height="304" alt=""></div>
<div class="hide-tm3earp"><img data-value="TM3EarP" src="/images/Card_large_TM3EarP.png" width="489" height="304" alt=""></div>
<div class="hide-tm3surfp"><img data-value="TM3SurfP" src="/images/Card_large_TM3SurfP.png" width="489" height="304" alt=""></div>
<p>TOTAL Visa<sup>®</sup> is for people with a checking account who want a true Visa credit card that does not require perfect credit for approval. Apply now to get a response online in seconds.</p>
<!-- Bullets -->
<div class="lowerinfo-box">
<div class="icon-wrapper"><img src="/images/TCV_Icons_4.png" width="258" height="166" alt=""></div>
<h2>Complete Application</h2>
<p>Applying is quick & easy with our SECURE online application.</p>
</div>
<div class="lowerinfo-box">
<div class="icon-wrapper"><img src="/images/TCV_Icons_5.png" width="211" height="211" alt=""></div>
<h2>Get Your Credit Decision</h2>
<p>Review the
<a href="https://totalcardvisa.com/pdf/TotalVisa_rates_fees_costs_and_limitations.pdf" target="_blank" onclick="window.open(this.href,'terms','scrollbars=yes,resizable=yes,width=800,height=400');return false;">terms and conditions</a>,
submit your application & get your credit decision!</p>
</div>
<div class="lowerinfo-box">
<div class="icon-wrapper"><img src="/images/TCV_Icons_6.png" width="211" height="209" alt=""></div>
<h2>Complete Application</h2>
<p>If approved, pay the $89 Program Fee** to open your account.</p>
</div>
<div class="lowerinfo-box">
<div class="icon-wrapper"><img src="/images/TCV_Icons_1.png" width="109" height="164" alt=""></div>
<h2>Download Our Mobile App</h2>
<p>Download our mobile app for either iOS or Android* for quick access to your account.</p>
<div class="row" style="margin-top: 10px">
<div class="medium-6 small-6 columns">
<a onclick="window.open('https://apps.apple.com/us/app/total-card/id1574751566','appstore','scrollbars=yes,resizable=yes,width=1000,height=700');return false;">
<img src="/images/app_store.png" width="245" height="73" alt="">
</a>
</div>
<div class="medium-6 small-6 columns">
<a onclick="window.open('https://play.google.com/store/apps/details?id=com.vervent.total','googleplay','scrollbars=yes,resizable=yes,width=1000,height=700');return false;">
<img src="/images/google_play.png" width="246" height="76" alt="">
</a>
</div>
</div>
</div>
</div>
</div>
</div>
<input name="__RequestVerificationToken" type="hidden" value="CfDJ8C9oCOK1nPxBpi7HCH5aY9nksM2DySkrgJMPUhmE63UA5V2o7RvgWPNV-nDnoZ-MseijMG-q6yKour2DNdff4zJrpS7y2NrAXu_2ht0LJ1ibHdWXdQv-JAjtEKJx9Xqkz2KQcDvCiOIPsyQAESrZ8QI"><input
name="LeadDetails.IsEighteen" type="hidden" value="false"><input name="LeadDetails.OptInAgreement" type="hidden" value="false">
</form>Text Content
PAY PROGRAM FEE ACTIVATE YOUR CARD ACCEPT MAIL OFFER PAY PROGRAM FEE ACTIVATE YOUR CARD ACCEPT MAIL OFFER POOR CREDIT? EASY APPLICATION & QUICK RESPONSE! **See Rates, Fees, Costs, and Limitations page for additional details. APPLY IN 4 EASY STEPS! *required fields First Name * MI Last Name * Suffix JR SR II III IV Email Address * Verify Email Address * Street Address (No PO Boxes) * City * State * State AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PR PA RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code * Minimum one phone number required. Home Phone Mobile Phone Do you have an active checking account? * Yes No Choose your card design* Select your Total Card Visa card design below by clicking on the card design of your choice Free Designs I certify that I am a U.S. resident over the age of 18. * I consent and understand I will receive physical and digital communications from Infusion Strategies and its selected marketing partners under the TotalCardNow.com brand that comply with the Marketers Privacy Policy. TOTAL Visa® is for people with a checking account who want a true Visa credit card that does not require perfect credit for approval. Apply now to get a response online in seconds. COMPLETE APPLICATION Applying is quick & easy with our SECURE online application. GET YOUR CREDIT DECISION Review the terms and conditions, submit your application & get your credit decision! COMPLETE APPLICATION If approved, pay the $89 Program Fee** to open your account. DOWNLOAD OUR MOBILE APP Download our mobile app for either iOS or Android* for quick access to your account. CARD FEATURES ACCEPTED BY MERCHANTS ACROSS U.S. AND ONLINE MONTHLY REPORTS TO CREDIT BUREAUS CHECKING ACCOUNT REQUIRED MANAGEABLE MONTHLY PAYMENTS ACCEPTED BY MERCHANTS ACROSS U.S. AND ONLINE MONTHLY REPORTS TO CREDIT BUREAUS CHECKING ACCOUNT REQUIRED MANAGEABLE MONTHLY PAYMENTS ACCEPTED BY MERCHANTS ACROSS U.S. AND ONLINE MONTHLY REPORTS TO CREDIT BUREAUS MANAGEABLE MONTHLY PAYMENTS ACCEPTED BY MERCHANTS ACROSS U.S. AND ONLINE MONTHLY REPORTS TO CREDIT BUREAUS CHECKING ACCOUNT REQUIRED -------------------------------------------------------------------------------- * Contact Us * Privacy Notice * Rates, Fees, Costs, and Limitations** * Digital Privacy Policy * Terms of Use * Unsubscribe from our Mailing List * Do Not Sell My Information Contact Us | Privacy Notice | Rates, Fees, Costs, and Limitations** Digital Privacy Policy | Terms of Use | Unsubscribe from our Mailing List Do Not Sell My Information The Total Visa Card issued by The Bank of Missouri pursuant to a license from Visa U.S.A.Inc. Obtaining Your Card: The USA PATRIOT Act is a federal law that requires all financial institutions to obtain, verify and record information that identifies each person who opens a Card Account. What this means for you: When you open a Card Account, we will ask for your name, address, date of birth and other information that will allow us to reasonably identify you. We may also ask to see your driver's license or other identifying documents at any time. *Card use subject to available credit; for security reasons, card may not be used at automated fuel pumps, for gambling transactions or at merchants outside the United States. *Google Play and the Google Play logo are trademarks of Google LLC. App Store is a service mark of Apple Inc Notice to California Residents: This website collects personal information. Click here to be directed to our Digital Privacy Policy to learn more