www.bentoninsurance.com.au
Open in
urlscan Pro
162.159.135.42
Public Scan
Submitted URL: https://bentoninsurance.au/
Effective URL: https://www.bentoninsurance.com.au/
Submission: On April 18 via api from US — Scanned from AU
Effective URL: https://www.bentoninsurance.com.au/
Submission: On April 18 via api from US — Scanned from AU
Form analysis
1 forms found in the DOMPOST /
<form method="post" enctype="multipart/form-data" id="gform_2" action="/" data-formid="2">
<div class="gform-body gform_body">
<ul id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_2_1" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_1"><label
class="gfield_label gform-field-label" for="input_2_1">Insurance<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_1" id="input_2_1" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select Insurance Type</option>
<option value="Farm Insurance">Farm Insurance</option>
<option value="Business Insurance">Business Insurance</option>
<option value="Tradesmen's Insurance">Tradesmen's Insurance</option>
<option value="Aviation Insurance">Aviation Insurance</option>
<option value="Travel Insurance">Travel Insurance</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_2_2" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_2"><label class="gfield_label gform-field-label"
for="input_2_2">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_2_2" type="text" value="" class="large" placeholder="Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_2_6" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_6"><label class="gfield_label gform-field-label"
for="input_2_6">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_2_6" type="text" value="" class="large" placeholder="Phone" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_2_5" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_5"><label class="gfield_label gform-field-label"
for="input_2_5">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_5" id="input_2_5" type="text" value="" class="large" placeholder="Email" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_2_4" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_4"><label class="gfield_label gform-field-label"
for="input_2_4">Additional Info</label>
<div class="ginput_container ginput_container_text"><input name="input_4" id="input_2_4" type="text" value="" class="large" placeholder="Additional Info" aria-invalid="false"> </div>
</li>
<li id="field_2_7" class="gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_7"><label class="gfield_label gform-field-label"
for="input_2_7">CAPTCHA</label>
<div id="input_2_7" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Ld0wTcUAAAAAIeXbC8W9aCyj2Re1f9IcIMw5XSU" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-32n94e302nde" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Ld0wTcUAAAAAIeXbC8W9aCyj2Re1f9IcIMw5XSU&co=aHR0cHM6Ly93d3cuYmVudG9uaW5zdXJhbmNlLmNvbS5hdTo0NDM.&hl=en&v=rz4DvU-cY2JYCwHSTck0_qm-&theme=light&size=normal&cb=upfbnrgxryvt"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} window["gf_submitting_2"]=true; jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsImJlMGE0YTFlNTk3NzkxYjdmY2MyMGQyNjg3N2VlZjg2Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>
Text Content
* Farm * Business * Aviation * Trades * Rebuild Calculator * About Us * Contact Us AVIATION INSURANCE SPECIALISTS GET A QUOTE Fill out the quote application form and one of our staff will be in contact with you soon. * Insurance* Select Insurance TypeFarm InsuranceBusiness InsuranceTradesmen's InsuranceAviation InsuranceTravel InsuranceOther * Name* * Phone* * Email* * Additional Info * CAPTCHA OUR HISTORY IF you live on the Mornington Peninsula you will have no doubt heard of the Benton name with roads and shopping centres named after the pioneering family… Read More BIS BULLETIN – Sponsor Links – Customer Testimonials Read it here CONTACT US Benton Insurance Services Pty Ltd ABN: 30 060 314 098 AFSL: 402003 116 High Street, HASTINGS, VIC 3915 Local Call: 1300 738 686 Ph: (03) 5979 7000 Fax: (03) 5979 8203 MENUMENU * Farm * Business * Aviation * Trades * Privacy Policy * Financial Services Guide * Target Market Determinations * About Us * Contact Us © 2022 Benton Insurance Services Pty Ltd - ABN: 30 060 314 098 - AFSL: 402003 - All Rights Reserved Proud supporters of the General Insurance Code of Practice 2022, for full details please click here. And also supporters of Insurance Code of Practice, for full details please click here. You can view our Terms of Engagement here. General Advice Warning: Please be aware that any advice that may have been given or implied is general advice only. We have not taken into consideration your individual needs, objectives or financial requirements. Before deciding to purchase a financial product, you should consider the appropriate Product Disclosure Statement to ensure the product is suitable for your needs. The descriptions contained on this website are issued as a matter of information only, please refer to the insurer-specific policy wording for inclusions, exclusions, terms and conditions. Notifications