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POST https://mc9bsj012b7g46tfb-zv-r51-s74.pub.sfmc-content.com/sbzwu4gyvye

<form id="mainForm" action="https://mc9bsj012b7g46tfb-zv-r51-s74.pub.sfmc-content.com/sbzwu4gyvye" method="post" onsubmit="javascript: return validateForm();">
  <div class="row row-padding">
    <div class="container">
      <div class="col-md-6 col-md-offset-3">
        <h2 class="nw-font-header">Tell us where to send the e-card.</h2>
        <p class="nw-font-header">*required field</p>
      </div>
      <div class="col-md-6 col-md-offset-3">
        <div id="formInputs">
          <div class="form-group">
            <label for="refereeFName" id="refereeFNameLabel" tabindex="-1">Your Friend’s Name*</label><span id="refereeFNameError" class="errorMessage" style="display: none;"></span>
            <input type="text" id="refereeFName" class="form-control" name="refereeFName" maxlength="60" tabindex="14">
          </div>
          <div class="form-group">
            <label for="refereeEmail" id="refereeEmailLabel" tabindex="-1">Your Friend’s Email*</label><span id="refereeEmailError" class="errorMessage" style="display: none;"></span>
            <input type="text" class="form-control" maxlength="60" name="refereeEmail" id="refereeEmail" tabindex="15">
          </div>
          <div class="form-group">
            <label for="referrerFName" id="referrerFNameLabel" tabindex="-1">Your Name*</label><span id="referrerFNameError" class="errorMessage" style="display: none;"></span>
            <input type="text" id="referrerFName" class="form-control" name="referrerFName" maxlength="60" tabindex="16">
          </div>
          <div class="form-group">
            <label for="referrerEmail" id="referrerEmailLabel" tabindex="-1">Your Email* (Must match the email on your pet insurance policy)</label><span id="referrerEmailError" class="errorMessage"></span>
            <input type="text" id="referrerEmail" name="referrerEmail" class="form-control" maxlength="60" tabindex="17">
          </div>
          <div class="form-group">
            <label for="state" id="stateLabel" tabindex="-1">Your State*</label>
            <select class="form-control" id="state" name="state" tabindex="18">
              <option value="">Select State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District Of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
            </select>
            <p><i>Void where prohibited. Program not available in Washington.</i></p>
          </div>
          <!-- <div class="form-group">
                                    <label for="policyNo">Your policy number (Only one policy number is needed for a chance
                                        to
                                        win)</label>
                                    <input type="text" id="policyNo" class="form-control" name="policyNo" maxlength="10"/>
                                </div>
        
                                <div class="form-group">
                                    <label for="templateSelect">Custom Message</label>
                                    <select id="templateSelect" class="form-control" name="templateSelect"
                                            onchange="javascript:$('#templateId').val($(this).val());">
                                        <option value="" selected="selected">Select a template</option>
                                        <option value="petParent">Pet Parent</option>
                                        <option value="vet">Always At Vet</option>
                                        <option value="newPetParent">New Pet Parent</option>
                                        <option value="exercise">Exercises With pet</option>
                                        <option value="birthday">Pet Birthday</option>
                                        <option value="sleeps">Sleeps With Pet</option>
                                        <option value="rescue">Rescue Pet</option>
                                    </select>
                                </div>
                                <div class="form-group">
                                    <label for="message">Custom Message</label>
                                <textarea id="message" class="form-control" name="message" maxlength="100" wrap="soft"
                                          cols="55" rows="2"></textarea>
                                </div>-->
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-md-12" id="amazon">
      <div class="container visible-xs">
        <div class="col-xs-12">
          <div>
            <p class="nw-font-color" style="font-weight: normal;"> Send an e-card to tell a friend about Nationwide pet insurance. <strong>For every friend who completes an application, we'll send you a <span>$20</span> Tango reward card!</strong>
            </p>
            <p></p>
          </div>
        </div>
        <div class="col-xs-12">
          <p class="disclaimer-gray"> No purchase necessary. Must have a current Nationwide pet insurance plan to qualify for referral reward. <br> By sending an e-card, you are agreeing to the
            <a href="https://www.petinsurance.com/images/VSSimages/landingPages/referral/Referral-Program-Rules-10-16-19.pdf" target="_blank">rules</a>. </p>
        </div>
      </div>
      <!--
                            <div class="row hidden-xs">
                                <div class="col-md-8 col-md-offset-2">
                                    <img src="https://www.petinsurance.com/images/VSSimages/landingPages/referral/banner_tango.jpg" class="img-responsive center-img" alt="Tango reward card image">
                                    <p class="text-center disclaimer-gray">
                                        No purchase necessary. Must have a current Nationwide pet insurance plan to qualify for referral reward.
                                        <br /> By sending an e-card, you are agreeing to the <a href="https://www.petinsurance.com/images/VSSimages/landingPages/referral/Referral-Program-Rules-10-16-19.pdf"
                                            target="_blank">rules</a>.
                                    </p>
                                </div>
                            </div>
                            -->
    </div>
    <div class="container">
      <div class="col-md-12">
        <div style="padding-top: 10px" class="text-center">
          <p>We promise to never sell your or your friend's information. See our <a href="https://www.nationwide.com/privacy-security.jsp" target="_blank">Privacy Policy</a>.</p>
          <input type="submit" id="submit" class="btn btn-mobile btn-green" tabindex="21" value="Submit">
        </div>
        <div style="padding: 3% 10% 0 10%;">
          <p class="disclaimer-gray">*The merchants represented are not sponsors of the rewards or otherwise affiliated with Nationwide<sup>®</sup>. The logos and other identifying marks attached are trademarks of and owned by each represented
            company and/or its affiliates. Please visit each company’s website for additional terms and conditions.</p>
        </div>
      </div>
    </div>
  </div>
  <input type="hidden" id="templateId" name="templateId" value="">
</form>

Text Content

Toggle navigation
855-888-6092


FETCH MORE FUN (WITH YOUR FRIENDS)


SHARE AN E-CARD WITH TIPS FOR PET PARENTS.

 


SCRATCH OUR BACK, WE'LL SCRATCH YOURS

Send an e-card to tell a friend about Nationwide® pet insurance. When a friend
completes an application, we’ll send you a cool reward.

HOW IT WORKS:

Choose your favorite e-card below

Send via email or create a URL to share any way you like

Fill in your info, including the email address used for your pet insurance
account

We'll send you a link to redeem your reward when a friend completes an
application*

*No purchase necessary. Void where prohibited. Promotion not available
Washington. Must have a current Nationwide pet insurance policy to qualify for
referral reward. By sending an e-card, you are agreeing to the program rules.

A FEW OF OUR REWARDS

*Rewards are subject to change


CHOOSE AN E-CARD




Pet insurance 101
Preview Facebook Share link
Working from home
Preview
New member
Preview Facebook Share link
40th Anniversary
Preview
Lost prevention month
Preview
Cure pet cancer
Preview
×Close
×Close

FOR EVERY FACEBOOK FRIEND WHO COMPLETES AN APPLICATION, WE'LL EMAIL YOU A $20
TANGO REWARD CARD!

*required field

Your Email* (Must match the email on your pet insurance policy)
Your State* Select State Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana 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 West
Virginia Wisconsin Wyoming

Void where prohibited. Program not available in Washington.

Send an e-card to tell a friend about Nationwide pet insurance. For every
Facebook friend who completes an application, we'll email you a $20 Tango reward
card!



No purchase necessary. Must have a current Nationwide pet insurance plan to
qualify for referral reward.
By sending an e-card, you are agreeing to the rules.

No purchase necessary. Must have a current Nationwide pet insurance plan to
qualify for referral reward.
By sending an e-card, you are agreeing to the rules. We promise to never sell
your or your friend's information. See our Privacy Policy.

Share
×Close
×Close

FOR EVERY FRIEND WHO COMPLETES AN APPLICATION, WE'LL EMAIL YOU A $20 TANGO
REWARD CARD!

*required field

Your Email* (Must match the email on your pet insurance policy)
Your State* Select State Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana 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 West
Virginia Wisconsin Wyoming

Void where prohibited. Program not available in Washington.



Send an e-card to tell a friend about Nationwide pet insurance. For every
Facebook friend who completes an application, we'll email you a $20 Tango reward
card!



No purchase necessary. Must have a current Nationwide pet insurance plan to
qualify for referral reward.
By sending an e-card, you are agreeing to the rules.

No purchase necessary. Must have a current Nationwide pet insurance plan to
qualify for referral reward.
By sending an e-card, you are agreeing to the rules. We promise to never sell
your or your friend's information. See our Privacy Policy.

COPY AND SHARE THE LINK BELOW TO REFER YOUR FRIENDS

0?email=&state=&template=undefined



TELL US WHERE TO SEND THE E-CARD.

*required field

Your Friend’s Name*
Your Friend’s Email*
Your Name*
Your Email* (Must match the email on your pet insurance policy)
Your State* Select State Alabama Alaska Arizona Arkansas California Colorado
Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois
Indiana Iowa Kansas Kentucky Louisiana 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 West
Virginia Wisconsin Wyoming

Void where prohibited. Program not available in Washington.

Send an e-card to tell a friend about Nationwide pet insurance. For every friend
who completes an application, we'll send you a $20 Tango reward card!



No purchase necessary. Must have a current Nationwide pet insurance plan to
qualify for referral reward.
By sending an e-card, you are agreeing to the rules.

We promise to never sell your or your friend's information. See our Privacy
Policy.

*The merchants represented are not sponsors of the rewards or otherwise
affiliated with Nationwide®. The logos and other identifying marks attached are
trademarks of and owned by each represented company and/or its affiliates.
Please visit each company’s website for additional terms and conditions.

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Products underwritten by Veterinary Pet Insurance Company (CA), Columbus, OH;
National Casualty Company (all other states), Columbus, OH. Agency of Record:
DVM Insurance Agency. All are subsidiaries of Nationwide Mutual Insurance
Company. Subject to underwriting guidelines, review and approval. Products and
discounts not available to all persons in all states. Insurance terms,
definitions and explanations are intended for informational purposes only and do
not in any way replace or modify the definitions and information contained in
individual insurance contracts, policies or declaration pages, which are
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and vethelpline are service marks of Nationwide Mutual Insurance Company. ©2023
Nationwide.