larryselby.com
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urlscan Pro
34.69.219.172
Public Scan
Submitted URL: http://larryselby.com/
Effective URL: https://larryselby.com/
Submission: On March 09 via api from US — Scanned from DE
Effective URL: https://larryselby.com/
Submission: On March 09 via api from US — Scanned from DE
Form analysis
5 forms found in the DOMPOST /contact[object Object]
<form x-show="!sendResponse && !sending" class="flex flex-col text-base font-mecherlesans-reg text-sf-charcoal" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers" aria-labelledby="formLabel"
action="/contact[object Object]">
<div class="flex flex-col" :class="{ "lg:flex-row": false }">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()" id="contact-form-name-1" aria-required="true">
<label class="m2-form-label" :for="$id('contact-form-name')" for="contact-form-name-1"> Your Name <span aria-hidden="true" x-show="hasError('name')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email-or-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email-or-phone" x-model="form.emailOrPhone" :aria-required="true"
autocomplete="on" type="text" placeholder="Your Email or Phone" :aria-invalid="hasError('emailOrPhone')" :aria-describedby="hasError('emailOrPhone') ? $id('error', 'emailOrPhone') : null" :error="hasError('emailOrPhone')"
@keydown.debounce.750ms="validateEmailOrPhone()" id="contact-form-email-or-phone-1" aria-required="true">
<label class="m2-form-label" :for="$id('contact-form-email-or-phone')" for="contact-form-email-or-phone-1"> Your Email or Phone <span aria-hidden="true" x-show="hasError('emailOrPhone')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')" id="message-warning-1"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')" id="contact-form-message-1" aria-describedby="message-warning-1 "></textarea>
<label :for="$id('contact-form-message')" class="m2-form-label" for="contact-form-message-1"> Your Message: <span aria-hidden="true" x-show="hasError('message')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-5" :class="{ 'lg:w-1/4 lg:ml-4': false }">
<!-- start partial: m2-cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
<!-- end partial: m2-cf-submit.hbs -->
</div>
</div>
<!-- start partial: m2-cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700" style="display: none;">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div>
<!-- end partial: m2-cf-errors.hbs -->
<div class="mt-4 space-y-2 italic">
<!-- start partial: cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3" id="cf-disclaimer-1"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email
for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email
address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates
may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
<!-- end partial: cf-disclaimer.hbs -->
<!-- start partial: cf-coverage-disclaimer.hbs -->
<p class="text-xs leading-3">
<span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
</p>
<!-- end partial: cf-coverage-disclaimer.hbs -->
</div>
</form>
#
<form id="quote-start-8ovmym3" action="#">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-product-8ovmym3"
class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative mt-6"
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-product-8ovmym3" name="field-auto" @change="selectProduct()" x-model="productKey" aria-label="Product Quote Select" aria-controls="specific-location-info-8ovmym3"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none">
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label"></option>
</template>
<option :value="line.key" x-text="line.label" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" value="life">Life</option>
<option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
<div class="flex flex-wrap mt-5 space-y-5">
<div id="specific-location-info-8ovmym3" class="w-full">
<!-- start partial: m2-text-label.hbs -->
<div class="relative w-full " :class="{'hidden': type()!=='zip'}">
<input id="gaq-zip-8ovmym3" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-label="Zipcode Input" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label class="m2-form-label" for="gaq-zip-8ovmym3"> ZIP Code </label>
</div>
<!-- end partial: m2-text-label.hbs -->
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-loc-8ovmym3"
class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative hidden"
:class="{'hidden': type()!=='loc'}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-loc-8ovmym3" x-model="state" name="field-state" aria-label="State Selection" aria-required="true" :aria-describedby="describeErrorsID()" :aria-invalid="!isStateValid()"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" @keydown.enter.prevent="validate()" aria-describedby="">
<option value="" selected="" hidden="">Your 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="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="ME">Maine</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="WA">Washington</option>
<option value="DC">Washington, D.C.</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
</div>
<div class="w-full">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
</div>
</div>
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-8ovmym3">
<template x-for="error in errors">
<h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</form>
#
<form id="quote-start-qgdroog" action="#">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-product-qgdroog"
class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative mt-6"
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-product-qgdroog" name="field-auto" @change="selectProduct()" x-model="productKey" aria-label="Product Quote Select" aria-controls="specific-location-info-qgdroog"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none">
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label"></option>
</template>
<option :value="line.key" x-text="line.label" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" value="life">Life</option>
<option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
<div class="flex flex-wrap mt-5 space-y-5">
<div id="specific-location-info-qgdroog" class="w-full">
<!-- start partial: m2-text-label.hbs -->
<div class="relative w-full " :class="{'hidden': type()!=='zip'}">
<input id="gaq-zip-qgdroog" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-label="Zipcode Input" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label class="m2-form-label" for="gaq-zip-qgdroog"> ZIP Code </label>
</div>
<!-- end partial: m2-text-label.hbs -->
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-loc-qgdroog"
class="block w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow focus-within:ring focus-within:ring-offset-2 focus-within:ring-sf-red relative hidden"
:class="{'hidden': type()!=='loc'}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-loc-qgdroog" x-model="state" name="field-state" aria-label="State Selection" aria-required="true" :aria-describedby="describeErrorsID()" :aria-invalid="!isStateValid()"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" @keydown.enter.prevent="validate()" aria-describedby="">
<option value="" selected="" hidden="">Your 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="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="ME">Maine</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="WA">Washington</option>
<option value="DC">Washington, D.C.</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
</div>
<div class="w-full">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
</div>
</div>
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-qgdroog">
<template x-for="error in errors">
<h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</form>
POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:5123310004" class="red-link">
(512) 331-0004
</a>
</h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-phone" x-model="form.phone"
:aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
:error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email" x-model="form.email"
:aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
:error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
<div class=" mt-6 xl:hidden md:m-0">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: m2-cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset>
<!-- end partial: m2-cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: m2-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
</div>
<template x-for="(att, idx) in $store.fileList">
<div :key="idx" class="relative grid w-full grid-cols-4 p-4 my-2 flex-nowrap" :class="false ? 'bg-white' : 'bg-sf-charcoal-100'">
<div class="flex justify-center h-12 col-span-1 mr-4">
<img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
<template x-if="checkType(att) != 'img'">
<div x-html="svgIcon(checkType(att), "h-full")" class="h-full">
</div>
</template>
</div>
<div class="flex flex-col justify-center col-span-3 mr-1">
<div class="flex flex-row w-full mb-1">
<span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
<span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
x-html="friendlyExtension(att.name)"></span>
</div>
<p class="text-sm truncate md:text-base" x-text="att.name">
</p>
</div>
<a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.249.249 0 0 1-.359 0L6 8.501l-1.07 1.07a.249.249 0 0 1-.359 0L3.43 8.43a.249.249 0 0 1 0-.359l1.07-1.07-1.07-1.07a.249.249 0 0 1 0-.359l1.141-1.141a.249.249 0 0 1 .359 0L6 5.501l1.07-1.07a.249.249 0 0 1 .359 0L8.57 5.572a.249.249 0 0 1 0 .359L7.5 7.001l1.07 1.07a.249.249 0 0 1 0 .359zM10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7zM12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0z"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
x-text="`Add Attachments ${sizeRemainingMessage()}`">
</span>
</label>
<input x-ref="file-upload-input" type="file" hidden="" :id="$id("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div>
<!-- end partial: m2-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: m2-cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
<!-- end partial: m2-cf-submit.hbs -->
</div>
</div>
<!-- start partial: m2-cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div>
<!-- end partial: m2-cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
<!-- end partial: cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
</p>
<!-- end partial: cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>
POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:5123310004" class="red-link">
(512) 331-0004
</a>
</h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-phone" x-model="form.phone"
:aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
:error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email" x-model="form.email"
:aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
:error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
<div class=" mt-6 xl:hidden md:m-0">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: m2-cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset>
<!-- end partial: m2-cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: m2-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
</div>
<template x-for="(att, idx) in $store.fileList">
<div :key="idx" class="relative grid w-full grid-cols-4 p-4 my-2 flex-nowrap" :class="false ? 'bg-white' : 'bg-sf-charcoal-100'">
<div class="flex justify-center h-12 col-span-1 mr-4">
<img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
<template x-if="checkType(att) != 'img'">
<div x-html="svgIcon(checkType(att), "h-full")" class="h-full">
</div>
</template>
</div>
<div class="flex flex-col justify-center col-span-3 mr-1">
<div class="flex flex-row w-full mb-1">
<span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
<span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
x-html="friendlyExtension(att.name)"></span>
</div>
<p class="text-sm truncate md:text-base" x-text="att.name">
</p>
</div>
<a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.249.249 0 0 1-.359 0L6 8.501l-1.07 1.07a.249.249 0 0 1-.359 0L3.43 8.43a.249.249 0 0 1 0-.359l1.07-1.07-1.07-1.07a.249.249 0 0 1 0-.359l1.141-1.141a.249.249 0 0 1 .359 0L6 5.501l1.07-1.07a.249.249 0 0 1 .359 0L8.57 5.572a.249.249 0 0 1 0 .359L7.5 7.001l1.07 1.07a.249.249 0 0 1 0 .359zM10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7zM12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0z"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
x-text="`Add Attachments ${sizeRemainingMessage()}`">
</span>
</label>
<input x-ref="file-upload-input" type="file" hidden="" :id="$id("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div>
<!-- end partial: m2-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: m2-cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
<!-- end partial: m2-cf-submit.hbs -->
</div>
</div>
<!-- start partial: m2-cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div>
<!-- end partial: m2-cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
<!-- end partial: cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
</p>
<!-- end partial: cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>
Text Content
CONTACT LARRY SELBY FOR A PERSONALIZED QUOTE Your Name * Your Email or Phone * For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. Your Message: * Send Email PLEASE CORRECT THE FOLLOWING: By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. Please note: Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at (855) 733-7333 . Close Skip to content Close * Account * Create an account * Log in * Contact Us * Jobs * Reviews * Insurance * Auto * Homeowners * Condo * Renters * Business * Life * Pet * Insurance * Auto * Homeowners * Condo * Renters * Business * Life * Pet * Reviews * Jobs * Contact Us * Account * Create an account * Log in (512) 331-0004 Call Text STATE FARM® INSURANCE AGENT LARRY SELBY 4.9 out of 5 average rating (35 reviews) 12962 N. Highway 183 Austin, TX 78750-3240 Contact Us Contact Us Location Map & Directions Get ID Card ABOUT ME Texas Tech University-BA, Finance, President's Club, Crystal of Excellence Qualifier Hobbies include hunting, fishing, and golf. Have lived and been an Agent in Austin for 40 years love working with people, and handling their insurance needs. * * * 4.9 out of 5 average rating (35 reviews) OFFICE HOURS Today 8am - 5pm (Central) Mon-Fri 8am - 5pm Sat-Sun Closed Call us 24 hours a day! * * * INSURANCE PRODUCTS OFFERED Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet OTHER PRODUCTS OFFERED Banking, Home Loans, Mutual Funds, Annuities FINRA’s BrokerCheck View Licenses WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE? Select an Insurance Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet Insurance ZIP Code State Selection Your State 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 Washington, D.C. West Virginia Wisconsin Wyoming Start a quote Continue a saved quote Items needed for a quote File a Claim Send Payment * * * 4.9 out of 5 average rating (35 reviews) Contact Us Contact Us Location Map & Directions Get ID Card WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE? Select an Insurance Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare SupplementPet Insurance ZIP Code State Selection Your State 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 Washington, D.C. West Virginia Wisconsin Wyoming Start a quote Continue a saved quote Items needed for a quote File a Claim Send Payment * Auto Insurance * Homeowners Insurance * Condo Insurance * Renters Insurance * Business Insurance * Life Insurance * Pet Insurance * See More OFFICE INFO OFFICE INFO ADDRESS 12962 N. Highway 183 Austin, TX 78750-3240 Map & Directions * PHONE (512) 331-0004 * FAX (512) 331-6669 LANGUAGES English About Me Texas Tech University-BA, Finance, President's Club, Crystal of Excellence Qualifier Hobbies include hunting, fishing, and golf. Have lived and been an Agent in Austin for 40 years love working with people, and handling their insurance needs. Products INSURANCE PRODUCTS OFFERED Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet OTHER PRODUCTS OFFERED Banking, Home Loans, Mutual Funds, Annuities OFFICE INFO OFFICE INFO ADDRESS 12962 N. Highway 183 Austin, TX 78750-3240 Map & Directions * PHONE (512) 331-0004 * FAX (512) 331-6669 LANGUAGES English Simple Insights® SIMPLE INSIGHTS® HELPFUL CAR INSURANCE TIPS FOR COLLEGE STUDENTS HELPFUL CAR INSURANCE TIPS FOR COLLEGE STUDENTS When your child goes away to college/university & leaves their car behind, here are options to lower your insurance premiums while they are away. Read More STAYING SAFE AT RAILROAD CROSSINGS STAYING SAFE AT RAILROAD CROSSINGS Tips on driving around railroad crossings and railroad crossing safety. Read More DIY PEST MANAGEMENT & WILDLIFE CONTROL TIPS DIY PEST MANAGEMENT & WILDLIFE CONTROL TIPS Mole, ground squirrels, and various other pesky critters can be difficult to get rid of. We have tips for rodent removal. Read More View More Articles Videos VIDEOS LEGACY OF SAFETY Audio Transcript WEB DEVELOPMENT FOR A GOOD CAUSE WITH 48IN48 Audio Transcript STATE FARM EDUCATION ASSIST™ Audio Transcript Contact Us Our Mission Our Team We're Hiring YOU CAN ALSO CALL US AT (512) 331-0004 CONTACT US Your preferred method of contact * Your Email * Your Phone Your Name * Your Phone * Your Email * Your Message: * For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. Your preferred method of contact * Your Email * Your Phone I'd like more info about: * For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. Your Message: * Remove Please attach only file(s) — Unsupported file types will not be delivered to the agent. Send Email PLEASE CORRECT THE FOLLOWING: By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. Please note: Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at (855) 733-7333 . Our State Farm mission is to help people manage the risks of everyday life, recover from the unexpected and realize their dreams. Our Staff, Dillon Battaglia, Madison Roberts, Heather Broussard, and Sherri McKay, give you over 20 years of combined customer experience with State Farm. HB HEATHER BROUSSARD Office Representative DB DILLON BATTAGLIA Office Representative SHERRI MCKAY Office Representative OUR AGENCY * Our mission is to help people manage the risks of everyday life, recover from the unexpected and realize their dreams. * Our office is located in North Austin. * I have been a State Farm agent since 1982. * We currently have 3 team members at our agency. * We have 54 years of combined insurance experience in our office. We are an established, growth-oriented agency with a team of highly motivated individuals. Our team works hard to reach our goals together as a team and have fun while we are doing it! We want to work alongside those who are equally committed to excellence and personal achievement. We take pride in using our years of valuable experience to mentor individual team members and prepare them for successful careers. If you believe in having fun in a stable working environment and have a willingness to learn, we should meet to discuss our career opportunity. Company Website: www.larryselby.com * Larry Selby - State Farm Agent Facebook Page * Larry Selby - State Farm Agent LinkedIn Page …Read More Learn more about our agency and the career opportunities with us. Available Positions Account Manager - State Farm Agent Team Member (Sales experience preferred) Austin, TX Full Time Account Representative - State Farm Agent Team Member (Property and Casualty Insurance Focus) Austin, TX Part Time Insurance Staff Position - State Farm Agent Team Member (Sales experience preferred) Austin, TX Full Time Office Representative - State Farm Agent Team Member (Sales experience preferred) Austin, TX Full Time Please Note: This opportunity is about potential employment with an independent contractor agent who solicits applications for State Farm products and services, and does NOT result in employment with any of the State Farm Insurance Companies. The employment selection decision , terms and conditions of employment (such as compensation and benefits) are all determined solely by the independent contractor agent. YOU CAN ALSO CALL US AT (512) 331-0004 CONTACT US Your preferred method of contact * Your Email * Your Phone Your Name * Your Phone * Your Email * Your Message: * For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. Your preferred method of contact * Your Email * Your Phone I'd like more info about: * For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. Your Message: * Remove Please attach only file(s) — Unsupported file types will not be delivered to the agent. Send Email PLEASE CORRECT THE FOLLOWING: By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. Please note: Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at (855) 733-7333 . AGENT LICENSES FOR LARRY SELBY TX-743197 NMLS #: 2046950 If you are using a screen reader and having difficulty with this website please call (512) 331-0004 . DISCLOSURES Investors should carefully consider investment objectives, risks, charges and expenses. This and other important information is contained in the fund prospectuses and summary prospectuses which can be obtained by visiting the prospectus page on statefarm.com. Read it carefully. AP2023/02/0243 Securities distributed by State Farm VP Management Corp. State Farm VP Management Corp. Customer Relationship Summary Securities Supervisor address:1415 State St Ste 1000 , Richardson, TX 75082-2147 Phone: 972-744-1158 Life Insurance and annuities are issued by State Farm Life Insurance Company. (Not Licensed in MA, NY, and WI) State Farm Life and Accident Assurance Company (Licensed in New York and Wisconsin) Home Office, Bloomington, Illinois. Deposit products offered by U.S. Bank National Association. Member FDIC. Pet insurance products are underwritten in the United States by American Pet Insurance Company and ZPIC Insurance Company, 6100-4th Ave. S, Seattle, WA 98108. Administered by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN 9588590). Terms and conditions apply, see full policy on Trupanion's website for details. State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates, neither offer nor are financially responsible for pet insurance products. State Farm is a separate entity and is not affiliated with Trupanion or American Pet Insurance. Pre-existing conditions: If you currently have a pet medical insurance policy, switching carriers or purchasing a new policy may affect certain provisions such as coverages for pre-existing conditions or deductibles already established under your current policy. Let your State Farm® agent know if your existing policy has provisions that might make it beneficial for you to keep. State Farm (including State Farm Mutual Automobile Insurance Company and its subsidiaries and affiliates) is not responsible for, and does not endorse or approve, either implicitly or explicitly, the content of any third party sites referenced in this material. Products and services are offered by third parties and State Farm does not warrant the merchantability, fitness or quality of the products and services of the third parties. Rocket Mortgage, LLC; NMLS #3030; www.NMLSConsumerAccess.org . Equal Housing Lender. Licensed in 50 states. AL License No. MC 20979, Control No. 100152352. AR, TX: 1050 Woodward Ave., Detroit, MI 48226-1906, (888) 474-0404; AZ: 1 N. Central Ave., Ste. 2000, Phoenix, AZ 85004, Mortgage Banker License #BK-0902939; CA: Licensed by the Department of Financial Protection and Innovation under the California Residential Mortgage Lending Act; CO: Regulated by the Division of Real Estate; GA: Residential Mortgage Licensee #11704; IL: Residential Mortgage Licensee #4127 – Dept. of Financial and Professional Regulation; KS: Licensed Mortgage Company MC.0025309; MA: Mortgage Lender License #ML 3030; ME: Supervised Lender License; MN: Not an offer for a rate lock agreement; MS: Licensed by the MS Dept. of Banking and Consumer Finance; NH: Licensed by the NH Banking Dept., #6743MB; NV: License #626; NJ: New Jersey – Rocket Mortgage, LLC, 1050 Woodward Ave., Detroit, MI 48226, (888) 474-0404, Licensed by the N.J. Department of Banking and Insurance.; NY: Rocket Mortgage, LLC, 1050 Woodward Ave., Detroit, MI 48226 Licensed Mortgage Banker-NYS Department of Financial Services; OH: MB 850076; OR: License #ML-1387; PA: Licensed by the Dept. of Banking – License #21430; RI: Licensed Lender; WA: Consumer Loan Company License CL-3030. Conditions may apply. State Farm VP Management Corp. is a separate entity from those State Farm entities which provide banking and insurance products. Investing involves risk, including potential for loss. Neither State Farm nor its agents provide tax or legal advice. Please consult a tax or legal advisor for advice regarding your personal circumstances. LIKE A GOOD NEIGHBOR, STATE FARM IS THERE.® Ads & Tracking Security & Fraud Accessibility Terms of Use Notice of Privacy Policy State Privacy Rights Site Map (512) 331-0004 Download the State Farm mobile app today © Copyright State Farm Mutual Automobile Insurance Company 2023.