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2620:1ec:4e:1::44  Public Scan

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Submitted URL: https://news.lisaforyou.net/VlJfBcHdDo/IgGADQJ3Irc4aXabLUhVZm5Q0LNDEhvjL86ek7pzhSzIEEfTSGERMGzS6O0zNRd1kVYUL15hpsQ0JAdCdtN-2...
Effective URL: https://www.smartinsurance.co.uk/life-insurance/quote/?rc=SMOFF-0039&clickref=04_117986365_c0eedf85-0a93-4219-a39a-408d151fdd37&u...
Submission: On April 23 via api from BE — Scanned from ES

Form analysis 1 forms found in the DOM

<form autocomplete="off" list="autocompleteOff" class="quote-form-container">
  <div class="promo-full-width l-content-container">
    <div class="promo-bar mlp">
      <div class="promo-bar-image"><img loading="lazy" src="https://assets-us-01.kc-usercontent.com:443/6c737b80-23dd-0067-dd84-f8285e161a3e/3342194c-314b-44d8-bad0-a75a6be9a248/Mask%20group.svg" alt="incentive"></div>
      <div class="affiliates">
        <div class="affiliate"><img src="https://assets-us-01.kc-usercontent.com:443/6c737b80-23dd-0067-dd84-f8285e161a3e/847db7b0-e94c-4da4-b63f-61971ccd49e5/amazon.svg" alt="amazon"></div>
        <div class="affiliate"><img src="https://assets-us-01.kc-usercontent.com:443/6c737b80-23dd-0067-dd84-f8285e161a3e/496f4a1a-5f9d-43a9-870a-e52739e65000/argos.svg" alt="argos"></div>
        <div class="affiliate"><img src="https://assets-us-01.kc-usercontent.com:443/6c737b80-23dd-0067-dd84-f8285e161a3e/a8d8c895-e4f9-4bee-98c9-9c62fadacb50/tesco.svg" alt="tesco"></div>
      </div>
    </div>
  </div>
  <div class="personal-details-section quote"><!---->
    <div class="form-section-title-container">
      <h3 class="form-section-title title"> Get a Family Life Insurance Quote Today </h3>
      <p class="form-section-title-byline">Enter your details for an obligation-free quote.</p>
    </div>
    <div class="form-group-container m-half generic">
      <div class="input-group m-half scrollTarget"><span><label for="first-name" class="">First Name</label> <input autocomplete="off" list="autocompleteOff" type="text" name="firstName" id="first-name"
            onkeypress="return /[ A-Za-z'-]/i.test(event.key)" class=""> <!----></span></div>
      <div class="input-group m-half scrollTarget generic"><span><label for="last-name" class="">Last Name</label> <input autocomplete="off" list="autocompleteOff" type="text" name="lastName" id="last-name"
            onkeypress="return /[ A-Za-z'-]/i.test(event.key)" class=""> <!----></span></div>
    </div>
    <div class="form-group-container scrollTarget generic">
      <div class="input-group"><label for="" class=""> Date of Birth </label> <span class="label-info"> You must be between 18 and 64 to apply for this policy </span></div>
      <div class="form-dob-container">
        <div class="form-select-container generic"><select name="Day" id="day" class="with-margin">
            <option disabled="disabled" value="">DD</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            <option value="25">25</option>
            <option value="26">26</option>
            <option value="27">27</option>
            <option value="28">28</option>
            <option value="29">29</option>
            <option value="30">30</option>
            <option value="31">31</option>
          </select></div>
        <div class="form-select-container generic"><select name="Month" id="month" class="with-margin">
            <option disabled="disabled" value="">MM</option>
            <option value="01">01</option>
            <option value="02">02</option>
            <option value="03">03</option>
            <option value="04">04</option>
            <option value="05">05</option>
            <option value="06">06</option>
            <option value="07">07</option>
            <option value="08">08</option>
            <option value="09">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
          </select></div>
        <div class="input-group"><input list="autocompleteOff" autocomplete="off" type="tel" pattern="[0-9]*" inputmode="numeric" maxlength="4" placeholder="YYYY" name="year" class=""></div>
      </div> <!---->
    </div>
  </div>
  <div class="contact-details-section"><!---->
    <div class="form-group-container scrollTarget generic">
      <div class="input-group"><span><label for="phone" class="">Phone</label> <span class="label-info">
          </span>
          <div class="field-loading-container"><input autocomplete="off" list="autocompleteOff" type="tel" pattern="[0-9]*" inputmode="numeric" name="your Phone Number" id="phone" maxlength="11" class=""> <!----> <!----></div> <!---->
        </span></div>
    </div>
    <div class="form-group-container generic">
      <div class="input-group mobile_group"><span><label for="email" class="">Email <span class="mail_info show float-right"> example: <b>
                    name@domain.com</b></span></label> <span class="label-info">
          </span>
          <div class="field-loading-container"><input autocomplete="off" list="autocompleteOff" type="email" maxlength="250" name="email" id="email" class=""> <!----> <!----></div> <!---->
        </span></div>
    </div>
  </div>
  <div class="form-section-submit-container">
    <div class="form-submit-disclaimer">
      <div>You can read our terms of use <span role="button" tabindex="0" class="modal-link showModalA" arial-label="Show modal">here</span> and our privacy &amp; cookie policy <span role="button" tabindex="0" class="modal-link showModalB"
          arial-label="Show modal">here</span>. When you choose to click this button, you agree to Smart Insurance using your phone number and email address to contact you about your quote.</div> <!----> <!---->
    </div>
    <div class="form-submit-cta-container space"><button type="submit" class="cta-btn m-large adaptive"><span> Get Your Quote </span> <!----></button></div>
  </div>
</form>

Text Content

CALL US 03333234152


GET A FAMILY LIFE INSURANCE QUOTE TODAY

Enter your details for an obligation-free quote.

First Name
Last Name
Date of Birth You must be between 18 and 64 to apply for this policy
DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
27 28 29 30 31
MM 01 02 03 04 05 06 07 08 09 10 11 12

Phone

Email example: name@domain.com

You can read our terms of use here and our privacy & cookie policy here. When
you choose to click this button, you agree to Smart Insurance using your phone
number and email address to contact you about your quote.
Get Your Quote


*

For new Family Life Insurance policy holders only, once a minimum of 6
successful monthly premiums have been paid and the total premiums paid exceed
the face value of the gift card. View full terms and conditions

Smart Insurance is a trading name of Neilson Financial Services Limited who is
authorised and regulated by the Financial Conduct Authority and entered on the
Financial Services register www.fca.org.uk/firms/financial-services-register
under reference 594926. Neilson Financial Services Limited. Registered in
England and Wales. Number 07986483. Registered Office: 2 Windsor Dials, Arthur
Road, Windsor, SL4 1RS. All products are arranged by Smart Insurance and issued,
underwritten and administered by Scottish Friendly Assurance Society Limited who
is authorised by the Prudential Regulation Authority and regulated by the
Financial Conduct Authority and the Prudential Regulation Authority under
reference 110002.


© 2023 Copyright Neilson Financial Services.


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