financial-help-fast.com
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2606:4700:3035::6815:2aed
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Submitted URL: http://gofinancialhelpfast.com/
Effective URL: https://financial-help-fast.com/start
Submission: On March 20 via api from CA — Scanned from US
Effective URL: https://financial-help-fast.com/start
Submission: On March 20 via api from CA — Scanned from US
Form analysis
1 forms found in the DOMPOST /flow?uid=55a79df9-68b4-4b87-873f-01adc9aadd99
<form id="formSubmit" action="/flow?uid=55a79df9-68b4-4b87-873f-01adc9aadd99" method="POST" data-effect="" data-effect-duration="">
<div id="f1" class="dynamic-form form-step form1 form1-1">
<div class="row row-spacing" data-row-id="1">
<div id="col-field-html" class="col html form-field-col-ignored" data-col-id="1" data-autohide="">
<div id="path-field-html-1-1-1" class="path-dynamic-field">
<h2 class="text-center formBlock__titleForm">Fill out the form below and
learn more inside:</h2>
<h6 style="font-weight:bold;text-align:center;">, to ensure you're sent all the Financial Assistance you qualify for, please confirm your email address:</h6><br>
</div>
<script>
document.querySelector('#path-field-html-1-1-1').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
elem.fieldContent = elem.innerHTML
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6bnVsbCwidmFsaWRhdGlvbnMiOm51bGx9')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillMergetagsHTML(elem)
},
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="2">
<div id="col-field-first_name" class="col first-name col-12 col-md-6 form-field-col" data-col-id="1" data-autohide="true">
<input id="first_name" type="text" name="first_name" class="path-form-field-with-feedback path-dynamic-field required" title="First Name" value="" placeholder="First Name">
<span id="first_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#first_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#first_name-error-feedback')
var elem = this
evt.detail.setControls(
'eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJGaXJzdCBOYW1lIn0sInZpc2liaWxpdHkiOnsidHlwZSI6ImhpZGUiLCJhY3Rpb25zIjpbXSwiYXV0b2hpZGUiOnRydWV9LCJ2YWxpZGF0aW9ucyI6eyJhY3Rpb25zIjpbXSwicmVxdWlyZWQiOnRydWV9fQ%3D%3D')
evt.detail.assignToState('first_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
<div id="col-field-last_name" class="col last-name col-12 col-md-6 form-field-col" data-col-id="2" data-autohide="true">
<input id="last_name" type="text" name="last_name" class="path-form-field-with-feedback path-dynamic-field required" title="Last Name" value="" placeholder="Last Name">
<span id="last_name-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#last_name').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#last_name-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJMYXN0IE5hbWUifSwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('last_name')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="3">
<div id="col-field-email" class="col e-mail-required col-12 col-md-6 form-field-col" data-col-id="1" data-autohide="false">
<input id="email" list="email_domains" type="email" name="email" class="path-form-field-with-feedback path-dynamic-field required" title="Email" data-session-verification="-1" value="" placeholder="E-mail">
<span id="emailmessage" class="invalid-feedback hidden path-form-feedback"></span>
<datalist id="email_domains"></datalist>
<script>
document.querySelector('#email').addEventListener('path-dynamic-field-register', function(evt) {
var domains = ["gmail.com", "yahoo.com", "hotmail.com", "aol.com", "hotmail.co.uk", "hotmail.fr", "msn.com", "yahoo.fr", "wanadoo.fr", "orange.fr", "comcast.net", "yahoo.co.uk", "yahoo.co.in", "live.com", "rediffmail.com", "free.fr",
"gmx.de", "web.de", "yandex.ru", "ymail.com", "libero.it", "outlook.com", "uol.com", "bol.com", "mail.ru", "cox.net", "hotmail.it", "sbcglobal.net", "sfr.fr", "live.fr", "verizon.net", "live.co.uk", "googlemail.com", "yahoo.es",
"ig.com", "live.nl", "bigpond.com", "terra.com", "yahoo.it", "neuf.fr", "yahoo.de", "alice.it", "rocketmail.com", "att.net", "laposte.net", "facebook.com", "bellsouth.net", "yahoo.in", "hotmail.es", "charter.net", "yahoo.ca",
"yahoo.com.au", "rambler.ru", "hotmail.de", "tiscali.it", "shaw.ca", "yahoo.co.jp", "sky.com"
]
var feedbackElem = document.querySelector('#emailmessage')
var emailDomains = document.querySelector('#email_domains')
var elem = this
evt.detail.overrideOnChangeListener(function() {
elem.addEventListener('input', evt.detail.listener(function(evt, setValue) {
var value = evt.target.value
setValue(value)
var split = value.split('@')
var username = split[0]
var domain = split[1]
var regex = domain && new RegExp('@' + domain)
emailDomains.innerHTML = ''
domains.forEach(function(domain) {
if (regex && regex.test('@' + domain) && username + '@' + domain !== value) {
var option = emailDomains.appendChild(document.createElement('option'))
option.setAttribute('value', username + '@' + domain)
}
})
}))
})
evt.detail.setControls(
'eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJFLW1haWwifSwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6ZmFsc2V9LCJ2YWxpZGF0aW9ucyI6eyJhY3Rpb25zIjpbXSwicmVxdWlyZWQiOnRydWV9fQ%3D%3D')
evt.detail.assignToState('test')
evt.detail.assignToState('email', evt.detail.effects.test)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
<div id="col-field-phone" class="col phone form-field-col" data-col-id="2" data-autohide="true">
<input id="phone" type="tel" name="phone" title="Phone" data-session-verification="-1" value="" class="path-dynamic-field path-form-field-with-feedback required" pattern="[0-9]*" inputmode="numeric" placeholder="Phone"
autocomplete="tel-national">
<span id="phone-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-phone"></span>
<script>
document.querySelector('#phone').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#phone-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJQaG9uZSJ9LCJ2aXNpYmlsaXR5Ijp7InR5cGUiOiJoaWRlIiwiYWN0aW9ucyI6W10sImF1dG9oaWRlIjp0cnVlfSwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('phone')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInputPhone(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="4">
<div id="col-field-address1" class="col address-1 form-field-col" data-col-id="1" data-autohide="true">
<input id="addressform" type="text" name="addressform" title="Address" value="" class="path-dynamic-field path-form-field-with-feedback required" placeholder="Address 1" autocomplete="address-line1">
<span id="address1-error-feedback" class="invalid-feedback hidden path-form-feedback invalid-postal"></span>
<input id="address1" type="hidden" name="address1" title="Address" value="">
<script>
document.querySelector('#addressform').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#address1-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJBZGRyZXNzIDEifSwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('address1')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
<div id="col-field-address2" class="col address-2 form-field-col" data-col-id="2" data-autohide="true">
<input id="address2" type="text" name="address2" value="" class="path-form-field-with-feedback path-dynamic-field " placeholder="Address 2" autocomplete="address-line2">
<span id="address2-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#address2').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#address2-error-feedback')
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJBZGRyZXNzIDIifSwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjpudWxsfQ%3D%3D')
evt.detail.assignToState('address2')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="5">
<div id="col-field-zip" class="col zip-code col-12 col-md-6 form-field-col" data-col-id="1" data-autohide="true">
<input id="zip" type="text" name="zip" title="Zipcode" maxlength="5" data-session-verification="-1" value="" class="path-form-field-with-feedback required path-dynamic-field" pattern="[0-9]*" inputmode="numeric" placeholder="Zip Code"
autocomplete="postal-code">
<span id="zip-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#zip').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#zip-error-feedback')
var elem = this
evt.detail.setControls(
'eyJwb3B1bGF0ZSI6eyJhY3Rpb25zIjpbXSwicGxhY2Vob2xkZXIiOiJaaXAgQ29kZSJ9LCJ2aXNpYmlsaXR5Ijp7InR5cGUiOiJoaWRlIiwiYWN0aW9ucyI6W10sImF1dG9oaWRlIjp0cnVlfSwidmFsaWRhdGlvbnMiOnsiYWN0aW9ucyI6W10sInJlcXVpcmVkIjp0cnVlfX0%3D')
evt.detail.assignToState('zip')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
prepopulate_with: renders.fillZip(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
$(elem).change()
})
</script>
</div>
<div id="col-field-gender" class="col gender form-field-col" data-col-id="2" data-autohide="true">
<select id="gender" data-value="" data-type="gender" name="gender" title="Gender" class="path-form-field-with-feedback path-dynamic-field required">
<option value=""> Select Gender </option>
<option value="M">Male</option>
<option value="F">Female</option>
</select>
<span id="gender-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
<script>
document.querySelector('#gender[data-type=gender]').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#gender-error-feedback')
var elem = this
evt.detail.assignToState('gender')
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Select Gender
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="6">
<div id="col-field-dob" class="col date-of-birth col-12 col-md-6 form-field-col" data-col-id="1" data-autohide="true">
<label class="label">Date of Birth</label>
<div class="row path-form-field-with-feedback-control">
<div class="col">
<select id="dob_month" name="dob_month" title="Dob Month" autocomplete="bday-month" class="path-dynamic-field required">
<option value=""> Month </option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
</div>
<div class="col">
<select id="dob_day" name="dob_day" title="Dob Day" autocomplete="bday-day" class="path-dynamic-field required">
<option value=""> Day </option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</div>
<div class="col">
<select id="dob_year" name="dob_year" title="Dob Year" autocomplete="bday-year" class="path-dynamic-field required">
<option value=""> Year </option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
</select>
</div>
</div>
<span id="dobmessage" class="invalid-feedback hidden path-form-feedback"></span>
<script>
var feedbackElem = document.querySelector('#dobmessage')
document.querySelector('#dob_day').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('dob_day', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Day
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
document.querySelector('#dob_year').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('age')
evt.detail.assignToState('dob_year', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Year
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
document.querySelector('#dob_month').addEventListener('path-dynamic-field-register', function(evt) {
var elem = this
evt.detail.setControls('eyJwb3B1bGF0ZSI6bnVsbCwidmlzaWJpbGl0eSI6eyJ0eXBlIjoiaGlkZSIsImFjdGlvbnMiOltdLCJhdXRvaGlkZSI6dHJ1ZX0sInZhbGlkYXRpb25zIjp7ImFjdGlvbnMiOltdLCJyZXF1aXJlZCI6dHJ1ZX19')
evt.detail.assignToState('dob_month', evt.detail.effects.age)
evt.detail.render(function(renders) {
return {
hide: renders.hideParentFieldForm(elem),
show: renders.hideParentFieldForm(elem, false),
populate: {
populate_options: renders.fillSelectOptions(elem, `
Month
`),
prepopulate_with: renders.fillInput(elem)
},
validation: renders.fillFeedbackMessage(feedbackElem)
}
})
})
</script>
</div>
</div>
<div class="row row-spacing" data-row-id="7">
<div id="col-field-cf_cell_number" class="col input-cell-number form-field-col hidden" data-col-id="1" data-autohide="false">
<label class="label">[input] Cell Number</label>
<div class="cf_text">
<label class="cf_text__label" for="cf_cell_number_0">
<input class="cf_text__input path-dynamic-field path-form-field-with-feedback " type="text" data-custom="cf_cell_number" name="cf_cell_number" id="cf_cell_number_0" value="">
<span id="cf_cell_number-error-feedback" class="invalid-feedback hidden path-form-feedback"></span>
</label>
</div>
<script>
document.querySelector('#cf_cell_number_0').addEventListener('path-dynamic-field-register', function(evt) {
var feedbackElem = document.querySelector('#cf_cell_number-error-feedback')
var elem = this
evt.detail.setControls(
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<div class="twy-registration__body"> <label for="twyinputyes-182" class="twy-registration__label">
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opportunities, marketing offers and job alerts at the email and phone number provided, including wireless, automated technology, pre-recorded voice calls and/or text messages, even if the number provided is on any State, Federal or
Corporate Do Not Call registry. I understand and my consent is not a condition of purchase and I can opt out at any time - Msg and data rates may apply. To receive information without providing consent, please call: 888-882-6877 </label>
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Text Content
If you’re experiencing FINANCIAL HARDSHIP... you’re NOT alone. According to Gallup, more than 6 out of 10 people surveyed say recent price increases have caused financial hardship. ~ May 2023 Private and government programs provide $1000s in financial assistance to people that NEED it! Government Grants Government Stimulus Unemployment Benefits Prescription Discount Services Social Security Disability Insurance New Job Search Rent to Own Free Benefit Guide Side-Hustles IF YOU NEED FINANCIAL ASSISTANCE, YOU’RE NOT THE ONLY ONE. BUT TODAY, YOU CAN DO SOMETHING ABOUT IT! FILL OUT THE FORM BELOW AND LEARN MORE INSIDE: , TO ENSURE YOU'RE SENT ALL THE FINANCIAL ASSISTANCE YOU QUALIFY FOR, PLEASE CONFIRM YOUR EMAIL ADDRESS: Select Gender Male Female Date of Birth Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 20062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924 [input] Cell Number Check the box to get signed up for the Financial Help Fast "BenefitsWise Newsletter," powered by ArcaMax. First Last Email Get Help Now! By clicking the submit button, I agree that I am a U.S. resident over 18, I agree to the Privacy Policy & Terms of Service. I provide my consent to receive email from Financial Help Fast and their affiliate brands/Partners that may be of interest. I also consent to contact me regarding home business opportunities, marketing offers and job alerts at the email and phone number provided, including wireless, automated technology, pre-recorded voice calls and/or text messages, even if the number provided is on any State, Federal or Corporate Do Not Call registry. I understand and my consent is not a condition of purchase and I can opt out at any time - Msg and data rates may apply. To receive information without providing consent, please call: 888-882-6877 © 2024 Financial Help Fast is a division of Offer Blueprint, LLC | All Rights Reserved * Terms of Service * Privacy Policy * Unsubscribe * Do Not Sell My Personal info MARKETING PARTNERS B2 Direct Email Magic, LLC Home Business Advisors eMerchant Club Inbox Power AWP Gaming Studios Elevate Media Whatif Top Offers Home Business Finder Blue Modo Media, Inc. Degree Source eMerchant Club Liberty Aid Network Debt Relief Center