www.chamberplan.ca
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Submitted URL: http://www.chamberplan.ca/talk/get-a-quote
Effective URL: https://www.chamberplan.ca/talk/get-a-quote
Submission: On May 16 via manual from CA — Scanned from CA
Effective URL: https://www.chamberplan.ca/talk/get-a-quote
Submission: On May 16 via manual from CA — Scanned from CA
Form analysis
5 forms found in the DOMPOST /search
<form id="search-form" class="search-form mfp-hide container" action="/search" method="post">
<div class="input text">
<input class="search" type="search" name="data[Search][terms]" placeholder="Search" id="search-terms" value="">
<button type="submit" value="Go" class="search-button">
<i class="icon"><svg width="48" height="48" viewBox="0 0 100 100" class="icon-svg"><use xlink:href="/img/vector.svg#search"></use></svg></i>
</button>
</div>
</form>
POST /talk/get-a-quote/index,form
<form action="/talk/get-a-quote/index,form" class="quote-form" id="qf-621-quote-form" method="post" accept-charset="utf-8">
<div style="display:none;"><input type="hidden" class="hidden" name="_method" value="POST"></div>
<div class="c2 first">
<div class="input text required"><label for="qf-621-quote-name">Name</label><input name="data[Quote][name]" type="text" placeholder="Name" class="text" id="qf-621-quote-name"></div>
<div class="input text required"><label for="qf-621-quote-phone">Phone</label><input name="data[Quote][phone]" type="tel" placeholder="Phone" class="text" id="qf-621-quote-phone"></div>
<div class="input text required"><label for="qf-621-quote-email">Email</label><input name="data[Quote][email]" type="email" placeholder="Email" class="text" id="qf-621-quote-email"></div>
</div>
<div class="c2">
<div class="company-block">
<div class="input text required"><label for="qf-621-quote-company">Company Name</label><input name="data[Quote][company]" type="text" placeholder="Company Name" class="text" id="qf-621-quote-company"></div>
<div class="input text"><label for="QuoteEmployees">Number of Employees</label><input name="data[Quote][employees]" type="number" min="0" max="999" class="text" placeholder="Employees" id="QuoteEmployees"></div>
</div>
<div class="input text"><label for="qf-621-quote-city">Company City</label><input name="data[Quote][city]" type="text" placeholder="Company City" class="text" id="qf-621-quote-city"></div>
<div class="input text required"><label for="qf-621-quote-postalcode">Postal Code</label><input name="data[Quote][postal_code]" type="text" placeholder="Postal Code" class="text" id="qf-621-quote-postalcode"></div>
</div>
<div class="c1 first">
<div class="input textarea"><label for="qf-621-quote-comments">Comments</label><textarea name="data[Quote][comments]" placeholder="Comments" class="text" id="qf-621-quote-comments" cols="30" rows="6"></textarea></div>
</div>
<div class="c2 first">
<div class="input checkbox"><input type="hidden" class="hidden" name="data[Quote][flag_opt_in]" id="qf-621-quote-opt-in_" value="0"><input type="checkbox" name="data[Quote][flag_opt_in]" class="checkbox" id="qf-621-quote-opt-in" value="1"><label
for="qf-621-quote-opt-in">Please keep me updated on Chambers Plan via email.</label></div>
<script type="text/javascript">
function qf_621_showQuoteAdvisorCode() {
if ($("#qf-621-quote-promo").is(":checked")) {
$("#qf-621-quote-promo-code").show();
} else {
$("#qf-621-quote-promo-code").hide();
}
}
if (typeof(showQuoteAdvisorCode) == "function") {
showQuoteAdvisorCode = (function() {
var func = showQuoteAdvisorCode;
return function() {
func();
qf_621_showQuoteAdvisorCode();
};
})();
} else {
showQuoteAdvisorCode = qf_621_showQuoteAdvisorCode;
}
</script>
</div>
<div class="c2">
<div class="input text honeypot" style="height:0px;width:0px;
border:none;overflow:hidden;
padding:0; position:absolute;
top:0px; left:0px;
border:none;
font-size:1px;">
<label class="label">Please leave the following field blank.</label>
<input name="honeypot_url" type="text" class="w90" maxlength="255" value="">
<input name="honeypot_timestamp" type="hidden" value="1652730943">
<input name="honeypot_code" type="hidden" value="6282ac3ff0c14">
<input name="honeypot_hash" type="hidden" value="d87cb82d7e88bac870c1bedc60909fa1">
</div>
<div class="input submit">
<input class="button" value="Get Started" type="submit">
<button title="Close (Esc)" type="button" class="mfp-close">Close ×</button>
</div>
</div>
</form>
POST /talk/get-a-quote/index,form
<form action="/talk/get-a-quote/index,form" class="quote-form" id="qf-619-quote-form" method="post" accept-charset="utf-8">
<div style="display:none;"><input type="hidden" class="hidden" name="_method" value="POST"></div>
<div class="c2 first">
<div class="input text required"><label for="qf-619-quote-name">Name</label><input name="data[Quote][name]" type="text" placeholder="Name" class="text" id="qf-619-quote-name"></div>
<div class="input text required"><label for="qf-619-quote-phone">Phone</label><input name="data[Quote][phone]" type="tel" placeholder="Phone" class="text" id="qf-619-quote-phone"></div>
<div class="input text required"><label for="qf-619-quote-email">Email</label><input name="data[Quote][email]" type="email" placeholder="Email" class="text" id="qf-619-quote-email"></div>
</div>
<div class="c2">
<div class="company-block">
<div class="input text required"><label for="qf-619-quote-company">Company Name</label><input name="data[Quote][company]" type="text" placeholder="Company Name" class="text" id="qf-619-quote-company"></div>
<div class="input text"><label for="QuoteEmployees">Number of Employees</label><input name="data[Quote][employees]" type="number" min="0" max="999" class="text" placeholder="Employees" id="QuoteEmployees"></div>
</div>
<div class="input text"><label for="qf-619-quote-city">Company City</label><input name="data[Quote][city]" type="text" placeholder="Company City" class="text" id="qf-619-quote-city"></div>
<div class="input text required"><label for="qf-619-quote-postalcode">Postal Code</label><input name="data[Quote][postal_code]" type="text" placeholder="Postal Code" class="text" id="qf-619-quote-postalcode"></div>
</div>
<div class="c1 first">
<div class="input textarea"><label for="qf-619-quote-comments">Comments</label><textarea name="data[Quote][comments]" placeholder="Comments" class="text" id="qf-619-quote-comments" cols="30" rows="6"></textarea></div>
</div>
<div class="c2 first">
<div class="input checkbox"><input type="hidden" class="hidden" name="data[Quote][flag_opt_in]" id="qf-619-quote-opt-in_" value="0"><input type="checkbox" name="data[Quote][flag_opt_in]" class="checkbox" id="qf-619-quote-opt-in" value="1"><label
for="qf-619-quote-opt-in">Please keep me updated on Chambers Plan via email.</label></div>
<script type="text/javascript">
function qf_619_showQuoteAdvisorCode() {
if ($("#qf-619-quote-promo").is(":checked")) {
$("#qf-619-quote-promo-code").show();
} else {
$("#qf-619-quote-promo-code").hide();
}
}
if (typeof(showQuoteAdvisorCode) == "function") {
showQuoteAdvisorCode = (function() {
var func = showQuoteAdvisorCode;
return function() {
func();
qf_619_showQuoteAdvisorCode();
};
})();
} else {
showQuoteAdvisorCode = qf_619_showQuoteAdvisorCode;
}
</script>
</div>
<div class="c2">
<div class="input text honeypot" style="height:0px;width:0px;
border:none;overflow:hidden;
padding:0; position:absolute;
top:0px; left:0px;
border:none;
font-size:1px;">
<label class="label">Please leave the following field blank.</label>
<input name="honeypot_url" type="text" class="w90" maxlength="255" value="">
<input name="honeypot_timestamp" type="hidden" value="1652730944">
<input name="honeypot_code" type="hidden" value="6282ac401ea37">
<input name="honeypot_hash" type="hidden" value="031fc55ba35677e4ec3625a464acd707">
</div>
<div class="input submit">
<input class="button" value="Get Started" type="submit">
<button title="Close (Esc)" type="button" class="mfp-close">Close ×</button>
</div>
</div>
</form>
POST
<form action="" method="POST" enctype="multipart/form-data" class="standard">
<input type="hidden" class="hidden" name="data[Module][data_id]" value="866">
<div class="input description ">
<label>Referrer Information</label>
</div>
<div class="input text"><label for="ContactLogField10">Chamber</label><input name="data[ContactLog][field_10]" type="text" class="text" value="" id="ContactLogField10"></div>
<div class="input text"><label for="ContactLogField3">Name of Individual Making Referral</label><input name="data[ContactLog][field_3]" type="text" class="text" value="" id="ContactLogField3"></div>
<div class="input text"><label for="ContactLogField11">Your Phone Number</label><input name="data[ContactLog][field_11]" type="text" class="text" value="" id="ContactLogField11"></div>
<div class="input textarea"><label for="ContactLogField5">Comments</label><textarea name="data[ContactLog][field_5]" class="textarea" cols="30" rows="6" id="ContactLogField5"></textarea></div>
<div class="input description ">
<label>Member/Potential Member</label>
</div>
<div class="input text"><label for="ContactLogField13">Name</label><input name="data[ContactLog][field_13]" type="text" class="text" value="" id="ContactLogField13"></div>
<div class="input text"><label for="ContactLogField14">Company Name</label><input name="data[ContactLog][field_14]" type="text" class="text" value="" id="ContactLogField14"></div>
<div class="input text"><label for="ContactLogField17">Phone Number</label><input name="data[ContactLog][field_17]" type="text" class="text" value="" id="ContactLogField17"></div>
<div class="input text"><label for="ContactLogField4">Email</label><input name="data[ContactLog][field_4]" type="text" class="text" value="" id="ContactLogField4"></div>
<div class="input text required-field"><label for="ContactLogField18">Postal Code</label><input name="data[ContactLog][field_18]" type="text" class="text" value="" id="ContactLogField18"></div><input type="hidden" class="hidden"
name="data[ContactLog][field_7]" value="Your message has been sent." id="ContactLogField7"><input type="hidden" class="hidden" name="data[ContactLog][field_8]" value="There are some errors. Please correct them and try again."
id="ContactLogField8">
<div class="input description ">
<p><em>If unknown,please use the Postal Code for your Chamber/Board of Trade.</em></p>
</div>
<input class="input button submit" type="submit" name="submit_6" value="Send">
</form>
<form action="" onsubmit="LO.submit_chat(); return false;">
<div id="lo_chat_input" style="position:relative; width: 100%; ">
<div class="lo-fx-hr" style="height:0px; margin-bottom:0px; margin-top:0px; width:100%; border-top:1px solid #000000;border-bottom:1px solid #4f4f4f"></div>
<div style="padding:10px;"><label for="lo_chat_textarea" style="display:none">Chat Input Box</label><textarea id="lo_chat_textarea" disabled="disabled" rows="2"
style="color: black; background-color: rgb(255, 255, 255); border-radius: 5px; padding: 7px; height: auto; width: 100%; font-family: sans-serif; text-transform: none; resize: none;" dir="null" data-last-scroll-height="0"></textarea></div>
<div id="lo_chat_sound_holder" style="position:absolute; right:0px; top:-25px; width:100%;">
<div style="cursor: pointer; float:right; opacity:0.6; padding-right:10px; height:16px;" id="lo_chat_sound"><img alt="Click to mute chat sounds" src="https://d10lpsik1i8c69.cloudfront.net/graphics/sound-on-white.png"></div>
<div id="lo_chat_status" style="padding-left:10px; font-size:11px; color:#6d6d6d"></div>
<div style="clear:both;"></div>
</div>
</div>
</form>
Text Content
Chambers Group Insurance GET A QUOTE * Home * Product * Group Benefits * Group Health * Group Life Insurance * Dental Coverage * Disability Insurance * Critical Illness Insurance * Why Benefits * Get More * Testimonials * Blogs * Who We Are * Members * Plan Members * Your Coverage * Making a Claim * Retiree Plan * ContinYou * Forms & Resources * Administrators * Manage Your Plan * Forms & Resources * COVID-19 Resources * Chambers * Chamber Staff Login * Submit a Referral * Talk to Us * Questions * Get A Quote * Find An Advisor * Additional Links * Legal * Privacy Policy * Site map * Login * Français * Search GET A QUOTE Find a local Chambers Plan Advisors. They can Guide You. In your communities, our advisors can help design a benefit plan that meets your specific needs. From set up to questions about coverage, your Chambers Plan advisor is your local Plan advocate. They will be there for you year after year From answering your employee’s questions, to helping with a claim, they are members of your community - helping you today and further down the road. The best of Both Worlds With the Chambers Plan you have the best of both worlds, a local presence who knows your business and a National program specifically designed for small business. Enter your postal code to find your Chambers Plan advisor... Name Phone Email Company Name Number of Employees Company City Postal Code Comments Please keep me updated on Chambers Plan via email. Please leave the following field blank. Close × REQUEST A QUOTEFOR YOUR BUSINESS Discover why 30,000 business owners have selected this plan. Your local Chambers Plan Advisor will be in touch with a free quote for affordable group benefit coverage. Name Phone Email Company Name Number of Employees Company City Postal Code Comments Please keep me updated on Chambers Plan via email. Please leave the following field blank. Close × * Home * Product * Group Benefits * Group Health * Group Life Insurance * Dental Coverage * Disability Insurance * Critical Illness Insurance * Why Benefits * Get More * Testimonials * Blogs * Who We Are * Members * Plan Members * Your Coverage * Making a Claim * Retiree Plan * ContinYou * Forms & Resources * Administrators * Manage Your Plan * Forms & Resources * COVID-19 Resources * Chambers * Chamber Staff Login * Submit a Referral * Talk to Us * Questions * Get A Quote * Find An Advisor * Additional Links * Legal * Privacy Policy * Site map Chamber Staff Login CHAMBER/BOARD OF TRADE REFERRALS Submit a Referral * Facebook © Chambers of Commerce Group Insurance Plan 2022 REFER A MEMBER/POTENTIAL MEMBER NOTIFY YOUR CHAMBERS PLAN ADVISOR OF A MEMBER/POTENTIAL MEMBER THAT MAY BE INTERESTED IN THE CHAMBERS OF COMMERCE GROUP INSURANCE PLAN Should Chambers/Boards of Trade come across members or potential members interested in learning more about the Chambers of Commerce Group Insurance Plan benefits offered exclusively through their organizations, simply fill out the form below. Your local Chambers Plan Advisor is automatically notified and will contact the organization as soon as possible. Referrer Information Chamber Name of Individual Making Referral Your Phone Number Comments Member/Potential Member Name Company Name Phone Number Email Postal Code If unknown,please use the Postal Code for your Chamber/Board of Trade. Live Chat is Online Chatting 0 × – undefined Chat Input Box Chat Powered by