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<title data-webtasks-id="bfc60309-83ea-47d3">Step 2 of 3 - OVMA Pet Health Insurance</title> |
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var options = { |
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"rootUrl": "https://app.ca.five9.com/consoles/", |
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"type": "chat", |
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"title": "OVMA Pet Health Insurance", |
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"tenant": "economical insurance MTL", |
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"profiles": "Petline OVMA Chat", |
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"label": "Email" |
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"value": "", |
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"show": true, |
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"label": "Province", |
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"required": false |
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"General.petsName": { |
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"value": "", |
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"show": true, |
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"label": "Your Pet's Name", |
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<strong data-webtasks-id="0a303409-85cb-41db">Call: </strong> |
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<a href="tel:+18447446862" data-webtasks-id="cc816075-ae2f-42e7">1.844.744.6862</a>| |
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<strong data-webtasks-id="d5986bcb-cb73-4f36">Email: </strong><a href="mailto:[email protected]" data-webtasks-id="7b942a94-0c8e-4271">[email protected]</a> |
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<small data-webtasks-id="2efdd71e-64d0-4fb8">Login Here</small> |
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<h1 data-webtasks-id="081251f3-c1cb-4f97">Tell Us More About Your Pet</h1> |
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<ul class="progressbar" data-webtasks-id="df10b3a7-f3a2-4792"> |
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<li class="complete" data-webtasks-id="b92dbc9a-2b53-441b">Choose a Plan</li> |
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<li class="current" data-webtasks-id="c204c4d2-8a7e-4e28">Pet Info</li> |
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<li data-webtasks-id="a120ecd5-4e06-4b2a">Check Out</li> |
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<div id="qe" data-webtasks-id="84aa3c53-2b68-4f6b"> |
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<div id="main" class="twelve columns" data-webtasks-id="955eba2f-6d21-4af9"> |
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<div id="step2" class="qe_wrap step2_wrap eight columns" data-webtasks-id="f408260b-26d4-42b9"> |
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<form action="/Quote/Step2/NextStep" data-processing-dialog-title="Retrieving Quote Summary" id="MainForm" method="post" novalidate="novalidate" data-webtasks-id="e3e8aeca-7b45-4397"><input data-val="true" data-val-required="The SessionGuid field is required." id="SessionGuid" name="SessionGuid" type="hidden" value="0b264c08-4117-4e67-be1b-ffb17c2d4a0d" data-webtasks-id="bcc09f9b-05d9-4bb5"><input data-val="true" data-val-required="The CurrentPetId field is required." id="CurrentPetId" name="CurrentPetId" type="hidden" value="3578f52b-02c3-4536-8d3c-19b113f46ce7" data-webtasks-id="b7a97c38-649a-408d"> <div class="medinfo" data-webtasks-id="4a139700-4663-4bf6"> |
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<div data-webtasks-id="4519de20-b290-4a79"> |
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<div class="row" data-webtasks-id="7002f0f5-e3b3-40e0"> |
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<div class="twelve columns PetMedicalInformation petMedicalTitle" data-webtasks-id="8fc92b5e-c547-49fa"> |
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<div style="margin-bottom: 15px" data-webtasks-id="c8db843b-f91c-48f4"> |
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Please fill out the following information for Rocky. |
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</div> |
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</div> |
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</div> |
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<div style="padding-bottom: 10px" data-webtasks-id="d40ab214-599d-4a23"> |
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<div class="row" data-webtasks-id="8ecac7d0-f750-4c97"> |
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<div class="six columns" data-webtasks-id="459bd57f-5b67-40df"> |
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<div class="bold" data-webtasks-id="b4bc4da8-eb2c-47ab"> |
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<label for="GenderId" data-webtasks-id="1663c922-4b50-4b6b">Gender:</label> |
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</div> |
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</div> |
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<div class="six columns fs-exclude" style="font-size: 12px" data-webtasks-id="7c0f3ea0-6429-44af"> |
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<span class="RadioButtonHorizontal" data-webtasks-id="64fac02d-9e03-45da"><input data-radiobutton-group="GenderId" data-val="true" data-val-required="Gender is a required field." id="GenderId_220059fd-afc1-4533-bb9d-6505dd3e240e" name="GenderId" type="radio" value="220059fd-afc1-4533-bb9d-6505dd3e240e" data-webtasks-id="009ed3a6-2da4-4c4f"> <label for="GenderId_220059fd-afc1-4533-bb9d-6505dd3e240e" data-webtasks-id="163b65f0-f9a0-4616">Female</label></span><span class="RadioButtonHorizontal" data-webtasks-id="0e97a9ea-81d8-4782"><input checked="checked" data-radiobutton-group="GenderId" id="GenderId_d09fa76d-f793-4139-859c-eb979094aa59" name="GenderId" type="radio" value="d09fa76d-f793-4139-859c-eb979094aa59" data-webtasks-id="bc871282-068b-4a50"> <label for="GenderId_d09fa76d-f793-4139-859c-eb979094aa59" data-webtasks-id="f49db756-cbd7-4b7a">Male</label></span> |
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</div> |
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<div class="twelve columns" data-webtasks-id="327d683f-7df8-41bd"> |
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<span class="field-validation-valid" data-valmsg-for="GenderId" data-valmsg-replace="true" data-webtasks-id="05ec0a46-8911-417e"></span> |
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</div> |
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</div> |
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<input id="Name" name="Name" type="hidden" value="Rocky" data-webtasks-id="eb84d92b-8b45-4c37"> |
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<input data-val="true" data-val-required="The Pet Type field is required." id="SpeciesId" name="SpeciesId" type="hidden" value="e4515537-fba8-4ad2-93e5-5ad17847d870" data-webtasks-id="4afd2700-d394-4e5c"> |
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<input data-val="true" data-val-required="The Breed field is required." id="BreedId" name="BreedId" type="hidden" value="ec7991fe-dc86-4eb9-830e-63f8b492119e" data-webtasks-id="7730db58-bf5a-4381"> |
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<input id="BirthDate" name="BirthDate" type="hidden" value="March 2018" data-webtasks-id="c4329c35-3dac-4960"> |
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<input data-val="true" data-val-number="The field DayOfBirth must be a number." data-val-required="The DayOfBirth field is required." id="DayOfBirth" name="DayOfBirth" type="hidden" value="12" data-webtasks-id="631e27c8-dbf2-48f3"> |
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<input data-val="true" data-val-number="The field BirthMonth must be a number." data-val-required="The BirthMonth field is required." id="BirthMonth" name="BirthMonth" type="hidden" value="3" data-webtasks-id="95e864bb-4fa3-4453"> |
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<input data-val="true" data-val-number="The field BirthYear must be a number." data-val-required="The BirthYear field is required." id="BirthYear" name="BirthYear" type="hidden" value="2018" data-webtasks-id="d1904954-da4e-4abb"> |
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<input id="PostalCode" name="PostalCode" type="hidden" value="L2L2L2" data-webtasks-id="73e95171-e019-4921"> |
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</div> |
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<div style="height: 0px; overflow: hidden; margin-top: 10px;" data-webtasks-id="0f171e84-8741-4403"> |
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<input class="text-box single-line" id="PrimaryClinic_ClinicId" name="PrimaryClinic.ClinicId" type="text" value="" data-hidden="PrimaryClinicId" spellcheck="false" data-ms-editor="true" data-webtasks-id="bd885dbd-78fa-45c1"> |
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<input class="text-box single-line" id="SecondaryClinic_ClinicId" name="SecondaryClinic.ClinicId" type="text" value="" data-hidden="SecondaryClinicId" spellcheck="false" data-ms-editor="true" data-webtasks-id="97873794-eff1-4614"> |
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</div> |
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<div class="row" style="padding-bottom: 15px" data-webtasks-id="62a36c8e-113a-4b80"> |
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<div id="vetselecttabs" class="ui-tabs ui-widget ui-widget-content ui-corner-all" data-webtasks-id="b406920a-9c10-4407"> |
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<ul class="ui-tabs-nav ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all" role="tablist" data-webtasks-id="b88ab74e-669d-4f7b"> |
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<li class="ui-state-default ui-corner-top ui-tabs-active ui-state-active" role="tab" tabindex="0" aria-controls="tab-1" aria-labelledby="ui-id-5" aria-selected="true" data-webtasks-id="1a609856-19a7-4592"><a href="#tab-1" class="ui-tabs-anchor" role="presentation" tabindex="-1" id="ui-id-5" data-webtasks-id="b46b9102-a4be-4e19">Find Vet by Name</a></li> |
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<li class="ui-state-default ui-corner-top" role="tab" tabindex="-1" aria-controls="tab-2" aria-labelledby="ui-id-6" aria-selected="false" data-webtasks-id="5c3a88cd-f2b7-4d41"><a href="#tab-2" onclick="mapSearch()" class="ui-tabs-anchor" role="presentation" tabindex="-1" id="ui-id-6" data-webtasks-id="f8e5e4d4-4821-424c">Find Vet by Map</a></li> |
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</ul> |
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<div id="tab-1" aria-labelledby="ui-id-5" class="ui-tabs-panel ui-widget-content ui-corner-bottom" role="tabpanel" aria-expanded="true" aria-hidden="false" data-webtasks-id="f1f68643-a482-4205"> |
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<ul class="PetMedicalInformation" data-webtasks-id="8f4aa3b8-7da5-44d5"> |
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<li id="PrimaryClinicListedName" data-clinic-type="Primary" data-clinic-unlisted="false" data-webtasks-id="974f2c17-9d13-4431"> |
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<div class="row" data-webtasks-id="659c3617-7529-4217"> |
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<div class="six columns" data-webtasks-id="a59de2cb-b962-42ef"> |
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<label class="smallwide" data-webtasks-id="bafca372-e828-4d65">Name of Veterinary Practice:</label> |
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</div> |
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<div class="six columns fs-exclude" data-webtasks-id="9c4622c6-0663-42bb"> |
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<span role="status" aria-live="polite" class="ui-helper-hidden-accessible" data-webtasks-id="9eb80a87-dcc4-49c6"></span><input data-autocomplete="/Quote/Step2/VetClinicSearch" data-autocomplete-clinic-type="Primary" data-autocomplete-hidden-input="PrimaryClinicId" data-autocomplete-type="Clinic" data-disabled-text="Choose a Province" data-loading-message="Loading..." data-no-matches-message="No matches found" id="PrimaryClinic_ClinicNameFromPAWS" name="PrimaryClinic.ClinicNameFromPAWS" placeholder="Type in the first few letters of your Practice's name." type="text" value="" class="ui-autocomplete-input" autocomplete="off" spellcheck="false" data-ms-editor="true" data-webtasks-id="bc151934-c33c-4aeb"> |
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</div> |
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<div class="twelve columns" data-webtasks-id="1d198f67-006e-446b"> |
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<div class="validation-error-container" data-webtasks-id="c6db2cf6-f777-4a60"> |
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<span class="field-validation-valid" data-valmsg-for="PrimaryClinic.ClinicId" data-valmsg-replace="true" data-webtasks-id="eade8688-50ae-43c1"></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 id="PrimaryClinicListedRegion" data-clinic-type="Primary" style="display:none;" data-webtasks-id="9314267c-9ae4-418f"> |
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<div class="row" data-webtasks-id="b76d4257-4798-4244"> |
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<div class="six columns" data-webtasks-id="168ff27b-ab7c-4a55"> |
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<label for="PrimaryVetProvince" class="smallwide" data-webtasks-id="369bb2c9-0724-4c7a">Province of Veterinary Practice:</label> |
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</div> |
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<div class="six columns fs-exclude" data-webtasks-id="d83ea9f1-ae95-410a"> |
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<select class="selectmenu" data-dropdown-clinic-type="Primary" id="PrimaryClinic_JurisdictionId" name="PrimaryClinic.JurisdictionId" data-webtasks-id="812ae413-a267-4450"><option value="" data-webtasks-id="5acc19c2-354c-4ede">Choose One...</option> |
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<option value="3f328449-602a-44e2-a9cc-37c5433a21db" data-webtasks-id="b9c5b4d8-be3a-42bc">Alberta</option> |
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<option value="c38eada2-7c2a-42c4-8d88-c82b7ce4d18a" data-webtasks-id="ded058ed-4112-4075">British Columbia</option> |
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<option value="03ec67d1-4719-451c-9e29-5442c613fddd" data-webtasks-id="0b0ce67a-76f6-4915">Manitoba</option> |
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<option value="c162a420-26b9-4576-9555-790acc8ede57" data-webtasks-id="8458ff69-c05d-45d9">New Brunswick</option> |
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<option value="0e844162-f5c2-4e43-8d4a-a2c1b0b4da42" data-webtasks-id="fec01837-9c87-4071">Newfoundland and Labrador</option> |
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<option value="fc75c2b6-0ab2-42f2-8571-bd3429766c80" data-webtasks-id="e57626cb-638b-4ed7">Northwest Territories</option> |
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<option value="06cbd2ed-b3f4-42d8-b46e-b14168895c24" data-webtasks-id="cc9ecdd2-9956-4247">Nova Scotia</option> |
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<option value="cfa8835d-98a2-4a4e-b783-54e6328181a0" data-webtasks-id="e22404e2-52cd-44f9">Nunavut</option> |
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<option selected="selected" value="cd262724-bae3-4035-98f6-582d2203ec7d" data-webtasks-id="51e828e1-64f4-4521">Ontario</option> |
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<option value="f8cf73a4-04f6-4cd7-b389-c3088129f08e" data-webtasks-id="12c29285-3707-49b7">Prince Edward Island</option> |
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<option value="e5af4655-5a3d-40ec-842d-445322d73ee0" data-webtasks-id="bb9b7b61-ba11-49a9">Quebec</option> |
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<option value="eff538ee-441d-4b5a-982c-a46e75a4c551" data-webtasks-id="4b84b9f6-591d-4e24">Saskatchewan</option> |
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<option value="f180af1d-8498-4f41-aaeb-216c5d1c11ef" data-webtasks-id="cffb5db7-145c-4ac4">Yukon</option> |
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</select> |
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</div> |
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<div class="twelve columns" data-webtasks-id="52b5f16e-0e96-43a2"> |
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<span class="field-validation-valid" data-valmsg-for="PrimaryClinic.JurisdictionId" data-valmsg-replace="true" data-webtasks-id="69347e18-5c86-4d64"></span> |
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</div> |
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</div> |
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</li> |
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</ul> |
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</div> |
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<div id="tab-2" aria-labelledby="ui-id-6" class="ui-tabs-panel ui-widget-content ui-corner-bottom" role="tabpanel" aria-expanded="false" aria-hidden="true" style="display: none;" data-webtasks-id="c926d8df-0756-4a5e"> |
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<div class="row" data-webtasks-id="f0f71be1-6a1e-43fa"> |
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<div id="vetSearchInvalidPostalCode" style="" data-webtasks-id="002ab530-ee04-4c87"> |
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<div class="field-validation-error" data-webtasks-id="ad7f8a49-6470-47b6"> |
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<span data-webtasks-id="fc34d7fe-5e66-45e5">The postal code you provided is not valid.</span> |
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</div> |
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</div> |
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<div class="row" data-webtasks-id="653f42d7-790f-4bf8"> |
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<div class="three columns" data-webtasks-id="d7e9e154-f8c2-4eb3"> |
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<label for="searchTextField" data-webtasks-id="8da9de4d-e227-4fa0">Postal Code:</label> |
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</div> |
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<div class="three columns fs-exclude" data-webtasks-id="cf4c6dfc-372f-41a7"> |
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<input type="text" id="searchTextField" style="display: inline-block;" value="L2L2L2" disabled="" data-webtasks-id="06d66a56-c0bd-49a8"> |
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</div> |
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<div class="six columns" data-webtasks-id="82fab861-176c-40a5"> |
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<input type="button" id="updatePostalCode" style="display: none;" value="Update Map" onclick="encodeAddress()" data-webtasks-id="d4651180-57cf-4e36"> |
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</div> |
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</div> |
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<div data-webtasks-id="14755074-a020-41c9"> |
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<div class="row" data-webtasks-id="6310eaf3-1219-486a"> |
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<div class="six columns" data-webtasks-id="b5a808d5-7721-47c4"> |
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<label for="searchTextField" data-webtasks-id="90f99e4d-2855-466d">Please select search distance:</label> |
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</div> |
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<div class="six columns" data-webtasks-id="92d2dbe2-96d0-41fc"> |
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<select id="distanceList" class="selectmenu disabled" data-webtasks-id="31daaec3-5aad-4079" disabled=""> |
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<option value="2" data-webtasks-id="dba369dc-9eea-4d05">2 KM</option> |
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<option value="5" data-webtasks-id="eca11a61-d575-4074">5 KM</option> |
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<option value="10" data-webtasks-id="68e0bafe-dfff-46ba">10 KM</option> |
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<option value="20" data-webtasks-id="4cbd53f4-cc65-4ba4">20 KM</option> |
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</select> |
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</div> |
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</div> |
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</div> |
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<div id="map-canvas" style="width: 100%; height: 400px; margin-top: 20px; margin-bottom: 20px;" data-webtasks-id="08642308-7fc1-4342"><div data-webtasks-id="a31a6b2b-df25-40cf" style="height: 100%; width: 100%;"><div data-webtasks-id="ca7a3240-46d5-484b" style="overflow: hidden;"></div></div></div> |
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</div> |
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</div> |
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<input data-hidden="ShowIndividualNotesField" data-val="true" data-val-required="The ShowIndividualNotesField field is required." id="Underwriting_ShowIndividualNotesField" name="Underwriting.ShowIndividualNotesField" type="hidden" value="False" data-webtasks-id="dddea7bd-f428-4fff"> |
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<ul data-webtasks-id="b4aba7ea-704e-496c"> |
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</ul> |
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<div class="row" data-webtasks-id="92624acb-f04e-4eda"> |
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<div class="twelve columns" data-webtasks-id="19c50052-a643-4028"> |
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<div class="float_right button_row_right" data-webtasks-id="1e9e747a-64e9-4bb2"> |
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<button class="pre next-button step2-next-button" type="submit" title="Continue" data-webtasks-id="21f60786-ea8d-481b">Continue</button> |
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</div> |
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</div> |
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</div> |
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</div> |
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</div> |
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</div> |
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</div></form> |
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</div> |
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<div id="vert-divider" class="hide-mobile" data-webtasks-id="69346b0e-e876-41d4"></div> |
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<div class="tab1_spacer step_wrap" data-webtasks-id="fa067004-edea-4f3b"></div> |
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<img style="margin-left:4%;" class="ovma_eft" src="/Quote/Static/Content/OVMA/Images/English/OVMA_Dog_Dental.jpg" data-webtasks-id="845d0bff-a1d1-47de"> |
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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="0d2f101b-04b8-4ca5"> |
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<div class="footer-wrapper" data-webtasks-id="7e7b4d75-63d9-4086"> |
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<div class="footer-br" data-webtasks-id="e61b876c-c33a-4060"></div> |
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<div id="footer" data-webtasks-id="b28d234f-39ae-487e"> |
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<p data-webtasks-id="3ad9914f-91e7-4f61"> |
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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="88de5f13-7037-41bc">Please review the <a href="https://www.ovmapetinsurance.com/PDFs/OVMA-PWs2023-EN.pdf" target="_blank" data-webtasks-id="bee978ce-451f-4545"><u data-webtasks-id="372c0bb6-4d06-4148">Policy Wordings</u></a> for additional details. |
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</p> <br data-webtasks-id="9c367b00-c81e-4380"> |
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<p data-webtasks-id="24abf27d-65a6-4078"> |
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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="c776a490-7cff-459d"><u data-webtasks-id="f5ae048b-18f7-498d">Petline Insurance Company</u></a>. |
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<br data-webtasks-id="e5c7e2fb-1661-49b1">It is available to residents of Canada and provides coverage to eligible pets. <br data-webtasks-id="d537d1c6-ba8c-408b"> |
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</p><br data-webtasks-id="f871d34d-7af2-4442"> |
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<p data-webtasks-id="78cc0b41-3a87-4d37">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="c44111f5-cc01-4903"> |
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<strong data-webtasks-id="41a4bb9f-9ac0-46d6">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="bd7b6d34-8b92-4c38"> |
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</p><br data-webtasks-id="9923d62a-c4cb-49f3"> |
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<p data-webtasks-id="d3b63e37-927c-4ca6"> |
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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="91306d0c-6852-406c"><u data-webtasks-id="44c83e55-dd6e-4576">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="c6715390-2984-40e4"><u data-webtasks-id="591f0b54-c529-46b6">Reg #: 606694</u></a>). |
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</p><br data-webtasks-id="83f9bc66-e01a-43fb"> |
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<p class="copyright" data-webtasks-id="3f8c11fc-658c-4c7a"> |
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</p><p data-webtasks-id="cd0cf32f-90a2-430e"> |
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© OVMA Pet Health Insurance 2023. All Rights Reserved.<br data-webtasks-id="30ed6f9d-54d8-411f"> |
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|
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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="f2f994d9-9620-4186"><u data-webtasks-id="617b0db3-fae4-4f32">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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</p><br data-webtasks-id="1affdb78-80ea-4121"> |
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<p class="copyright" style="line-height: 17px;" data-webtasks-id="58444c4f-49ed-4343"> |
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<a href="https://www.petlineinsurance.com/Accessibility.html" target="_blank" alt="Accessibility" title="Accessibility" data-webtasks-id="f72ccaa2-d280-407b">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="9131e05a-45d4-4fd1">Terms of Use</a> | |
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<a href="https://www.petlineinsurance.com/pdf/Complaint_Policy.pdf" target="_blank" data-webtasks-id="8deb0175-cbd3-4777">Complaint Policy</a> |
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</p><br data-webtasks-id="09e82ab2-063c-4c88"> |
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</div> |
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</div> |
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</div> |
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</div> |
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<script src="/Quote/Static/1.0.1.4/Scripts/ThirdParty/jquery.maskedinput.min.js" type="text/javascript" data-webtasks-id="f660e957-e066-4a79"></script> |
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<script src="https://ajax.aspnetcdn.com/ajax/jquery.validate/1.12.0/jquery.validate.js" type="text/javascript" data-webtasks-id="e9196d3f-36be-457c"></script> |
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ga('send', 'event', 'Quote', 'click', 'Email Us - Send'); |
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|
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$("[data-valmsg-for='Owner.FirstName']").text($("#QuoteSummary_FirstName").attr("data-val-required")) |
|
.addClass("field-validation-error") |
|
.removeClass("field-validation-valid"); |
|
$("#QuoteSummary_FirstName").addClass("input-validation-error"); |
|
} |
|
|
|
if (phonenumber.length == 0) { |
|
|
|
$("[data-valmsg-for='PhoneNumber']").text($("#QuoteSummary_PhoneNumber").attr("data-val-required")) |
|
.addClass("field-validation-error") |
|
.removeClass("field-validation-valid"); |
|
$("#QuoteSummary_PhoneNumber").addClass("input-validation-error"); |
|
} |
|
|
|
if (firstname.length > 0 && phonenumber.length > 0) { |
|
isValid = true; |
|
} |
|
|
|
|
|
if (isValid) { |
|
|
|
var processingDialog = $("#dialog-processing"); |
|
processingDialog.dialog("open"); |
|
processingDialog.attr("title", "Please Wait..."); |
|
|
|
$.post(url, data, function (result) { |
|
if (result.Success) { |
|
ga('send', 'event', 'Quote', 'click', 'Request A Call Back - Send'); |
|
var successDialog = $("#dialog-success"); |
|
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!"); |
|
successDialog.dialog("open"); |
|
} |
|
else { |
|
var errorDialog = $("#dialog-error"); |
|
errorDialog.dialog("open"); |
|
} |
|
|
|
processingDialog.dialog("close"); |
|
|
|
}); |
|
$(this).dialog("close"); |
|
} |
|
|
|
} |
|
}, |
|
{ |
|
text: "Close", |
|
click: function () { |
|
$(this).dialog("close"); |
|
} |
|
} |
|
] |
|
}); |
|
|
|
$("#dialog-success").dialog({ |
|
autoOpen: false, |
|
position: 'center', |
|
modal: true, |
|
resizable: false, |
|
buttons: [ |
|
{ |
|
text: "Close", |
|
"class": 'cancelButtonClass', |
|
click: function () { |
|
$(this).dialog("close"); |
|
} |
|
} |
|
] |
|
}); |
|
|
|
$("#dialog-error").dialog({ |
|
autoOpen: false, |
|
position: 'center', |
|
modal: true, |
|
resizable: false, |
|
buttons: [ |
|
{ |
|
text: "Close", |
|
"class": 'cancelButtonClass', |
|
click: function () { |
|
$(this).dialog("close"); |
|
} |
|
} |
|
] |
|
}); |
|
|
|
$("#call_back").click(function (e) { |
|
$("#dialog-requestcall").dialog("open"); |
|
e.preventDefault(); |
|
}); |
|
$("#emailUs").click(function (e) { |
|
$("#dialog-emailus").dialog("open"); |
|
e.preventDefault(); |
|
}); |
|
}); |
|
</script> |
|
|
|
|
|
<script type="text/javascript" data-webtasks-id="cfde1ccf-92fc-4609"> |
|
$(document).ready(function () { |
|
if (detectIEEdge()) { |
|
window.location = $("body").attr("data-browser"); |
|
} |
|
}); |
|
|
|
|
|
|
|
|
|
function detectIEEdge() { |
|
var ua = window.navigator.userAgent; |
|
var msie = ua.indexOf('MSIE '); |
|
if (msie > 0) { |
|
|
|
return parseInt(ua.substring(msie + 5, ua.indexOf('.', msie)), 10); |
|
} |
|
var trident = ua.indexOf('Trident/'); |
|
if (trident > 0) { |
|
|
|
var rv = ua.indexOf('rv:'); |
|
return parseInt(ua.substring(rv + 3, ua.indexOf('.', rv)), 10); |
|
} |
|
var edge = ua.indexOf('Edge/'); |
|
if (edge > 0) { |
|
|
|
return parseInt(ua.substring(edge + 5, ua.indexOf('.', edge)), 10); |
|
} |
|
|
|
return false; |
|
} |
|
</script> |
|
|
|
|
|
<ul class="ui-autocomplete ui-front ui-menu ui-widget ui-widget-content ui-corner-all" id="ui-id-1" tabindex="0" style="display: none;" data-webtasks-id="038e1b15-5db9-40b7"></ul><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-2" style="display: none;" data-webtasks-id="dba65b59-42d5-4d96"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="0c5711a1-da91-4037"><span id="ui-id-2" class="ui-dialog-title" data-webtasks-id="9b86530d-bac2-4e70">Retrieving Quote Summary</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="5f96fcb4-f9b1-4c36"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="7e56460e-eb05-4018"></span><span class="ui-button-text" data-webtasks-id="bb554bbe-1ee5-4cc7">close</span></button></div><div id="dialog-processing" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="9cd96bde-8547-456a"> |
|
<i class="fa fa-paw fa-spin" data-webtasks-id="aae8072e-c215-4be1"></i> |
|
</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-save" aria-labelledby="ui-id-3" style="display: none; position: absolute;" data-webtasks-id="8e5b7105-8027-42b2"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="c927e1f9-0c4a-43ae"><span id="ui-id-3" class="ui-dialog-title" data-webtasks-id="d7f67516-ca42-4057">Save My 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="ccbbefbd-3eb7-47ef"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="e0ccf52e-e56a-481d"></span><span class="ui-button-text" data-webtasks-id="78986cc6-3702-4839">close</span></button></div><div id="dialog-save" data-dialog-button1="Save Quote" data-dialog-button2="Cancel" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="672b0b54-ab3e-4906"> |
|
<div id="SaveQuote_Processing" style="display: none;" data-webtasks-id="07f3548d-3885-4778"> |
|
<img alt="Saving Quote..." src="/Quote/Static/1.0.1.4/Content/Shared/Images/loading.gif" data-webtasks-id="f81a20a1-db29-44a0"> |
|
Saving Quote... |
|
</div> |
|
<div id="SaveQuote_Body" data-webtasks-id="b5302664-9f48-409a"> |
|
|
|
|
|
|
|
|
|
<form action="/Quote/Save/SaveQuote" id="SaveForm" method="post" novalidate="novalidate" data-webtasks-id="1fb21834-f2e8-449c"><input data-val="true" data-val-required="The SessionGuid field is required." id="SessionGuid" name="SessionGuid" type="hidden" value="0b264c08-4117-4e67-be1b-ffb17c2d4a0d" data-webtasks-id="855ce94d-8d54-4b1d"><input data-val="true" data-val-required="The CurrentPetId field is required." id="CurrentPetId" name="CurrentPetId" type="hidden" value="3578f52b-02c3-4536-8d3c-19b113f46ce7" data-webtasks-id="dd75a80d-31a2-4982"><input data-hidden="Save_ProductId" data-val="true" data-val-required="The Plan field is required." id="ProductId" name="ProductId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="0eafab11-c40d-41c4"><input data-hidden="Save_DeductibleOptionId" data-val="true" data-val-required="The Deductible field is required." id="DeductibleOptionId" name="DeductibleOptionId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="926b6d33-b1c4-482f"><input data-hidden="Save_PremiumId" data-val="true" data-val-required="The Premium field is required." id="PremiumId" name="PremiumId" type="hidden" value="00000000-0000-0000-0000-000000000000" data-webtasks-id="1635e9f8-8601-40b2"><input data-val="true" data-val-required="The LocaleId field is required." id="LocaleId" name="LocaleId" type="hidden" value="ee1d4169-5bc5-4419-ad5d-92a9206219c5" data-webtasks-id="a2f29703-a4ff-4291"> <p style="padding-bottom:20px;font-size:16px;font-weight:bold;" data-webtasks-id="3af0c23c-e8dc-4b1c">You have a chance to win a $100 Prepaid Credit Card!</p> |
|
<div id="qe_dialog" data-webtasks-id="99275490-3ab1-4cff"> |
|
<ul data-webtasks-id="bcae94f5-35ff-40f8"> |
|
<li data-webtasks-id="415c5f64-e5bd-4e75"> |
|
<label for="PetName" data-webtasks-id="c9adf289-1843-41ab">Pet's Name:</label> |
|
|
|
</li> |
|
<li data-webtasks-id="58a4f6d9-93a2-4fef"> |
|
<label for="BreedName" data-webtasks-id="ddcf85d1-d409-412b">Breed:</label> |
|
|
|
</li> |
|
<li data-webtasks-id="ebb40f5e-816a-465d"> |
|
<label for="BirthDate" data-webtasks-id="74bde59d-5f71-4fba">Pet's Birth Date:</label> |
|
|
|
</li> |
|
<li data-webtasks-id="baef18d9-939a-44fb"> |
|
<label for="PostalZipCode" data-webtasks-id="94421d72-efd7-4566">Postal Code:</label> |
|
|
|
</li> |
|
</ul> |
|
<ul data-webtasks-id="1b6a56b7-b6b0-4ae8"> |
|
<li data-webtasks-id="f784a4b5-9b7a-494f"> |
|
<label for="FirstName" data-webtasks-id="5253eda9-0e68-4924">First Name</label> |
|
<input data-field="Save_FirstName" data-val="true" data-val-length="First Name cannot be larger than 50 characters." data-val-length-max="50" data-val-required="First Name is a required field." id="FirstName" name="FirstName" type="text" value="" data-webtasks-id="10e6295d-779b-4816"> |
|
<div style="margin-left:120px;" data-webtasks-id="f8afadd5-37e3-4a97"> |
|
<span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true" style="width:75%;" data-webtasks-id="3212c4da-dda1-452f"></span> |
|
|
|
</div> |
|
</li> |
|
<li data-webtasks-id="ee6010c6-c2d8-457a"> |
|
<label for="LastName" data-webtasks-id="3e88b7bf-e322-44a7">Last Name</label> |
|
<input data-field="Save_LastName" data-val="true" data-val-length="Last Name cannot be larger than 50 characters." data-val-length-max="50" data-val-required="Last Name is a required field." id="LastName" name="LastName" type="text" value="" data-webtasks-id="20c6f544-186e-4acd"> |
|
<div style="margin-left:120px;" data-webtasks-id="f299ef76-d86d-4b56"> |
|
<span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true" style="width:75%;" data-webtasks-id="6ca8fdc0-05f1-4dd3"></span> |
|
|
|
</div> |
|
</li> |
|
<li data-webtasks-id="5c9ce4d2-dc4a-4192"> |
|
<label for="EmailAddress" data-webtasks-id="1d58fdd3-dda3-4243">Email</label> |
|
<input data-field="Save_EmailAddress" 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" type="text" value="[email protected]" spellcheck="false" data-ms-editor="true" data-webtasks-id="9b53211b-6756-4aa9"> |
|
<div style="margin-left:120px;" data-webtasks-id="43d84953-9d7a-4650"> |
|
<span class="field-validation-valid" data-valmsg-for="EmailAddress" data-valmsg-replace="true" style="width:75%;" data-webtasks-id="f489ce0f-6c3f-4d0b"></span> |
|
|
|
</div> |
|
</li> |
|
<li data-webtasks-id="928c3817-4aee-462c"> |
|
<label for="PhoneNumber" data-webtasks-id="16d9cd56-217c-4cd9">Phone Number</label> |
|
<input class="phone" data-val="true" data-val-required="Phone Number is a required field." id="PhoneNumber" name="PhoneNumber" type="text" value="" spellcheck="false" data-ms-editor="true" data-webtasks-id="47142ed5-a3bc-4888"> |
|
<div style="margin-left:120px;" data-webtasks-id="3541a684-4e07-4ad5"> |
|
<span class="field-validation-valid" data-valmsg-for="PhoneNumber" data-valmsg-replace="true" style="width:75%;" data-webtasks-id="a43eedbe-0243-4616"></span> |
|
|
|
</div> |
|
</li> |
|
</ul> |
|
</div> |
|
</form> |
|
</div> |
|
</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="0caeac85-3ee6-4945"><div class="ui-dialog-buttonset" data-webtasks-id="5d1f204d-a9db-485f"><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="07a4da3b-ade3-4619"><span class="ui-button-text" data-webtasks-id="e47fd734-db47-4e93">Save 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="f7f65d4f-0f76-4d43"><span class="ui-button-text" data-webtasks-id="f05f82c9-476d-42db">Cancel</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="0d24ac0b-a734-4955"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="e1bc15c2-f419-4a33"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="5173739b-f1d1-4f2b"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="971b2f55-7842-4e69"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="cf123709-7a90-4040"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="85b0098a-6bb7-4f2e"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="13660554-729d-4712"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="ec28667c-2733-4b07"></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-secureStart" aria-labelledby="ui-id-4" style="display: none; position: absolute;" data-webtasks-id="b15a8fac-8547-499f"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="022b147c-b757-4f29"><span id="ui-id-4" class="ui-dialog-title" data-webtasks-id="eea0be19-517c-4b17">Start your 4 week complimentary trial!</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="92cb7011-0138-4e11"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="13011257-f567-4fbb"></span><span class="ui-button-text" data-webtasks-id="de101406-f87c-47c5">close</span></button></div><div id="dialog-secureStart" data-dialog-button1="Start my trial" data-dialog-button2="Continue with my quote" data-securestart-url="https://www.securestart.ca/portal/customervoucher/securestart" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="3155f757-8f46-4df0"> |
|
<div id="SecureStart_Body" data-webtasks-id="4ffe2d53-4aa1-494d"> |
|
As a thank you for getting a quote with Canada’s most trusted pet insurance company, we’re offering a four week trial of pet insurance. No payment information needed! |
|
</div> |
|
</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="2bfd909c-9f7f-4915"><div class="ui-dialog-buttonset" data-webtasks-id="e144a50f-5796-4676"><button type="button" class="OKButtonClass ui-button ui-widget ui-state-default ui-corner-all ui-button-text-only" role="button" aria-disabled="false" data-webtasks-id="b54b4032-de73-40fd"><span class="ui-button-text" data-webtasks-id="b6bac799-28fb-4a13">Start my trial</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="aa795254-705a-42e5"><span class="ui-button-text" data-webtasks-id="a40e1ae5-6f65-4792">Continue with my quote</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="13b8e22a-b57d-4f21"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="f523e4b4-6468-47ae"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="bf120028-5214-4dd7"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="54e6e18c-6731-4c8b"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="b7ed90da-7af2-4306"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="80a19025-e840-40b4"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="e9cab6a4-0d0a-4d07"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="0af8be63-e50c-4712"></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="51488696-0224-405a"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="d8b89e3a-27af-40ea"><span id="ui-id-7" class="ui-dialog-title" data-webtasks-id="7b5eba60-7fc8-4903">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="66936fe9-bd0d-4d69"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="327e8375-1e0c-4461"></span><span class="ui-button-text" data-webtasks-id="ebe3e506-fe42-4000">close</span></button></div><div id="dialog-emailus" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="80797b58-7852-439f"> |
|
|
|
<form action="/Quote/" id="EmailUsForm" method="post" novalidate="novalidate" data-webtasks-id="861c6d7e-802d-46c4"> <div class="contactus" data-webtasks-id="76ca5db1-d6af-4d0e"> |
|
<fieldset class="fieldsetStyle" data-webtasks-id="7fc96de6-6c79-4120"> |
|
<legend data-webtasks-id="3d102777-4ecc-439c"></legend> |
|
<div data-webtasks-id="d9c50c03-08c8-4ab4"> |
|
<span class="bold" data-webtasks-id="31fc9dad-2d50-4e8e"><span class="left" data-webtasks-id="63ee5a3d-41de-4717">*</span><label for="aa38880c7ec24d4f9ad0db2158caf7e1" data-webtasks-id="1d970f95-6fd2-4e8b">Name:</label></span> |
|
<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="aa352883-6c08-478f"> |
|
<span class="field-validation-valid" data-valmsg-for="aa38880c7ec24d4f9ad0db2158caf7e1" data-valmsg-replace="true" data-webtasks-id="93eeaa43-6b7c-41c2"></span> |
|
</div> |
|
<div data-webtasks-id="291ad4bd-f95f-4a07"> |
|
<span class="bold" data-webtasks-id="789e03a5-4573-4ddd"><span class="left" data-webtasks-id="71b9e7e3-99e5-410d">*</span><label for="fee5a556e0784b1d90c9351570c0c9da" data-webtasks-id="625d8541-7153-4acb">Email:</label></span> |
|
<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="93c0b7f9-4cef-404e"> |
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<span class="field-validation-valid" data-valmsg-for="fee5a556e0784b1d90c9351570c0c9da" data-valmsg-replace="true" data-webtasks-id="0b4e1a63-54c7-4b5b"></span> |
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</div> |
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<div data-webtasks-id="2ea61138-ddba-462a"> |
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<span class="bold" data-webtasks-id="6a29996a-839b-445c"><span class="left" data-webtasks-id="a828d2d7-cc96-4ddb">*</span><label for="ae14434a5fa647b8b5457cc7a56c3ddd" data-webtasks-id="376e2724-66d1-4b29">Message:</label></span> |
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<br data-webtasks-id="b399816f-ca49-4703"> |
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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="ba6fe0c6-59d6-4619"></textarea> |
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<span class="field-validation-valid" data-valmsg-for="ae14434a5fa647b8b5457cc7a56c3ddd" data-valmsg-replace="true" data-webtasks-id="43e84ca6-200e-4143"></span> |
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</div> |
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<div id="name" data-webtasks-id="e31b5ddc-9975-4673"> |
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<input id="Name" name="Name" type="text" value="" data-webtasks-id="0e88afbe-6695-4691"> |
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<input id="Email" name="Email" type="text" value="" data-webtasks-id="37fd02b8-246a-41bc"> |
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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="f41889b3-34f7-4cb6"><div class="ui-dialog-buttonset" data-webtasks-id="51955a95-c09c-4478"><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="3d1a3f50-020a-4cf3"><span class="ui-button-text" data-webtasks-id="290c9afa-b8d8-4511">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="b3ad347f-6928-4d90"><span class="ui-button-text" data-webtasks-id="a679d86c-0578-43c1">Close</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="f383d2e6-eaf6-4148"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="3c07bb82-2eba-489a"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="fde25d3d-29a9-43b9"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="9558d627-799b-489a"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="a81b7d87-5aac-4e47"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="04bcd328-23b5-42e3"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="36d2f2c9-1e59-41e9"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="2bcead94-a579-4063"></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="e069b8f1-3b74-47b7"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="ab570243-ad4a-4316"><span id="ui-id-8" class="ui-dialog-title" data-webtasks-id="6eb5a466-3d29-4d5d">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="951ed8e9-d1d9-49ac"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="52bb061a-4eb5-486b"></span><span class="ui-button-text" data-webtasks-id="74845c76-eaf2-48ca">close</span></button></div><div id="dialog-requestcall" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="5ca1e571-bb56-479c"> |
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<form id="requestcallform" action="requestcall" method="post" novalidate="novalidate" data-webtasks-id="a12e0561-b298-4a8d"> |
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<input type="hidden" id="IsPetsecureCom" name="IsPetsecureCom" value="true" data-webtasks-id="822c7053-ac0c-4481"> |
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<ul data-webtasks-id="61b0143e-5d88-41dd"> |
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<li data-webtasks-id="22d45c60-b5a7-4b6c"> |
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<label for="QuoteSummary_FirstName" data-webtasks-id="74e3521a-0934-4d9f">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="487d2e9f-1d3b-40e8"> |
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<div style="padding-top:5px;padding-bottom: 5px;" data-webtasks-id="3e491232-6943-44c2"> |
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<span class="field-validation-valid" data-valmsg-for="Owner.FirstName" data-valmsg-replace="true" data-webtasks-id="8fc30a48-1134-479a"></span> |
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</div> |
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</li> |
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<li data-webtasks-id="dadab7e4-c903-48e0"> |
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<label for="QuoteSummary_PhoneNumber" data-webtasks-id="72b492a7-32e0-4583">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="37b9ae45-12d9-4f25"> |
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<div style="padding-top:5px;padding-bottom: 5px;" data-webtasks-id="ffee5eb1-ac42-4b7d"> |
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<span class="field-validation-valid" data-valmsg-for="PhoneNumber" data-valmsg-replace="true" data-webtasks-id="2acff2e2-0917-491b"></span> |
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</div> |
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</li> |
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<li data-webtasks-id="dddce826-be8b-4c00"> |
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<label for="QuoteSummary_TimeToCall" data-webtasks-id="6a5a9f65-c977-475b">Best time to call:</label> |
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<select class="selectmenu" id="QuoteSummary_TimeToCall" name="TimeToCall" style="" data-webtasks-id="4f2de14f-5b44-4e33"><option value="Anytime" data-webtasks-id="0fd6760c-e203-42f1">Anytime</option> |
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<option value="Weekday morning (8am - 12pm)" data-webtasks-id="ae86e256-d94b-490f">Weekday morning (8am - 12pm)</option> |
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<option value="Weekday afternoon (12pm - 5pm)" data-webtasks-id="d009f4b2-a8cc-4db6">Weekday afternoon (12pm - 5pm)</option> |
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<option value="Weekday evening (5pm - 10pm)" data-webtasks-id="91ea4110-2865-4475">Weekday evening (5pm - 10pm)</option> |
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<option value="Saturday morning (8am - 12pm)" data-webtasks-id="ec1b6fff-75a7-4fd1">Saturday morning (8am - 12pm)</option> |
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<option value="Saturday afternoon (12pm - 7pm)" data-webtasks-id="a9ceeb84-a5ef-4759">Saturday afternoon (12pm - 7pm)</option> |
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</select> |
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</li> |
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<li data-webtasks-id="79255ba1-21a9-4bf8"> |
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<label for="QuoteSummary_Message" data-webtasks-id="c6615af6-3947-49c2">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="fa46e152-0831-41f1"></textarea> |
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</li> |
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</ul> |
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</form> |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="9f15c1c5-5b39-4178"><div class="ui-dialog-buttonset" data-webtasks-id="8ebac1f0-9834-497c"><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="771d0f89-df07-474a"><span class="ui-button-text" data-webtasks-id="936db518-3bdc-4b69">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="f145303c-f739-4ff9"><span class="ui-button-text" data-webtasks-id="afa52483-7302-4ba6">Close</span></button></div></div><div class="ui-resizable-handle ui-resizable-n" style="z-index: 90;" data-webtasks-id="4fab0bd6-1969-4754"></div><div class="ui-resizable-handle ui-resizable-e" style="z-index: 90;" data-webtasks-id="edc3d993-701a-4689"></div><div class="ui-resizable-handle ui-resizable-s" style="z-index: 90;" data-webtasks-id="13265bd7-a844-4c04"></div><div class="ui-resizable-handle ui-resizable-w" style="z-index: 90;" data-webtasks-id="1d9619de-da88-4fc5"></div><div class="ui-resizable-handle ui-resizable-se ui-icon ui-icon-gripsmall-diagonal-se" style="z-index: 90;" data-webtasks-id="cd127323-47e3-496c"></div><div class="ui-resizable-handle ui-resizable-sw" style="z-index: 90;" data-webtasks-id="322e7714-338e-4de4"></div><div class="ui-resizable-handle ui-resizable-ne" style="z-index: 90;" data-webtasks-id="29e5ba5d-60f1-4d5f"></div><div class="ui-resizable-handle ui-resizable-nw" style="z-index: 90;" data-webtasks-id="0e12f4ba-0c0f-45b0"></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable" tabindex="-1" role="dialog" aria-describedby="dialog-success" aria-labelledby="ui-id-9" style="display: none;" data-webtasks-id="92fb66a7-a78e-440f"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="1633e850-433e-447e"><span id="ui-id-9" class="ui-dialog-title" data-webtasks-id="26350566-637d-4c9d">Request Complete</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="c25ff42a-4a6c-48fc"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="19995be8-9f37-47eb"></span><span class="ui-button-text" data-webtasks-id="2a4a613b-bc97-40e6">close</span></button></div><div id="dialog-success" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="3ba2bfe3-ddc8-4aaa"> |
|
<span id="success" data-webtasks-id="ba54c116-b622-45a0"></span> |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="b4ad4ef7-8002-4042"><div class="ui-dialog-buttonset" data-webtasks-id="1508e1c9-b44a-49f2"><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="d9b7f1c7-9ed0-4a1a"><span class="ui-button-text" data-webtasks-id="115584ab-e9c8-4a0d">Close</span></button></div></div></div><div class="ui-dialog ui-widget ui-widget-content ui-corner-all ui-front ui-dialog-buttons ui-draggable" tabindex="-1" role="dialog" aria-describedby="dialog-error" aria-labelledby="ui-id-10" style="display: none;" data-webtasks-id="71e65b6c-1394-4357"><div class="ui-dialog-titlebar ui-widget-header ui-corner-all ui-helper-clearfix" data-webtasks-id="78e6b15a-cea4-4253"><span id="ui-id-10" class="ui-dialog-title" data-webtasks-id="fcb24812-9286-4504">Request Complete</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="e221b4e6-2dd4-495f"><span class="ui-button-icon-primary ui-icon ui-icon-closethick" data-webtasks-id="526bec31-ec05-407c"></span><span class="ui-button-text" data-webtasks-id="02c3c9f3-49be-4aba">close</span></button></div><div id="dialog-error" style="" class="ui-dialog-content ui-widget-content" data-webtasks-id="7d9a1a37-ec49-4cd2"> |
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<span id="error" data-webtasks-id="1d2b4457-0296-465d">An error has occurred. Please call us at 1.800.268.1169 for further assistance.</span> |
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</div><div class="ui-dialog-buttonpane ui-widget-content ui-helper-clearfix" data-webtasks-id="5d7f3e79-e7e2-4108"><div class="ui-dialog-buttonset" data-webtasks-id="4a32e40d-1340-4310"><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="7af66249-1274-4859"><span class="ui-button-text" data-webtasks-id="a44b60b1-cab3-489b">Close</span></button></div></div></div><div style="display: none; visibility: hidden;" data-webtasks-id="0710c1f4-5815-4f8a"> |
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<script type="text/javascript" data-webtasks-id="cad3e800-b08d-4c12">window.lpTag=window.lpTag||{}; |
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</div><div class="five9-frame" style="width: 320px; display: block;" data-webtasks-id="fd0073f8-10b8-470b"><div class="five9-frame-minimized" data-webtasks-id="7df31171-2c5c-45de"><div class="five9-header" data-webtasks-id="39b92c1c-0669-45a8"><div id="five9-maximize-button" class="five9-chat-button" tabindex="0" data-webtasks-id="ee9ab32e-1248-418f"><span class="five9-icon" data-webtasks-id="b20b0c51-da93-4a11"></span><span class="five9-text" data-webtasks-id="86aeeb41-9de4-4fe2">Chat</span></div></div></div><div id="five9-frame-full" class="five9-frame-full" data-webtasks-id="c82b8df5-2018-4cbb"><div class="five9-header" data-webtasks-id="5516240f-0c01-4057"><div id="five9-minimize-button" class="five9-chat-button" data-webtasks-id="b745db69-bc45-4a0f"><div class="five9-icon" data-webtasks-id="f66255ea-ffcc-49a1"></div><div class="five9-text" data-webtasks-id="c38b621f-2308-4732">Chat</div><div id="five9-minimize-icon" title="Click to minimize" tabindex="0" data-webtasks-id="bc136423-7b73-4e91"></div><div id="five9-popout-button" title="Click to popout into a new window" tabindex="0" data-webtasks-id="f53aa541-d783-4e2a"></div></div></div></div></div><iframe tabindex="-1" aria-hidden="true" role="presentation" title="Intentionally blank" name="lpSS_570668811" id="lpSS_570668811" src="https://lpcdn.lpsnmedia.net/le_secure_storage/3.20.0.0-release_5080/storage.secure.min.html?loc=https%3A%2F%2Fwww.ovmapetinsurance.com&site=69575931&env=prod&accdn=accdn.lpsnmedia.net" style="width: 0px; 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