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Submitted URL: https://www.dogbitequote.com/step1.php
Effective URL: https://rater.dogbitequote.com/step1.php
Submission: On May 03 via manual from RS — Scanned from DE
Effective URL: https://rater.dogbitequote.com/step1.php
Submission: On May 03 via manual from RS — Scanned from DE
Form analysis
1 forms found in the DOMPOST check.php
<form id="regForm" class="regForm" method="post" action="check.php">
<h1>Basics:</h1>
<div class="form-group">
<label>E-Mail:</label>
<input type="email" name="email" class="form-control" required="">
</div>
<div class="form-group">
<label>Select State:</label>
<select name="state" class="form-control" required="">
<option style="display: none;" selected="" disabled="">Select State</option>
<option value="Alabama">Alabama</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
</select>
</div>
<div style="overflow:auto;">
<div style="float:right;">
<input type="submit" name="step1" class="button" value="Next">
</div>
</div>
<!-- Circles which indicates the steps of the form: -->
<div style="text-align:center;margin-top:40px;">
<span class="step"></span>
</div>
</form>
Text Content
Dean Insurance Agency Inc. * * Basics Dogs Additional Insured Indication Additional Info Summary Note: You can use the menu tracker above to move to any step once completed. BASICS: E-Mail: Select State: Select State AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- © 2022 Dog Bite Quote