File: /home/americashealthcenter.org/public_html/form-success.php
<?php
//Ip Function
function getClientIp()
{
$ipaddress = '';
if (getenv('HTTP_CLIENT_IP'))
$ipaddress = getenv('HTTP_CLIENT_IP');
else if (getenv('HTTP_X_FORWARDED_FOR'))
$ipaddress = getenv('HTTP_X_FORWARDED_FOR');
else if (getenv('HTTP_X_FORWARDED'))
$ipaddress = getenv('HTTP_X_FORWARDED');
else if (getenv('HTTP_FORWARDED_FOR'))
$ipaddress = getenv('HTTP_FORWARDED_FOR');
else if (getenv('HTTP_FORWARDED'))
$ipaddress = getenv('HTTP_FORWARDED');
else if (getenv('REMOTE_ADDR'))
$ipaddress = getenv('REMOTE_ADDR');
else
$ipaddress = 'UNKNOWN';
return $ipaddress;
}
?>
<script>
$(document).ready(function() {
$("submit").click(function() {
var pageURL = $(location).attr("href");
alert(pageURL);
});
});
</script>
<!doctype html>
<html class="no-js" lang="zxx">
<head>
<meta charset="utf-8">
<meta name="author" content="Bailey Craven">
<meta name="description" content="">
<meta name="keywords" content="HTML,CSS,XML,JavaScript">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!-- Title -->
<title>America's Health Center | Get Quotes the Fast and Easy Way!</title>
<!-- Place favicon.ico in the root directory -->
<link rel="apple-touch-icon" href="images/apple-touch-icon.png">
<link rel="shortcut icon" type="image/ico" href="images/favicon.ico" />
<!-- Plugin-CSS -->
<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-T3c6CoIi6uLrA9TneNEoa7RxnatzjcDSCmG1MXxSR1GAsXEV/Dwwykc2MPK8M2HN" crossorigin="anonymous">
<link rel="stylesheet" href="css/owl.carousel.min.css">
<link rel="stylesheet" href="css/themify-icons.css">
<link rel="stylesheet" href="css/magnific-popup.css">
<link rel="stylesheet" href="css/animate.css">
<link rel="stylesheet" href="css/scrollTrigger.css">
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<link rel="stylesheet" href="css/normalize.css">
<link rel="stylesheet" href="style.css">
<link rel="stylesheet" href="css/responsive.css">
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.5.0/css/all.css" integrity="sha384-B4dIYHKNBt8Bc12p+WXckhzcICo0wtJAoU8YZTY5qE0Id1GSseTk6S+L3BlXeVIU" crossorigin="anonymous">
<script src="js/vendor/modernizr-2.8.3.min.js"></script>
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<script src="//oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script>
<script src="//oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
<script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/jquery.validate.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery.mask/1.14.15/jquery.mask.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-ui-timepicker-addon/1.6.3/jquery-ui-timepicker-addon.min.js"></script>
<script src="./js/dobpicker.js"></script>
<style>
.nav-link {
color:#ffffff !important;
}
.form-floating {
color: #000000 !important;
}
form-select {
color: #000000 !important;
}
</style>
</head>
<body data-spy="scroll" data-target="#primary-menu">
<!--Mainmenu-area-->
<nav class="navbar navbar-expand-lg bg-body-tertiary" style="background: #ed1b24 !important;">
<div class="container">
<a href="#about-page" class="navbar-brand logo">
<img width="100px" src="images/logo.png">
</a>
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarSupportedContent" aria-controls="navbarSupportedContent" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="" id="navbarSupportedContent">
<ul class="navbar-nav me-auto mb-2 mb-lg-0">
<a style="color: #ffffff !important; text-decoration: none; font-weight: 600;" href="tel:+18887111284">+1 (888) 711-1284</a>
</ul>
</div>
</div>
</nav>
<!-- START CONTACT -->
<section class="section bg-light" id="contact" style="z-index: 10; background: #ffffff; padding: 200px 0 200px 0">
<div class="container">
<div class="row mt-2 justify-content-center">
<div class="col-lg-12">
<h1 class="display-vhq text-center pb-4" style="color: #0052D4; font-size: 2.5rem; font-weight:600">
Thank You!
</h1>
<h4 style="color: #343f52; font-size: 1rem; font-weight:600" class="text-center">Your request has been successfully submitted. A licensed agent will be in touch very soon!</h4>
<h1 style="font-style: italic; font-size: 1rem;" class="text-center">If you are in need of immediate assistance you can call us directly at <span><a style="color: #0052D4 !important; text-decoration: none;" href="tel:+18887111284">+1 (888) 711-1284</a></span></h4>
</div>
</div>
</section>
<div class="footer-bottom" style="background: #ed1b24 !important;">
<div class="row ">
<div class="col-xs-12 text-center ">
<p style="font-size: 8pt; color:#fff ">©America's Health Center 2019 | All Rights Reserved. This website is privately owned, and neither affiliated with, nor endorsed by, nor operated by any government agency. If you are looking for the government's official website
visit <a href="https://www.healthcare.gov " style="color:#fff; ">HealthCare.gov</a></p>
</div>
</div>
</div>
<!--Vendor-JS-->
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/js/bootstrap.bundle.min.js" integrity="sha384-MrcW6ZMFYlzcLA8Nl+NtUVF0sA7MsXsP1UyJoMp4YLEuNSfAP+JcXn/tWtIaxVXM" crossorigin="anonymous"></script>
<!--Plugin-JS-->
<!--Main-active-JS-->
<script src="js/main.js "></script>
</body>
</html>