www.apollointeractive.com Open in urlscan Pro
72.4.112.95 Public Scan

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Submitted URL:
http://apollointeractive.com/data-rights.php?unique_id=602584191b99a32947a1a52bb4c499192e25ff56&action=verify_email
Effective URL:
https://www.apollointeractive.com/data-rights.php?success=0&message=Record%20does%20not%20exists&action=verify_email
Submission: On June 23 via manual (June 23rd 2024, 9:39:05 am UTC) from US — Scanned from DE

Form analysis
2 forms found in the DOM

Name: datarightsForm — POST

<form method="post" id="datarightsForm" name="datarightsForm" class="form" enctype="multipart/form-data">
  <div class="row">
    <div class="col-sm-12">
      <h1 class="nosell__title">Data Rights Request Form</h1>
      <p class="copy-text">If you are a resident of a State that provides data privacy rights and would like to make a request such as opting-out of the sale or sharing of your information, please use the form below. To make your request, select your
        state of residency below and choose which category of data request you are making. Once you provide the requested information and click submit, your request will be processed. If you would like to learn more about which data rights may be
        available to you or how we may collect or use your data, please review our <a href="/privacy-policy.php">privacy policy</a>.</p>
    </div>
  </div>
  <div class="row" id="page-errors">
    <div class="col-sm-12">
      <div style="padding: 8px 15px 0px 15px; background-color: #ecdddd; border-radius: 6px; border: solid 1px #ed8989; margin-bottom: 15px;">
        <div style="color: #e01818; font-style: italic;"> Please Correct the Following Information Below: </div>
        <p class="nosell__error" style="color: #e01818;">
          <b>Record does not exists</b>
        </p>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="form-group col-xs-12">
      <label for="selected_state" class="block-label">Select State</label>
      <select name="selected_state" class="state-select" id="state-select">
        <option value="">Select State</option>
        <option value="ca">California</option>
        <option value="va">Virginia</option>
        <option value="nv">Nevada</option>
        <option value="co">Colorado</option>
        <option value="ct">Connecticut</option>
        <option value="ut">Utah</option>
      </select>
    </div>
  </div>
  <div class="form-body" id="data-rights-form-body" style="display: none;">
    <div class="row">
      <div class="form-group col-xs-12">
        <div class="rights-checks">
          <label for="optout_sale_and_use">
            <input type="radio" name="data-request" id="optout_sale_and_use" value="optout_sale_and_use">
            <span>Opt-Out of Sale and Use</span>
          </label>
          <label for="optout_sensistive_info">
            <input type="radio" name="data-request" id="optout_sensistive_info" value="optout_sensistive_info" checked="">
            <span>Opt-Out of Use of Sensitive Personal Information</span>
          </label>
          <label for="right_to_delete">
            <input type="radio" name="data-request" id="right_to_delete" value="right_to_delete">
            <span>Right to Delete</span>
          </label>
          <label for="right_to_know">
            <input type="radio" name="data-request" id="right_to_know" value="right_to_know">
            <span>Right to Know</span>
          </label>
          <label for="right_to_correct">
            <input type="radio" name="data-request" id="right_to_correct" value="right_to_correct">
            <span>Right to Correct<span>
              </span></span></label>
        </div>
      </div>
    </div>
    <div class="dr-info">
      <h2>Personal Information</h2>
      <p class="copy-text">This information is used to find your records in our system.</p>
      <div class="row">
        <div class="form-group col-xs-12 col-sm-6">
          <label for="5X9F7Y1Nq04L39qGr87H776E66_Vr5zRn4aB_3gJf2eCv1sD">First Name</label>
          <input id="5X9F7Y1Nq04L39qGr87H776E66_Vr5zRn4aB_3gJf2eCv1sD" name="5X9F7Y1Nq04L39qGr87H776E66_Vr5zRn4aB_3gJf2eCv1sD" type="text" class="form-control input-lg" aria-label="5X9F7Y1Nq04L39qGr87H776E66_Vr5zRn4aB_3gJf2eCv1sD"
            placeholder="Enter First Name" value="" required="">
        </div>
        <div class="form-group col-xs-12 col-sm-6">
          <label for="5F9Y7N10qL493Gq8rH777E666V_5rRz4nBa3_Jg2fCn1yD">Last Name</label>
          <input id="5F9Y7N10qL493Gq8rH777E666V_5rRz4nBa3_Jg2fCn1yD" name="5F9Y7N10qL493Gq8rH777E666V_5rRz4nBa3_Jg2fCn1yD" type="text" class="form-control input-lg" aria-label="5F9Y7N10qL493Gq8rH777E666V_5rRz4nBa3_Jg2fCn1yD"
            placeholder="Enter last Name" value="" required="">
        </div>
      </div>
      <div class="row">
        <div class="form-group col-xs-12">
          <label for="5N907L19qG483Hq7rE767V656R_4fBf3rJe2qCq1nD">Address</label>
          <input id="5N907L19qG483Hq7rE767V656R_4fBf3rJe2qCq1nD" name="5N907L19qG483Hq7rE767V656R_4fBf3rJe2qCq1nD" type="text" class="form-control input-lg" aria-label="address" placeholder="Enter Address" value="" required="">
        </div>
      </div>
      <div class="row">
        <div class="form-group col-xs-12 col-sm-4">
          <label for="599G781Hq74E36qVr57R746B63_Jl2gCv1pD">City</label>
          <input id="599G781Hq74E36qVr57R746B63_Jl2gCv1pD" name="599G781Hq74E36qVr57R746B63_Jl2gCv1pD" type="text" class="form-control input-lg" aria-label="599G781Hq74E36qVr57R746B63_Jl2gCv1pD" placeholder="Enter City" value="" required="">
        </div>
        <div class="form-group col-xs-12 col-sm-4">
          <label for="5L997G18qH473Eq6rV757R646B_3rJg2nCg1fD">State</label>
          <select type="text" name="5L997G18qH473Eq6rV757R646B_3rJg2nCg1fD" class="form-control input-lg" required="">
            <option value="">State</option>
            <option value="AK"> AK </option>
            <option value="AL"> AL </option>
            <option value="AR"> AR </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="HI"> HI </option>
            <option value="IA"> IA </option>
            <option value="ID"> 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="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="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="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 class="form-group col-xs-12 col-sm-4">
          <label for="5N907L19qG483Hq7rE767V656R_4rBq3bJp2cCv1mD">Zip</label>
          <input id="5N907L19qG483Hq7rE767V656R_4rBq3bJp2cCv1mD" type="tel" class="form-control input-lg" name="5N907L19qG483Hq7rE767V656R_4rBq3bJp2cCv1mD" aria-label="5N907L19qG483Hq7rE767V656R_4rBq3bJp2cCv1mD" placeholder="Enter Zipcode"
            maxlength="5" minlength="5" value="" required="">
        </div>
      </div>
      <div class="row">
        <div class="form-group col-xs-12">
          <label for="phone">Phone</label>
          <input id="phone" name="telephone" type="tel" class="form-control input-lg lead_form_telephone" aria-label="phone" placeholder="Enter Phone" pattern="\(?([0-9]{3})\)?([ .-]?)([0-9]{3})([ .-]?)([0-9]{4})" title="Must be a valid phone number"
            value="" required="">
        </div>
      </div>
      <div class="row">
        <div class="form-group col-sm-12">
          <label for="email">Email</label>
          <input id="email" name="email" type="email" class="form-control input-lg" aria-label="email" placeholder="Enter E-mail" value="" required="">
        </div>
      </div>
      <div class="row" id="file-upload-control" style="display: none;">
        <br>
        <div class="form-group col-sm-12">
          <label class="block-label file-upload-label" for="photo_id">Upload a valid government issued photo ID</label>
          <input type="file" name="photo_id" id="photo_id">
        </div>
      </div>
    </div>
    <div class="form-group col-xs-12">
      <div class="well" id="data-rights-update-body" style="display: none;">
        <p style="margin-bottom: 10px;"><b>Please describe the information you'd like to correct below:</b></p>
        <div class="row">
          <div class="form-group col-xs-12">
            <label for="info_update">Information to Update</label>
            <textarea id="info_update" name="info_update" class="form-control input-lg" aria-label="info_update" placeholder="Information Update"></textarea>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group col-xs-12">
      <label class="block-label">
        <span class="spanbreak">I am an agent authorized to submit this request</span>
        <span class="spanbreak">on behalf of the named consumer.</span>
      </label>
      <label for="repauth-y" style="margin-right: 15px">
        <input type="radio" name="repauth" value="Y" id="repauth-y">
        <span>Yes</span>
      </label>
      <label for="repauth-n">
        <input type="radio" name="repauth" value="N" id="repauth-n" checked="">
        <span>No</span>
      </label>
    </div>
    <div class="form-group col-xs-12" id="repauth-fields" style="display: none;">
      <div class="field-well">
        <div class="row">
          <div class="form-group col-xs-12 col-sm-6">
            <label for="repauth_first_name">First Name</label>
            <input id="repauth_first_name" name="repauth_first_name" type="text" class="form-control input-lg" aria-label="repauth_first_name" placeholder="Enter First Name" value="">
          </div>
          <div class="form-group col-xs-12 col-sm-6">
            <label for="repauth_last_name">Last Name</label>
            <input id="repauth_last_name" name="repauth_last_name" type="text" class="form-control input-lg" aria-label="repauth_last_name" placeholder="Enter last Name" value="">
          </div>
        </div>
        <div class="row">
          <div class="form-group col-sm-12">
            <label for="repauth_email">Email</label>
            <input id="repauth_email" name="repauth_email" type="email" class="form-control input-lg" aria-label="repauth_email" placeholder="Enter E-mail" value="">
          </div>
        </div>
        <div class="row" id="repauth-file-upload-control">
          <div class="form-group col-sm-12">
            <label class="block-label file-upload-label" for="repauth_photo_id">Upload proof of authorization</label>
            <input type="file" name="repauth_photo_id" id="repauth_photo_id">
          </div>
        </div>
      </div>
    </div>
    <div class="form-group col-xs-12">
      <label for="recaptcha_response_field" class="block-label">Please check the box below:</label>
      <div style="signup__captcha--break"></div>
      <script src="https://www.google.com/recaptcha/api.js" async="" defer=""></script>
      <div class="g-recaptcha" data-sitekey="6LctiE8UAAAAALXLMJV14NwpyBb_yhQjVD-hUSWe">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-8g35n1ai40ps" frameborder="0" scrolling="no"
              sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LctiE8UAAAAALXLMJV14NwpyBb_yhQjVD-hUSWe&amp;co=aHR0cHM6Ly93d3cuYXBvbGxvaW50ZXJhY3RpdmUuY29tOjQ0Mw..&amp;hl=de&amp;v=KXX4ARWFlYTftefkdODAYWZh&amp;size=normal&amp;cb=w0pvkpmxhorj"></iframe>
          </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" required=""
            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><noscript>
        <div>
          <div style="width: 302px; height: 422px; position: relative;">
            <div style="width: 302px; height: 422px; position: absolute;"><iframe src="https://www.google.com/recaptcha/api/fallback?k=6LctiE8UAAAAALXLMJV14NwpyBb_yhQjVD-hUSWe" frameborder="0" scrolling="no"
                style="width: 302px; height:422px; border-style: none;"></iframe></div>
          </div>
          <div style="width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;"><textarea id="g-recaptcha-response"
              name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;"></textarea></div>
        </div>
      </noscript>
    </div>
    <div class="form-group col-xs-12">
      <div class="checkbox-legal">
        <input type="checkbox" name="attest" required="">
        <p style="font-size: 13px; line-height: 20px;">By checking this box and clicking the "Submit" button below, I attest that the information provided above is my own, or that of an individual I am authorized to submit the selected request on
          behalf of, and is accurate. Furthermore, I attest that I, or the individual I am authorized to submit the selected request on behalf of, is a resident of the state selected.</p>
      </div>
    </div>
    <br>
    <div class="form-group col-xs-12">
      <p>
        <button type="submit" class="btn" name="datarights_submit" value="1">Submit</button>
      </p>
    </div>
  </div>
</form>

POST

<form method="post" id="formContact" class="form form--contact">
  <div class="form__group">
    <label class="form__label">Name</label>
    <input name="first_name" id="" value="" type="text" class="form__input" required="required">
  </div>
  <div class="form__group" style="display: none;">
    <label class="form__label">Last Name</label>
    <input name="last_name" id="" value="" type="text" class="form__input">
  </div>
  <div class="form__group">
    <label class="form__label">Email</label>
    <input name="email" id="" class="form__input" type="email" required="required" value="">
  </div>
  <div class="form__group">
    <label class="form__label">Message</label>
    <textarea name="message" id="" class="form__input" required="required" rows="5" cols="50"></textarea>
  </div>
  <div class="form__group">
    <label class="form__label">Captcha</label>
    <img src="/common_scripts/captcha.php?t=jpg&amp;l=6&amp;key=ContactCaptcha" style="margin:8px 0 0;">
    <input name="captcha" id="" class="form__input" required="required" placeholder="Enter characters above" value="">
  </div>
  <button name="formSubmit" id="formSubmit" type="submit" class="btn">Submit</button>
</form>

Text Content

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 * Solutions
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   * Clicks
   * Calls
   
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   * Culture
   * Press
 * Contact
   * Careers
   * Affiliates


DO NOT SELL MY INFORMATION


DATA RIGHTS REQUEST FORM

If you are a resident of a State that provides data privacy rights and would
like to make a request such as opting-out of the sale or sharing of your
information, please use the form below. To make your request, select your state
of residency below and choose which category of data request you are making.
Once you provide the requested information and click submit, your request will
be processed. If you would like to learn more about which data rights may be
available to you or how we may collect or use your data, please review our
privacy policy.

Please Correct the Following Information Below:

Record does not exists

Select State Select State California Virginia Nevada Colorado Connecticut Utah
Opt-Out of Sale and Use Opt-Out of Use of Sensitive Personal Information Right
to Delete Right to Know Right to Correct


PERSONAL INFORMATION

This information is used to find your records in our system.

First Name
Last Name
Address
City
State State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI
MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV
WY
Zip
Phone
Email


Upload a valid government issued photo ID

Please describe the information you'd like to correct below:

Information to Update
I am an agent authorized to submit this request on behalf of the named consumer.
Yes No
First Name
Last Name
Email
Upload proof of authorization
Please check the box below:




By checking this box and clicking the "Submit" button below, I attest that the
information provided above is my own, or that of an individual I am authorized
to submit the selected request on behalf of, and is accurate. Furthermore, I
attest that I, or the individual I am authorized to submit the selected request
on behalf of, is a resident of the state selected.


Submit

CONTACT US

WE'D LIKE TO HEAR FROM YOU

139 Illinois St
El Segundo, CA 90245

Name
Last Name
Email
Message
Captcha
Submit
 * Solutions
 * Data Leads
 * Clicks
 * Calls

 * Verticals
 * Health & Medicare
 * Auto
 * Property & Casualty
 * Mortgage
 * Life
 * Home Services
 * Solar
 * Pet

 * Company
 * History
 * The Team
 * Partners
 * Culture
 * Press

 * Contact
 * Careers
 * Affiliates

139 Illinois St
El Segundo, CA 90245 Inc. 5000 Honoree
Privacy Policy | Terms and Conditions | Do Not Sell My Personal Information

www.apollointeractive.com Open in urlscan Pro 72.4.112.95 Public Scan

Form analysis 2 forms found in the DOM

Name: datarightsForm — POST

POST

Text Content

www.apollointeractive.com Open in urlscan Pro
72.4.112.95 Public Scan

Form analysis
2 forms found in the DOM