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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>High Conversion Move Lead Form</title>
    <style>
        /* Container Styles */
        .lead-form-container {
            width: 100%;
            max-width: 800px;
            margin: 20px auto; /* Center the container */
            padding: 20px;
            background-color: #ffffff;
            border: 1px solid #EAEEED;
            border-radius: 8px;
            box-shadow: 0 4px 8px rgba(0, 0, 0, 0.1);
            box-sizing: border-box;
        }

        /* Form Title */
        .lead-form h2 {
            color: #2174BA;
            text-align: left;
            font-size: 20px;
            border-bottom: 2px solid #EAEEED;
            padding-bottom: 8px;
            margin-bottom: 20px;
        }

        /* Form Labels */
        .lead-form label {
            color: #000000;
            font-weight: bold;
            display: block;
            margin-bottom: 5px;
        }

        /* Form Inputs */
        .lead-form input, 
        .lead-form select, 
        .lead-form textarea, 
        .lead-form button {
            width: 100%;
            padding: 12px;
            border: 1px solid #EAEEED;
            border-radius: 5px;
            box-sizing: border-box;
            margin-bottom: 15px;
            font-size: 14px;
            background-color: #F5F7F6;
            color: #000000;
        }

        /* Textarea Styles */
        .lead-form textarea {
            height: 80px;
        }

        /* Input & Select Hover and Focus */
        .lead-form input:focus, 
        .lead-form select:focus, 
        .lead-form textarea:focus {
            border-color: #2174BA;
            outline: none;
            box-shadow: 0 0 8px rgba(33, 116, 186, 0.2);
        }

        /* Form Button */
        .lead-form button {
            background-color: #2174BA;
            color: #ffffff;
            border: none;
            font-weight: bold;
            cursor: pointer;
            transition: background-color 0.3s ease;
        }

        /* Button Hover State */
        .lead-form button:hover {
            background-color: #1A5A92;
        }

        /* Responsive Design */
        @media (max-width: 768px) {
            .lead-form-container {
                padding: 15px;
                margin: 10px;
            }

            .lead-form input, 
            .lead-form select, 
            .lead-form textarea, 
            .lead-form button {
                padding: 10px;
                font-size: 12px;
            }

            .lead-form h2 {
                font-size: 18px;
            }
        }

        @media (max-width: 480px) {
            .lead-form-container {
                width: 95%; /* Utilize more screen space */
                padding: 10px;
                margin: 5px;
            }

            .lead-form input, 
            .lead-form select, 
            .lead-form textarea, 
            .lead-form button {
                padding: 8px;
                font-size: 12px;
            }

            .lead-form h2 {
                font-size: 16px;
            }
        }
    </style>
</head>
<body>
    
    <div class="lead-form-container">
        
        <form id="lead-form" class="lead-form">
            <h2>Request Your Free Moving Estimate</h2>
            <label for="firstName">First Name*</label>
            <input type="text" id="firstName" name="firstName" required>

            <label for="lastName">Last Name</label>
            <input type="text" id="lastName" name="lastName">

            <label for="contactNumberMobile">Phone Number</label>
            <input type="text" id="contactNumberMobile" name="contactNumberMobile">

            <label for="emailAddress">Email</label>
            <input type="email" id="emailAddress" name="emailAddress">

            <h2>Move Information</h2>
            
            <label for="moveDate">Move Date</label>
            <input type="date" id="moveDate" name="moveDate" required>

            <label for="numberOfBedrooms">Bedrooms</label>
            <input type="text" id="numberOfBedrooms" name="numberOfBedrooms" placeholder="Studio, 1, 2, etc.">

            <label for="customerNote">Notes “Movers + Truck or  Movers Only, Few items.”</label>
            <textarea id="customerNote" name="customerNote"></textarea>

            <label for="source">Referral Source Get $ Off!</label>
            <input type="text" id="source" name="source">

            <h2>Origin Information</h2>
            <label for="originAddressLineOne">Address Line 1</label>
            <input type="text" id="originAddressLineOne" name="originAddressLineOne">

            <label for="originAddressLineTwo">Address Line 2</label>
            <input type="text" id="originAddressLineTwo" name="originAddressLineTwo">

            <label for="originCity">City</label>
            <input type="text" id="originCity" name="originCity">

            <label for="originState">State</label>
            <input type="text" id="originState" name="originState">

            <label for="originZipCode">Zip Code</label>
            <input type="text" id="originZipCode" name="originZipCode">

            <h2>Destination Information</h2>
            <label for="destinationAddressLineOne">Address Line 1</label>
            <input type="text" id="destinationAddressLineOne" name="destinationAddressLineOne">

            <label for="destinationAddressLineTwo">Address Line 2</label>
            <input type="text" id="destinationAddressLineTwo" name="destinationAddressLineTwo">

            <label for="destinationCity">City</label>
            <input type="text" id="destinationCity" name="destinationCity">

            <label for="destinationState">State</label>
            <input type="text" id="destinationState" name="destinationState">

            <label for="destinationZipCode">Zip Code</label>
            <input type="text" id="destinationZipCode" name="destinationZipCode">

            <button type="submit">Submit</button>
        </form>
    </div>

    
    <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>

    
    <script>
    $(document).ready(function () {
        $("#lead-form").submit(function (event) {
            event.preventDefault(); // Prevent the form from submitting the traditional way

            const locationId = "100704"; // Your Location ID
            const providerKey = "m%2BLQ2hOFKr52Xbe7LSJFZoxLxYU1j%2BL5FJpyrYS5M3jxKK7CHa8QOiHsKxFetMoSJn8wpf4LBrjJ5jp7x0SinQ%3D%3D"; // Your Provider Key

            // Build JSON payload based on form values
            const formData = {
                "firstName": $("#firstName").val(),
                "lastName": $("#lastName").val(),
                "contactNumberMobile": $("#contactNumberMobile").val(),
                "emailAddress": $("#emailAddress").val(),
                "numberOfBedrooms": $("#numberOfBedrooms").val(),
                "serviceDate": $("#moveDate").val(),  // Get date in YYYY-MM-DD format
                "customerNote": $("#customerNote").val(),
                "source": $("#source").val(),
                "originAddressLineOne": $("#originAddressLineOne").val(),
                "originAddressLineTwo": $("#originAddressLineTwo").val(),
                "originCity": $("#originCity").val(),
                "originState": $("#originState").val(),
                "originZipCode": $("#originZipCode").val(),
                "destinationAddressLineOne": $("#destinationAddressLineOne").val(),
                "destinationAddressLineTwo": $("#destinationAddressLineTwo").val(),
                "destinationCity": $("#destinationCity").val(),
                "destinationState": $("#destinationState").val(),
                "destinationZipCode": $("#destinationZipCode").val()
            };

            // Construct the URL for the API endpoint
            const url = `https://6gfav87jf1.execute-api.us-east-1.amazonaws.com/prod/movegistics/api/lead/formProvider/?locationId=${locationId}&providerKey=${providerKey}`;

            // Make the AJAX POST request to the API endpoint
            $.ajax({
                type: "POST",
                url: url,
                data: JSON.stringify(formData),
                contentType: "application/json",
                success: function (data) {
                    alert("Thank you for reaching out! We just sent you a text for some additional information.");
                    // Reset the form fields after successful submission
                    $("#lead-form")[0].reset();

                    // Redirect to FAQ page after submission
                    window.location.href = "https://swiftservicemen.com/faq";
                },
                error: function (xhr, textStatus, errorThrown) {
                    const response = JSON.parse(xhr.responseText);
                    var message = response.message || "Something went wrong. Please try again.";
                    alert(message);
                }
            });
        });
    });
    </script>
</body>
</html>

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<h2 style="white-space:pre-line">About Us</h2>
<p>Swift Service Men is dedicated to providing top-notch moving services with a focus on customer satisfaction and efficiency. With years of experience in the moving industry, our team of skilled professionals ensures that your relocation is smooth, stress-free, and customized to meet your specific needs.</p>