brownhill-clientsite.uat.is2.technology
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Submitted URL: https://brownhill-clientsite.uat.is2.technology/
Effective URL: https://brownhill-clientsite.uat.is2.technology/Quote/Information
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from GB
Effective URL: https://brownhill-clientsite.uat.is2.technology/Quote/Information
Submission: On July 04 via automatic, source certstream-suspicious — Scanned from GB
Form analysis 1 forms found in the DOM
POST /Quote/Information
<form action="/Quote/Information" data-fv-framework="bootstrap" id="initialForm" method="post" class="fv-plugins-bootstrap fv-plugins-framework" novalidate="novalidate">
<div class="bg-white col-sm-12 p-20 border-top-bold shadow-sm shadow-lg-hover mB-40">
<h2>Your <b>details</b></h2>
<hr>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="Title">Title</label>
<select class="form-control" data-fv-not-empty="true" data-fv-not-empty-message="Please select an option" data-val="true" data-val-required="Title can't be empty" id="Title" name="Title">
<option value="">(Select)</option>
<option value="Miss">Miss</option>
<option value="Mr">Mr</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Other">Other</option>
</select>
<span class="text-danger field-validation-valid" data-valmsg-for="Title" data-valmsg-replace="true"></span>
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="FirstName">First Name</label>
<input class="form-control" data-fv-not-empty="true" data-fv-not-empty___message="Please enter the contact first name" data-fv-regexp="true" data-fv-regexp___message="The first name can consist of alphabetical characters and spaces only"
data-fv-regexp___regexp="[sA-Za-z\u00C0-\u017F\-'-]+$" data-val="true" data-val-length="First Name can't be longer than 255 characters" data-val-length-max="255" data-val-required="First Name can't be empty" id="FirstName" maxlength="255"
name="FirstName" type="text" value="">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="LastName">Last Name</label>
<input class="form-control" data-fv-not-empty="true" data-fv-not-empty___message="Please enter the contact last name" data-fv-regexp="true" data-fv-regexp___message="The first name can consist of alphabetical characters and spaces only"
data-fv-regexp___regexp="[sA-Za-z\u00C0-\u017F\-'-]+$" data-val="true" data-val-length="Last Name can't be longer than 255 characters" data-val-length-max="255" data-val-required="Last Name can't be empty" id="LastName" maxlength="255"
name="LastName" type="text" value="">
<div class="fv-plugins-message-container"></div>
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 col-lg-6 fv-plugins-icon-container">
<label for="Email">E-mail</label>
<input class="form-control" data-fv-email-address="true" data-fv-email-address___message="Please enter a valid email address" data-fv-not-empty="true" data-fv-not-empty___message="Please enter an email" data-val="true"
data-val-length="Email can't be longer than 255 characters" data-val-length-max="255" data-val-required="Email can't be empty" id="Email" maxlength="255" name="Email" type="text" value="">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 col-lg-6 fv-plugins-icon-container">
<label for="PhoneNumber">Telephone</label>
<input class="form-control numeric" data-fv-not-empty="true" data-fv-not-empty___message="Please enter a phone number" data-fv-phone="true" data-fv-phone___country="GB" data-fv-phone___message="Please enter a UK valid phone number"
data-val="true" data-val-length="Telephone can't be longer than 50 characters" data-val-length-max="50" data-val-required="Telephone can't be empty" id="PhoneNumber" maxlength="50" name="PhoneNumber" type="text" value="">
<div class="fv-plugins-message-container"></div>
</div>
</div>
<div class="row">
<!-- ko foreach: { data : CorrespondenceAddress, as : 'item' }-->
<div class="col-sm-12 AddressWrapper address-wrapper" data-bind="attr : { id : 'addressFieldSet_'+$index() }" id="addressFieldSet_0">
<label> Correspondence address </label>
<div class="addressSearch" data-bind="visible : item.ContainerVisible() == 'Search'">
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control" placeholder="Building number" tabindex="0" data-fv-string-length="true" data-fv-string-length___max="50" data-fv-string-length___message="Building number cannot exceed 50 characters"
data-bind="value : item.BNN, attr : { 'name' : 'CorrespondenceAddress.BNN'}" name="CorrespondenceAddress.BNN">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 mb-3 fv-plugins-icon-container">
<div class="input-group">
<input type="text" placeholder="Postcode" class="form-control" data-bind="value : item.SearchPostcode, attr : { name : 'CorrespondenceAddress.SearchPostcode' }" data-fv-not-empty="true"
data-fv-not-empty___message="Please provide a postcode" data-fv-zip-code="true" data-fv-zip-code___country="GB" data-fv-zip-code___message="Please enter a valid UK postcode" name="CorrespondenceAddress.SearchPostcode">
<div class="input-group-append">
<button type="button" class="btn btn-outline-secondary find-address" value="Find Address" data-bind="click : function(){ item.Search($index()) }, attr : { id : 'AddressBtn_'+$index() }" id="AddressBtn_0">Lookup <span
class="d-none d-sm-inline">address</span></button>
</div>
</div>
<div class="fv-plugins-message-container"></div>
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container" data-bind="visible : item.AddressList().length > 0" style="display: none;">
<select name="addressList" class="form-control" data-bind="options: item.AddressList, optionsText: 'Text', optionsValue: 'Value', value: item.ChosenAddress, optionsCaption: 'Please select from the following'">
<option value="">Please select from the following</option>
</select>
<div class="fv-plugins-message-container"></div>
</div>
<div class="col-sm-12 mb-2">
<button type="button" class="btn btn-outline-secondary m-t-5" data-bind="click : function(){ item.GoTo('Edit') }"> Add address manually<span class="glyphicon glyphicon-edit p-l-10"></span>
</button>
</div>
</div>
</div>
<div data-bind="visible : item.Error() != null && item.ContainerVisible() == 'Search'" style="display: none;">
<div class="row">
<div class="col-sm-12">
<p class="text-danger" data-bind="text : item.Error()"></p>
</div>
</div>
</div>
<div class="addressDetail" data-bind="visible : item.ContainerVisible() == 'Display'" style="display: none;">
<div class="row">
<div class="form-group col-sm-12">
<p class="mb-0">
<strong data-bind="text : item.FullAddress()"></strong><br>
<strong data-bind="text : item.FullTown()"></strong><br>
<strong data-bind="text : item.Postcode()+' - ' + item.Country()"> - </strong>
</p>
<a href="#" class="btn btn-outline-secondary btn-prev btn-block-xs" data-bind="click : function(){ item.GoTo('Search') }">Search again</a>
<a href="#" class="btn btn-outline-secondary btn-block-xs" data-bind="click : function(){ item.GoTo('Edit') }">Edit<span class="glyphicon glyphicon-edit p-l-10"></span></a>
</div>
</div>
</div>
<div class="addressEdit" data-bind="visible : item.ContainerVisible() == 'Edit'" style="display: none;">
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control text-capitalize" placeholder="House name or number" tabindex="0" data-fv-regexp="true" data-fv-regexp___regexp="^[a-zA-Z0-9\£\,\-\/\'\.]+(\s+[a-zA-Z0-9\£\,\-\/\'\.]+)*$"
data-fv-regexp___message="The house name or number can consist of alphabetical and numeric characters with spaces only" data-fv-string-length="true" data-fv-string-length___max="50"
data-fv-string-length___message="House name or number cannot exceed 50 characters" data-bind="value: item.HouseNameOrNumber, attr : { name : 'CorrespondenceAddress.HouseNameOrNumber' }" name="CorrespondenceAddress.HouseNameOrNumber">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control text-capitalize" placeholder="Street" tabindex="0" required="" data-fv-not-empty="true" data-fv-not-empty___message="Please provide a street name" data-fv-regexp="true"
data-fv-regexp___regexp="^[a-zA-Z0-9\£\,\-\/\'\.]+(\s+[a-zA-Z0-9\£\,\-\/\'\.]+)*$" data-fv-regexp___message="The street name 1 can consist of alphabetical and numeric characters with spaces only" data-fv-string-length="true"
data-fv-string-length___max="150" data-fv-string-length___message="The street name cannot exceed 150 characters" data-bind="value: item.Street, attr : { name : 'CorrespondenceAddress.Street' }" name="CorrespondenceAddress.Street">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control text-capitalize" placeholder="Town or City" tabindex="0" required="" data-fv-not-empty="true" data-fv-not-empty___message="Please provide a town or city" data-fv-regexp="true"
data-fv-regexp___regexp="^[a-zA-Z0-9\£\,\-\/\'\.]+(\s+[a-zA-Z0-9\£\,\-\/\'\.]+)*$" data-fv-regexp___message="The town or city can consist of alphabetical and numeric characters with spaces only" data-fv-string-length="true"
data-fv-string-length___max="150" data-fv-string-length___message="Town or city cannot exceed 150 characters" data-bind="value: item.City, attr : { name : 'CorrespondenceAddress.City' }" name="CorrespondenceAddress.City">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control text-capitalize" placeholder="County" tabindex="0" data-fv-regexp="true" data-fv-regexp___regexp="^[a-zA-Z0-9\£\,\-\/\'\.]+(\s+[a-zA-Z0-9\£\,\-\/\'\.]+)*$"
data-fv-regexp___message="The county can consist of alphabetical and numeric characters with spaces only" data-fv-string-length="true" data-fv-string-length___max="150"
data-fv-string-length___message="County cannot exceed 150 characters" data-bind="value: item.County, attr : { name : 'CorrespondenceAddress.County' }" name="CorrespondenceAddress.County">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<input type="text" class="form-control" placeholder="Postcode" tabindex="0" required="" data-fv-not-empty="true" data-fv-not-empty___message="Please provide a postcode" data-fv-string-length="true" data-fv-string-length___max="10"
data-fv-string-length___message="The postcode can't have more than 10 characters" data-fv-zip-code="true" data-fv-zip-code___country="GB" data-fv-zip-code___message="Please enter a valid postcode"
data-bind="value: item.Postcode, attr : { name : 'CorrespondenceAddress.Postcode' }" name="CorrespondenceAddress.Postcode">
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group col-sm-12 fv-plugins-icon-container">
<select class="form-control" data-fv-not-empty="true" data-fv-not-empty___message="Please select a country" data-bind="value: item.Country, attr : { name : 'CorrespondenceAddress.Country' }" name="CorrespondenceAddress.Country">
<option value="" disabled="" selected="">Please select</option>
<option value="Channel Islands">Channel Islands</option>
<option value="England and Wales">England and Wales</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Northern Ireland">Northern Ireland</option>
<option value="Other - See text">Other - See text</option>
<option value="Republic of Ireland">Republic of Ireland</option>
<option value="Scotland">Scotland</option>
</select>
<div class="fv-plugins-message-container"></div>
</div>
<div class="col-sm-12 mb-2">
<a href="#" data-bind="click : function(){ item.GoTo('Search') }" class="btn btn-outline-secondary btn-prev">Back to postcode search</a>
</div>
</div>
</div>
</div>
<!-- /ko -->
<!-- ko text: addValidationAfterReload('.AddressWrapper') --><!-- /ko -->
</div>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<p> Contact preferences </p>
<p class="small"> We like to keep our members updated on the latest offers and promotions that we feel would be of interest to them. We would like to include you in these updates but only with your consent. The updates are not frequent and
can offer our members genuine savings on the products and services that they are interested in. </p>
<label for="ContactAllowed"> Would you like us to contact you with the latest offers and promotions? </label>
<div class="btn-group btn-group-toggle d-flex w-100" data-toggle="buttons">
<label class="btn w-100 btn-outline-secondary">
<input class="form-check-input" data-bind="bsChecked : ContactAllowed" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="ContactAllowed" name="ContactAllowed" type="radio" value="True">
<span data-bind="visible : ContactAllowed() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : ContactAllowed() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> Yes </label>
<label class="btn btn-outline-secondary w-100">
<input class="form-check-input" data-bind="bsChecked : ContactAllowed" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="ContactAllowed" name="ContactAllowed" type="radio" value="False">
<span data-bind="visible : ContactAllowed() == 'False'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : ContactAllowed() != 'False'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> No </label>
</div>
<div class="row mt-2" data-bind="slideDown: ContactAllowed() == 'True'" style="display: none;">
<div class="col-sm-12">
<label> What are your acceptable methods of contact? </label>
</div>
<div class="col-sm-12 col-md-4">
<div class="btn-group-toggle" data-toggle="buttons">
<label class="btn btn-outline-secondary w-100" data-bind="css:{active: ContactSMS()}">
<input type="checkbox" name="ContactSMS" id="ContactSMS" data-bind="checked: ContactSMS" autocomplete="off" value="True">
<span data-bind="visible : ContactSMS() || ContactSMS() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : ContactSMS() != true && ContactSMS() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> SMS </label>
</div>
</div>
<div class="col-sm-12 col-md-4">
<div class="btn-group-toggle" data-toggle="buttons">
<label class="btn btn-outline-secondary w-100" data-bind="css:{active: ContactEmail()}">
<input type="checkbox" name="ContactEmail" id="ContactEmail" data-bind="checked: ContactEmail" autocomplete="off" value="True">
<span data-bind="visible : ContactEmail() || ContactEmail() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : ContactEmail() != true && ContactEmail() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> Email </label>
</div>
</div>
<div class="col-sm-12 col-md-4">
<div class="btn-group-toggle" data-toggle="buttons">
<label class="btn btn-outline-secondary w-100" data-bind="css:{active: ContactPost()}">
<input type="checkbox" name="ContactPost" id="ContactPost" data-bind="checked: ContactPost" autocomplete="off" value="True">
<span data-bind="visible : ContactPost() || ContactPost() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : ContactPost() != true && ContactPost() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> Post </label>
</div>
</div>
</div>
<div class="fv-plugins-message-container"></div>
</div>
</div>
</div>
<div class="bg-white col-sm-12 p-20 border-top-bold shadow-sm shadow-lg-hover mB-40">
<h2>Collection <b>address</b></h2>
<hr>
<div class="row">
<div class="form-group w-100 fv-plugins-icon-container">
<div class="col-sm-12">
<label for="IsRiskAddressSameAsCorrespondenceAddress">Is the collection kept at the correspondence address?</label>
</div>
<div class="col-sm-12">
<div class="btn-group btn-group-toggle d-flex w-100" data-toggle="buttons">
<label class="btn w-100 btn-outline-secondary">
<input class="form-check-input" data-bind="bsChecked : IsRiskAddressSameAsCorrespondenceAddress" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="IsRiskAddressSameAsCorrespondenceAddress"
name="IsRiskAddressSameAsCorrespondenceAddress" type="radio" value="True">
<span data-bind="visible : IsRiskAddressSameAsCorrespondenceAddress() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : IsRiskAddressSameAsCorrespondenceAddress() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> Yes </label>
<label class="btn btn-outline-secondary w-100">
<input class="form-check-input" data-bind="bsChecked : IsRiskAddressSameAsCorrespondenceAddress" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="IsRiskAddressSameAsCorrespondenceAddress"
name="IsRiskAddressSameAsCorrespondenceAddress" type="radio" value="False">
<span data-bind="visible : IsRiskAddressSameAsCorrespondenceAddress() == 'False'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : IsRiskAddressSameAsCorrespondenceAddress() != 'False'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> No </label>
</div>
<div class="fv-plugins-message-container"></div>
</div>
</div>
</div>
<div class="row" data-bind="slideDown : IsRiskAddressSameAsCorrespondenceAddress() == 'False'" style="display: none;">
<!-- ko foreach: { data : RiskAddress, as : 'item' }--><!-- /ko -->
<!-- ko text: addValidationAfterReload('.RiskAddressWrapper') --><!-- /ko -->
</div>
</div>
<div class="bg-white col-sm-12 p-20 border-top-bold shadow-sm shadow-lg-hover mB-40">
<h2>Policy <b>details</b></h2>
<hr>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="InceptionDate"> Policy start date </label>
<input class="form-control hasDatepicker" data-fv-date="true" data-fv-not-empty="true" data-fv-not-empty___message="Please enter the policy start date" data-val="true" data-val-required="Start Date can't be empty" id="StartDate"
name="StartDate" type="text" value="" data-fv-date___format="DD/MM/YYYY" data-fv-date___message="Please select a date between 04/07/2024 and 03/08/2024" readonly="" data-fv-date___min="04/07/2024" data-fv-date___max="03/08/2024">
<div class="fv-plugins-message-container"></div>
</div>
</div>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="PromoCode">Enter a promotion code</label>
<div class="input-group mb-3">
<input aria-describedby="promocode-addon" class="form-control" data-fv-regexp="true" data-fv-regexp___message="The promotional code can consist of alphabetical and numeric characters without spaces only"
data-fv-regexp___regexp="^[a-zA-Z0-9]+([a-zA-Z0-9]+)*$" id="PromoCode" name="PromoCode" type="text" value="">
<div class="input-group-append">
<span class="input-group-text" id="promocode-addon-idle">Not validated</span>
<span class="input-group-text d-none" id="promocode-addon-loading">
<div class="spinner-border spinner-border-sm" role="status">
<span class="sr-only">Loading...</span>
</div>
</span>
<span class="input-group-text alert-danger d-none" id="promocode-addon-invalid">Invalid Code</span>
<span class="input-group-text alert-success d-none" id="promocode-addon-valid">Valid code</span>
</div>
</div>
<div class="fv-plugins-message-container"></div>
</div>
</div>
</div>
<div class="bg-white col-sm-12 p-20 border-top-bold shadow-sm shadow-lg-hover mB-40">
<h2>Your <b>collection</b></h2>
<hr>
<div class="row">
<div class="form-group col-sm-12 fv-plugins-icon-container">
<label for="ContentsLimit"> Your collection value </label>
<div class="input-group mb-3">
<div class="input-group-prepend">
<span class="input-group-text">£</span>
</div>
<input class="form-control numericKO" data-bind="inputmask : { value: ContentsLimit, mask : 'numeric', 'maskOptions' : config.numeric0 }" data-fv-bigger-than="true" data-fv-bigger-than___message="The amount should be bigger than £0"
data-fv-bigger-than___number="0" id="ContentsLimit" name="ContentsLimit" type="text" value="" im-insert="true">
</div>
<div class="fv-plugins-message-container"></div>
</div>
<div class="form-group w-100 fv-plugins-icon-container" data-bind="slideDown : IsContentsMoreThan50k()" style="display: none;">
<div class="col-sm-12">
<label for="IsAnyItemValuedMorefiftythousand">Is any single item in your collection valued at or in excess of £50,000?</label>
</div>
<div class="col-sm-12">
<div class="btn-group btn-group-toggle d-flex w-100" data-toggle="buttons">
<label class="btn w-100 btn-outline-secondary">
<input class="form-check-input" data-bind="bsChecked : IsAnyItemValuedMorefiftythousand" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="IsAnyItemValuedMorefiftythousand" name="IsAnyItemValuedMorefiftythousand"
type="radio" value="True">
<span data-bind="visible : IsAnyItemValuedMorefiftythousand() == 'True'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : IsAnyItemValuedMorefiftythousand() != 'True'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> Yes </label>
<label class="btn btn-outline-secondary w-100">
<input class="form-check-input" data-bind="bsChecked : IsAnyItemValuedMorefiftythousand" data-fv-not-empty="true" data-fv-not-empty___message="Please select" id="IsAnyItemValuedMorefiftythousand" name="IsAnyItemValuedMorefiftythousand"
type="radio" value="False">
<span data-bind="visible : IsAnyItemValuedMorefiftythousand() == 'False'" style="display: none;"><svg class="svg-inline--fa fa-check-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="check-square"
role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M400 32H48C21.49 32 0 53.49 0 80v352c0 26.51 21.49 48 48 48h352c26.51 0 48-21.49 48-48V80c0-26.51-21.49-48-48-48zm0 400H48V80h352v352zm-35.864-241.724L191.547 361.48c-4.705 4.667-12.303 4.637-16.97-.068l-90.781-91.516c-4.667-4.705-4.637-12.303.069-16.971l22.719-22.536c4.705-4.667 12.303-4.637 16.97.069l59.792 60.277 141.352-140.216c4.705-4.667 12.303-4.637 16.97.068l22.536 22.718c4.667 4.706 4.637 12.304-.068 16.971z">
</path>
</svg><!-- <i class="far fa-check-square"></i> --></span>
<span data-bind="visible : IsAnyItemValuedMorefiftythousand() != 'False'"><svg class="svg-inline--fa fa-square fa-w-14" aria-hidden="true" focusable="false" data-prefix="far" data-icon="square" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor" d="M400 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm-6 400H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h340c3.3 0 6 2.7 6 6v340c0 3.3-2.7 6-6 6z"></path>
</svg><!-- <i class="far fa-square"></i> --></span> No </label>
</div>
</div>
</div>
</div>
<div class="col-12" data-bind="slideDown : IsAnyItemValuedMorefiftythousand() == 'True'" style="display: none;">
<div class="row">
<!-- ko foreach : { data : ArtItems, as : 'item' } --><!-- /ko -->
<!-- ko text: addValidationAfterReload('.ArtItemsWrapper') --><!-- /ko -->
<!-- ko if : ArtItems().length < config.maxItems -->
<div class="col-sm-12">
<hr>
<button class="btn btn-secondary" data-bind="click : function(){ AddItem() }"><svg class="svg-inline--fa fa-plus fa-w-12" aria-hidden="true" focusable="false" data-prefix="far" data-icon="plus" role="img" xmlns="http://www.w3.org/2000/svg"
viewBox="0 0 384 512" data-fa-i2svg="">
<path fill="currentColor"
d="M368 224H224V80c0-8.84-7.16-16-16-16h-32c-8.84 0-16 7.16-16 16v144H16c-8.84 0-16 7.16-16 16v32c0 8.84 7.16 16 16 16h144v144c0 8.84 7.16 16 16 16h32c8.84 0 16-7.16 16-16V288h144c8.84 0 16-7.16 16-16v-32c0-8.84-7.16-16-16-16z">
</path>
</svg><!-- <i class="far fa-plus"></i> --> Add another item</button>
</div>
<!-- /ko -->
</div>
</div>
</div><input data-val="true" data-val-required="The IsMta field is required." id="IsMta" name="IsMta" type="hidden" value="False"><input data-val="true" data-val-required="The IsRenewal field is required." id="IsRenewal" name="IsRenewal"
type="hidden" value="False">
<div class="row">
<div class="col-sm-12 d-flex justify-content-end">
<button class="btn btn-primary btn-lg"><strong>Continue</strong><svg class="svg-inline--fa fa-arrow-right fa-w-14 mL-10 c-primary-light" aria-hidden="true" focusable="false" data-prefix="fas" data-icon="arrow-right" role="img"
xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" data-fa-i2svg="">
<path fill="currentColor"
d="M190.5 66.9l22.2-22.2c9.4-9.4 24.6-9.4 33.9 0L441 239c9.4 9.4 9.4 24.6 0 33.9L246.6 467.3c-9.4 9.4-24.6 9.4-33.9 0l-22.2-22.2c-9.5-9.5-9.3-25 .4-34.3L311.4 296H24c-13.3 0-24-10.7-24-24v-32c0-13.3 10.7-24 24-24h287.4L190.9 101.2c-9.8-9.3-10-24.8-.4-34.3z">
</path>
</svg><!-- <i class="fas fa-arrow-right mL-10 c-primary-light"></i> --></button>
</div>
</div>
<input name="__RequestVerificationToken" type="hidden" value="CfDJ8P16U7hsMOZPucqyyeoMnbLQsiaA8MAAgroeEpg_ZORJa2I5E-coKQAF1FPPvFjjIouil3PMSubCHL8A5cn95ymEFdyO-V0aXtihIE2oVIpBd_EYaBwf-GgylhvGJG7m_DLVpwpCsOsKEhc4mZOeWzk">
<div></div><input type="hidden">
</form>Text Content
020 8658 4334 info@brownhillgroup.co.uk MY POLICY * Home * Privacy * MY POLICY 1 Policy details • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 2 Quote • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 3 Statement • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 4 Payment • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • YOUR DETAILS -------------------------------------------------------------------------------- Title (Select) Miss Mr Mrs Ms Other First Name Last Name E-mail Telephone Correspondence address Lookup address Please select from the following Add address manually - Search again Edit Please select Channel Islands England and Wales Isle of Man Northern Ireland Other - See text Republic of Ireland Scotland Back to postcode search Contact preferences We like to keep our members updated on the latest offers and promotions that we feel would be of interest to them. We would like to include you in these updates but only with your consent. The updates are not frequent and can offer our members genuine savings on the products and services that they are interested in. Would you like us to contact you with the latest offers and promotions? Yes No What are your acceptable methods of contact? SMS Email Post COLLECTION ADDRESS -------------------------------------------------------------------------------- Is the collection kept at the correspondence address? Yes No POLICY DETAILS -------------------------------------------------------------------------------- Policy start date Enter a promotion code Not validated Loading... Invalid Code Valid code YOUR COLLECTION -------------------------------------------------------------------------------- Your collection value £ Is any single item in your collection valued at or in excess of £50,000? Yes No -------------------------------------------------------------------------------- Add another item Continue WHAT YOU'LL NEED TO KNOW -------------------------------------------------------------------------------- Your information Your personal information and details of your collection Your obligations To provide fair and accurate information to us. For full details, please see the Policy Wording and Terms & Conditions below. Payment details Your bank account details to set up interest free Direct Debit Documents * IPID.pdf * PolicyWording.pdf Registered in England No. 1488763 Registered Office: 2nd Floor, Kent House, 41 East Street, Bromley, Kent, BR1 1QQ. Brownhill Insurance Group Limited is authorised and regulated by the Financial Conduct Authority. FCA Registration Number: 306131 Privacy Policy | Cookie Policy | Terms of Business | Terms and Conditions | Complaints Procedure Powered by IS2 60 ARE YOU STILL THERE? -------------------------------------------------------------------------------- To keep your information secure we'll close your session Please tell us if you'd like to continue I'd like to continue Loading, please wait. -------------------------------------------------------------------------------- We are quoting with the information you have given