lvelectrix.co.uk
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51.132.213.33
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Submitted URL: https://click.comms.lvelectrix.co.uk/?qs=a0974b8b95c5d620841bb982b93dd0d0d09b4b1bb4f8d088ec111434de7c9abb54e6f61a4db7ea899420b4d03699...
Effective URL: https://lvelectrix.co.uk/salary-sacrifice/salary-sacrifice-for-employers/salary-sacrifice-employer-registration-form/?utm...
Submission: On March 25 via manual from GB — Scanned from GB
Effective URL: https://lvelectrix.co.uk/salary-sacrifice/salary-sacrifice-for-employers/salary-sacrifice-employer-registration-form/?utm...
Submission: On March 25 via manual from GB — Scanned from GB
Form analysis
2 forms found in the DOMGET https://lvelectrix.co.uk/
<form class="search-form my-2 my-lg-0" role="search" method="get" onsubmit="storeSearchInputValue(this)" action="https://lvelectrix.co.uk/">
<div class="input-group elx-search-control mx-auto" style="max-width: 500px">
<label for="searchInput" class="visually-hidden">Search</label>
<input type="text" name="s" id="searchInput" class="form-control rounded-pill form-control-lg" onkeyup="electrixAjaxSearch(this)" placeholder="Search" title="Search">
<button type="submit" class="bg-transparent border-0" aria-hidden="true">
<span class="visually-hidden">Submit</span>
</button>
</div>
<div id="searchResults"></div>
</form>
<form id="marketing-form" class="subscription-box__form needs-validation" novalidate="" onsubmit="onSubmit(event)">
<div class="mb-4 preferences-input">
<label class="form-label" for="business-name">Business name <span>*</span> </label>
<input class="form-control rounded-pill" type="text" name="business-name" id="business-name" maxlength="255" required="" placeholder="Your business name">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter your Business name
</div>
</div>
<div class="mb-4 preferences-input">
<label class="form-label" for="first-name">First name <span>*</span> </label>
<input class="form-control rounded-pill" type="text" maxlength="255" id="first-name" name="first-name" required="" placeholder="Your first name">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter your First name
</div>
</div>
<div class="mb-4 preferences-input">
<label class="form-label" for="last-name">Last name <span>*</span> </label>
<input class="form-control rounded-pill" type="text" id="last-name" name="last-name" maxlength="255" required="" placeholder="Your last name">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter your Last name
</div>
</div>
<div class="mb-4 preferences-input">
<label class="form-label" for="job-title">Job Title <span>*</span> </label>
<input class="form-control rounded-pill" type="text" name="job-title" id="job-title" maxlength="255" required="" placeholder="Your job title">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter your Job title
</div>
</div>
<div class="mb-4 preferences-input">
<label class="form-label" for="email-address">Email address <span>*</span> </label>
<input class="form-control rounded-pill" type="email" id="email-address" name="email-address" maxlength="255" required="" placeholder="Your email address">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter a valid email address
</div>
</div>
<div class="mb-4 preferences-input">
<label class="form-label" for="contact-number">Contact number <span>*</span> </label>
<input class="form-control rounded-pill" pattern="^(0(1|2|7)[1-9])[0-9]{8}$" name="contact-number" id="contact-number" maxlength="255" required="" placeholder="Your contact number">
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Enter your Contact number
</div>
</div>
<div class="mb-4 preferences-input">
<div class="form-check">
<input class="form-check-input" id="trading-more-than-2-years" type="checkbox" name="trading-more-than-2-years">
<label class="form-check-label" for="trading-more-than-2-years"> We have been trading for more than 2 years </label>
</div>
</div>
<div class="form-check mb-3 preferences-input">
<input class="form-check-input" id="consent-t-&-c" type="checkbox" name="consent-t-&-c" required="">
<label class="form-check-label preferences-consent-label" for="consent-t-&-c"> I have read and agree to the <a href="https://www.lvelectrix.co.uk/privacy-notice">Privacy Policy</a> and <a href="https://www.lvelectrix.co.uk/terms/website-terms">Terms of
use</a> </label>
<div class="invalid-feedback">
<img decoding="async" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E" alt="Error" data-lazy-src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png"><noscript><img
decoding="async" src="https://lvelectrix.co.uk/wp-content/themes/electrix/assets/error.png" alt="Error"></noscript> Please accept
</div>
</div>
<div class="preferences-permissions-intro">
</div>
<div class="text-center text-lg-start">
<input class="btn text-primary-3 mb-4 btn-cta rounded-pill btn-lg w-100" type="submit" value="Submit enquiry" id="submit-marketing-form" name="submit-form">
</div>
</form>
Text Content
Skip to main content * Business * Personal * Salary Sacrifice * Discover Cars * Learn Search Submit In the driving seat Let’s get your team on the road to electric with our EV Salary Sacrifice Scheme. Simply complete your details below, and one of our Partnership Managers will give you a quick call to discuss your needs and answer any questions. Here are some of the benefits on offer as part of our salary sacrifice scheme: EARLY TERMINATION PROTECTION Worried about staff leaving? We offer one of the most flexible early termination schemes on the market. HOME CHARGER Your employees can choose to include an Indra home charger – All part of the package. A BRAND NEW ELECTRIC CAR We’ve partnered with leasing specialist CBVC to offer over 100 different models. All vehicles come with maintenance included. INSURANCE COVER Fully comprehensive insurance is available. PLEASE COMPLETE YOUR DETAILS HERE. Note: All fields are mandatory. Business name * Enter your Business name First name * Enter your First name Last name * Enter your Last name Job Title * Enter your Job title Email address * Enter a valid email address Contact number * Enter your Contact number We have been trading for more than 2 years I have read and agree to the Privacy Policy and Terms of use Please accept ` Note: All images are for illustrative purposes. -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Home -------------------------------------------------------------------------------- * Business Leasing * Personal Leasing * Salary Sacrifice * Learn * Discover Cars * FAQs About ElectriX -------------------------------------------------------------------------------- * About us The ultimate guides -------------------------------------------------------------------------------- * The Ultimate Electric Car Guide * Ultimate Guide to ULEZ * Ultimate Guide To Electric Car Charging * The Ultimate Guide To Range Legal -------------------------------------------------------------------------------- * Legal * Accessibility * Privacy * Our Cookie Policy * Sitemap * Voice Your Concerns -------------------------------------------------------------------------------- * Legal * Accessibility * Privacy * Our Cookie Policy * Sitemap * Voice Your Concerns The data controller of any personal information given to us about you is Liverpool Victoria Insurance Company Ltd. Please view our Privacy Policy for more information. ElectriX is powered by LV= General Insurance. Part of Allianz. © 2024 ElectriX. All rights reserved. YOUR PRIVACY PREFERENCES ElectriX uses cookies to offer you a better browsing experience and make it secure. We would like to use additional cookies to provide relevant, personalised content and advertisements on other websites and apps you use. This involves sharing your data with our social media, analytics and advertising partners. You can read about how we use cookies and how you can manage them in our Cookie policy. Select ‘Accept cookies’ to agree or ‘Manage cookies’ to choose the cookies we use. Review our Cookie policy Reject allManage cookies Accept cookies YOUR PRIVACY PREFERENCES When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalised web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. Strictly necessary cookies i Always on These cookies are essential, and ensure our website works for you. Without them, services like getting a quote or buying a policy online won’t function. The information these cookies collect is anonymous and they can’t track your browsing activity on other websites. -------------------------------------------------------------------------------- Performance cookiesiOffOn These cookies collect information about how you use our website, like which pages you go to most often, how long you stay on them and if you get error messages. They don’t collect information that can identify you – we only use them to improve how our website works. -------------------------------------------------------------------------------- Targeting cookiesiOffOn These cookies help us deliver relevant advertisements to you, based on the pages on our website you visit. These advertisements will appear on certain other websites that you visit. We may share this information with third parties. -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Review our Cookie policy Save my preferences