@axos-web-dev/shared-components 1.0.99 → 1.0.100-dev.2
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/ATMLocator/ATMLocator.js +8 -1
- package/dist/ArticlesSet/ArticlesSet.js +2 -2
- package/dist/Auth/ErrorAlert.js +10 -3
- package/dist/Blockquote/Blockquote.module.js +3 -3
- package/dist/Button/Button.js +10 -3
- package/dist/Calculators/Calculator.js +22 -3
- package/dist/Calculators/MarineLoanMonthlyPaymentCalculator/index.d.ts +9 -0
- package/dist/Calculators/MarineLoanMonthlyPaymentCalculator/index.js +219 -0
- package/dist/Calculators/MaxLoanCalculator/index.js +22 -5
- package/dist/Calculators/MonthlyPaymentCalculator/MonthlyPaymentCalculator.css.d.ts +1 -0
- package/dist/Calculators/MonthlyPaymentCalculator/MonthlyPaymentCalculator.css.js +2 -0
- package/dist/Calculators/MonthlyPaymentCalculator/index.js +15 -5
- package/dist/Calculators/index.d.ts +2 -1
- package/dist/Calculators/index.js +3 -1
- package/dist/Carousel/index.js +10 -3
- package/dist/Chatbot/Bubble.css.d.ts +1 -0
- package/dist/Chatbot/Bubble.css.js +5 -0
- package/dist/Chatbot/Bubble.d.ts +3 -0
- package/dist/Chatbot/Bubble.js +48 -0
- package/dist/Chatbot/Chat.d.ts +1 -0
- package/dist/Chatbot/Chat.js +165 -0
- package/dist/Chatbot/ChatWindow.css.d.ts +11 -0
- package/dist/Chatbot/ChatWindow.css.js +25 -0
- package/dist/Chatbot/ChatWindow.d.ts +23 -0
- package/dist/Chatbot/ChatWindow.js +202 -0
- package/dist/Chatbot/Chatbot.css.d.ts +1 -0
- package/dist/Chatbot/Chatbot.css.js +5 -0
- package/dist/Chatbot/Chatbot.css.ts.vanilla.css.js +1 -0
- package/dist/Chatbot/Chatbot.d.ts +1 -0
- package/dist/Chatbot/Chatbot.js +39 -0
- package/dist/Chatbot/authenticate.d.ts +3 -0
- package/dist/Chatbot/authenticate.js +16 -0
- package/dist/Chatbot/index.d.ts +9 -0
- package/dist/Chatbot/index.js +31 -0
- package/dist/Chatbot/store/chat.d.ts +9 -0
- package/dist/Chatbot/store/chat.js +11 -0
- package/dist/Chatbot/store/messages.d.ts +14 -0
- package/dist/Chatbot/store/messages.js +12 -0
- package/dist/Chatbot/useHeadlessChat.d.ts +22 -0
- package/dist/Chatbot/useHeadlessChat.js +157 -0
- package/dist/Chevron/index.js +10 -3
- package/dist/Comparison/Comparison.js +10 -3
- package/dist/ExecutiveBio/ExecutiveBio.js +10 -3
- package/dist/FaqAccordion/index.js +10 -3
- package/dist/FooterSiteMap/AxosBank/FooterSiteMap.js +10 -3
- package/dist/Forms/ApplicationStart.d.ts +1 -1
- package/dist/Forms/ApplicationStart.js +111 -89
- package/dist/Forms/ApplyNow.d.ts +2 -2
- package/dist/Forms/ApplyNow.js +178 -146
- package/dist/Forms/ClearingForm.d.ts +1 -1
- package/dist/Forms/ClearingForm.js +184 -162
- package/dist/Forms/CommercialDeposits.d.ts +1 -1
- package/dist/Forms/CommercialDeposits.js +201 -179
- package/dist/Forms/CommercialLending.d.ts +1 -1
- package/dist/Forms/CommercialLending.js +278 -256
- package/dist/Forms/CommercialPremiumFinance.d.ts +1 -1
- package/dist/Forms/CommercialPremiumFinance.js +128 -106
- package/dist/Forms/ContactCompany.d.ts +1 -1
- package/dist/Forms/ContactCompany.js +113 -91
- package/dist/Forms/ContactCompanyTitle.d.ts +1 -1
- package/dist/Forms/ContactCompanyTitle.js +127 -105
- package/dist/Forms/ContactUs.d.ts +1 -1
- package/dist/Forms/ContactUs.js +99 -77
- package/dist/Forms/ContactUsAAS.d.ts +1 -1
- package/dist/Forms/ContactUsAAS.js +180 -158
- package/dist/Forms/ContactUsBusiness.d.ts +1 -1
- package/dist/Forms/ContactUsBusiness.js +143 -115
- package/dist/Forms/ContactUsBusinessNameEmail.d.ts +1 -1
- package/dist/Forms/ContactUsBusinessNameEmail.js +112 -84
- package/dist/Forms/ContactUsLVF.d.ts +3 -1
- package/dist/Forms/ContactUsLVF.js +127 -101
- package/dist/Forms/ContactUsNMLSId.d.ts +1 -1
- package/dist/Forms/ContactUsNMLSId.js +126 -98
- package/dist/Forms/CpraRequest.d.ts +1 -1
- package/dist/Forms/CpraRequest.js +641 -619
- package/dist/Forms/CraPublicFile.d.ts +1 -1
- package/dist/Forms/CraPublicFile.js +118 -90
- package/dist/Forms/DealerServices.d.ts +1 -1
- package/dist/Forms/DealerServices.js +225 -204
- package/dist/Forms/EmailOnly.d.ts +1 -1
- package/dist/Forms/EmailOnly.js +65 -39
- package/dist/Forms/EmailUs.d.ts +1 -1
- package/dist/Forms/EmailUs.js +75 -53
- package/dist/Forms/FormProps.d.ts +3 -0
- package/dist/Forms/Forms.css.d.ts +18 -0
- package/dist/Forms/Forms.css.js +44 -38
- package/dist/Forms/HoneyPot/HoneyPot.css.d.ts +1 -0
- package/dist/Forms/HoneyPot/HoneyPot.css.js +5 -0
- package/dist/Forms/HoneyPot/index.d.ts +23 -0
- package/dist/Forms/HoneyPot/index.js +69 -0
- package/dist/Forms/MortgageRate/MortgageRateForm.d.ts +1 -1
- package/dist/Forms/MortgageRate/MortgageRateForm.js +376 -348
- package/dist/Forms/MortgageRate/MortgageRateWatch.js +10 -3
- package/dist/Forms/MortgageWarehouseLending.d.ts +11 -0
- package/dist/Forms/MortgageWarehouseLending.js +343 -0
- package/dist/Forms/QuickPricer/QuickPricerForm.d.ts +1 -1
- package/dist/Forms/QuickPricer/QuickPricerForm.js +624 -609
- package/dist/Forms/ScheduleCall.d.ts +1 -1
- package/dist/Forms/ScheduleCall.js +156 -134
- package/dist/Forms/ScheduleCallPremier.d.ts +1 -1
- package/dist/Forms/ScheduleCallPremier.js +178 -156
- package/dist/Forms/SuccesForm.js +13 -6
- package/dist/Forms/VendorQuestionnaire.d.ts +1 -1
- package/dist/Forms/VendorQuestionnaire.js +817 -795
- package/dist/Forms/WcplSurvey.d.ts +1 -1
- package/dist/Forms/WcplSurvey.js +112 -90
- package/dist/Forms/applynow-utils.d.ts +1 -0
- package/dist/Forms/applynow-utils.js +48 -0
- package/dist/Forms/index.d.ts +3 -0
- package/dist/Forms/index.js +12 -2
- package/dist/HeroBanner/HeroBanner.js +42 -1
- package/dist/Hyperlink/index.js +10 -3
- package/dist/IconBillboard/sections/CallToActionSection.js +2 -1
- package/dist/ImageBillboard/ExitIntentModal/useExitIntentModal.js +6 -1
- package/dist/ImageLink/ImageLink.js +10 -3
- package/dist/ImageLink/ImageLinkSet.js +10 -3
- package/dist/ImageLink/index.js +10 -3
- package/dist/Input/Input.js +3 -1
- package/dist/Insight/Featured/CategorySelector.js +10 -3
- package/dist/Insight/Featured/Featured.js +10 -3
- package/dist/Insight/Featured/Header.js +10 -3
- package/dist/Modal/Modal.js +10 -3
- package/dist/NavigationMenu/AxosALTS/NavData.js +10 -3
- package/dist/NavigationMenu/AxosALTS/index.js +10 -3
- package/dist/NavigationMenu/AxosBank/MobileMenu/MobileMenu.module.js +16 -16
- package/dist/NavigationMenu/AxosBank/MobileMenu/MobileNavData.d.ts +1 -0
- package/dist/NavigationMenu/AxosBank/MobileMenu/MobileNavData.js +25 -7
- package/dist/NavigationMenu/AxosBank/NavBar.module.js +39 -39
- package/dist/NavigationMenu/AxosBank/NavData.js +10 -3
- package/dist/NavigationMenu/AxosBank/SubNavBar.js +32 -8
- package/dist/NavigationMenu/AxosBank/index.js +10 -3
- package/dist/NavigationMenu/LaVictoire/NavData.js +10 -3
- package/dist/NavigationMenu/LaVictoire/index.js +10 -3
- package/dist/NavigationMenu/NavDataJson.d.ts +2 -0
- package/dist/NavigationMenu/NavDataJson.js +315 -0
- package/dist/NavigationMenu/Navbar.d.ts +5 -0
- package/dist/NavigationMenu/Navbar.js +201 -0
- package/dist/NavigationMenu/SignInNavButton.d.ts +1 -0
- package/dist/NavigationMenu/SignInNavButton.js +369 -0
- package/dist/SetContainer/SetContainer.js +10 -3
- package/dist/SocialMediaBar/iconsRepository.js +10 -3
- package/dist/Table/Table.d.ts +1 -1
- package/dist/VideoTile/VideoTile.js +10 -3
- package/dist/VideoWrapper/index.js +10 -3
- package/dist/assets/Blockquote/Blockquote.css.css +68 -68
- package/dist/assets/Calculators/MonthlyPaymentCalculator/MonthlyPaymentCalculator.css +3 -0
- package/dist/assets/Chatbot/Bubble.css +40 -0
- package/dist/assets/Chatbot/ChatWindow.css +107 -0
- package/dist/assets/Forms/Forms.css +135 -105
- package/dist/assets/Forms/HoneyPot/HoneyPot.css +8 -0
- package/dist/assets/NavigationMenu/AxosBank/MobileMenu/MobileMenu.css.css +191 -191
- package/dist/assets/NavigationMenu/AxosBank/NavBar.css.css +473 -473
- package/dist/assets/utils/optimizeImage/optimizeImage.css.css +47 -47
- package/dist/icons/Logos/AXB.d.ts +8 -0
- package/dist/icons/Logos/AXB.js +74 -0
- package/dist/main.d.ts +1 -0
- package/dist/main.js +43 -3
- package/dist/utils/allowedAxosDomains.js +2 -1
- package/dist/utils/optimizeImage/optimizeImage.module.js +3 -3
- package/package.json +136 -133
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@@ -16,6 +16,7 @@ import { InputPhone } from "../Input/InputPhone.js";
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import "../Input/InputTextArea.js";
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import "../Input/DownPaymentInput.js";
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import { RadioButtonSet, RadioButton } from "../Input/RadioButton.js";
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import CheckboxGroup from "../Input/CheckboxGroup.js";
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import "../icons/ArrowIcon/ArrowIcon.css.js";
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import SvgAxosX from "../icons/AxosX/index.js";
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import SvgComponent from "../icons/AxosX/Blue.js";
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@@ -28,11 +29,11 @@ import '../assets/icons/FollowIcon/FollowIcon.css';import '../assets/icons/Downl
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import { findMoreAxosDomains } from "../utils/allowedAxosDomains.js";
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import { associatedEmail } from "../utils/EverestValidity.js";
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import { getVariant } from "../utils/getVariant.js";
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import CheckboxGroup from "../Input/CheckboxGroup.js";
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import clsx from "clsx";
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import { useForm, FormProvider } from "react-hook-form";
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import * as z from "zod";
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import { iconForm, headerContainer, form, descriptionField, fullRowForm, formWrapper, disclosureForm, actions, formContainer } from "./Forms.css.js";
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import { honeyPotSchema, isValidHoneyPot, HoneyPot } from "./HoneyPot/index.js";
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const CpraRequest = ({
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children,
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headline,
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description,
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onValidate,
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const schema = z.object({
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});
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const gen_schema = schema.merge(honeyPotSchema).superRefine((data, ctx) => {
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if (!isValidHoneyPot(data)) {
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ctx.addIssue({
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code: z.ZodIssueCode.custom,
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message: "fields are not valid."
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const methods = useForm({
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resolver: zodResolver(
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" You have the right to send Axos Financial a verifiable request, twice in a 12-month period, asking that we disclose to you the personal information Axos Financial has collected, used, disclosed and sold about you during the past 12 months. Please check the box below relating to the information you would like Axos Financial to disclose to you:"
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{
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id: "Previously_Employed_by_Axos_Financial",
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label: "* Have you previously been employed by Axos Financial?",
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sizes: "medium",
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required: true,
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error: !!errors.Previously_Employed_by_Axos_Financial,
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helperText: errors.Previously_Employed_by_Axos_Financial?.message,
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children: [
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RadioButton,
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{
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...register("Previously_Employed_by_Axos_Financial", {}),
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value: "Yes",
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radioText: "Yes",
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groupName: "Previously_Employed_by_Axos_Financial"
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}
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),
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RadioButton,
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{
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...register("Previously_Employed_by_Axos_Financial", {}),
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value: "No",
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radioText: "No",
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groupName: "Previously_Employed_by_Axos_Financial"
|
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}
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)
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]
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|
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RadioButtonSet,
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{
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id: "Ever_Applied_for_Employment_with_Axos_Financial",
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label: "* Have you ever applied for employment with Axos Financial?",
|
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|
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sizes: "medium",
|
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required: true,
|
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|
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error: !!errors.Ever_Applied_for_Employment_with_Axos_Financial,
|
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helperText: errors.Ever_Applied_for_Employment_with_Axos_Financial?.message,
|
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|
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children: [
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RadioButton,
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|
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{
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|
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...register(
|
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|
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"Ever_Applied_for_Employment_with_Axos_Financial",
|
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{}
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{
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className: form,
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onSubmit: async (e) => {
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await handleSubmit(submitForm)(e);
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},
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children: [
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{
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label: "* Are you a California resident?",
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error: !!errors.California_Resident,
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groupName: "California_Resident"
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}
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),
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{
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...register("California_Resident", {}),
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value: "No",
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radioText: "No",
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groupName: "California_Resident"
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}
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]
|
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}
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) }),
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/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
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|
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{
|
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id: "Categories_of_personal_info",
|
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|
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label: "* The categories of personal information Axos Financial has collected about you.",
|
|
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|
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sizes: "medium",
|
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|
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required: true,
|
|
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|
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error: !!errors.Categories_of_personal_info,
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|
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helperText: errors.Categories_of_personal_info?.message,
|
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variant,
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children: [
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|
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{
|
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...register("Categories_of_personal_info", {}),
|
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|
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value: "Yes",
|
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|
+
radioText: "Yes",
|
|
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|
+
groupName: "Categories_of_personal_info"
|
|
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|
+
}
|
|
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|
+
),
|
|
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|
+
/* @__PURE__ */ jsx(
|
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|
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RadioButton,
|
|
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|
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{
|
|
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|
+
...register("Categories_of_personal_info", {}),
|
|
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|
+
value: "No",
|
|
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|
+
radioText: "No",
|
|
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|
+
groupName: "Categories_of_personal_info"
|
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|
+
}
|
|
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|
+
)
|
|
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|
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]
|
|
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|
+
}
|
|
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|
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) }),
|
|
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|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
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|
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RadioButtonSet,
|
|
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|
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{
|
|
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|
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id: "Pieces_of_personal_information",
|
|
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|
+
label: "* The specific pieces of personal information Axos Financial has collected about you.",
|
|
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|
+
sizes: "medium",
|
|
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|
+
required: true,
|
|
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|
+
error: !!errors.Pieces_of_personal_information,
|
|
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|
+
helperText: errors.Pieces_of_personal_information?.message,
|
|
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|
+
variant,
|
|
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|
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children: [
|
|
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|
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/* @__PURE__ */ jsx(
|
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|
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RadioButton,
|
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|
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{
|
|
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|
+
...register("Pieces_of_personal_information", {}),
|
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|
+
value: "Yes",
|
|
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|
+
radioText: "Yes",
|
|
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|
+
groupName: "Pieces_of_personal_information"
|
|
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|
+
}
|
|
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|
+
),
|
|
244
|
+
/* @__PURE__ */ jsx(
|
|
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|
+
RadioButton,
|
|
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|
+
{
|
|
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|
+
...register("Pieces_of_personal_information", {}),
|
|
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|
+
value: "No",
|
|
249
|
+
radioText: "No",
|
|
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|
+
groupName: "Pieces_of_personal_information"
|
|
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|
+
}
|
|
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|
+
)
|
|
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|
+
]
|
|
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|
+
}
|
|
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|
+
) }),
|
|
256
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx("div", { className: `${form} ${descriptionField({ variant })}`, children: "By selecting specific pieces of personal information Axos Financial has collected about you, you are required to sign a declaration, under penalty of perjury, that you are the individual whose information is provided above." }) }),
|
|
257
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
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|
+
RadioButtonSet,
|
|
259
|
+
{
|
|
260
|
+
id: "Request_Correction_of_Information",
|
|
261
|
+
label: "* Request correction of information?",
|
|
262
|
+
sizes: "medium",
|
|
263
|
+
required: true,
|
|
264
|
+
error: !!errors.Request_Correction_of_Information,
|
|
265
|
+
helperText: errors.Request_Correction_of_Information?.message,
|
|
266
|
+
variant,
|
|
267
|
+
children: [
|
|
268
|
+
/* @__PURE__ */ jsx(
|
|
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|
+
RadioButton,
|
|
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|
+
{
|
|
271
|
+
...register("Request_Correction_of_Information", {}),
|
|
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|
+
value: "Yes",
|
|
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|
+
radioText: "Yes",
|
|
274
|
+
groupName: "Request_Correction_of_Information"
|
|
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|
+
}
|
|
276
|
+
),
|
|
277
|
+
/* @__PURE__ */ jsx(
|
|
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|
+
RadioButton,
|
|
279
|
+
{
|
|
280
|
+
...register("Request_Correction_of_Information", {}),
|
|
281
|
+
value: "No",
|
|
282
|
+
radioText: "No",
|
|
283
|
+
groupName: "Request_Correction_of_Information"
|
|
284
|
+
}
|
|
285
|
+
)
|
|
286
|
+
]
|
|
287
|
+
}
|
|
288
|
+
) }),
|
|
289
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs("div", { className: `${form} ${descriptionField({ variant })}`, children: [
|
|
290
|
+
/* @__PURE__ */ jsx("u", { children: "Right to Delete:" }),
|
|
291
|
+
" You have the right to submit a verifiable request asking that Axos Financial delete certain personal information Axos Financial has collected from you, subject to certain exceptions as permitted by law."
|
|
292
|
+
] }) }),
|
|
293
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
294
|
+
RadioButtonSet,
|
|
295
|
+
{
|
|
296
|
+
id: "Delete_personal_info",
|
|
297
|
+
label: "* Would you like Axos Financial to delete the personal information we have collected from you?",
|
|
298
|
+
sizes: "medium",
|
|
299
|
+
required: true,
|
|
300
|
+
error: !!errors.Delete_personal_info,
|
|
301
|
+
helperText: errors.Delete_personal_info?.message,
|
|
302
|
+
variant,
|
|
303
|
+
children: [
|
|
304
|
+
/* @__PURE__ */ jsx(
|
|
305
|
+
RadioButton,
|
|
306
|
+
{
|
|
307
|
+
...register("Delete_personal_info", {}),
|
|
308
|
+
value: "Yes",
|
|
309
|
+
radioText: "Yes",
|
|
310
|
+
groupName: "Delete_personal_info"
|
|
311
|
+
}
|
|
312
|
+
),
|
|
313
|
+
/* @__PURE__ */ jsx(
|
|
314
|
+
RadioButton,
|
|
315
|
+
{
|
|
316
|
+
...register("Delete_personal_info", {}),
|
|
317
|
+
value: "No",
|
|
318
|
+
radioText: "No",
|
|
319
|
+
groupName: "Delete_personal_info"
|
|
320
|
+
}
|
|
321
|
+
)
|
|
322
|
+
]
|
|
323
|
+
}
|
|
324
|
+
) }),
|
|
325
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs("div", { className: `${form} ${descriptionField({ variant })}`, children: [
|
|
326
|
+
/* @__PURE__ */ jsx("u", { children: "Right to Opt-Out of Sale:" }),
|
|
327
|
+
" You have the right to opt-out of the sale of your personal information we collect on our websites, such as to enhance the ability to serve you content and advertisements that may be of interest to you."
|
|
328
|
+
] }) }),
|
|
329
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
330
|
+
RadioButtonSet,
|
|
331
|
+
{
|
|
332
|
+
id: "Opt_out_of_sale_of_info",
|
|
333
|
+
label: "* Would you like to opt out of the sale of your personal information by Axos Financial?",
|
|
334
|
+
sizes: "medium",
|
|
335
|
+
required: true,
|
|
336
|
+
error: !!errors.Opt_out_of_sale_of_info,
|
|
337
|
+
helperText: errors.Opt_out_of_sale_of_info?.message,
|
|
338
|
+
variant,
|
|
339
|
+
children: [
|
|
340
|
+
/* @__PURE__ */ jsx(
|
|
341
|
+
RadioButton,
|
|
342
|
+
{
|
|
343
|
+
...register("Opt_out_of_sale_of_info", {}),
|
|
344
|
+
value: "Yes",
|
|
345
|
+
radioText: "Yes",
|
|
346
|
+
groupName: "Opt_out_of_sale_of_info"
|
|
347
|
+
}
|
|
348
|
+
),
|
|
349
|
+
/* @__PURE__ */ jsx(
|
|
350
|
+
RadioButton,
|
|
351
|
+
{
|
|
352
|
+
...register("Opt_out_of_sale_of_info", {}),
|
|
353
|
+
value: "No",
|
|
354
|
+
radioText: "No",
|
|
355
|
+
groupName: "Opt_out_of_sale_of_info"
|
|
356
|
+
}
|
|
357
|
+
)
|
|
358
|
+
]
|
|
359
|
+
}
|
|
360
|
+
) }),
|
|
361
|
+
/* @__PURE__ */ jsx("div", { className: `${headerContainer} ${fullRowForm}`, children: /* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 2: Please provide the following information so that we can verify your identity and respond to your request." }) }),
|
|
362
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
363
|
+
RadioButtonSet,
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364
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{
|
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365
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+
id: "Current_client",
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366
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label: "* I am a current client or customer.",
|
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367
|
+
sizes: "medium",
|
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368
|
+
required: true,
|
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369
|
+
error: !!errors.Current_client,
|
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370
|
+
helperText: errors.Current_client?.message,
|
|
371
|
+
variant,
|
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372
|
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children: [
|
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373
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/* @__PURE__ */ jsx(
|
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RadioButton,
|
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375
|
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{
|
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376
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+
...register("Current_client", {}),
|
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377
|
+
value: "Yes",
|
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378
|
+
radioText: "Yes",
|
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379
|
+
groupName: "Current_client"
|
|
380
|
+
}
|
|
381
|
+
),
|
|
382
|
+
/* @__PURE__ */ jsx(
|
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383
|
+
RadioButton,
|
|
384
|
+
{
|
|
385
|
+
...register("Current_client", {}),
|
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386
|
+
value: "No",
|
|
387
|
+
radioText: "No",
|
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388
|
+
groupName: "Current_client"
|
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389
|
+
}
|
|
390
|
+
)
|
|
391
|
+
]
|
|
392
|
+
}
|
|
393
|
+
) }),
|
|
394
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
395
|
+
RadioButtonSet,
|
|
396
|
+
{
|
|
397
|
+
id: "Former_client",
|
|
398
|
+
label: "* I am a former client or customer.",
|
|
399
|
+
sizes: "medium",
|
|
400
|
+
required: true,
|
|
401
|
+
error: !!errors.Former_client,
|
|
402
|
+
helperText: errors.Former_client?.message,
|
|
403
|
+
variant,
|
|
404
|
+
children: [
|
|
405
|
+
/* @__PURE__ */ jsx(
|
|
406
|
+
RadioButton,
|
|
407
|
+
{
|
|
408
|
+
...register("Former_client", {}),
|
|
409
|
+
value: "Yes",
|
|
410
|
+
radioText: "Yes",
|
|
411
|
+
groupName: "Former_client"
|
|
412
|
+
}
|
|
488
413
|
),
|
|
489
|
-
|
|
490
|
-
|
|
491
|
-
|
|
492
|
-
|
|
493
|
-
|
|
494
|
-
|
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495
|
-
|
|
496
|
-
|
|
497
|
-
|
|
498
|
-
|
|
499
|
-
|
|
414
|
+
/* @__PURE__ */ jsx(
|
|
415
|
+
RadioButton,
|
|
416
|
+
{
|
|
417
|
+
...register("Former_client", {}),
|
|
418
|
+
value: "No",
|
|
419
|
+
radioText: "No",
|
|
420
|
+
groupName: "Former_client"
|
|
421
|
+
}
|
|
422
|
+
)
|
|
423
|
+
]
|
|
424
|
+
}
|
|
425
|
+
) }),
|
|
426
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
427
|
+
RadioButtonSet,
|
|
428
|
+
{
|
|
429
|
+
id: "Currently_Employed_by_Axos_Financial",
|
|
430
|
+
label: "* Are you currently employed by Axos Financial?",
|
|
431
|
+
sizes: "medium",
|
|
432
|
+
required: true,
|
|
433
|
+
error: !!errors.Currently_Employed_by_Axos_Financial,
|
|
434
|
+
helperText: errors.Currently_Employed_by_Axos_Financial?.message,
|
|
435
|
+
variant,
|
|
436
|
+
children: [
|
|
437
|
+
/* @__PURE__ */ jsx(
|
|
438
|
+
RadioButton,
|
|
439
|
+
{
|
|
440
|
+
...register("Currently_Employed_by_Axos_Financial", {}),
|
|
441
|
+
value: "Yes",
|
|
442
|
+
radioText: "Yes",
|
|
443
|
+
groupName: "Currently_Employed_by_Axos_Financial"
|
|
444
|
+
}
|
|
445
|
+
),
|
|
446
|
+
/* @__PURE__ */ jsx(
|
|
447
|
+
RadioButton,
|
|
448
|
+
{
|
|
449
|
+
...register("Currently_Employed_by_Axos_Financial", {}),
|
|
450
|
+
value: "No",
|
|
451
|
+
radioText: "No",
|
|
452
|
+
groupName: "Currently_Employed_by_Axos_Financial"
|
|
453
|
+
}
|
|
454
|
+
)
|
|
455
|
+
]
|
|
456
|
+
}
|
|
457
|
+
) }),
|
|
458
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
459
|
+
RadioButtonSet,
|
|
460
|
+
{
|
|
461
|
+
id: "Previously_Employed_by_Axos_Financial",
|
|
462
|
+
label: "* Have you previously been employed by Axos Financial?",
|
|
463
|
+
sizes: "medium",
|
|
464
|
+
required: true,
|
|
465
|
+
error: !!errors.Previously_Employed_by_Axos_Financial,
|
|
466
|
+
helperText: errors.Previously_Employed_by_Axos_Financial?.message,
|
|
467
|
+
variant,
|
|
468
|
+
children: [
|
|
469
|
+
/* @__PURE__ */ jsx(
|
|
470
|
+
RadioButton,
|
|
471
|
+
{
|
|
472
|
+
...register("Previously_Employed_by_Axos_Financial", {}),
|
|
473
|
+
value: "Yes",
|
|
474
|
+
radioText: "Yes",
|
|
475
|
+
groupName: "Previously_Employed_by_Axos_Financial"
|
|
476
|
+
}
|
|
477
|
+
),
|
|
478
|
+
/* @__PURE__ */ jsx(
|
|
479
|
+
RadioButton,
|
|
480
|
+
{
|
|
481
|
+
...register("Previously_Employed_by_Axos_Financial", {}),
|
|
482
|
+
value: "No",
|
|
483
|
+
radioText: "No",
|
|
484
|
+
groupName: "Previously_Employed_by_Axos_Financial"
|
|
485
|
+
}
|
|
486
|
+
)
|
|
487
|
+
]
|
|
488
|
+
}
|
|
489
|
+
) }),
|
|
490
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
491
|
+
RadioButtonSet,
|
|
492
|
+
{
|
|
493
|
+
id: "Ever_Applied_for_Employment_with_Axos_Financial",
|
|
494
|
+
label: "* Have you ever applied for employment with Axos Financial?",
|
|
495
|
+
sizes: "medium",
|
|
496
|
+
required: true,
|
|
497
|
+
error: !!errors.Ever_Applied_for_Employment_with_Axos_Financial,
|
|
498
|
+
helperText: errors.Ever_Applied_for_Employment_with_Axos_Financial?.message,
|
|
499
|
+
variant,
|
|
500
|
+
children: [
|
|
501
|
+
/* @__PURE__ */ jsx(
|
|
502
|
+
RadioButton,
|
|
503
|
+
{
|
|
504
|
+
...register(
|
|
505
|
+
"Ever_Applied_for_Employment_with_Axos_Financial",
|
|
506
|
+
{}
|
|
507
|
+
),
|
|
508
|
+
value: "Yes",
|
|
509
|
+
radioText: "Yes",
|
|
510
|
+
groupName: "Ever_Applied_for_Employment_with_Axos_Financial"
|
|
511
|
+
}
|
|
512
|
+
),
|
|
513
|
+
/* @__PURE__ */ jsx(
|
|
514
|
+
RadioButton,
|
|
515
|
+
{
|
|
516
|
+
...register(
|
|
517
|
+
"Ever_Applied_for_Employment_with_Axos_Financial",
|
|
518
|
+
{}
|
|
519
|
+
),
|
|
520
|
+
value: "No",
|
|
521
|
+
radioText: "No",
|
|
522
|
+
groupName: "Ever_Applied_for_Employment_with_Axos_Financial"
|
|
523
|
+
}
|
|
524
|
+
)
|
|
525
|
+
]
|
|
526
|
+
}
|
|
527
|
+
) }),
|
|
528
|
+
/* @__PURE__ */ jsxs("div", { className: `${fullRowForm}`, children: [
|
|
529
|
+
/* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 3: Where have you interacted with Axos Financial?" }),
|
|
530
|
+
/* @__PURE__ */ jsx("div", { className: `${form} ${descriptionField({ variant })}`, children: "* Please select all that apply." })
|
|
531
|
+
] }),
|
|
532
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
533
|
+
CheckboxGroup,
|
|
534
|
+
{
|
|
535
|
+
options: options2,
|
|
536
|
+
selectedValues: selectedValues2,
|
|
537
|
+
error: !!errors.Axos_Financial_interaction_outlet,
|
|
538
|
+
onChange: handleSelectedValues2
|
|
539
|
+
}
|
|
540
|
+
) }),
|
|
541
|
+
/* @__PURE__ */ jsx("div", { className: `${headerContainer} ${fullRowForm}`, children: /* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 4: Please provide your contact details." }) }),
|
|
542
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
543
|
+
Input,
|
|
544
|
+
{
|
|
545
|
+
id: "First_Name",
|
|
546
|
+
...register("First_Name", { required: true }),
|
|
547
|
+
label: "* First Name",
|
|
548
|
+
sizes: "medium",
|
|
549
|
+
required: true,
|
|
550
|
+
error: !!errors.First_Name,
|
|
551
|
+
helperText: errors.First_Name?.message,
|
|
552
|
+
variant
|
|
553
|
+
}
|
|
554
|
+
) }),
|
|
555
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
556
|
+
Input,
|
|
557
|
+
{
|
|
558
|
+
id: "Last_Name",
|
|
559
|
+
...register("Last_Name", { required: true }),
|
|
560
|
+
label: "* Last Name",
|
|
561
|
+
sizes: "medium",
|
|
562
|
+
required: true,
|
|
563
|
+
error: !!errors.Last_Name,
|
|
564
|
+
helperText: errors.Last_Name?.message,
|
|
565
|
+
variant
|
|
566
|
+
}
|
|
567
|
+
) }),
|
|
568
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
569
|
+
Input,
|
|
570
|
+
{
|
|
571
|
+
id: "DOB",
|
|
572
|
+
...register("DOB", {
|
|
573
|
+
required: true
|
|
574
|
+
}),
|
|
575
|
+
type: "date",
|
|
576
|
+
label: "* Date of Birth",
|
|
577
|
+
sizes: "medium",
|
|
578
|
+
placeholder: "Date of Birth",
|
|
579
|
+
required: true,
|
|
580
|
+
error: !!errors.DOB,
|
|
581
|
+
helperText: errors.DOB?.message,
|
|
582
|
+
variant
|
|
583
|
+
}
|
|
584
|
+
) }),
|
|
585
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
586
|
+
Input,
|
|
587
|
+
{
|
|
588
|
+
id: "email",
|
|
589
|
+
...register("email", {
|
|
590
|
+
required: true,
|
|
591
|
+
validate: {
|
|
592
|
+
isValid: associatedEmail
|
|
593
|
+
}
|
|
594
|
+
}),
|
|
595
|
+
label: "* Email",
|
|
596
|
+
sizes: "medium",
|
|
597
|
+
required: true,
|
|
598
|
+
error: !!errors.email,
|
|
599
|
+
helperText: errors.email?.message,
|
|
600
|
+
variant
|
|
601
|
+
}
|
|
602
|
+
) }),
|
|
603
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
604
|
+
InputPhone,
|
|
605
|
+
{
|
|
606
|
+
id: "Telephone",
|
|
607
|
+
...register("Telephone", { required: true, maxLength: 12 }),
|
|
608
|
+
label: "* Preferred Phone",
|
|
609
|
+
sizes: "medium",
|
|
610
|
+
required: true,
|
|
611
|
+
error: !!errors.Telephone,
|
|
612
|
+
helperText: errors.Telephone?.message,
|
|
613
|
+
variant
|
|
614
|
+
}
|
|
615
|
+
) }),
|
|
616
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
617
|
+
Input,
|
|
618
|
+
{
|
|
619
|
+
id: "Street_Address",
|
|
620
|
+
...register("Street_Address", { required: true }),
|
|
621
|
+
label: "* Street Address",
|
|
622
|
+
sizes: "medium",
|
|
623
|
+
required: true,
|
|
624
|
+
variant
|
|
625
|
+
}
|
|
626
|
+
) }),
|
|
627
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
628
|
+
Input,
|
|
629
|
+
{
|
|
630
|
+
id: "City",
|
|
631
|
+
...register("City", { required: true }),
|
|
632
|
+
label: "* City",
|
|
633
|
+
sizes: "medium",
|
|
634
|
+
required: true,
|
|
635
|
+
variant
|
|
636
|
+
}
|
|
637
|
+
) }),
|
|
638
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
639
|
+
Dropdown,
|
|
640
|
+
{
|
|
641
|
+
id: "State_",
|
|
642
|
+
...register("State_", {
|
|
643
|
+
required: true
|
|
644
|
+
}),
|
|
645
|
+
label: "* State",
|
|
646
|
+
sizes: "medium",
|
|
647
|
+
required: true,
|
|
648
|
+
error: !!errors.State_,
|
|
649
|
+
helperText: errors.State_?.message,
|
|
650
|
+
variant,
|
|
651
|
+
children: [
|
|
652
|
+
/* @__PURE__ */ jsx("option", { value: "AL", children: "Alabama - AL" }),
|
|
653
|
+
/* @__PURE__ */ jsx("option", { value: "AK", children: "Alaska - AK" }),
|
|
654
|
+
/* @__PURE__ */ jsx("option", { value: "AZ", children: "Arizona - AZ" }),
|
|
655
|
+
/* @__PURE__ */ jsx("option", { value: "AR", children: "Arkansas - AR" }),
|
|
656
|
+
/* @__PURE__ */ jsx("option", { value: "CA", children: "California - CA" }),
|
|
657
|
+
/* @__PURE__ */ jsx("option", { value: "CO", children: "Colorado - CO" }),
|
|
658
|
+
/* @__PURE__ */ jsx("option", { value: "CT", children: "Connecticut - CT" }),
|
|
659
|
+
/* @__PURE__ */ jsx("option", { value: "DE", children: "Delaware - DE" }),
|
|
660
|
+
/* @__PURE__ */ jsx("option", { value: "FL", children: "Florida - FL" }),
|
|
661
|
+
/* @__PURE__ */ jsx("option", { value: "GA", children: "Georgia - GA" }),
|
|
662
|
+
/* @__PURE__ */ jsx("option", { value: "HI", children: "Hawaii - HI" }),
|
|
663
|
+
/* @__PURE__ */ jsx("option", { value: "ID", children: "Idaho - ID" }),
|
|
664
|
+
/* @__PURE__ */ jsx("option", { value: "IL", children: "Illinois - IL" }),
|
|
665
|
+
/* @__PURE__ */ jsx("option", { value: "IN", children: "Indiana - IN" }),
|
|
666
|
+
/* @__PURE__ */ jsx("option", { value: "IA", children: "Iowa - IA" }),
|
|
667
|
+
/* @__PURE__ */ jsx("option", { value: "KS", children: "Kansas - KS" }),
|
|
668
|
+
/* @__PURE__ */ jsx("option", { value: "KY", children: "Kentucky - KY" }),
|
|
669
|
+
/* @__PURE__ */ jsx("option", { value: "LA", children: "Louisiana - LA" }),
|
|
670
|
+
/* @__PURE__ */ jsx("option", { value: "ME", children: "Maine - ME" }),
|
|
671
|
+
/* @__PURE__ */ jsx("option", { value: "MD", children: "Maryland - MD" }),
|
|
672
|
+
/* @__PURE__ */ jsx("option", { value: "MA", children: "Massachusetts - MA" }),
|
|
673
|
+
/* @__PURE__ */ jsx("option", { value: "MI", children: "Michigan - MI" }),
|
|
674
|
+
/* @__PURE__ */ jsx("option", { value: "MN", children: "Minnesota - MN" }),
|
|
675
|
+
/* @__PURE__ */ jsx("option", { value: "MS", children: "Mississippi - MS" }),
|
|
676
|
+
/* @__PURE__ */ jsx("option", { value: "MO", children: "Missouri - MO" }),
|
|
677
|
+
/* @__PURE__ */ jsx("option", { value: "MT", children: "Montana - MT" }),
|
|
678
|
+
/* @__PURE__ */ jsx("option", { value: "NE", children: "Nebraska - NE" }),
|
|
679
|
+
/* @__PURE__ */ jsx("option", { value: "NV", children: "Nevada - NV" }),
|
|
680
|
+
/* @__PURE__ */ jsx("option", { value: "NH", children: "New Hampshire - NH" }),
|
|
681
|
+
/* @__PURE__ */ jsx("option", { value: "NJ", children: "New Jersey - NJ" }),
|
|
682
|
+
/* @__PURE__ */ jsx("option", { value: "NM", children: "New Mexico - NM" }),
|
|
683
|
+
/* @__PURE__ */ jsx("option", { value: "NY", children: "New York - NY" }),
|
|
684
|
+
/* @__PURE__ */ jsx("option", { value: "NC", children: "North Carolina - NC" }),
|
|
685
|
+
/* @__PURE__ */ jsx("option", { value: "ND", children: "North Dakota - ND" }),
|
|
686
|
+
/* @__PURE__ */ jsx("option", { value: "OH", children: "Ohio - OH" }),
|
|
687
|
+
/* @__PURE__ */ jsx("option", { value: "OK", children: "Oklahoma - OK" }),
|
|
688
|
+
/* @__PURE__ */ jsx("option", { value: "OR", children: "Oregon - OR" }),
|
|
689
|
+
/* @__PURE__ */ jsx("option", { value: "PA", children: "Pennsylvania - PA" }),
|
|
690
|
+
/* @__PURE__ */ jsx("option", { value: "RI", children: "Rhode Island - RI" }),
|
|
691
|
+
/* @__PURE__ */ jsx("option", { value: "SC", children: "South Carolina - SC" }),
|
|
692
|
+
/* @__PURE__ */ jsx("option", { value: "SD", children: "South Dakota - SD" }),
|
|
693
|
+
/* @__PURE__ */ jsx("option", { value: "TN", children: "Tennessee - TN" }),
|
|
694
|
+
/* @__PURE__ */ jsx("option", { value: "TX", children: "Texas - TX" }),
|
|
695
|
+
/* @__PURE__ */ jsx("option", { value: "UT", children: "Utah - UT" }),
|
|
696
|
+
/* @__PURE__ */ jsx("option", { value: "VT", children: "Vermont - VT" }),
|
|
697
|
+
/* @__PURE__ */ jsx("option", { value: "VA", children: "Virginia - VA" }),
|
|
698
|
+
/* @__PURE__ */ jsx("option", { value: "WA", children: "Washington - WA" }),
|
|
699
|
+
/* @__PURE__ */ jsx("option", { value: "WV", children: "West Virginia - WV" }),
|
|
700
|
+
/* @__PURE__ */ jsx("option", { value: "WI", children: "Wisconsin - WI" }),
|
|
701
|
+
/* @__PURE__ */ jsx("option", { value: "WY", children: "Wyoming - WY" })
|
|
702
|
+
]
|
|
703
|
+
}
|
|
704
|
+
) }),
|
|
705
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
706
|
+
Input,
|
|
707
|
+
{
|
|
708
|
+
id: "Zip_Code",
|
|
709
|
+
...register("Zip_Code", { required: true }),
|
|
710
|
+
label: "* Zip Code",
|
|
711
|
+
sizes: "medium",
|
|
712
|
+
required: true,
|
|
713
|
+
variant
|
|
714
|
+
}
|
|
715
|
+
) }),
|
|
716
|
+
/* @__PURE__ */ jsx("div", { className: `${headerContainer} ${fullRowForm}`, children: /* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 5: Please select how you would like to receive our response." }) }),
|
|
717
|
+
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
718
|
+
RadioButtonSet,
|
|
719
|
+
{
|
|
720
|
+
id: "Contact_Method",
|
|
721
|
+
label: "* We will contact you using the information provided above:",
|
|
722
|
+
sizes: "medium",
|
|
723
|
+
required: true,
|
|
724
|
+
error: !!errors.Contact_Method,
|
|
725
|
+
helperText: errors.Contact_Method?.message,
|
|
726
|
+
variant,
|
|
727
|
+
children: [
|
|
728
|
+
/* @__PURE__ */ jsx(
|
|
729
|
+
RadioButton,
|
|
730
|
+
{
|
|
731
|
+
...register("Contact_Method", {}),
|
|
732
|
+
value: "Email",
|
|
733
|
+
radioText: "Email",
|
|
734
|
+
groupName: "Contact_Method"
|
|
735
|
+
}
|
|
500
736
|
),
|
|
501
|
-
|
|
502
|
-
|
|
503
|
-
|
|
504
|
-
|
|
505
|
-
|
|
506
|
-
|
|
507
|
-
|
|
508
|
-
|
|
509
|
-
|
|
510
|
-
|
|
511
|
-
/* @__PURE__ */ jsx("div", { className: `${form} ${descriptionField({ variant })}`, children: "* Please select all that apply." })
|
|
512
|
-
] }),
|
|
513
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
514
|
-
CheckboxGroup,
|
|
515
|
-
{
|
|
516
|
-
options: options2,
|
|
517
|
-
selectedValues: selectedValues2,
|
|
518
|
-
error: !!errors.Axos_Financial_interaction_outlet,
|
|
519
|
-
onChange: handleSelectedValues2
|
|
520
|
-
}
|
|
521
|
-
) }),
|
|
522
|
-
/* @__PURE__ */ jsx("div", { className: `${headerContainer} ${fullRowForm}`, children: /* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 4: Please provide your contact details." }) }),
|
|
523
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
524
|
-
Input,
|
|
525
|
-
{
|
|
526
|
-
id: "First_Name",
|
|
527
|
-
...register("First_Name", { required: true }),
|
|
528
|
-
label: "* First Name",
|
|
529
|
-
sizes: "medium",
|
|
530
|
-
required: true,
|
|
531
|
-
error: !!errors.First_Name,
|
|
532
|
-
helperText: errors.First_Name?.message,
|
|
533
|
-
variant
|
|
534
|
-
}
|
|
535
|
-
) }),
|
|
536
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
537
|
-
Input,
|
|
538
|
-
{
|
|
539
|
-
id: "Last_Name",
|
|
540
|
-
...register("Last_Name", { required: true }),
|
|
541
|
-
label: "* Last Name",
|
|
542
|
-
sizes: "medium",
|
|
543
|
-
required: true,
|
|
544
|
-
error: !!errors.Last_Name,
|
|
545
|
-
helperText: errors.Last_Name?.message,
|
|
546
|
-
variant
|
|
547
|
-
}
|
|
548
|
-
) }),
|
|
549
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
550
|
-
Input,
|
|
551
|
-
{
|
|
552
|
-
id: "DOB",
|
|
553
|
-
...register("DOB", {
|
|
554
|
-
required: true
|
|
555
|
-
}),
|
|
556
|
-
type: "date",
|
|
557
|
-
label: "* Date of Birth",
|
|
558
|
-
sizes: "medium",
|
|
559
|
-
placeholder: "Date of Birth",
|
|
560
|
-
required: true,
|
|
561
|
-
error: !!errors.DOB,
|
|
562
|
-
helperText: errors.DOB?.message,
|
|
563
|
-
variant
|
|
564
|
-
}
|
|
565
|
-
) }),
|
|
566
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
567
|
-
Input,
|
|
568
|
-
{
|
|
569
|
-
id: "email",
|
|
570
|
-
...register("email", {
|
|
571
|
-
required: true,
|
|
572
|
-
validate: {
|
|
573
|
-
isValid: associatedEmail
|
|
737
|
+
/* @__PURE__ */ jsx(
|
|
738
|
+
RadioButton,
|
|
739
|
+
{
|
|
740
|
+
...register("Contact_Method", {}),
|
|
741
|
+
value: "Postal Mail",
|
|
742
|
+
radioText: "Postal Mail",
|
|
743
|
+
groupName: "Contact_Method"
|
|
744
|
+
}
|
|
745
|
+
)
|
|
746
|
+
]
|
|
574
747
|
}
|
|
575
|
-
}),
|
|
576
|
-
|
|
577
|
-
|
|
578
|
-
|
|
579
|
-
|
|
580
|
-
|
|
581
|
-
|
|
582
|
-
|
|
583
|
-
|
|
584
|
-
|
|
585
|
-
|
|
586
|
-
|
|
587
|
-
|
|
588
|
-
|
|
589
|
-
|
|
590
|
-
|
|
591
|
-
|
|
592
|
-
|
|
593
|
-
|
|
594
|
-
|
|
595
|
-
|
|
596
|
-
|
|
597
|
-
|
|
598
|
-
|
|
599
|
-
|
|
600
|
-
|
|
601
|
-
|
|
602
|
-
|
|
603
|
-
|
|
604
|
-
|
|
605
|
-
|
|
606
|
-
|
|
607
|
-
|
|
608
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
609
|
-
Input,
|
|
610
|
-
{
|
|
611
|
-
id: "City",
|
|
612
|
-
...register("City", { required: true }),
|
|
613
|
-
label: "* City",
|
|
614
|
-
sizes: "medium",
|
|
615
|
-
required: true,
|
|
616
|
-
variant
|
|
617
|
-
}
|
|
618
|
-
) }),
|
|
619
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
620
|
-
Dropdown,
|
|
621
|
-
{
|
|
622
|
-
id: "State_",
|
|
623
|
-
...register("State_", {
|
|
624
|
-
required: true
|
|
625
|
-
}),
|
|
626
|
-
label: "* State",
|
|
627
|
-
sizes: "medium",
|
|
628
|
-
required: true,
|
|
629
|
-
error: !!errors.State_,
|
|
630
|
-
helperText: errors.State_?.message,
|
|
631
|
-
variant,
|
|
632
|
-
children: [
|
|
633
|
-
/* @__PURE__ */ jsx("option", { value: "AL", children: "Alabama - AL" }),
|
|
634
|
-
/* @__PURE__ */ jsx("option", { value: "AK", children: "Alaska - AK" }),
|
|
635
|
-
/* @__PURE__ */ jsx("option", { value: "AZ", children: "Arizona - AZ" }),
|
|
636
|
-
/* @__PURE__ */ jsx("option", { value: "AR", children: "Arkansas - AR" }),
|
|
637
|
-
/* @__PURE__ */ jsx("option", { value: "CA", children: "California - CA" }),
|
|
638
|
-
/* @__PURE__ */ jsx("option", { value: "CO", children: "Colorado - CO" }),
|
|
639
|
-
/* @__PURE__ */ jsx("option", { value: "CT", children: "Connecticut - CT" }),
|
|
640
|
-
/* @__PURE__ */ jsx("option", { value: "DE", children: "Delaware - DE" }),
|
|
641
|
-
/* @__PURE__ */ jsx("option", { value: "FL", children: "Florida - FL" }),
|
|
642
|
-
/* @__PURE__ */ jsx("option", { value: "GA", children: "Georgia - GA" }),
|
|
643
|
-
/* @__PURE__ */ jsx("option", { value: "HI", children: "Hawaii - HI" }),
|
|
644
|
-
/* @__PURE__ */ jsx("option", { value: "ID", children: "Idaho - ID" }),
|
|
645
|
-
/* @__PURE__ */ jsx("option", { value: "IL", children: "Illinois - IL" }),
|
|
646
|
-
/* @__PURE__ */ jsx("option", { value: "IN", children: "Indiana - IN" }),
|
|
647
|
-
/* @__PURE__ */ jsx("option", { value: "IA", children: "Iowa - IA" }),
|
|
648
|
-
/* @__PURE__ */ jsx("option", { value: "KS", children: "Kansas - KS" }),
|
|
649
|
-
/* @__PURE__ */ jsx("option", { value: "KY", children: "Kentucky - KY" }),
|
|
650
|
-
/* @__PURE__ */ jsx("option", { value: "LA", children: "Louisiana - LA" }),
|
|
651
|
-
/* @__PURE__ */ jsx("option", { value: "ME", children: "Maine - ME" }),
|
|
652
|
-
/* @__PURE__ */ jsx("option", { value: "MD", children: "Maryland - MD" }),
|
|
653
|
-
/* @__PURE__ */ jsx("option", { value: "MA", children: "Massachusetts - MA" }),
|
|
654
|
-
/* @__PURE__ */ jsx("option", { value: "MI", children: "Michigan - MI" }),
|
|
655
|
-
/* @__PURE__ */ jsx("option", { value: "MN", children: "Minnesota - MN" }),
|
|
656
|
-
/* @__PURE__ */ jsx("option", { value: "MS", children: "Mississippi - MS" }),
|
|
657
|
-
/* @__PURE__ */ jsx("option", { value: "MO", children: "Missouri - MO" }),
|
|
658
|
-
/* @__PURE__ */ jsx("option", { value: "MT", children: "Montana - MT" }),
|
|
659
|
-
/* @__PURE__ */ jsx("option", { value: "NE", children: "Nebraska - NE" }),
|
|
660
|
-
/* @__PURE__ */ jsx("option", { value: "NV", children: "Nevada - NV" }),
|
|
661
|
-
/* @__PURE__ */ jsx("option", { value: "NH", children: "New Hampshire - NH" }),
|
|
662
|
-
/* @__PURE__ */ jsx("option", { value: "NJ", children: "New Jersey - NJ" }),
|
|
663
|
-
/* @__PURE__ */ jsx("option", { value: "NM", children: "New Mexico - NM" }),
|
|
664
|
-
/* @__PURE__ */ jsx("option", { value: "NY", children: "New York - NY" }),
|
|
665
|
-
/* @__PURE__ */ jsx("option", { value: "NC", children: "North Carolina - NC" }),
|
|
666
|
-
/* @__PURE__ */ jsx("option", { value: "ND", children: "North Dakota - ND" }),
|
|
667
|
-
/* @__PURE__ */ jsx("option", { value: "OH", children: "Ohio - OH" }),
|
|
668
|
-
/* @__PURE__ */ jsx("option", { value: "OK", children: "Oklahoma - OK" }),
|
|
669
|
-
/* @__PURE__ */ jsx("option", { value: "OR", children: "Oregon - OR" }),
|
|
670
|
-
/* @__PURE__ */ jsx("option", { value: "PA", children: "Pennsylvania - PA" }),
|
|
671
|
-
/* @__PURE__ */ jsx("option", { value: "RI", children: "Rhode Island - RI" }),
|
|
672
|
-
/* @__PURE__ */ jsx("option", { value: "SC", children: "South Carolina - SC" }),
|
|
673
|
-
/* @__PURE__ */ jsx("option", { value: "SD", children: "South Dakota - SD" }),
|
|
674
|
-
/* @__PURE__ */ jsx("option", { value: "TN", children: "Tennessee - TN" }),
|
|
675
|
-
/* @__PURE__ */ jsx("option", { value: "TX", children: "Texas - TX" }),
|
|
676
|
-
/* @__PURE__ */ jsx("option", { value: "UT", children: "Utah - UT" }),
|
|
677
|
-
/* @__PURE__ */ jsx("option", { value: "VT", children: "Vermont - VT" }),
|
|
678
|
-
/* @__PURE__ */ jsx("option", { value: "VA", children: "Virginia - VA" }),
|
|
679
|
-
/* @__PURE__ */ jsx("option", { value: "WA", children: "Washington - WA" }),
|
|
680
|
-
/* @__PURE__ */ jsx("option", { value: "WV", children: "West Virginia - WV" }),
|
|
681
|
-
/* @__PURE__ */ jsx("option", { value: "WI", children: "Wisconsin - WI" }),
|
|
682
|
-
/* @__PURE__ */ jsx("option", { value: "WY", children: "Wyoming - WY" })
|
|
683
|
-
]
|
|
684
|
-
}
|
|
685
|
-
) }),
|
|
686
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsx(
|
|
687
|
-
Input,
|
|
688
|
-
{
|
|
689
|
-
id: "Zip_Code",
|
|
690
|
-
...register("Zip_Code", { required: true }),
|
|
691
|
-
label: "* Zip Code",
|
|
692
|
-
sizes: "medium",
|
|
693
|
-
required: true,
|
|
694
|
-
variant
|
|
695
|
-
}
|
|
696
|
-
) }),
|
|
697
|
-
/* @__PURE__ */ jsx("div", { className: `${headerContainer} ${fullRowForm}`, children: /* @__PURE__ */ jsx("h2", { className: `header_2 ${descriptionField({ variant })}`, children: "Step 5: Please select how you would like to receive our response." }) }),
|
|
698
|
-
/* @__PURE__ */ jsx("div", { className: `${fullRowForm}`, children: /* @__PURE__ */ jsxs(
|
|
699
|
-
RadioButtonSet,
|
|
700
|
-
{
|
|
701
|
-
id: "Contact_Method",
|
|
702
|
-
label: "* We will contact you using the information provided above:",
|
|
703
|
-
sizes: "medium",
|
|
704
|
-
required: true,
|
|
705
|
-
error: !!errors.Contact_Method,
|
|
706
|
-
helperText: errors.Contact_Method?.message,
|
|
707
|
-
variant,
|
|
708
|
-
children: [
|
|
709
|
-
/* @__PURE__ */ jsx(
|
|
710
|
-
RadioButton,
|
|
711
|
-
{
|
|
712
|
-
...register("Contact_Method", {}),
|
|
713
|
-
value: "Email",
|
|
714
|
-
radioText: "Email",
|
|
715
|
-
groupName: "Contact_Method"
|
|
716
|
-
}
|
|
717
|
-
),
|
|
718
|
-
/* @__PURE__ */ jsx(
|
|
719
|
-
RadioButton,
|
|
720
|
-
{
|
|
721
|
-
...register("Contact_Method", {}),
|
|
722
|
-
value: "Postal Mail",
|
|
723
|
-
radioText: "Postal Mail",
|
|
724
|
-
groupName: "Contact_Method"
|
|
725
|
-
}
|
|
726
|
-
)
|
|
727
|
-
]
|
|
728
|
-
}
|
|
729
|
-
) })
|
|
730
|
-
] }),
|
|
731
|
-
children,
|
|
732
|
-
/* @__PURE__ */ jsx("div", { className: disclosureForm({ variant }), children: disclosure }),
|
|
733
|
-
/* @__PURE__ */ jsx("div", { className: `${headerContainer}`, children: /* @__PURE__ */ jsxs("div", { className: `${form} ${descriptionField({ variant })}`, children: [
|
|
734
|
-
"For additional questions or concerns, please",
|
|
735
|
-
" ",
|
|
736
|
-
/* @__PURE__ */ jsx("a", { href: findMoreAxosDomains("{ONLINEBANKING}/Messages/Inbox"), children: "log in to online banking" }),
|
|
737
|
-
" ",
|
|
738
|
-
"and send us a secure message."
|
|
739
|
-
] }) }),
|
|
740
|
-
/* @__PURE__ */ jsx("div", { className: actions, children: /* @__PURE__ */ jsx(
|
|
741
|
-
Button,
|
|
742
|
-
{
|
|
743
|
-
color: getVariant(callToAction?.variant),
|
|
744
|
-
as: "button",
|
|
745
|
-
type: "submit",
|
|
746
|
-
disabled: !isValid || isSubmitting,
|
|
747
|
-
children: callToAction?.displayText
|
|
748
|
-
}
|
|
749
|
-
) }),
|
|
750
|
-
/* @__PURE__ */ jsx("div", { className: `${headerContainer}`, children: /* @__PURE__ */ jsx(
|
|
751
|
-
"div",
|
|
752
|
-
{
|
|
753
|
-
id: "test",
|
|
754
|
-
className: `${form} ${descriptionField({ variant })}`,
|
|
755
|
-
children: "* = Required Field"
|
|
756
|
-
}
|
|
757
|
-
) })
|
|
758
|
-
] })
|
|
748
|
+
) }),
|
|
749
|
+
/* @__PURE__ */ jsx(HoneyPot, { register, variant })
|
|
750
|
+
] }),
|
|
751
|
+
children,
|
|
752
|
+
/* @__PURE__ */ jsx("div", { className: disclosureForm({ variant }), children: disclosure }),
|
|
753
|
+
/* @__PURE__ */ jsx("div", { className: `${headerContainer}`, children: /* @__PURE__ */ jsxs("div", { className: `${form} ${descriptionField({ variant })}`, children: [
|
|
754
|
+
"For additional questions or concerns, please",
|
|
755
|
+
" ",
|
|
756
|
+
/* @__PURE__ */ jsx("a", { href: findMoreAxosDomains("{ONLINEBANKING}/Messages/Inbox"), children: "log in to online banking" }),
|
|
757
|
+
" ",
|
|
758
|
+
"and send us a secure message."
|
|
759
|
+
] }) }),
|
|
760
|
+
/* @__PURE__ */ jsx("div", { className: actions, children: /* @__PURE__ */ jsx(
|
|
761
|
+
Button,
|
|
762
|
+
{
|
|
763
|
+
color: getVariant(callToAction?.variant),
|
|
764
|
+
as: "button",
|
|
765
|
+
type: "submit",
|
|
766
|
+
disabled: !isValid || isSubmitting,
|
|
767
|
+
children: callToAction?.displayText
|
|
768
|
+
}
|
|
769
|
+
) }),
|
|
770
|
+
/* @__PURE__ */ jsx("div", { className: `${headerContainer}`, children: /* @__PURE__ */ jsx(
|
|
771
|
+
"div",
|
|
772
|
+
{
|
|
773
|
+
id: "test",
|
|
774
|
+
className: `${form} ${descriptionField({ variant })}`,
|
|
775
|
+
children: "* = Required Field"
|
|
776
|
+
}
|
|
777
|
+
) })
|
|
778
|
+
]
|
|
779
|
+
}
|
|
780
|
+
)
|
|
759
781
|
] }) }) }, id);
|
|
760
782
|
};
|
|
761
783
|
export {
|