solarrebater.com
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192.96.200.93
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Submitted URL: http://echo4.bluehornet.com/ct/102411811:TVUosPGND:m:1:3363828844:69AA4656093BA6E9C2860551C6742BC3:r
Effective URL: https://solarrebater.com/?ef_transaction_id=9a6c4f071de34a109f98c4632ef75e0e
Submission: On October 23 via manual from US — Scanned from DE
Effective URL: https://solarrebater.com/?ef_transaction_id=9a6c4f071de34a109f98c4632ef75e0e
Submission: On October 23 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: survey — POST
<form id="survey-form" method="post" name="survey" novalidate="novalidate">
<input type="hidden" name="lp_campaign_id" value="16862">
<input type="hidden" name="lp_supplier_id" value="36372">
<input type="hidden" name="lp_key" value="jnpjskzlnivo3d">
<input type="hidden" name="ef_transaction_id" value="9a6c4f071de34a109f98c4632ef75e0e">
<input type="hidden" name="source_event" value="">
<input type="hidden" name="landing_page_url" value="https://solarrebater.com/">
<input type="hidden" name="lp_subid1" value="">
<input type="hidden" name="lp_subid2" value="">
<input type="hidden" name="ip_address" value="138.199.38.134">
<input type="hidden" name="user_agent" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/118.0.5993.88 Safari/537.36">
<input type="hidden" name="best_time" value="Afternoon">
<input id="leadid_token" name="jornaya_leadid" type="hidden" value="7731B300-28E6-BEDF-DDD3-70879BAB8AC2">
<input type="hidden" id="state" name="state" value="">
<input type="hidden" id="city" name="city" value="">
<!-- Step - 1 Homeowner-->
<div class="form-group current-form form-section" id="form_group_property_ownership">
<h2 class="text-center main-title">Are you a Homeowner ?</h2>
<div class="row">
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="property_ownership1" value="OWN" required="" name="property_ownership">
<label class="form-check-label" for="property_ownership1">
<span class="pb-3"><img src="assets/img/yes.png" alt="yes"></span>
<span>OWN</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="property_ownership2" value="RENT" name="property_ownership">
<label class="form-check-label" for="property_ownership2">
<span class="pb-3"><img src="assets/img/no.png" alt="no"></span>
<span>RENT</span>
</label>
</div>
</div>
</div>
<div> </div>
</div>
<!-- Step - 2 Zip Code -->
<div class="form-group form-section" id="form_group_zip_code">
<h2 class="text-center main-title">What is your zip code?</h2>
<div class="row">
<div class="col-xs-12">
<div class="form-group">
<input class="form-control text-input" type="text" id="zip_code" maxlength="5" inputmode="tel" name="zip_code" placeholder="Enter your zip code">
</div>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_property_ownership" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg next-btn" id="next_resident_type" type="button">Next <svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-right-fill">
<path d="M12.14 8.753l-5.482 4.796c-.646.566-1.658.106-1.658-.753V3.204a1 1 0 0 1 1.659-.753l5.48 4.796a1 1 0 0 1 0 1.506z"></path>
</svg></button>
</div>
</div>
</div>
<!-- Step - 3 Residence Type -->
<div class="form-group form-section form-section" id="form_group_resident_type">
<h2 class="text-center main-title">What Kind of Home Do You Live In?</h2>
<div class="row">
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="single_family_home" value="Single Family Home" required="" name="residence">
<label class="form-check-label" for="single_family_home">
<span class="pb-3"><img src="assets/img/icon_single_fam.png" alt=""></span>
<span>Single Family Home</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="condo_apartment" value="Condo / Apartment" name="residence">
<label class="form-check-label" for="condo_apartment">
<span class="pb-3"><img src="assets/img/icon_condo.png" alt=""></span>
<span>Condo / Apartment</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="mobile_home" value="Mobile Home" name="residence">
<label class="form-check-label" for="mobile_home">
<span class="pb-3"><img src="assets/img/icon_mobile_home.png" alt=""></span>
<span>Mobile Home</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-check">
<input class="form-check-input" type="radio" id="commercial" value="Commercial" name="residence">
<label class="form-check-label" for="commercial">
<span class="pb-3"><img src="assets/img/icon_commercial_home.png" alt=""></span>
<span>Commercial</span>
</label>
</div>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_zip_code" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
</div>
</div>
</div>
<!-- Step - 4 Shade -->
<div class="form-group form-section" id="form_group_shade">
<h2 class="text-center main-title">How Much Sunlight Does Your Roof Get?</h2>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="no_shade" value="No Shade" required="" name="shade">
<label class="form-check-label" for="no_shade">
<span class="pb-3"><img src="assets/img/noshade.png" alt=""></span>
<span>All Sun (No Shade)</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="some_shade" value="Some Shade" name="shade">
<label class="form-check-label" for="some_shade">
<span class="pb-3"><img src="assets/img/some-shade.png" alt=""></span>
<span>Some Sun (Some Shade)</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="severe_shade" value="Severe Shade" name="shade">
<label class="form-check-label" for="severe_shade">
<span class="pb-3"><img src="assets/img/severe-shade.png" alt=""></span>
<span>No Sun (Severe Shade)</span>
</label>
</div>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_resident_type" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
</div>
</div>
</div>
<!-- Step - 5 Electric Bill -->
<div class="form-group form-section form-section" id="form_group_electric_bill">
<h2 class="text-center main-title">How Much is Your Monthly Electric Bill?</h2>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="bill_1" value="Under $50" name="electric_bill">
<label class="form-check-label" for="bill_1">
<span class="pb-3"><img src="assets/img/dollar.png" alt="dollar"></span>
<span>Under $50</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="bill_2" value="$50 - $150" name="electric_bill">
<label class="form-check-label" for="bill_2">
<span class="pb-3"><img src="assets/img/dollar2.png" alt="dollar2"></span>
<span>$50 - $150</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="bill_5" value="$150 - $350" name="electric_bill">
<label class="form-check-label" for="bill_5">
<span class="pb-3"><img src="assets/img/dollar2.png" alt="dollar2"></span>
<span>$150 - $300</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="bill_3" value="$300 - $450" name="electric_bill">
<label class="form-check-label" for="bill_3">
<span class="pb-3"><img src="assets/img/dollar2.png" alt="dollar3"></span>
<span>$300 - $450</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-check">
<input class="form-check-input" type="radio" id="bill_4" value="Over $450" name="electric_bill">
<label class="form-check-label" for="bill_4">
<span class="pb-3"><img src="assets/img/dollar3.png" alt="dollar4"></span>
<span>Over $450</span>
</label>
</div>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_shade" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
</div>
</div>
</div>
<!-- Step - 6 -->
<!-- Electric Provider -->
<div class="form-group form-section" id="form_group_electric_provider">
<h2 class="text-center main-title">Who is Your Electric/Utility Provider?</h2>
<div class="row">
<div class="col">
<select id="electric_provider" class="form-control select electric_provider selectlivesearch select2-hidden-accessible" required="" name="electric_provider" data-select2-id="electric_provider" tabindex="-1" aria-hidden="true"> </select><span
class="select2 select2-container select2-container--bootstrap4" dir="ltr" data-select2-id="1" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-electric_provider-container"><span class="select2-selection__rendered" id="select2-electric_provider-container" role="textbox"
aria-readonly="true"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_electric_bill" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg next-btn" id="next_credit" type="button">Next <svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-right-fill">
<path d="M12.14 8.753l-5.482 4.796c-.646.566-1.658.106-1.658-.753V3.204a1 1 0 0 1 1.659-.753l5.48 4.796a1 1 0 0 1 0 1.506z"></path>
</svg></button>
</div>
</div>
</div>
<input type="hidden" value="Good" name="credit_score">
<!-- Step - 7 -->
<!-- Credit Score -->
<!-- <div class="form-group form-section" id="form_group_credit">
<h2 class="text-center main-title">What is your credit score?</h2>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-check">
<input class="form-check-input" type="radio" id="credit_1" value="Excellent" required="" name="credit_score">
<label class="form-check-label" for="credit_1">
<span class="pb-3"><img src="assets/img/excellent.png"></span>
<span>Excellent</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-check">
<input class="form-check-input" type="radio" id="credit_2" value="Very Good" name="credit_score">
<label class="form-check-label" for="credit_2">
<span class="pb-3"><img src="assets/img/good.png"></span>
<span>Very Good</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-check">
<input class="form-check-input" type="radio" id="credit_3" value="Good" name="credit_score">
<label class="form-check-label" for="credit_3">
<span class="pb-3"><img src="assets/img/fair.png"></span>
<span>Good</span>
</label>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-check">
<input class="form-check-input" type="radio" id="credit_4" value="Fair" name="credit_score">
<label class="form-check-label" for="credit_4">
<span class="pb-3"><img src="assets/img/poor.png"></span>
<span>Fair</span>
</label>
</div>
</div>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_electric_provider" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
</div>
</div>
</div> -->
<!-- Step - 8 -->
<!--Address-->
<div class="form-group form-section" id="form_group_address">
<h2 class="text-center main-title">What is your street address?</h2>
<div class="form-group">
<input class="form-control text-input" type="text" required="" name="address" placeholder="Address">
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_electric_provider" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg next-btn" id="next_personal_info" type="button">Next <svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-right-fill">
<path d="M12.14 8.753l-5.482 4.796c-.646.566-1.658.106-1.658-.753V3.204a1 1 0 0 1 1.659-.753l5.48 4.796a1 1 0 0 1 0 1.506z"></path>
</svg></button>
</div>
</div>
</div>
<!-- Step - 9 -->
<!-- Personal Info -->
<div class="form-group form-section" id="form_group_personal_info">
<div class="form-group">
<label class="form-label" for="first_name">What's your first name?</label>
<input class="form-control text-input" type="text" id="first_name" name="first_name" required="" placeholder="First name">
</div>
<div class="form-group">
<label class="form-label pt-4" for="last_name">What's your last name?</label>
<input class="form-control text-input" type="text" id="last_name" name="last_name" required="" placeholder="Last name">
</div>
<div class="form-group">
<label class="form-label pt-4" for="email">What email address should your results be sent to?</label>
<input class="form-control text-input" type="email" id="email" name="email" required="" placeholder="email@company.com" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9_-]+\.[a-zA-Z0-9-.]{2,61}$">
</div>
<div class="form-group">
<label class="form-label pt-4" for="phone">What phone number can we reach you at?</label>
<input class="form-control text-input" type="tel" id="phone" name="phone" inputmode="tel" required="" autocomplete="false" minlength="10" maxlength="10" placeholder="e.g 7021234567">
</div>
<div class="form-group">
<input type="hidden" id="leadid_tcpa_disclosure" name="tcpa_text">
<label class="small pt-4" for="leadid_tcpa_disclosure">When you click "Submit" you authorize companies on this <a href="https://solarrebater.com/marketing-partners/" target="_blank">list</a> to contact you via email and/or pre-recorded and sms
messages to the phone # above using an autodialer even if your phone number is on any do not call list. Your consent here is not based on a condition of purchase. Message and data rates may apply.
<a href="https://solarrebater.com/do-not-sell-personal-info/" target="_blank">California Residents</a>. (or <a href="https://solarrebater.com/do-not-sell-personal-info/" target="_blank">Do Not Contact</a>).</label>
</div>
<div> </div>
<div class="row">
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg back-btn" id="back_address" type="button"><svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-left-fill">
<path d="M3.86 8.753l5.482 4.796c.646.566 1.658.106 1.658-.753V3.204a1 1 0 0 0-1.659-.753l-5.48 4.796a1 1 0 0 0 0 1.506z"></path>
</svg> Back</button>
</div>
<div class="col col-xs-12 col-sm-6">
<button class="btn btn-lg" id="submit-btn" type="button">Submit <svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" viewBox="0 0 16 16" fill="currentColor" class="bi bi-caret-right-fill">
<path d="M12.14 8.753l-5.482 4.796c-.646.566-1.658.106-1.658-.753V3.204a1 1 0 0 1 1.659-.753l5.48 4.796a1 1 0 0 1 0 1.506z"></path>
</svg></button>
</div>
</div>
</div>
<input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/ab41b4fd198e4d35974c885330d86aa6ef609946"><input type="hidden" name="trustedform_cert_url" id="trustedform_cert_url_0"
value="https://cert.trustedform.com/ab41b4fd198e4d35974c885330d86aa6ef609946"><input type="hidden" name="xxTrustedFormPingUrl" id="xxTrustedFormPingUrl_0"
value="https://ping.trustedform.com/0.k6yz6DJXIYQemQLQeV9TQV2fWbWYcufe5cWpkRjWN3DKzp0tA04QoNqR02ZP0NZ-er_COV0F.gQgsI8e7YEahkSRLGxmKLg.ki4gD3dHIGVLh6A5ilG3VQ">
</form>
Text Content
GET MY FREE COST ASSESSMENT COMPLETE THE FORM TO VIEW YOUR SAVINGS. ONLY 2 MINUTES TO COMPLETE! 0% ARE YOU A HOMEOWNER ? OWN RENT WHAT IS YOUR ZIP CODE? Back Next WHAT KIND OF HOME DO YOU LIVE IN? Single Family Home Condo / Apartment Mobile Home Commercial Back HOW MUCH SUNLIGHT DOES YOUR ROOF GET? All Sun (No Shade) Some Sun (Some Shade) No Sun (Severe Shade) Back HOW MUCH IS YOUR MONTHLY ELECTRIC BILL? Under $50 $50 - $150 $150 - $300 $300 - $450 Over $450 Back WHO IS YOUR ELECTRIC/UTILITY PROVIDER? Back Next WHAT IS YOUR STREET ADDRESS? Back Next What's your first name? What's your last name? What email address should your results be sent to? What phone number can we reach you at? When you click "Submit" you authorize companies on this list to contact you via email and/or pre-recorded and sms messages to the phone # above using an autodialer even if your phone number is on any do not call list. Your consent here is not based on a condition of purchase. Message and data rates may apply. California Residents. (or Do Not Contact). Back Submit COMPLETE THE FORM TO VIEW YOUR POTENTIAL SAVINGS Copyright © 2023 Solarrebater.com | Privacy Policy | Terms of Use | Do Not Sell My Personal Information | CCPA