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<title data-webtasks-id="87ad2e1a-747f-41f5">Quick Quote - OVMA Pet Health Insurance</title> |
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<strong data-webtasks-id="db09a69d-a161-46b9">Call: </strong> |
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<a href="tel:+18447446862" data-webtasks-id="ed3be55b-39dc-41f1">1.844.744.6862</a>| |
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<strong data-webtasks-id="7ca599b6-94fe-40c6">Email: </strong><a href="mailto:[email protected]" data-webtasks-id="e7e1aa9f-fb1e-40f9">[email protected]</a> |
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Quick Quote </p> |
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<form action="/Quote/QuickQuote/GetQuoteNow" data-processing-dialog-title="Building Your Quote" id="MainForm" method="post" novalidate="novalidate" data-webtasks-id="a291686c-41f0-4d23"><input data-val="true" data-val-required="The BrandId field is required." id="BrandId" name="BrandId" type="hidden" value="e815c446-bd71-4805-9b39-60d92da16d29" data-webtasks-id="d62e7bc3-1b3e-4fb1"><input data-val="true" data-val-required="The SiteSkinId field is required." id="SiteSkinId" name="SiteSkinId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="ab34eb42-99d8-4a8c"><input data-val="true" data-val-required="The CurrentPetId field is required." id="CurrentPetId" name="CurrentPetId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="b00ab2bb-05ae-4177"><input data-val="true" data-val-required="The SessionGuid field is required." id="SessionGuid" name="SessionGuid" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="0d629992-1851-41fc"><input id="SiteFrom" name="SiteFrom" type="hidden" value="" data-webtasks-id="aab9f5d6-cf5a-4db3"><input data-val="true" data-val-required="The IsAdditionalPet field is required." id="IsAdditionalPet" name="IsAdditionalPet" type="hidden" value="False" data-webtasks-id="4ff02b4a-60e4-4ee8"><input data-val="true" data-val-required="The ShowOfferCode field is required." id="ShowOfferCode" name="ShowOfferCode" type="hidden" value="False" data-webtasks-id="5eb536f4-4486-4598"><input id="OfferCode" name="OfferCode" type="hidden" value="" data-webtasks-id="835f0500-a772-4e4a"><input data-val="true" data-val-required="The How did you hear about us? field is required." id="ReferralSourceId" name="ReferralSourceId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="926291df-c3bb-46cf"><input data-val="true" data-val-brequired="You must be over 18 to purchase a policy" data-val-required="The Are you over 18 years of age? field is required." id="IsOver18" name="IsOver18" type="hidden" value="True" data-webtasks-id="bf2dc4b3-a5b0-452f"><input id="ReferralSourceId" name="ReferralSourceId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="05c8ba0a-9753-42a0"><input id="IsOver18" name="IsOver18" type="hidden" value="True" data-webtasks-id="35f9bd8e-506c-4fe1"> <ul class="" style="" data-webtasks-id="09a46bb5-d54d-4e97"> |
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<div class="four columns" data-webtasks-id="bf55fb50-097a-409b"> |
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<span class="bold" data-webtasks-id="213f77c7-7ac2-431a"><label for="PetName" data-webtasks-id="fa687c5b-b4bc-42c7">Pet's Name:</label></span> |
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</div> |
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<div class="seven columns fs-exclude" data-webtasks-id="b3af1a3f-5cc0-4e71"> |
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<input data-val="true" data-val-length="Pet's Name cannot be larger than 50 characters." data-val-length-max="50" data-val-required="Pet's Name is a required field." id="PetName" name="PetName" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="25063cd2-fc40-424a" data-event-id="12" listener="false" aria-required="true" aria-invalid="false" class="valid"> |
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<div class="validation-error-container" data-webtasks-id="a0297732-ebee-48fc"> |
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<span class="validation-margin-left-sm field-validation-valid" data-valmsg-for="PetName" data-valmsg-replace="true" data-webtasks-id="773244c2-3f57-4777"></span> |
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<div class="row radio-button-row" data-webtasks-id="453c42c1-6c6b-42a7"> |
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<div class="four columns" data-webtasks-id="61ea1cc7-d6dd-4c56"> |
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<span class="bold" data-webtasks-id="8651dfba-b16f-4beb"><label for="SpeciesId" class="species_lbl" data-webtasks-id="4158a5d7-2131-4f60">Pet Type:</label></span> |
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</div> |
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<div class="seven columns" data-webtasks-id="bb98ba12-23e7-41ca"> |
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<span for="SpeciesId_e4515537-fba8-4ad2-93e5-5ad17847d870" class="dog pet-type-selected" data-webtasks-id="0311383e-b728-4bed"> |
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<i class="fa fa-dog" data-webtasks-id="f61cd720-51bc-4490"></i> |
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Dog |
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</span> |
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<i class="fa fa-cat" data-webtasks-id="52078b6c-e7f7-4868"></i> |
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Cat |
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<div class="four columns" data-webtasks-id="cd876cdf-21cd-45ba"> |
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<span class="bold" data-webtasks-id="017c69f9-938e-4ca6"><label for="BreedId" data-webtasks-id="7ee31077-d9f1-4632">Breed:</label></span> |
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</div> |
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<div class="seven columns fs-exclude" data-webtasks-id="c32d2c40-a181-4ce1"> |
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<span role="status" aria-live="polite" class="ui-helper-hidden-accessible" data-webtasks-id="2fea039d-f307-4935">3 results are available, use up and down arrow keys to navigate.</span><input data-autocomplete-name="BreedSearch" data-autocomplete-url="/Quote/Pet/BreedSearch" data-no-matches-message="No matches found" id="BreedName" name="BreedName" style="margin-bottom: 0 !important" type="text" value="" class="ui-autocomplete-input valid" autocomplete="off" spellcheck="false" data-ms-editor="true" data-webtasks-id="4f76a054-4c50-4024" data-event-id="17" listener="false" aria-invalid="false"> |
|
<input data-hidden="BreedId" data-val="true" data-val-required="Breed is a required field." id="BreedId" name="BreedId" style="display: none;" type="text" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="10550954-ca3d-4843"> |
|
<span id="breedIdValidation" style="display:none;" class="field-validation-error validation-margin-left-sm" data-webtasks-id="a4a44b0f-d8a6-4ffa"> |
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Breed is a required field. |
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</span> |
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</div> |
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<div class="offset-by-four six columns" data-webtasks-id="e9f52940-dd9a-464d"> |
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<span class="qe_label_note_breed" data-webtasks-id="2f0c37d8-3750-4bd8">Type in the first few letters of your breed.</span> |
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</div> |
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<div class="offset-by-four six columns" data-webtasks-id="90ed8af4-4b6c-4b67"> |
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<div class="validation-error-container clear" data-webtasks-id="90d27fe6-c993-4f00"> |
|
<span class="field-validation-valid field-validation-error validation-margin-left-sm" data-valmsg-for="BreedId" data-valmsg-replace="true" data-webtasks-id="141020e0-623f-48ae"></span> |
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</div> |
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</div> |
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</div> |
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</li> |
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<li data-webtasks-id="53d6c5e5-423b-44bd"> |
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<div class="row" data-webtasks-id="a165f612-476e-4522"> |
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<div class="four columns" data-webtasks-id="feb6d8c8-e8c7-4ab8"> |
|
<span class="bold" data-webtasks-id="682bdc21-e00c-4699"> |
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<label for="Pet_s_Birth_Date:" data-webtasks-id="2a4cbac4-0bc5-4d6f">Pet's Birth Date:</label> |
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</span> |
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</div> |
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<div class="two columns left fs-exclude" data-webtasks-id="804b3955-f107-49f1"> |
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<select class="selectmenu month ui-menu ui-widget ui-widget-content ui-corner-all valid" data-val="true" data-val-number="The field Birth Month must be a number." data-val-range="Birth Month must be between 1 and 12." data-val-range-max="12" data-val-range-min="1" data-val-required="Birth Month is a required field." id="BirthMonth" name="BirthMonth" role="menu" tabindex="0" data-webtasks-id="c334ad15-8f76-4614" aria-required="true" aria-invalid="false"><option value="" data-webtasks-id="1e29e53c-5d9d-40f9">Month...</option> |
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<option value="1" data-webtasks-id="fefc7b6c-daac-4bd7">January</option> |
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<option value="2" data-webtasks-id="994565db-22bb-48a4">February</option> |
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<option value="3" data-webtasks-id="9c64011c-8436-49d6">March</option> |
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<option value="4" data-webtasks-id="652a54a1-482f-4b94">April</option> |
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<option value="5" data-webtasks-id="b143348b-ec75-48c5">May</option> |
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<option value="6" data-webtasks-id="c2b5f960-05df-4ca9">June</option> |
|
<option value="7" data-webtasks-id="7751505c-bab1-48fb">July</option> |
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<option value="8" data-webtasks-id="73856d91-3ef7-4cc4">August</option> |
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<option value="9" data-webtasks-id="27e7405b-38b3-4859">September</option> |
|
<option value="10" data-webtasks-id="a994cf0e-4d62-4914">October</option> |
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<option value="11" data-webtasks-id="8c1cee9e-722b-4fb6">November</option> |
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<option value="12" data-webtasks-id="c25ba643-10f5-426f">December</option> |
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</select> |
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</div> |
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<div class="two columns dateFloat fs-exclude" data-webtasks-id="74c1b5a9-4378-47fa"> |
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<select class="selectmenu day ui-menu ui-widget ui-widget-content ui-corner-all valid" data-val="true" data-val-number="The field Birth Day must be a number." id="BirthDay" name="BirthDay" style="width:100%" role="menu" tabindex="0" data-webtasks-id="1a732306-adcc-47f4" aria-invalid="false"><option value="" data-webtasks-id="aabecf39-abe6-4a64">Day...</option> |
|
<option value="-1" data-webtasks-id="b17aa20a-6019-4d3b">I don't know</option> |
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<option value="1" data-webtasks-id="bddeeb82-f79a-4a2a">1</option> |
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<option value="2" data-webtasks-id="45e3325f-e06c-402b">2</option> |
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<option value="3" data-webtasks-id="f3379762-32b7-4899">3</option> |
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<option value="4" data-webtasks-id="c65580a5-0933-4eed">4</option> |
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<option value="5" data-webtasks-id="b6eae7ca-faab-4f40">5</option> |
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<option value="6" data-webtasks-id="da3a019e-a13d-423a">6</option> |
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<option value="7" data-webtasks-id="8c11093c-4c0c-421e">7</option> |
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<option value="8" data-webtasks-id="e3360fb7-bb7e-4574">8</option> |
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<option value="9" data-webtasks-id="e24170f2-ae79-4336">9</option> |
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<option value="10" data-webtasks-id="619213b4-6fbd-4e31">10</option> |
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<option value="11" data-webtasks-id="2ce99b28-4bbe-4e6a">11</option> |
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<option value="12" data-webtasks-id="a59c61c9-4d3c-4321">12</option> |
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<option value="13" data-webtasks-id="bc098e10-642c-42e7">13</option> |
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<option value="14" data-webtasks-id="aa17be54-5b32-4f86">14</option> |
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<option value="15" data-webtasks-id="bf974684-f751-4b88">15</option> |
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<option value="16" data-webtasks-id="c7e0f78c-8967-48d7">16</option> |
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<option value="17" data-webtasks-id="5e1e70db-9d62-4d3c">17</option> |
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<option value="18" data-webtasks-id="72c7c6f2-9ce3-4702">18</option> |
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<option value="19" data-webtasks-id="b90472b7-c862-4be9">19</option> |
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<option value="20" data-webtasks-id="768ad7ba-eed6-4af4">20</option> |
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<option value="21" data-webtasks-id="bf1e389e-11ae-428e">21</option> |
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<option value="22" data-webtasks-id="ebcb0eb1-d1f7-4808">22</option> |
|
<option value="23" data-webtasks-id="4c6d46b2-30be-43ac">23</option> |
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<option value="24" data-webtasks-id="70b5e6f2-9b0c-41ff">24</option> |
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<option value="25" data-webtasks-id="56f8ea55-2581-4da0">25</option> |
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<option value="26" data-webtasks-id="8bb9dcf2-c314-444d">26</option> |
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<option value="27" data-webtasks-id="c1bf2089-77df-4af5">27</option> |
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<option value="28" data-webtasks-id="484ab644-408d-479f">28</option> |
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<option value="29" data-webtasks-id="4d0103d6-19ab-4e3b">29</option> |
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<option value="30" data-webtasks-id="d4637b31-3a90-4823">30</option> |
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<option value="31" data-webtasks-id="8a7dc9c8-7a0e-44d5">31</option> |
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</select> |
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</div> |
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<div class="two columns dateFloat fs-exclude" data-webtasks-id="00add637-af4e-4acd"> |
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<select class="selectmenu year ui-menu ui-widget ui-widget-content ui-corner-all valid" data-val="true" data-val-number="The field Birth Year must be a number." data-val-required="Birth Year is a required field." id="BirthYear" name="BirthYear" role="menu" tabindex="0" data-webtasks-id="45fe007a-fc22-41a9" aria-required="true" aria-invalid="false"><option value="" data-webtasks-id="ea32b4f2-ae7f-4881">Year...</option> |
|
<option value="2023" data-webtasks-id="734a896a-ee83-40a8">2023</option> |
|
<option value="2022" data-webtasks-id="e3c4b1f6-5658-41e9">2022</option> |
|
<option value="2021" data-webtasks-id="e3f208c4-8535-4685">2021</option> |
|
<option value="2020" data-webtasks-id="1c69ac91-3b05-4515">2020</option> |
|
<option value="2019" data-webtasks-id="de1d1eec-f28f-4188">2019</option> |
|
<option value="2018" data-webtasks-id="427591bb-f50a-4ef8">2018</option> |
|
<option value="2017" data-webtasks-id="ddfc531b-5390-40d7">2017</option> |
|
<option value="2016" data-webtasks-id="bb4fe8e8-f636-4a49">2016</option> |
|
<option value="2015" data-webtasks-id="0fd9c7f7-3229-4210">2015</option> |
|
<option value="2014" data-webtasks-id="066b7e77-663e-49eb">2014</option> |
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<option value="2013" data-webtasks-id="1dc8d84e-aedf-41c6">2013</option> |
|
<option value="2012" data-webtasks-id="855b4ecf-9280-42e5">2012</option> |
|
<option value="2011" data-webtasks-id="5b5d9981-08a7-48c2">2011</option> |
|
<option value="2010" data-webtasks-id="83003257-10f8-46fd">2010</option> |
|
<option value="2009" data-webtasks-id="fa1925b4-8409-4039">2009</option> |
|
<option value="2008" data-webtasks-id="c71d198c-5dbc-4f5e">2008</option> |
|
<option value="2007" data-webtasks-id="f66cab79-176f-4a01">2007</option> |
|
<option value="2006" data-webtasks-id="8e7275fb-81e0-4b44">2006</option> |
|
<option value="2005" data-webtasks-id="64f3a9c2-afd1-4362">2005</option> |
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<option value="2004" data-webtasks-id="5cf19680-d7e1-4bce">2004</option> |
|
<option value="2003" data-webtasks-id="6ce8b156-0d61-440a">2003</option> |
|
<option value="2002" data-webtasks-id="817065bd-d277-4e73">2002</option> |
|
<option value="2001" data-webtasks-id="7b3dcd07-6ecc-4885">2001</option> |
|
<option value="2000" data-webtasks-id="4597d32d-25d3-410d">2000</option> |
|
<option value="1999" data-webtasks-id="da91441c-fb53-46cb">1999</option> |
|
</select> |
|
</div> |
|
<div class="offset-by-four six columns" data-webtasks-id="441271fa-0094-4433"> |
|
<div class="validation-error-container" style="display:none;" data-webtasks-id="3077866d-8ba6-4bb0"> |
|
<span class="validation-margin-left-sm field-validation-valid" data-valmsg-for="BirthMonth" data-valmsg-replace="true" data-webtasks-id="411fd95f-2b9b-4463"></span> |
|
</div> |
|
</div> |
|
<div class="offset-by-four six columns" data-webtasks-id="376cb869-9c6b-4728"> |
|
<div class="validation-error-container" style="display:none;" data-webtasks-id="51dde834-95c4-4e16"> |
|
<span class="validation-margin-left-sm field-validation-valid" data-valmsg-for="BirthYear" data-valmsg-replace="true" data-webtasks-id="60bb478e-f098-4425"></span> |
|
</div> |
|
</div> |
|
<div class="offset-by-four six columns" data-webtasks-id="62c21fbe-8302-40dd"> |
|
<div class="validation-error-container" data-webtasks-id="7f469e29-2d30-43cf"> |
|
<span id="birthdateValidation" style="display:none;" class="field-validation-error validation-margin-left-sm" data-webtasks-id="9d00d60f-c875-4969"> |
|
Please enter a valid date. |
|
</span> |
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</div> |
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</div> |
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</div> |
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</li> |
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<li data-webtasks-id="c00f1ec2-d4cd-4477"> |
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<div class="row" data-webtasks-id="800e32b1-8404-4fef"> |
|
<div class="four columns" data-webtasks-id="24a6cd81-d514-43b3"> |
|
<span class="bold" data-webtasks-id="3b4b3542-ef26-4f59"><label for="PostalZipCode" data-webtasks-id="788ebb59-03c6-4525">Postal Code:</label></span> |
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</div> |
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<div class="seven columns fs-exclude" data-webtasks-id="058833a4-1211-480b"> |
|
<input class="PostalCode textbox-uppercase valid" data-val="true" data-val-length="Postal Code must be between 7 and 6 characters." data-val-length-max="7" data-val-length-min="6" data-val-regex="The Postal Code must be in a valid format (eg. A1A 1A1)." data-val-regex-pattern="^([ABCEGHJKLMNPRSTVXYabceghjklmnprstvxy]\d[ABCEGHJKLMNPRSTVWXYZabceghjklmnprstvwxyz])\ {0,1}(\d[ABCEGHJKLMNPRSTVWXYZabceghjklmnprstvwxyz]\d)$" data-val-required="Postal Code is a required field." id="PostalZipCode" maxlength="7" name="PostalZipCode" placeholder="eg. A1A 1A1" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="c9168355-c425-411c" data-event-id="23" listener="false" aria-required="true" aria-invalid="false"> </div> |
|
<div class="offset-by-four six columns" data-webtasks-id="c828c204-8bcd-4ccc"> |
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<div class="validation-error-container" data-webtasks-id="5d429da8-9c51-44ce"> |
|
<span class="validation-margin-left-sm field-validation-valid" data-valmsg-for="PostalZipCode" data-valmsg-replace="true" data-webtasks-id="4484f586-a296-4c50"></span> |
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</div> |
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</div> |
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</div> |
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</li> |
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<li data-webtasks-id="6c2a96a8-6016-4742"> |
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<div class="row" data-webtasks-id="174fec23-ee48-4a95"> |
|
<div class="four columns" data-webtasks-id="ec930582-b404-4ed4"> |
|
<span class="bold" data-webtasks-id="1911ed71-e8f5-49cb"> |
|
<label for="EmailAddress" data-webtasks-id="6895e4bc-682f-49fd">Email:</label> |
|
</span> |
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</div> |
|
<div class="seven columns fs-exclude" data-webtasks-id="fd744de7-2200-4dcb"> |
|
<input data-val="true" data-val-length="Email cannot be larger than 100 characters." data-val-length-max="100" data-val-regex="The Email must be in a valid format (eg. [email protected])." data-val-regex-pattern="^([a-zA-Z0-9_\-\.]+)@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.)|(([a-zA-Z0-9\-]+\.)+))([a-zA-Z]{2,4}|[0-9]{1,3})(\]?)$" id="EmailAddress" name="EmailAddress" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="93802691-e293-43a1" data-event-id="26" listener="false" aria-invalid="false" class="valid"> </div> |
|
<div class="offset-by-four six columns" data-webtasks-id="b6dca20a-1ab1-43f9"> |
|
<div class="validation-error-container" data-webtasks-id="c2cb7922-2159-4491"> |
|
<span class="validation-margin-left-sm field-validation-valid" data-valmsg-for="EmailAddress" data-valmsg-replace="true" data-webtasks-id="910e4822-77d1-472a"></span> |
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</div> |
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</div> |
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</div> |
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</li> |
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<li data-webtasks-id="fdf8ae7f-d02a-4eca"> |
|
<div class="row" data-webtasks-id="cca0fc7e-8c47-4766"> |
|
<button class="pre next-button" type="submit" title="Get Quote Now" data-webtasks-id="b7e1b968-8c1f-43b6">Get Quote Now</button> |
|
</div> |
|
</li> |
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</ul> |
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</form> |
|
<script type="text/javascript" data-webtasks-id="7d462de2-117b-4743"> |
|
window.onload = function () { |
|
$("#BreedName").data("val", "false"); |
|
$("#BreedName").removeData("unobtrusiveValidation"); |
|
$("#BreedName").removeData("validator"); |
|
$.validator.unobtrusive.parse("#BreedName"); |
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|
|
$("#BreedId").data("val", "false"); |
|
$("#BreedId").removeData("unobtrusiveValidation"); |
|
$("#BreedId").removeData("validator"); |
|
$.validator.unobtrusive.parse("#BreedId"); |
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|
|
var ownerInfo = $("#ShowOwnerInfo").val() == "True" ? true : false; |
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|
if (!ownerInfo) { |
|
$("#EmployeeNumber").data("val", "false"); |
|
$("#EmployeeNumber").removeData("unobtrusiveValidation"); |
|
$("#EmployeeNumber").removeData("validator"); |
|
$.validator.unobtrusive.parse("#EmployeeNumber"); |
|
} |
|
}; |
|
</script> |
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</div> |
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</div> |
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</div> |
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<div class="tab1_spacer" data-webtasks-id="637853c0-19bf-41fa"></div> |
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<div id="qq-image-placeholder" class="four columns" data-webtasks-id="1dc8e227-74ff-42fe"> |
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<img src="/Quote/Static/Content/OVMA/Images/English/OVMA_QuoterImage.jpg" data-webtasks-id="0ed75135-cc29-4e78"> |
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</div> |
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</div> |
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</div> |
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<div class="portal-footer-wrapper" data-webtasks-id="c2aa6578-404c-4988"> |
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<div class="footer-wrapper" data-webtasks-id="2af95f89-ecf1-4c7e"> |
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<div class="footer-br" data-webtasks-id="906b3042-fd3e-4914"></div> |
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<div id="footer" data-webtasks-id="6692b740-3e5b-4aac"> |
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<p data-webtasks-id="50beebc0-2c3f-4305"> |
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Some coverage is subject to a waiting period, as noted in clause VII. Policy Administration. Pre-existing conditions or conditions which occur during the waiting period will be excluded from your policy, as noted in clause, V. Policy Specific Exclusions. This policy also contains clauses, which affect coverage. This can be found in clause, IV. What We Do Not Cover and VI. General Conditions.<br data-webtasks-id="ca0adc94-6a02-4677">Please review the <a href="https://www.ovmapetinsurance.com/PDFs/OVMA-PWs2023-EN.pdf" target="_blank" data-webtasks-id="6d899684-a8d5-4af7"><u data-webtasks-id="f562a17b-09a3-4a03">Policy Wordings</u></a> for additional details. |
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</p> <br data-webtasks-id="85c94e2b-8970-4215"> |
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<p data-webtasks-id="3ff7b24c-72c1-4c52"> |
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The OVMA Pet Health Insurance program is underwritten and distributed by <a href="https://www.petlineinsurance.com/index.html" target="_blank" data-webtasks-id="736494c0-4706-4d75"><u data-webtasks-id="e93cf66a-59cc-40a9">Petline Insurance Company</u></a>. |
|
<br data-webtasks-id="7f525897-f7e9-4f3f">It is available to residents of Canada and provides coverage to eligible pets. <br data-webtasks-id="4b3676f1-4775-48cd"> |
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</p><br data-webtasks-id="3b3d85ab-955d-47a1"> |
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<p data-webtasks-id="94b63ce1-802c-4cb0">Need help finding a pet insurance plan for your pet? We can help with that. Chat with one of our experienced insurance advisor experts today.</p> |
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<p data-webtasks-id="961a1e8d-1d17-402b"> |
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<strong data-webtasks-id="3ef7bfc6-a862-46b1">Get in touch with someone on our customer care team!</strong> Monday – Friday 8:00 am – 9:00 pm ET, Saturday 9:00 am - 2:00 pm ET, Sunday Closed<br data-webtasks-id="b9e308c0-1d0f-463f"> |
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</p><br data-webtasks-id="b28d8db0-aa04-4dfc"> |
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<p data-webtasks-id="fd79ba34-bfa8-4c17"> |
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Petline Insurance Company is registered with L’Autorite des Marches Financiers as a property and casualty insurer (<a href="https://lautorite.qc.ca/en/general-public/registers/register-insurers-deposit-institutions-and-trust-companies" target="_blank" data-webtasks-id="b69ca107-a6f6-4096"><u data-webtasks-id="0183ddf4-990f-4bb9">NEQ: 1162197215</u></a>) and damage insurance agency |
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(<a href="https://lautorite.qc.ca/en/general-public/registers/register-of-firms-and-individuals-authorized-to-practise" target="_blank" data-webtasks-id="ed3199cb-ce1e-41c6"><u data-webtasks-id="1c096467-66d0-4f28">Reg #: 606694</u></a>). |
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</p><br data-webtasks-id="05e4b1c5-5d0d-48f6"> |
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<p class="copyright" data-webtasks-id="ba5242bf-743d-4929"> |
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</p><p data-webtasks-id="d6dfd432-1111-4a1a"> |
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© OVMA Pet Health Insurance 2023. All Rights Reserved.<br data-webtasks-id="02e39622-c641-445e"> |
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All coverage described in this website is subject to the terms, conditions, limitations, and exclusions contained in our <a href="https://www.ovmapetinsurance.com/PDFs/OVMA-PWs2023-EN.pdf" target="_blank" alt="OVMA Pet Health Insurance Policy Wordings" title="OVMA Pet Health Insurance Policy Wordings" data-webtasks-id="ca4a3d5f-8996-41dc"><u data-webtasks-id="9c778f17-397a-46c6">Policy Wordings</u></a>. In the event of a |
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discrepancy between content on this website and your policy wording, the policy wording governs. |
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<a href="https://www.petlineinsurance.com/Accessibility.html" target="_blank" alt="Accessibility" title="Accessibility" data-webtasks-id="4ab526d7-bc27-4698">Accessibility</a> | |
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<a href="https://www.petlineinsurance.com/pdf/Terms_of_Use.pdf" target="_blank" title="Terms of Use" data-webtasks-id="27aa778f-09e0-4fa2">Terms of Use</a> | |
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<a href="https://www.petlineinsurance.com/pdf/Complaint_Policy.pdf" target="_blank" data-webtasks-id="15fbf7fc-5f49-4d4a">Complaint Policy</a> |
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</p><br data-webtasks-id="336f071a-254e-4a61"> |
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ga('send', 'event', 'Quote', 'click', 'Request A Call Back - Send'); |
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var successDialog = $("#dialog-success"); |
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successDialog.html("Thanks for your interest in Petsecure! We’ll be in touch during the time you selected. A licensed insurance agent is looking forward to speaking with you!"); |
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text: "Close", |
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function detectIEEdge() { |
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return parseInt(ua.substring(msie + 5, ua.indexOf('.', msie)), 10); |
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var trident = ua.indexOf('Trident/'); |
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<ul class="ui-autocomplete ui-front ui-menu ui-widget ui-widget-content ui-corner-all" id="ui-id-1" tabindex="0" aria-disabled="false" style="display: none; top: 515px; left: 423px; width: 333px;" data-webtasks-id="1a476bba-7ecf-4786"><li class="ui-menu-item" role="presentation" data-webtasks-id="adc6ed23-df06-4d67"><a id="ui-id-18" class="ui-corner-all" tabindex="-1" data-webtasks-id="622cba19-c923-43ae">German Shepherd Dog</a></li><li class="ui-menu-item" role="presentation" data-webtasks-id="b4d0bd6c-81c4-4eb8"><a id="ui-id-19" class="ui-corner-all ui-menu-item-alternate" tabindex="-1" data-webtasks-id="b54e15f8-d764-4576">German Shepherd Dog Cross</a></li><li class="ui-menu-item" role="presentation" data-webtasks-id="8e4b2048-1571-4be3"><a id="ui-id-20" class="ui-corner-all" tabindex="-1" data-webtasks-id="553d730d-bf0f-4b22">Pointer (German Short-Haired)</a></li></ul><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons" tabindex="-1" role="dialog" aria-describedby="dialog-invalidpostalcode" aria-labelledby="ui-id-2" style="display: none;" data-webtasks-id="e0560a9d-64ec-4847"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="3f4025db-86e3-4e30"><span id="ui-id-2" class="ui-dialog-title" data-webtasks-id="d721b791-92d9-437f">Product Unavailable</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="7a0da835-7035-488c"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="aa0d3534-86d9-4232"></span><span class="ui-button-text" data-webtasks-id="04ee1378-91a4-40e0">close</span></button></div><div id="dialog-invalidpostalcode" style="" data-dialog-button1="Close" class="ui-dialog-content ui-widget-content" data-webtasks-id="cbd67d40-9657-4d62"> |
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We're sorry, this product is currently unavailable in your province. |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="10fe82a9-e719-4a36"><div class="ui-dialog-buttonset" data-webtasks-id="4bf8b8df-3ba6-46a4"><button type="button" class="cancelButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="756e4ad8-743b-4375"><span class="ui-button-text" data-webtasks-id="c9793cf0-8842-4e73">Close</span></button></div></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front" tabindex="-1" role="dialog" aria-describedby="dialog-processing" aria-labelledby="ui-id-3" style="display: none;" data-webtasks-id="569d8275-7d81-4523"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="0c6dc84d-8270-4a0d"><span id="ui-id-3" class="ui-dialog-title" data-webtasks-id="3d06d6d1-6543-4d08">Building Your Quote</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="154d495e-41cd-484d"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="2bda391e-12f0-448e"></span><span class="ui-button-text" data-webtasks-id="ffd79bae-420e-42a4">close</span></button></div><div id="dialog-processing" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="16f75371-94d2-47a8"> |
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<i class="fa fa-paw fa-spin" data-webtasks-id="29a6fba2-4773-4afa"></i> |
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</div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable ui-resizable" tabindex="-1" role="dialog" aria-describedby="dialog-retrieve" aria-labelledby="ui-id-4" style="display: none; position: absolute;" data-webtasks-id="cf1c1d1c-b819-4dac"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="74adfe9d-1105-4477"><span id="ui-id-4" class="ui-dialog-title" data-webtasks-id="2cc92613-6b09-412b">Retrieve a Saved Quote</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="3a7e7850-b478-4532"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="b6f0ff0f-d53e-4568"></span><span class="ui-button-text" data-webtasks-id="33baf4fc-80db-48f4">close</span></button></div><div id="dialog-retrieve" data-dialog-button1="Retrieve a Quote" data-dialog-button2="Cancel" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="4052573f-a8f4-45a1"> |
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<div id="RetrieveQuote_Loading" style="display: none;" data-webtasks-id="538c7bb4-fa78-4a05"> |
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<img alt="Retrieving Quote..." src="/Quote/Static/1.0.1.4/Content/Shared/Images/loading.gif" data-webtasks-id="5776922a-7dde-4073"> |
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Retrieving Quote... |
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</div> |
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<div id="RetrieveQuote_Body" data-webtasks-id="7dd1b605-fad5-4854"> |
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<form action="/Quote/QuickQuote/RetrieveSavedQuote" id="RetrieveForm" method="post" novalidate="novalidate" data-webtasks-id="59524292-c4ad-49ba"> <div id="qe_dialog" style="padding-top:10px;" data-webtasks-id="3af7d63d-9e2d-4198"> |
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<ul data-webtasks-id="1ffc2c2a-12e2-4245"> |
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<li data-webtasks-id="7745a52d-84b5-4493"> |
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<label for="EmailAddress" data-webtasks-id="f2f7682e-0d47-4a24">Email</label> |
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<input data-val="true" data-val-length="Email cannot be larger than 100 characters." data-val-length-max="100" data-val-regex="The Email must be in a valid format (eg. [email protected])." data-val-regex-pattern="^([a-zA-Z0-9_\-\.]+)@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.)|(([a-zA-Z0-9\-]+\.)+))([a-zA-Z]{2,4}|[0-9]{1,3})(\]?)$" data-val-required="Email is a required field." id="EmailAddress" name="EmailAddress" style="width:180px;" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="076a0ab9-39eb-4508"> |
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</div> |
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</li> |
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<li data-webtasks-id="f56b29e2-b00e-409a"> |
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<label for="PostalZipCode" data-webtasks-id="95511733-740b-48ff">Postal Code</label> |
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<input class="textbox-uppercase" data-val="true" data-val-length="Postal Code must be between 10 and 6 characters." data-val-length-max="10" data-val-length-min="6" data-val-regex="The Postal Code must be in a valid format (eg. A1A 1A1)." data-val-regex-pattern="^([ABCEGHJKLMNPRSTVXYabceghjklmnprstvxy]\d[ABCEGHJKLMNPRSTVWXYZabceghjklmnprstvwxyz])\ {0,1}(\d[ABCEGHJKLMNPRSTVWXYZabceghjklmnprstvwxyz]\d)$" data-val-required="Postal Code is a required field." id="PostalZipCode" name="PostalZipCode" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="bf2d1513-6781-452f"> |
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<div class="validation-error-container" data-webtasks-id="363ac7a6-ecbb-4424"> |
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<span class="field-validation-valid" data-valmsg-for="PostalZipCode" data-valmsg-replace="true" style="margin-left: 125px;" data-webtasks-id="301f08ff-f207-483a"></span> |
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</div> |
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</li> |
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</ul> |
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</div> |
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</form> |
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</div> |
|
</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="51114d2c-da23-4bd5"><div class="ui-dialog-buttonset" data-webtasks-id="12f53cbc-e834-4d01"><button type="button" class="saveButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="f85ba469-4e89-4bc0"><span class="ui-button-text" data-webtasks-id="aaf56a46-557d-4dab">Retrieve a Quote</span></button><button type="button" class="cancelButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="47929eb4-e1a6-4f16"><span class="ui-button-text" data-webtasks-id="1b32d333-1007-4e27">Cancel</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="523baebd-8e72-4a2c"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="4362ad6d-8742-4605"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="d949e506-6103-40b3"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="0d0af924-8268-4b5f"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="95aca2f4-2897-4a81"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="eceed2c8-5d6a-4aca"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="04908f45-cfb5-4e20"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="7a316bb4-a274-4319"></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable ui-resizable" tabindex="-1" role="dialog" aria-describedby="dialog-savedquote" aria-labelledby="ui-id-5" style="display: none; position: absolute;" data-webtasks-id="3dccfbed-6119-474d"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="8e56cb66-1b9c-4186"><span id="ui-id-5" class="ui-dialog-title" data-webtasks-id="0553c248-c026-4c29">Quote Found</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="a762595b-5b58-4caa"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="55406f08-b4fb-4538"></span><span class="ui-button-text" data-webtasks-id="3fc1a691-0c3c-4c2a">close</span></button></div><div id="dialog-savedquote" style="" data-dialog-button1="Resume my quote" data-dialog-button2="Start over" data-continue-url="/Quote/QuickQuote/ContinueQuote" class="ui-dialog-content ui-widget-content" data-webtasks-id="45702c6e-5729-4b92"> |
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<div id="savedquote-body" data-webtasks-id="74c57493-c4c0-4863"> |
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<p data-webtasks-id="7d94ee17-e307-4c43">We found a quote you started on a previous visit!</p> |
|
<p data-webtasks-id="afa82565-1ae1-4a8d">Do you want to continue where you left off or start over?</p> |
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</div> |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="1d4abb56-0b0b-4803"><div class="ui-dialog-buttonset" data-webtasks-id="5c636c1a-cce9-40b0"><button type="button" class="saveButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="5cde7324-3f49-4589"><span class="ui-button-text" data-webtasks-id="276c1a43-27a0-44ff">Resume my quote</span></button><button type="button" class="cancelButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="965ed30a-9074-4055"><span class="ui-button-text" data-webtasks-id="22f754e7-3904-4967">Start over</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="9ce55b9d-4c21-4300"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="92a07154-40b0-497f"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="2dcf553d-d4d9-4185"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="d59fa57a-9574-4ea3"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="70290440-1e47-4a46"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="17807717-b48e-491a"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="a5d53720-745c-40be"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="1f1656f6-72bd-447f"></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable ui-resizable" tabindex="-1" role="dialog" aria-describedby="dialog-birthdayunknown" aria-labelledby="ui-id-6" style="display: none; position: absolute;" data-webtasks-id="6a565af3-20d4-4a97"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="507d7c61-d28b-49d1"><span id="ui-id-6" class="ui-dialog-title" data-webtasks-id="79907a1a-f001-4bb1"> </span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="17d85eb2-746d-4142"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="8fadee10-15c5-499f"></span><span class="ui-button-text" data-webtasks-id="c13f615d-6178-4134">close</span></button></div><div id="dialog-birthdayunknown" data-dialog-button1="OK" style="max-width: 400px;" class="ui-dialog-content ui-widget-content" data-webtasks-id="3f385b3e-fc74-4fa8"> |
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Your pet’s birthdate will default to the 15th of the month. |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="fc944dd2-f7d9-42cb"><div class="ui-dialog-buttonset" data-webtasks-id="2f38deb7-c19c-46c5"><button type="button" class="cancelButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="6b7d8fd5-1add-4fd0"><span class="ui-button-text" data-webtasks-id="142552ad-a291-4e9d">OK</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="9ae46cdd-593a-414c"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="ab1cc892-95b8-4e0d"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="d18133eb-c722-40e6"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="56d64af6-3f61-4e44"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="fce0be90-f131-4a25"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="1e587de2-8d62-4ef9"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="f63b7897-0139-42a2"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="097ebad6-989e-4721"></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable ui-resizable" tabindex="-1" role="dialog" aria-describedby="dialog-emailus" aria-labelledby="ui-id-7" style="display: none; position: absolute;" data-webtasks-id="efb07f14-1fe3-4983"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="f6550d02-fec3-4feb"><span id="ui-id-7" class="ui-dialog-title" data-webtasks-id="f85d46af-b8e9-4ecd">Email us</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="69a5b006-2b71-4d71"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="65e94aa2-5174-4059"></span><span class="ui-button-text" data-webtasks-id="87786af4-714c-4903">close</span></button></div><div id="dialog-emailus" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="40fe905a-93d9-4283"> |
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<form action="/Quote/" id="EmailUsForm" method="post" novalidate="novalidate" data-webtasks-id="f70517b5-ccd7-467b"> <div class="contactus" data-webtasks-id="5977630f-f892-4138"> |
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<fieldset class="fieldsetStyle" data-webtasks-id="36861ceb-9e25-4b52"> |
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<legend data-webtasks-id="e4519b4d-41ab-45ae"></legend> |
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<div data-webtasks-id="2a49c9e3-bc18-4a3c"> |
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<span class="bold" data-webtasks-id="bd5222b7-7af7-4b02"><span class="left" data-webtasks-id="a70f2b9f-967d-40c2">*</span><label for="aa38880c7ec24d4f9ad0db2158caf7e1" data-webtasks-id="e718bd62-3b0b-4c37">Name:</label></span> |
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<input class="text-box single-line" data-val="true" data-val-length="Name cannot be larger than 50 characters." data-val-length-max="50" data-val-required="Name is a required field." id="aa38880c7ec24d4f9ad0db2158caf7e1" name="aa38880c7ec24d4f9ad0db2158caf7e1" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="b0d36899-7f98-4926"> |
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<span class="field-validation-valid" data-valmsg-for="aa38880c7ec24d4f9ad0db2158caf7e1" data-valmsg-replace="true" data-webtasks-id="afcaedad-8fd2-4194"></span> |
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</div> |
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<div data-webtasks-id="d6363e26-1fc9-4eaa"> |
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<span class="bold" data-webtasks-id="7e579921-2b60-421b"><span class="left" data-webtasks-id="518ab4a2-4a10-4d7d">*</span><label for="fee5a556e0784b1d90c9351570c0c9da" data-webtasks-id="8243525b-410c-4463">Email:</label></span> |
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<input data-val="true" data-val-length="Email cannot be larger than 100 characters." data-val-length-max="100" data-val-regex="The Email must be in a valid format (eg. [email protected])." data-val-regex-pattern="^([a-zA-Z0-9_\-\.]+)@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.)|(([a-zA-Z0-9\-]+\.)+))([a-zA-Z]{2,4}|[0-9]{1,3})(\]?)$" data-val-required="Email is a required field." id="fee5a556e0784b1d90c9351570c0c9da" name="fee5a556e0784b1d90c9351570c0c9da" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="445c5255-79e6-44b1"> |
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<span class="field-validation-valid" data-valmsg-for="fee5a556e0784b1d90c9351570c0c9da" data-valmsg-replace="true" data-webtasks-id="13bb4534-53e8-4daf"></span> |
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</div> |
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<div data-webtasks-id="a409a0a6-540f-48d6"> |
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<span class="bold" data-webtasks-id="fb4f50b6-8de2-4d53"><span class="left" data-webtasks-id="0e8a5947-5af7-4244">*</span><label for="ae14434a5fa647b8b5457cc7a56c3ddd" data-webtasks-id="484d9118-7239-48c5">Message:</label></span> |
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<br data-webtasks-id="403d007f-073a-4088"> |
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<textarea cols="20" data-val="true" data-val-required="Message is a required field." id="ae14434a5fa647b8b5457cc7a56c3ddd" name="ae14434a5fa647b8b5457cc7a56c3ddd" rows="2" spellcheck="false" data-ms-editor="true" data-webtasks-id="c1451dcc-9c78-496c"></textarea> |
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<span class="field-validation-valid" data-valmsg-for="ae14434a5fa647b8b5457cc7a56c3ddd" data-valmsg-replace="true" data-webtasks-id="5b507395-1681-432b"></span> |
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</div> |
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<div id="name" data-webtasks-id="8d8aeb69-bef3-4baa"> |
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<input id="Name" name="Name" type="text" value="" data-webtasks-id="9f777531-5b0f-4940"> |
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<input id="Email" name="Email" type="text" value="" data-webtasks-id="46f9fc9a-4b50-4d0c"> |
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</div> |
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</fieldset> |
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</div> |
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</form> |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="a7563427-7ba7-4d91"><div class="ui-dialog-buttonset" data-webtasks-id="b2c00725-20b9-47a6"><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="ccba3f32-72d2-4d50"><span class="ui-button-text" data-webtasks-id="d59ae119-21c7-4b96">Submit</span></button><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="9e430264-e29c-4e49"><span class="ui-button-text" data-webtasks-id="9adf1c4f-d568-458a">Close</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="831477a3-35ce-462c"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="60475210-2c65-4d31"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="ef2842bf-cf6e-4451"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="5756fac9-c6b2-457a"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="6b8b11a5-f54d-47c2"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="d7f78559-dc0b-408b"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="b6e00477-0b71-410e"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="1e38f7cd-be5e-433a"></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable ui-resizable" tabindex="-1" role="dialog" aria-describedby="dialog-requestcall" aria-labelledby="ui-id-8" style="display: none; position: absolute;" data-webtasks-id="1ed77762-0810-4da3"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="375e09b6-5edb-464a"><span id="ui-id-8" class="ui-dialog-title" data-webtasks-id="ae6932c7-f8b6-42e2">Request a call back</span><button type="button" class="ui-button ui-widget ui-state-default ui-corner-all ui-button-icon-only ui-dialog-titlebar-close" role="button" aria-disabled="false" title="close" data-webtasks-id="73cb2c4d-32c5-4ca5"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="ba350df5-910e-4ca4"></span><span class="ui-button-text" data-webtasks-id="06dcce1f-2344-49d9">close</span></button></div><div id="dialog-requestcall" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="89cc9daa-2dbd-44ca"> |
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<form id="requestcallform" action="requestcall" method="post" novalidate="novalidate" data-webtasks-id="3029699f-60ad-48bc"> |
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<input type="hidden" id="IsPetsecureCom" name="IsPetsecureCom" value="true" data-webtasks-id="39e56aa8-b9da-4f51"> |
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<ul data-webtasks-id="f0756db2-88c7-45ab"> |
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<li data-webtasks-id="70c29763-c654-427b"> |
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<label for="QuoteSummary_FirstName" data-webtasks-id="9e90aa3b-ff6b-46a1">First Name:</label> |
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<input type="text" id="QuoteSummary_FirstName" name="Owner.FirstName" data-val-required="First Name is a required field." spellcheck="false" data-ms-editor="true" data-webtasks-id="6648bd3a-a442-4ef5"> |
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<div style="padding-top:5px;padding-bottom: 5px;" data-webtasks-id="9cd0d703-00cf-4eb7"> |
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<span class="field-validation-valid" data-valmsg-for="Owner.FirstName" data-valmsg-replace="true" data-webtasks-id="60e0f9a7-78e0-4615"></span> |
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</div> |
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</li> |
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<li data-webtasks-id="948a176f-2562-4e24"> |
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<label for="QuoteSummary_PhoneNumber" data-webtasks-id="ab462795-db38-4dc7">Phone Number:</label> |
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<input id="QuoteSummary_PhoneNumber" data-val-required="Phone Number is a required field." name="PhoneNumber" type="tel" class="phone" data-webtasks-id="ce3bec0a-462e-4e4b"> |
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<div style="padding-top:5px;padding-bottom: 5px;" data-webtasks-id="41d06d03-4bc3-466b"> |
|
<span class="field-validation-valid" data-valmsg-for="PhoneNumber" data-valmsg-replace="true" data-webtasks-id="57c51fa0-9558-4fc7"></span> |
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</div> |
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</li> |
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<li data-webtasks-id="3e41580d-c7f6-4cbc"> |
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<label for="QuoteSummary_TimeToCall" data-webtasks-id="bb2b87fe-57ca-4df5">Best time to call:</label> |
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<select class="selectmenu" id="QuoteSummary_TimeToCall" name="TimeToCall" style="" data-webtasks-id="cc9579d4-024e-4f48"><option value="Anytime" data-webtasks-id="70883fbc-b8c9-4489">Anytime</option> |
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<option value="Weekday morning (8am - 12pm)" data-webtasks-id="a366be81-10c4-4333">Weekday morning (8am - 12pm)</option> |
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<option value="Weekday afternoon (12pm - 5pm)" data-webtasks-id="da098413-0de9-469c">Weekday afternoon (12pm - 5pm)</option> |
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<option value="Weekday evening (5pm - 10pm)" data-webtasks-id="30eae62a-e159-4b80">Weekday evening (5pm - 10pm)</option> |
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<option value="Saturday morning (8am - 12pm)" data-webtasks-id="78e70452-5612-4fd6">Saturday morning (8am - 12pm)</option> |
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<option value="Saturday afternoon (12pm - 7pm)" data-webtasks-id="a240f81b-ce86-4967">Saturday afternoon (12pm - 7pm)</option> |
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</select> |
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</li> |
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<li data-webtasks-id="e7d86d44-6615-4da5"> |
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<label for="QuoteSummary_Message" data-webtasks-id="b369acf2-1a96-4cfe">Message (optional):</label> |
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<textarea id="QuoteSummary_Message" name="Message" rows="4" cols="50" spellcheck="false" data-ms-editor="true" data-webtasks-id="4e493040-13a3-4b32"></textarea> |
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</li> |
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</ul> |
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</form> |
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