File: /home/findingaffordablehealthbenefits/backup/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;
}
?>
<?php
$actual_link = "http://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]";
?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="shortcut icon" href="./assets/img/favicon.png">
<title>Value Health Quotes</title>
<link rel="stylesheet" href="./assets/css/plugins.css">
<link rel="stylesheet" href="./assets/css/style.css">
<link rel="stylesheet" href="./assets/css/aqua.css">
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.5.0/jquery.min.js" integrity="sha256-xNzN2a4ltkB44Mc/Jz3pT4iU1cmeR0FkXs4pru/JxaQ=" crossorigin="anonymous"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-validate/1.19.3/jquery.validate.min.js" integrity="sha512-37T7leoNS06R80c8Ulq7cdCDU5MNQBwlYoy1TX/WUsLFC2eYNqtKlV0QjH7r8JpG/S0GUMZwebnVFLPd6SU5yg==" crossorigin="anonymous" referrerpolicy="no-referrer"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-easing/1.4.1/jquery.easing.min.js" integrity="sha512-0QbL0ph8Tc8g5bLhfVzSqxe9GERORsKhIn1IrpxDAgUsbBGz/V7iSav2zzW325XGd1OMLdL4UiqRJj702IeqnQ==" crossorigin="anonymous"></script>
<script>
dataLayer.push({
'event':'ec_formsubmit',
'enhanced_conversion_data': {
"email": 'yourEmailVariable',
"phone_number": 'yourPhoneVariable',
"first_name": 'yourFirstNameVariable',
"last_name": 'yourLastNameVariable',
"street": 'yourStreetAddressVariable',
"city": 'yourCityVariable',
"region": 'yourRegionVariable',
"postal_code": 'yourPostalCodeVariable',
"country": 'yourCountryVariable'
}
})
</script>
<header class="wrapper bg-light">
<div class="bg-primary text-white fw-bold fs-15">
<div class="container py-1 d-md-flex flex-md-row">
<div class="d-flex flex-row align-items-center me-0 ms-auto" style="margin: auto !important;">
<div class="icon text-white fs-22 mt-1 me-2 d-flex justify-content-center"> <i class="uil uil-phone-volume"></i></div>
<p class="mb-0 text-center"><a href="Tel: (855) 805-6712" style="color: #ffffff">Speak to a Licensed Agent Now!</a></p>
</div>
</div>
<!-- /.container -->
</div>
<nav class="navbar navbar-expand-lg center-nav transparent navbar-light">
<div class="container d-flex justify-content-center">
<div class="navbar-brand">
<a href="/">
<img src="./assets/img/logo.svg" srcset="./assets/img/[email protected] 2x" style="width: 100%;" alt="">
</a>
</div>
<div class="navbar-collapse offcanvas-nav">
<div class="offcanvas-header d-lg-none d-xl-none">
<a href="/">
<img src="./assets/img/logo.svg" srcset="./assets/img/[email protected] 2x" style="width:100% important;" alt="">
</a>
<button type="button" class="btn-close btn-close-white offcanvas-close offcanvas-nav-close" aria-label="Close"></button>
</div>
<!-- /.navbar-nav -->
</div>
<!-- /.navbar-collapse -->
<div class="navbar-other w-100 d-flex ms-auto">
<ul class="navbar-nav flex-row align-items-center ms-auto" data-sm-skip="true">
<li class="nav-item d-none d-md-block">
<a href="Tel: (855) 805-6712" class="btn btn-primary rounded-pill mb-0">Call Now: (855) 805-6712</a>
</li>
</ul>
<!-- /.navbar-nav -->
</div>
<!-- /.navbar-other -->
</div>
<!-- /.container -->
</nav>
<!-- /.navbar -->
</header>
<!-- /header -->
<body>
<!-- Google Tag Manager (noscript) -->
<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-N4TTDBV"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<!-- End Google Tag Manager (noscript) -->
<input type="hidden" id="phoneNumber">
<script type="text/javascript">
window.convertMoreSettings = {
settingsSrc: 'd9598977-f503-49d5-9c17-21cf0a51039d',
apiUrl: 'https://calls.prod.convertmore.com',
}
</script>
<script defer id="convertmore" src="https://convertmore-js.s3-eu-west-1.amazonaws.com/js/convertmore-load.js"></script>
<!-- START CONTACT -->
<section class="section bg-light" id="contact" style="z-index: 10; background: #ffffff; padding: 100px 0 100px 0">
<div class="container">
<div class="row mt-2 justify-content-center">
<div class="col-lg-12">
<div class="g3cm_holder" data-module="1671" data-showoninit="true" data-conversionid="" data-destination="" data-destinationext="" data-followup="" style="display:none;">Thank you for your inquiry. A representative will be in contact with you shortly.</div>
<!-- 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:+18555862299">(855) 805-6712</a></span></h4>
</div>
</div>
</section>
</div>
</div>
</section>
<!-- END CONTACT -->
<!-- /.content-wrapper -->
<footer class="bg-navy text-inverse text-center">
<div class="container pt-4">
<!--/div -->
<div class="row gy-6 gy-lg-0">
<div class="col-md-12 col-lg-12">
<div class="widget">
<p class="mb-4">©Value Health Quotes 2019-2021 All Rights Reserved Powered by Precision Insurance Providers LLC <a href="/privacy.php"> Privacy Policy </a> | <a href="/terms.php">Terms of Service </a></p>
<!-- /.social -->
</div>
<!-- /.widget -->
</div>
<!-- /column -->
<!-- /column -->
</div>
<!--/.row -->
</div>
<!-- /.container -->
</footer>
<!-- contact init -->
<script type="text/javascript">
window.g3cm = window.g3cm || function () { (g3cm.q = g3cm.q || []).push(arguments) };
g3cm('loadjquery', 'true');
g3cm('phonenumberinput', 'phoneNumber');
g3cm('send', 'init');
</script>
<script>
function getParameterByName(name) {
name = name.replace(/[\[]/, "\\[").replace(/[\]]/, "\\]");
var regex = new RegExp("[\\?&]" + name + "=([^&#]*)"),
results = regex.exec(location.search);
return results == null ? "" : decodeURIComponent(results[1].replace(/\+/g, " "));
}
$(document).ready(function(){
var phoneNumber = getParameterByName("phoneNumber");
$('#phoneNumber').val(phoneNumber);
});
</script>
<script src="https://api.connectstreams.com/js/connectme-v3.min.js" async="async"></script>
</body>
</html>