safety-shower-contractors.com Open in urlscan Pro
158.69.118.217  Public Scan

Form analysis
1 forms found in the DOM

POST https://sdmtrk.com/d.ashx

<form id="review-form" action="https://sdmtrk.com/d.ashx" method="POST">
  <input type="hidden" name="ckm_offer_id" value="141">
  <input type="hidden" name="opt_in" value="1">
  <input id="leadid_token" name="universal_leadid" type="hidden" value="E19BC1A4-754A-80D5-D525-AF652E351017">
  <div id="step1" style="overflow-x:hidden">
    <div class="question"> Where do you need your safety<br> shower installed? </div>
    <div id="question1">
      <img src="images/question1.png" style="width: 100%">
    </div>
    <div id="step1_choices">
      <div class="step1s buttons" data-bathing-set="Master Bathroom">Master Bathroom</div>
      <div class="step1s buttons" data-bathing-set="Guest Bathroom">Guest Bathroom</div>
      <div><img id="desktop-location1" src="images/location1.png" style="margin-bottom:-20px;max-width:50px">
        <img id="mobile-location1" src="images/mobile-location1.png" style="max-width:50px;margin:0 auto">
      </div>
      <input type="text" id="zipcode" maxlength="5" name="zip_code" placeholder="Enter Zip Code">
    </div>
  </div>
  <div id="step2" style="overflow-x:hidden">
    <div class="question"> Which safety features are you interested<br> in learning about? </div>
    <div id="question2">
      <img src="images/question2.png" style="width: 100%">
    </div>
    <div id="step2_choices">
      <div id="choice2_1" class="step2s buttons" data-clicked="0" data-bathing-set="Low Threshold Entry">Low Threshold Entry</div>
      <div id="choice2_2" class="step2s buttons" data-clicked="0" data-bathing-set="Safety Seat">Safety Seat </div>
      <div id="choice2_3" class="step2s buttons" data-clicked="0" data-bathing-set="Grab Rails">Grab Rails</div>
      <div id="choice2_4" class="step2s buttons" data-clicked="0" data-bathing-set="Extendable Shower Head">Extendable Shower Head</div>
    </div>
  </div>
  <div id="step3" style="overflow-x:hidden">
    <div class="question"> Why are you considering<br> this purchase? </div>
    <div id="question3">
      <img src="images/question3.png" style="width: 100%">
    </div>
    <div id="step3_choices">
      <div id="choice3_1" class="step3s buttons" data-clicked="0" data-bathing-set="Fresh Design">Fresh Design</div>
      <div id="choice3_2" class="step3s buttons" data-clicked="0" data-bathing-set="Planning for Future">Planning for Future</div>
      <div id="choice3_3" class="step3s buttons" data-clicked="0" data-bathing-set="Current Safety Needs">Current Safety Needs</div>
      <div id="choice3_4" class="step3s buttons" data-clicked="0" data-bathing-set="Wheelchair Access">Wheelchair Access</div>
    </div>
  </div>
  <div id="step4" style="overflow-x:hidden">
    <div class="question"> Almost finished! </div>
    <div id="question4">
      <img src="images/question4.png" style="width: 100%">
    </div>
    <div id="step4_choices" style="overflow-x:hidden">
      <div><input type="text" id="first_name" name="first_name" placeholder="First Name"></div>
      <div><input type="text" id="last_name" name="last_name" placeholder="Last Name"></div>
      <div><input type="text" id="street_address" name="address" placeholder="Street Address"></div>
      <img id="state-desktop-loc1" src="images/location1.png" style="margin-bottom:-7px;max-width:35px">
      <img id="state-mobile-loc1" src="images/mobile-location1.png" style="margin-bottom:-7px;max-width:35px">
      <span style="color:#388b94;font-size:18px;vertical-align:middle" class="city-state-zip"></span>
    </div>
  </div>
  <div id="step5" style="overflow-x:hidden">
    <div class="question questionl"> Last step! </div>
    <div id="question5">
      <img src="images/question5.png" style="width: 100%">
    </div>
    <div id="step5_choices" style="overflow-x:hidden">
      <div><input type="text" id="phone" name="phone_home" placeholder="Phone" maxlength="14"></div>
      <div><input type="text" id="email" name="email_address" placeholder="Email"></div>
    </div>
  </div>
  <div id="spinner">
    <i class="fa fa-spinner fa-spin" style="font-size:42px"></i>
  </div>
  <div id="get_quote" style="overflow-x:hidden;width:100%;padding-bottom:10px">
    <span style="font-size:34px;vertical-align:middle">Get Quote</span>
  </div>
  <div id="disclaimer"> By submitting this request for information, I hereby provide my signature, consenting to receive information by email, auto-dialer and/or pre-recorded telephone calls, and/or SMS messages from or on behalf of Safety Shower
    Contractors and up to four of our <a id="fulfillment" href="fulfillment-partners.html">fulfillment partners  </a>at the telephone number provided above, including my wireless number, even if I am on a State or Federal Do-Not-Call list. I
    understand consent is not a condition of purchase. </div>
  <div id="nextb" style="overflow-x:hidden;width:100%;padding-bottom:10px">
    <span id="get_started" style="font-size:34px;vertical-align:middle">Get Started</span><span id="next2" style="padding-left:30px;font-size:34px;vertical-align:middle">Next</span><img src="images/arrow.png" style="vertical-align:middle">
  </div>
  <input type="hidden" id="steps" value="1">
  <input type="hidden" id="location" name="Location" value="">
  <input type="hidden" id="property_type" name="safety_features" value="test3 test4">
  <input type="hidden" id="product" name="why" value="test1 test2">
  <input type="hidden" id="city" name="city">
  <input type="hidden" id="state" name="state">
  <input type="hidden" name="ckm_bp" value="1">
  <input type="hidden" id="ckm_request_id" name="ckm_request_id" value="">
</form>

Text Content

Connect with a specialist

Where do you need your safety
shower installed?

Master Bathroom
Guest Bathroom

Which safety features are you interested
in learning about?

Low Threshold Entry
Safety Seat
Grab Rails
Extendable Shower Head
Why are you considering
this purchase?

Fresh Design
Planning for Future
Current Safety Needs
Wheelchair Access
Almost finished!


Last step!



Get Quote
By submitting this request for information, I hereby provide my signature,
consenting to receive information by email, auto-dialer and/or pre-recorded
telephone calls, and/or SMS messages from or on behalf of Safety Shower
Contractors and up to four of our fulfillment partners at the telephone number
provided above, including my wireless number, even if I am on a State or Federal
Do-Not-Call list. I understand consent is not a condition of purchase.
Get StartedNext

© 2021 safety-shower-contractors.com All Rights Reserved | Privacy Policy |
Terms and Conditions | California - Do Not Sell My Information
Your elegant new shower will be customized to your preferences,
installed quickly, and easily maintained for life.
© 2021 safety-shower-contractors.com All Rights Reserved | Privacy Policy
Terms and Conditions | California - Do Not Sell My Information