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www.ewjlifeinsurance.com Open in urlscan Pro
199.34.228.65  Public Scan

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Submitted URL: https://ewjlifeinsurance.com/
Effective URL: https://www.ewjlifeinsurance.com/
Submission: On March 18 via api from US — Scanned from US

Form analysis 2 forms found in the DOM

POST //www.weebly.com/weebly/apps/formSubmitAjax.php

<form enctype="multipart/form-data" action="//www.weebly.com/weebly/apps/formSubmitAjax.php" method="POST" id="form-527592684256624725" accept-charset="UTF-8" target="form-527592684256624725-target-1710786033529">
  <div id="527592684256624725-form-parent" class="wsite-form-container" style="margin-top:10px;">
    <ul class="formlist" id="527592684256624725-form-list">
      <h2 class="wsite-content-title">Get a Free Quote</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" style="margin:5px 0px 0px 0px;">
          <label class="wsite-form-label" for="input-985206433764341104">Type of Insurance <span class="form-required">*</span></label>
          <div class="wsite-form-radio-container">
            <select id="input-985206433764341104" name="_u985206433764341104" class="form-select" aria-required="true">
              <option value="-">-</option>
              <option value="Life Insurance">Life Insurance</option>
              <option value="Annuities">Annuities</option>
              <option value="Final Expense Insurance">Final Expense Insurance</option>
              <option value="Umbrella Insurance">Umbrella Insurance</option>
              <option value="Auto Insurance">Auto Insurance</option>
              <option value="Home Insurance">Home Insurance</option>
            </select>
          </div>
          <div id="instructions-Type of Insurance" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label">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-892673406507159699" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u892673406507159699[first]">
            <label class="wsite-form-sublabel" for="input-892673406507159699">First</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
            <input aria-required="true" id="input-892673406507159699-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u892673406507159699[last]">
            <label class="wsite-form-sublabel" for="input-892673406507159699-1">Last</label>
          </div>
          <div id="instructions-892673406507159699" 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-293361216576584962">Email <span class="form-required">*</span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-293361216576584962" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u293361216576584962">
          </div>
          <div id="instructions-293361216576584962" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-phone-field" style="margin-top:5px;">
          <label class="wsite-form-label" for="input-888811323828700685">Phone Number <span class="form-required">*</span></label>
          <div style="clear:both;"></div>
          <div class="wsite-form-input-container wsite-form-left" style="margin-bottom:5px;">
            <input aria-required="true" id="input-888811323828700685" class="wsite-form-input wsite-input" type="text" name="_u888811323828700685[number]">
          </div>
          <div id="instructions-888811323828700685" 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-502111531546014227">State <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-502111531546014227" class="wsite-form-input wsite-input wsite-input-width-100px" type="text" name="_u502111531546014227">
          </div>
          <div id="instructions-502111531546014227" class="wsite-form-instructions" style="display:none;">State of residency</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 0px 0px;">
          <label class="wsite-form-label" for="input-162593147983402820">Preferred contact method <span class="form-required">*</span></label>
          <div class="wsite-form-radio-container">
            <select id="input-162593147983402820" name="_u162593147983402820" class="form-select" aria-required="true">
              <option value="Phone">Phone</option>
              <option value="Text">Text</option>
            </select>
          </div>
          <div id="instructions-Preferred contact method" class="wsite-form-instructions" style="display:none;"></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:0px;">
    <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="527592684256624725">
    <input type="hidden" name="recaptcha_token">
    <input type="submit" role="button" aria-label="Get a Free Quote" value="Get a Free Quote" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
    <a class="wsite-button">
				<span class="wsite-button-inner">Get a Free Quote</span>
			</a>
  </div>
  <input type="hidden" id="formLocation" name="formLocation" value="www.ewjlifeinsurance.com">
</form>

POST //www.weebly.com/weebly/apps/formSubmitAjax.php

<form enctype="multipart/form-data" action="//www.weebly.com/weebly/apps/formSubmitAjax.php" method="POST" id="form-472799695933054210" accept-charset="UTF-8" target="form-472799695933054210-target-1710786033548">
  <div id="472799695933054210-form-parent" class="wsite-form-container" style="margin-top:10px;">
    <ul class="formlist" id="472799695933054210-form-list">
      <h2 class="wsite-content-title">Send us a message:</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" style="margin:5px 0px 0px 0px;">
          <label class="wsite-form-label" for="input-506482112734965200">Preferred contact method <span class="form-required">*</span></label>
          <div class="wsite-form-radio-container">
            <select id="input-506482112734965200" name="_u506482112734965200" class="form-select" aria-required="true">
              <option value="Phone">Phone</option>
              <option value="Text">Text</option>
            </select>
          </div>
          <div id="instructions-Preferred contact method" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label">Name <span class="form-required">*</span><span class="wsite-instructions-help"></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-239416449814698101" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u239416449814698101[first]">
            <label class="wsite-form-sublabel" for="input-239416449814698101">First</label>
          </div>
          <div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name">
            <input aria-required="true" id="input-239416449814698101-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u239416449814698101[last]">
            <label class="wsite-form-sublabel" for="input-239416449814698101-1">Last</label>
          </div>
          <div id="instructions-239416449814698101" class="wsite-form-instructions" style="display:none;">Please enter your first and last name so we can get reply back and assist you as quickly as possible.</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-549250559303449127">Email <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-549250559303449127" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u549250559303449127">
          </div>
          <div id="instructions-549250559303449127" class="wsite-form-instructions" style="display:none;">Please enter the best email address for us to contact you.</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-623963249659333476">Phone <span class="form-required">*</span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-623963249659333476" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u623963249659333476">
          </div>
          <div id="instructions-623963249659333476" 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-417059021955792614">State <span class="form-required">*</span><span class="wsite-instructions-help"></span></label>
          <div class="wsite-form-input-container">
            <input aria-required="true" id="input-417059021955792614" class="wsite-form-input wsite-input wsite-input-width-100px" type="text" name="_u417059021955792614">
          </div>
          <div id="instructions-417059021955792614" class="wsite-form-instructions" style="display:none;">State of residency</div>
        </div>
      </div>
      <div>
        <div class="wsite-form-field" style="margin:5px 0px 5px 0px;">
          <label class="wsite-form-label" for="input-964745439829765278">Comment <span class="form-required">*</span></label>
          <div class="wsite-form-input-container">
            <textarea aria-required="true" id="input-964745439829765278" class="wsite-form-input wsite-input wsite-input-width-370px" name="_u964745439829765278" style="height: 200px"></textarea>
          </div>
          <div id="instructions-964745439829765278" class="wsite-form-instructions" style="display:none;"></div>
        </div>
      </div>
      <div>
        <div id="493961722615105475" 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="472799695933054210">
    <input type="hidden" name="recaptcha_token">
    <input type="submit" role="button" aria-label="Send MESSAGE" value="Send MESSAGE" style="position:absolute;top:0;left:-9999px;width:1px;height:1px">
    <a class="wsite-button">
				<span class="wsite-button-inner">Send MESSAGE</span>
			</a>
  </div>
  <input type="hidden" id="formLocation" name="formLocation" value="www.ewjlifeinsurance.com">
</form>

Text Content

 * Home
 * Quotes
 * Insurance
 * About
 * Contact

 * Life & Financial Quotes >
    * Life Insurance Quote
    * Annuity Quotes
    * Final Expense Insurance Quote
    * Umbrella Insurance Quote

 * Auto Insurance Quote
 * Home Insurance Quote

 * Life/Financial >
    * Life Insurance
    * Annuities
    * Final Expense Insurance
    * Umbrella Insurance

 * Auto Insurance
 * Home Insurance

 * Accessibility Statement


EJI INSURANCE

We are in the business of helping our clients with honesty, integrity and
transparency. We offer specialization in life insurance, annuities, home and
auto insurance. 

How can we help you today?


GET A FREE QUOTE

* Indicates required field
Type of Insurance *
- Life Insurance Annuities Final Expense Insurance Umbrella Insurance Auto
Insurance Home Insurance

Name *

First
Last


Email *


Phone Number *




State *

State of residency
Preferred contact method *
Phone Text



Get a Free Quote



GET A FREE INSURANCE QUOTE


Life Quote



Annuity Quote



Home Quote



Other Quotes





LEARN MORE ABOUT INSURANCE


When it comes to insurance, we've got you covered. Learn more about how our
products can help you.
 * Life Insurance
 * Annuities
 * Final Expense

 * Umbrella Insurance
 * Auto Insurance 
 * Home Insurance




CONTACT US TODAY



SEND US A MESSAGE:

* Indicates required field
Preferred contact method *
Phone Text

Name *

First
Last
Please enter your first and last name so we can get reply back and assist you as
quickly as possible.

Email *

Please enter the best email address for us to contact you.
Phone *


State *

State of residency
Comment *


🔒 Your information is secure.
Your private information is provided exclusively to our agency and will not be
redistributed or sold to anyone else.


Send MESSAGE


Phone/text: (253) 273-7064
Email: eric@ewjinsurance.com

Location:
Gig Harbor, WA 98335

Agency Hours:
Mon - Fri: 7:00am - 6:00pm
Sat - Sun: Usually available







NAVIGATION

Homepage
Insurance Quotes
Policy Service
Insurance Products
Contact Us
Agent Login


CONNECT WITH US


SHARE THIS PAGE


CONTACT US

EJI Insurance
Gig Harbor, WA 98335
Phone/text: (253) 273-7064
eric@ewjinsurance.com


LOCATION




LICENSED IN WA, ID, OR, TX & CA (0H37990)

Website by InsuranceSplash
 * Home
 * Quotes
    * Life & Financial Quotes >
       * Life Insurance Quote
       * Annuity Quotes
       * Final Expense Insurance Quote
       * Umbrella Insurance Quote
   
    * Auto Insurance Quote
    * Home Insurance Quote

 * Insurance
    * Life/Financial >
       * Life Insurance
       * Annuities
       * Final Expense Insurance
       * Umbrella Insurance
   
    * Auto Insurance
    * Home Insurance

 * About
    * Accessibility Statement

 * Contact


Please ensure Javascript is enabled for purposes of website accessibility
State of residency
Please enter your first and last name so we can get reply back and assist you as
quickly as possible.
Please enter the best email address for us to contact you.
State of residency
Your private information is provided exclusively to our agency and will not be
redistributed or sold to anyone else.