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a.covervista.com Open in urlscan Pro
3.230.176.62  Public Scan

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Submitted URL: http://co-vista.com/R0JiKEz-D
Effective URL: https://a.covervista.com/form/?c=20458&source=sshf&pcid=wimn72ap0ivedgg63cg18562&fname=Katherine&lname=&em=jaceynoah5%40g...
Submission: On December 23 via manual from PH — Scanned from CH

Form analysis 1 forms found in the DOM

#

<form action="#"><input type="hidden" id="leadid_token" name="jornayaId" value="0E7E0CB5-64F3-C21F-DF88-5CFA1EF82E67"><input type="hidden" id="xxTrustedFormCertUrl_0" name="xxTrustedFormCertUrl"
    value="https://cert.trustedform.com/ef231896117230954706da321b2c04dc27fe181a">
  <header class="LogoLeftTextRight--header--QTBIh LogoLeftTextRight--slim--tDNWo">
    <div class="container">
      <div class="row">
        <div class="LogoLeftTextRight--logo--0n3p3 col d-flex justify-content-center col-md-auto justify-content-md-start">
          <a class="d-flex align-items-center" aria-label="Go Home" href="/"><img class="logoContainer" src="/images/logoSlim.svg" loading="eager"></a></div>
        <div class="col d-none d-md-flex justify-content-end align-items-center">
          <p>Complete the form and see how much you save</p>
        </div>
      </div>
    </div>
  </header>
  <main>
    <div data-isloading="false">
      <div class="form--progressSection--258wn">
        <p>Drivers in <!-- -->your state<!-- --> <!-- -->can save up to $619/Year</p>
        <div class="ProgressBar--progressBarWithPercentage--sXqX2">
          <div>
            <div class="ProgressBar--progressBarWrapper--RgNZD">
              <div class="ProgressBar--progressBar--mHTf2" role="progressbar" aria-valuenow="25" aria-valuemin="25" aria-valuemax="25" style="width: 25%;"></div>
            </div>
            <h4 style="left: 25%;">25%</h4>
          </div>
        </div>
      </div>
      <div class="MainForm--section--XHC9m">
        <div class="container">
          <section>
            <h2>Vehicle Year</h2>
            <div class="MainForm--divideEvenly--IKB-e MainForm--midForm--5L61f">
              <div class="row justify-content-center MainForm--singleColumn--cQ-uj">
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2024</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2023</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2022</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2021</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2020</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2019</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2018</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2017</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2016</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2015</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2014</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2013</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2012</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2011</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2010</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2009</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2008</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2007</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2006</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2005</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2004</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2003</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2002</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2001</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">2000</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">1999</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">1998</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">1997</div>
                <div role="button" class="col-3 MainForm--optionPill--+ySN3 MainForm--centered--F7wmu MainForm--excluded--7kACy MainForm--yearOption--CPUDX">1996</div>
              </div>
            </div>
          </section>
        </div>
      </div>
      <p class="LegalFooter--legalFooter--+b3EQ"><a href="/privacy">Privacy Policy</a> &amp; <a href="/terms">Terms &amp; Conditions</a></p>
    </div>
  </main><input type="hidden" name="xxTrustedFormToken" value="https://cert.trustedform.com/ef231896117230954706da321b2c04dc27fe181a" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.YTJb7Mt-Ho4jqekfzF4RJj4cW5-xg5_ERlHkSFsg3M2ZxfCZH29zQpqMgRQaz5fY8Sndf6Q.dgPE8y4IKhGUYyAdwPgYlg.PqWjkQfikR6gFaRojxICQw" id="xxTrustedFormPingUrl_0">
</form>

Text Content

Complete the form and see how much you save

Drivers in your state can save up to $619/Year

25%


VEHICLE YEAR

2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996

Privacy Policy & Terms & Conditions