www.minerfamilyinsurance.com
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199.34.228.69
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Submitted URL: http://minerfamilyinsurance.com/refer-a-friend.html
Effective URL: https://www.minerfamilyinsurance.com/refer-a-friend.html
Submission: On October 29 via api from US — Scanned from DE
Effective URL: https://www.minerfamilyinsurance.com/refer-a-friend.html
Submission: On October 29 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST //www.weebly.com/weebly/apps/formSubmitAjax.php
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<div id="602853551205559581-form-parent" class="wsite-form-container" style="margin-top:10px;">
<ul class="formlist" id="602853551205559581-form-list">
<h2 class="wsite-content-title" style="text-align:left;">About You:</h2>
<label class="wsite-form-label wsite-form-fields-required-label"><span class="form-required">*</span> Indicates required field</label>
<div>
<div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
<label class="wsite-form-label">Your Name <span class="form-required">*</span></label>
<div style="clear:both;"></div>
<div class="wsite-form-input-container wsite-form-left wsite-form-input-first-name">
<input aria-required="true" id="input-422880581273074262" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u422880581273074262[first]">
<label class="wsite-form-sublabel" for="input-422880581273074262">First</label>
</div>
<div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
<input aria-required="true" id="input-422880581273074262-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u422880581273074262[last]">
<label class="wsite-form-sublabel" for="input-422880581273074262-1">Last</label>
</div>
<div id="instructions-422880581273074262" class="wsite-form-instructions" style="display:none;"></div>
</div>
<div style="clear:both;"></div>
</div>
<div>
<div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
<label class="wsite-form-label" for="input-110892103732656402">Your Email <span class="form-required">*</span></label>
<div class="wsite-form-input-container">
<input aria-required="true" id="input-110892103732656402" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u110892103732656402">
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<div id="instructions-110892103732656402" class="wsite-form-instructions" style="display:none;"></div>
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</div>
<div>
<div style="height: 20px; overflow: hidden; width: 100%;"></div>
<hr class="styled-hr" style="width:100%;">
<div style="height: 20px; overflow: hidden; width: 100%;"></div>
</div>
<h2 class="wsite-content-title" style="text-align:left;">About Your Friend:</h2>
<div>
<div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
<label class="wsite-form-label">Your Friend's Name <span class="form-required">*</span></label>
<div style="clear:both;"></div>
<div class="wsite-form-input-container wsite-form-left wsite-form-input-first-name">
<input aria-required="true" id="input-658844050765744750" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u658844050765744750[first]">
<label class="wsite-form-sublabel" for="input-658844050765744750">First</label>
</div>
<div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
<input aria-required="true" id="input-658844050765744750-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u658844050765744750[last]">
<label class="wsite-form-sublabel" for="input-658844050765744750-1">Last</label>
</div>
<div id="instructions-658844050765744750" class="wsite-form-instructions" style="display:none;"></div>
</div>
<div style="clear:both;"></div>
</div>
<div>
<div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
<label class="wsite-form-label" for="input-343661868356455049">Your Friend's Email <span class="form-required">*</span></label>
<div class="wsite-form-input-container">
<input aria-required="true" id="input-343661868356455049" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u343661868356455049">
</div>
<div id="instructions-343661868356455049" class="wsite-form-instructions" style="display:none;"></div>
</div>
</div>
<div>
<div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
<label class="wsite-form-label" for="input-409641989294457485">Your Friend's Phone <span class="form-not-required">*</span></label>
<div class="wsite-form-input-container">
<input id="input-409641989294457485" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u409641989294457485">
</div>
<div id="instructions-409641989294457485" class="wsite-form-instructions" style="display:none;"></div>
</div>
</div>
<div>
<div id="579894386769758535" align="left" style="width: 100%; overflow-y: hidden;" class="wcustomhtml">
<div class="wsite-form-field" style="margin:10px 0 0 0;">
<label class="wsite-form-label">🔒 Your information is secure.<span class="wsite-instructions-help"></span></label>
<div class="wsite-form-instructions" style="display:none;">Your private information is provided exclusively to our agency and will not be redistributed or sold to anyone else.</div>
</div>
</div>
</div>
</ul>
</div>
<div style="display:none; visibility:hidden;">
<input type="hidden" name="wsite_subject">
</div>
<div style="text-align:left; margin-top:10px; margin-bottom:10px;">
<input type="hidden" name="form_version" value="2">
<input type="hidden" name="wsite_approved" id="wsite-approved" value="approved">
<input type="hidden" name="ucfid" value="602853551205559581">
<input type="hidden" name="recaptcha_token">
<input type="submit" role="button" aria-label="Refer us!" value="Refer us!" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
<a class="wsite-button">
<span class="wsite-button-inner">Refer us!</span>
</a>
</div>
<input type="hidden" id="formLocation" name="formLocation" value="www.minerfamilyinsurance.com">
</form>
Text Content
ALREADY INSURED? COMPARE YOUR RATES:   COMPARE MY INSURANCE * Home * Quotes * Insurance * About * Blog REFER A FRIEND REFER A FRIEND TO OUR AGENCY Contact Us There is no greater compliment you could give us than referring a friend to our agency. Thank you. ABOUT YOU: * Indicates required field Your Name * First Last Your Email * -------------------------------------------------------------------------------- ABOUT YOUR FRIEND: Your Friend's Name * First Last Your Friend's Email * Your Friend's Phone * 🔒 Your information is secure. Your private information is provided exclusively to our agency and will not be redistributed or sold to anyone else. Refer us! (405) 724-2389 16328 Muirfield Pl Suite 101 Edmond, OK 73013 Click Here to Email Us We work hard to earn your recommendation NAVIGATION Homepage Insurance Quotes Policy Service Insurance Products Contact Us Agent Login CONNECT WITH US SHARE THIS PAGE CONTACT US Miner Family Insurance 3209 S Broadway Suite 229 Edmond, OK 73013 (405) 724-2389 Click Here to Email Us LOCATION Homepage banner credit: Greater Oklahoma City by Lillie-Beth Brinkman lbrinkman@okcchamber.com (CC BY-SA 3.0) * Home * Quotes * Insurance * About * Blog * Back * Quotes * Auto Quotes > * Property Quotes > * Life & Financial Quotes > * Business Quotes > * Health Insurance Quote * Other Quotes > * Back * Auto Insurance Quote * Motorcycle Quote * RV Insurance Quote * Classic Car Insurance Quote * ATV Insurance Quote * Back * Home Insurance Quote * Landlords Insurance Quote * Renters Insurance Quote * Earthquake Insurance Quote * Flood Insurance Quote * Back * Life Insurance Quote * Final Expense Insurance Quote * Back * Business Insurance Quote * Workers Compensation Quote * Business Owners Package (BOP) Insurance Quote * Back * Other Quotes > * Boat Insurance Quote * Event Insurance Quote * Umbrella Insurance Quote * Travel Insurance Quote * Wedding Insurance Quote * Back * Insurance * Vehicles > * Property > * Life/Financial > * Business > * Other > * Back * Auto Insurance * ATV Insurance * Classic Car Insurance * Motorcycle Insurance * RV Insurance * Back * Home Insurance * Earthquake Insurance * Flood Insurance * Landlords Insurance * Renters Insurance * Back * Life Insurance * Final Expense Insurance * Back * Business Insurance * Business Owners Package (BOP) Insurance * Insurance Bonds * Workers Compensation * Back * Boat Insurance * Event Insurance * Travel Insurance * Wedding Insurance * Umbrella Insurance * Back * About * Client Testimonials * Refer a Friend * Insurance Carriers * Book An Appointment * Accessibility Statement Please ensure Javascript is enabled for purposes of website accessibility Your private information is provided exclusively to our agency and will not be redistributed or sold to anyone else. * Auto Quotes > * Auto Insurance Quote * Motorcycle Quote * RV Insurance Quote * Classic Car Insurance Quote * ATV Insurance Quote * Property Quotes > * Home Insurance Quote * Landlords Insurance Quote * Renters Insurance Quote * Earthquake Insurance Quote * Flood Insurance Quote * Life & Financial Quotes > * Life Insurance Quote * Final Expense Insurance Quote * Business Quotes > * Business Insurance Quote * Workers Compensation Quote * Business Owners Package (BOP) Insurance Quote * Health Insurance Quote * Other Quotes > * Boat Insurance Quote * Event Insurance Quote * Umbrella Insurance Quote * Travel Insurance Quote * Wedding Insurance Quote * Vehicles > * Auto Insurance * ATV Insurance * Classic Car Insurance * Motorcycle Insurance * RV Insurance * Property > * Home Insurance * Earthquake Insurance * Flood Insurance * Landlords Insurance * Renters Insurance * Life/Financial > * Life Insurance * Final Expense Insurance * Business > * Business Insurance * Business Owners Package (BOP) Insurance * Insurance Bonds * Workers Compensation * Other > * Boat Insurance * Event Insurance * Travel Insurance * Wedding Insurance * Umbrella Insurance * Client Testimonials * Refer a Friend * Insurance Carriers * Book An Appointment * Accessibility Statement