perezinsuranceusa.com
Open in
urlscan Pro
198.54.115.162
Public Scan
URL:
https://perezinsuranceusa.com/
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 27 via api from IT — Scanned from IT
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 27 via api from IT — Scanned from IT
Form analysis
1 forms found in the DOMPOST https://formsubmit.co/f04264dd619b9000e041f2949262cff0
<form action="https://formsubmit.co/f04264dd619b9000e041f2949262cff0" method="POST" class="p-4 p-md-5 border rounded-4 custom-background-sky-blue" data-bitwarden-watching="1">
<div class="row">
<div class="col-md-6">
<div class="form-floating mb-3">
<input type="text" class="form-control rounded-pill" id="floatingInput" placeholder="nombre" name="name" required="">
<label for="nombre">Name</label>
</div>
</div>
<div class="col-md-6">
<div class="form-floating mb-3">
<input type="text" class="form-control rounded-pill" id="floatingInput" placeholder="apellido" name="apellido" required="">
<label for="apellido">Last name</label>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-floating mb-3">
<input type="email" name="email" class="form-control rounded-pill" id="floatingInput" placeholder="name@example.com" required="">
<label for="floatingInput">Email</label>
</div>
</div>
<div class="col-md-6">
<div class="form-floating mb-3">
<input type="tel" name="tel" class="form-control rounded-pill" id="floatingInput" placeholder="555-555-5555" required="">
<label for="floatingInput">Phone number</label>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-floating mb-3">
<select name="Preferencia-contacto" class="form-select rounded-pill" id="floatingSelect" aria-label="Floating label select example" required="">
<option selected="" disabled="">Choose an option</option>
<option value="Llamada telefónica">Phone call</option>
<option value="Mensaje de texto">SMS</option>
</select>
<label for="floatingSelect">Contact preference</label>
</div>
</div>
<div class="col-md-6">
<div class="form-floating mb-3">
<select name="Estado" class="form-select rounded-pill" id="floatingSelect" aria-label="Floating label select example" required="">
<option selected="" disabled="">Choose an option</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
</select>
<label for="floatingSelect">Location</label>
</div>
</div>
</div>
<input type="hidden" name="_autoresponse" value="Tu mensaje ha sido recibido, pronto te contactaremos./Your request has been received, we will contact you soon">
<input type="hidden" name="_next" value="https://perezinsuranceusa.com/">
<button class="w-100 btn btn-lg border border-0 btn btn-success rounded-pill custom-background-green custom-color-dark-blue fw-bold custom-white-font" type="submit">Request a quote</button>
<hr class="my-4">
<small class="fw-lighter fs-10 disclaimer">By providing your data, you agree that Perez & Perez Insurance will send you advertising and promotional information by email and SMS. You also allow Perez & Perez Insurance to call you. Check our
<a href="/privacy-policy.html" target="_blank" class="footer-links"><strong>privacy policy</strong></a> for additional details.</small>
</form>
Text Content
YOUR SECURITY, OUR COMMITMENT We're here to ensure you and your loved ones are protected. Name Last name Email Phone number Choose an option Phone call SMS Contact preference Choose an option Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Location Request a quote -------------------------------------------------------------------------------- By providing your data, you agree that Perez & Perez Insurance will send you advertising and promotional information by email and SMS. You also allow Perez & Perez Insurance to call you. Check our privacy policy for additional details. OUR SERVICES HEALTH INSURANCE Protect your health and well-being with comprehensive health insurance plans. LIFE INSURANCE Secure your family's future with our reliable life insurance policies. DENTAL PLANS Smile with confidence knowing your dental health is covered. OBAMACARE Navigate the complexities of the Affordable Care Act with our expert guidance. MEDICARE Get the most out of your Medicare benefits with our tailored plans. VISION PLANS Ensure your vision is crystal clear with our specialized vision insurance. HEARING PLANS Protect your hearing with our comprehensive hearing insurance options. SUPPLEMENTAL INSURANCE Enhance your existing coverage with our supplemental insurance plans. HOSPITALIZATION INSURANCE Be prepared for the unexpected with our thorough hospitalization insurance. WHY WE ARE THE BEST SOLUTION? We provide you with various health coverage options available in the United States. We strive to make it easy to find policies that fit your needs and budget, ensuring your access to: INNOVATIVE SOLUTIONS We leverage the latest advancements to offer you cutting-edge insurance options tailored to your needs. INTEGRITY FIRST Trust is the foundation of our business. We are committed to transparency and honesty in every interaction. CUSTOMER SATISFACTION Your satisfaction is our top priority. We go above and beyond to ensure you're happy with your coverage. WE’VE GOT YOU! Whether you're seeking health coverage, life insurance, or specialized plans, we're here to ensure you and your loved ones are protected. Request a quote FREQUENTLY ASKED QUESTIONS (FAQ) HOW DO I KNOW WHICH INSURANCE PLAN IS RIGHT FOR ME? Our experienced agents are here to help. Contact us for a free consultation, and we will guide you through the options to find the best plan for you. DO YOU OFFER INSURANCE PLANS FOR BUSINESSES? Yes, we provide a variety of insurance solutions for businesses. Contact us to learn more about our business insurance options. WHAT IS THE DIFFERENCE BETWEEN OBAMACARE AND MEDICARE? Obamacare refers to health insurance plans available under the Affordable Care Act for individuals who do not qualify for Medicare. Medicare is a federal health insurance program for people aged 65 and older, or for certain younger people with disabilities. CAN I CUSTOMIZE MY INSURANCE PLAN? Yes! We specialize in providing personalized insurance solutions tailored to your specific needs and circumstances. GET STARTED TODAY! Contact us now to schedule a free consultation and discover how we can help you achieve peace of mind. STEP 1 Fill the form located in this website. STEP 2 You’ll receive a call from one of our specialized agents. STEP 3 That’s all! You’ll receive the desired coverage. HELLO THERE! I’M MARCELA PEREZ. I’LL HELP YOU TO THE FIRST STEP TOWARDS SECURING YOUR FUTURE. CEO Perez & Perez Insurance Request a quote * * Copyright © 2024 Perez & Perez Insurance | All rights reserved | Privacy policy | Created by P&M Digital Service. 🔃ES/EN