driveshieldpro.com
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162.159.134.42
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URL:
https://driveshieldpro.com/
Submission: On June 17 via api from BE — Scanned from DE
Submission: On June 17 via api from BE — Scanned from DE
Form analysis
1 forms found in the DOMPOST shield.php
<form method="post" action="shield.php" class="form-horizontal" id="main_form" style="height: auto; ">
<div class="row form-group">
<span>
<h4 style="padding-left:15px; color: black;">Vehicle Information</h4>
</span>
<div class=" col-md-6">
<select class="form-control" name="edit_model_year" id="edit_model_year" vtype="not_empty" verrorcall="ShowMessage('%%control_id%%')" title="Car Model Year" required="">
<option value="">Select Year</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
</select>
</div>
<div class=" col-md-6">
<input class="form-control" name="edit_make" id="edit_make" placeholder="Vehicle Make" vtype="not_empty" verrorcall="ShowMessage('%%control_id%%')" title="Car Make" required="">
</div>
</div>
<div class="row ">
<div class=" col-md-6">
<input class="form-control" name="edit_model" id="edit_model" vtype="not_empty" verrorcall="ShowMessage('%%control_id%%')" placeholder="Car Model" required="">
</div>
<div class=" col-md-6">
<select class="form-control" name="edit_mileage" id="edit_mileage" vtype="not_empty" verrorcall="ShowMessage('%%control_id%%')" title="Car Mileage" required="">
<option value="10000">10,000 - 20,000</option>
<option value="20000">20,000 - 30,000</option>
<option value="30000">30,000 - 40,000</option>
<option value="40000">40,000 - 50,000</option>
<option value="50000">50,000 - 60,000</option>
<option value="60000">60,000 - 70,000</option>
<option value="70000">70,000 - 80,000</option>
<option value="80000">80,000 - 90,000</option>
<option value="90000">90,000 - 100,000</option>
<option value="100000">100,000 - 110,000</option>
<option value="110000">110,000 - 120,000</option>
<option value="120000">120,000 - 130,000</option>
<option value="130000">130,000 - 140,000</option>
<option value="140000">140,000 - 149,999</option>
<option value="150000">150,000 - 200,000</option>
<option value="200000">200,000 miles or higher</option>
</select>
</div>
</div>
<div class="row form-group">
<span>
<h4 style="padding-left:15px;color:black;"> Personal info</h4>
</span>
<div class=" col-md-6">
<input class="form-control" type="text" name="edit_fullname" id="edit_fullname" verrorcall="ShowMessage('%%control_id%%')" value="" accept="true" title="Full Name" placeholder="Full Name" pattern="^([a-zA-Z]+\s?\b){2,}" required="">
</div>
<div class=" col-md-6">
<input type="email" id="edit_email" name="edit_email" placeholder="Email" class=" form-control" vtype="email" verrorcall="ShowMessage('%%control_id%%')" value="" pattern="^([\w\.\-]+)@([\w\-]+)((\.(\w){2,3})+)$" required=""
data-required="true">
</div>
</div>
<div class="row ">
<div class=" col-md-6">
<input class="form-control" id="edit_phone" name="edit_phone" placeholder="Phone" type="number" value="" title="Phone" maxlength="10" data-val="true" data-val-regex="Please enter a valid number" data-val-required="Phone is required."
required="">
</div>
<div class=" col-md-6">
<input class="form-control" id="edit_zip" name="edit_zip" placeholder="Zip" type="number" value="" vtype="zip" verrorcall="ShowMessage('%%control_id%%')" minlength="5" maxlength="5" title="Zip" pattern="[0-9]{5}"
data-val-regex="Please enter a valid number" data-val-required="Zip is required." required="">
</div>
</div>
<br clear="all">
<div id="div_message" align="center" style="display:none;padding-right:0px;padding-bottom:10px;">
<div style="background-color:purple;width:100%;color:white;padding:5px;font-size:11pt;">
<span id="span_message" style="color:white;">Message</span>
</div>
</div>
<div style="display: flex;">
<div class="col-1" style="margin-right: 10px;"><input type="checkbox" required=""> </div>
<div class="col-11">By confirming this checkbox you confirm you are accepting to be contacted by our services</div>
</div>
<button class="effect6 button_2 btn_anim" type="submit" name="btn-submit" id="btn-submit">Get Free Quote Now!</button>
<p style="font-size:11px; color:#555; line-height:13px; display:block; margin-top:12px;"><input type="hidden" id="leadid_tcpa_disclosure"> By clicking the "Get Free Quote Now!" button, you certify that you have provided your legal name and your own
phone number, you agree to our
<a href="terms.html" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
and <a href="privacy.html" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a> and
authorize DriveShieldPRO and its partners to contact you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or
is currently listed on any state, federal, or corporate "Do Not Call" list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to
cancel and HELP for help. Message and data rates may apply. By clicking the "Get Free Quote Now!" button and submitting this form, I affirm that I have read and agree to this Site’s
<a href="terms.html" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Terms and Conditions">Terms and Conditions</a>
(including the arbitration provision and the E-SIGN consent) and
<a href="privacy.html" onclick="open(this.getAttribute('href'),'CT','resizable=no,scrollbars=yes,toolbar=no,location=no,directories=no,status=no,menubar=no,width=620,height=400'); return false;" title="Privacy Policy">Privacy Policy</a>.</p>
<input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/113a079b2eb03aa6415da7a2177ae6cdb7746243" id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken"
value="https://cert.trustedform.com/113a079b2eb03aa6415da7a2177ae6cdb7746243" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
value="https://ping.trustedform.com/0.PWfzMQaqNjjRgx3uNCU45yrtFE9PFZFeTdfvlrEJvBXE26i0SIaKjHEb6BepliwblGNeMYAj.y6qtL7mdZPHD7rqddfL-hg.E6BAH3Y-n0clP3a7YZzRZg" id="xxTrustedFormPingUrl_0">
</form>
Text Content
GET FULL PROTECTION FOR UP TO 60% OFF OF DEALER PRICES WHEN YOU GO DIRECT! TELL US ABOUT YOUR VEHICLE VEHICLE INFORMATION Select Year 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 1995 1994 1993 1992 1991 1990 10,000 - 20,000 20,000 - 30,000 30,000 - 40,000 40,000 - 50,000 50,000 - 60,000 60,000 - 70,000 70,000 - 80,000 80,000 - 90,000 90,000 - 100,000 100,000 - 110,000 110,000 - 120,000 120,000 - 130,000 130,000 - 140,000 140,000 - 149,999 150,000 - 200,000 200,000 miles or higher PERSONAL INFO Message By confirming this checkbox you confirm you are accepting to be contacted by our services Get Free Quote Now! By clicking the "Get Free Quote Now!" button, you certify that you have provided your legal name and your own phone number, you agree to our Terms and Conditions and Privacy Policy and authorize DriveShieldPRO and its partners to contact you by email or at the phone number you entered using automated technology including recurring auto-dialers, pre-recorded messages, and text messages, even if your phone is a mobile number or is currently listed on any state, federal, or corporate "Do Not Call" list. You understand that your telephone company may impose charges on you for these contacts, and that you can revoke this consent at any time. For SMS campaigns Text STOP to cancel and HELP for help. Message and data rates may apply. By clicking the "Get Free Quote Now!" button and submitting this form, I affirm that I have read and agree to this Site’s Terms and Conditions (including the arbitration provision and the E-SIGN consent) and Privacy Policy. HAS YOUR AUTO WARRANTY EXPIRED OR IS ABOUT TO EXPIRE? SAVE THOUSANDS ON REPAIRS! Your car is likely the most significant investment you'll make after your home. While dealerships often provide a warranty for the first 3-4 years, what happens after that period ends? Without coverage, you could face hefty repair bills, with labor costs alone reaching up to $175 per hour. Don't leave yourself unprotected. An Auto Warranty from DriveShieldPRO ensures you’re safeguarded against expensive repairs for the entire lifespan of your vehicle. Drive with confidence and save money today by choosing DriveShieldPRO! AS YOUR VEHICLE AGES, UNEXPECTED AUTO REPAIRS CAN COST YOU THOUSANDS OF DOLLARS. -------------------------------------------------------------------------------- POTENTIAL COST OF MAJOR REPAIRS ENGINE REPLACEMENT $4200 TRANSMISSION $3600 AC COMPRESSOR $1095 ECM/PCM COMPRESSOR $1700 WATER PUMP $930 DIFFERENTIAL ASSEMBLY $1395 WITH DRIVESHIELDPRO 24/7 Roadside Assistance Included Nationwide Coverage Yes Rental Car Reimbursement Included Flexible Payment Plans Available Transferable Coverage Yes Comprehensive Protection Yes Privacy Policy | Terms and Conditions | CA Residents Only - Do Not Sell My Info | California Privacy © 2024 DriveShieldPRO.com All Rights Reserved.