manulife-t10-timecapsule.azurewebsites.net
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Submission: On August 10 via manual from US — Scanned from CA
Submission: On August 10 via manual from US — Scanned from CA
Form analysis
3 forms found in the DOM<form id="form" class="form" action="" method="">
<div class="form-container">
<div class="form-section current">
<p class="lead questionTitle">Question #1 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-0">What’s your favourite '90s jam?</label>
<input type="text" class="form-control tc-answer tc-answer-0" name="question-0" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #2 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-1">What's your fondest childhood memory?</label>
<input type="text" class="form-control tc-answer tc-answer-1" name="question-1" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #3 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-2">What was your most embarrassing moment?</label>
<input type="text" class="form-control tc-answer tc-answer-2" name="question-2" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #4 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-3">What do you value most in life?</label>
<input type="text" class="form-control tc-answer tc-answer-3" name="question-3" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #5 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-4">What advice would you give your future self?</label>
<input type="text" class="form-control tc-answer tc-answer-4" name="question-4" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #6 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-5">What is your favourite movie of all time?</label>
<input type="text" class="form-control tc-answer tc-answer-5" name="question-5" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #7 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-6">What is the one thing you can’t live without?</label>
<input type="text" class="form-control tc-answer tc-answer-6" name="question-6" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #8 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-7">What do you consider the greatest invention?</label>
<input type="text" class="form-control tc-answer tc-answer-7" name="question-7" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #9 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination.</p>
</span>
</div>
<label class="tc-question" for="question-8">What do you want to see change in 10 years?</label>
<input type="text" class="form-control tc-answer tc-answer-8" name="question-8" placeholder="Enter Here" required="">
</div>
<div class="form-section">
<p class="lead questionTitle">Question #10 </p>
<div class="info-tooltip">
<img id="question-tooltip" class="text-right" src="../assets/img/icon-info.png" alt="">
<span class="tooltiptext">
<p>Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”.</p>
</span>
</div>
<label class="tc-question" for="question-9">What are three things you have on your bucket list?</label>
<input type="text" class="form-control tc-answer tc-answer-9" name="question-9" placeholder="Enter Here" required="">
</div>
<div class="form-navigation">
<!-- <input type="submit" class="button submit-close disabled" disabled> -->
<button type="button" id="time-capsule-next" class="nav-btn next button pull-right">next</button>
<button type="button" id="time-capsule-previous" class="nav-btn previous" style="display: none;">« previous</button>
</div>
</div>
</form>
<form id="formToEmail" class="formToEmail" action="" method="">
<div class="email-form-container">
<div class="email-form-section">
<label for="capsuleEmail">Where would you like to send your time capsule?</label>
<input type="email" class="sendEmail" name="capsuleEmail" required="" placeholder="Email Address">
<input type="submit" id="send-capsule-button" class="button sendCapsule" name="submit" value="send">
</div>
</div>
<div class="emailConsent">
<input id="sendEmail" type="checkbox" value="Yes">
<label class="sendEmailLabel" for="sendEmail">I would like to receive this e-mail.</label>
<!-- <input type="checkbox" name="" value=""><label for="">I would like to receive this e-mail</label> -->
</div>
</form>
<form class="contest-form" action="" method="">
<!-- <label for="">
Are you a:
<input id="checkbox11" type="checkbox"><label for="checkbox11">Male</label>
<input id="checkbox12" type="checkbox"><label for="checkbox12">Female</label>
</label> -->
<div class="grid-x">
<div class="small-5 cell">
<label for="gender">Are you a:<span class="required">*</span></label>
</div>
<div class="small-7 cell">
<!-- 0 is male, 1 is female-->
<input id="checkbox-male" class="radio gender" value="0" name="gender" type="checkbox" required=""><label for="checkbox11">Male</label>
<input id="checkbox-female" class="radio gender" value="1" name="gender" type="checkbox" required=""><label for="checkbox12">Female</label>
</div>
<div class="small-5 cell">
<label for="middle-label" class="birthday-label" required="">When's your birthday?<span class="required">*</span></label>
</div>
<div class="small-6 cell">
<input name="dob" class="placeholder-center" placeholder="MM/DD/YYYY" type="text" pattern="((0[1-9])|(1[0-2]))[\/-]((0[1-9])|(1[0-9])|(2[0-9])|(3[0-1]))[\/-](\d{4})" id="dob">
</div>
<div class="small-5 cell">
<label class="" for="smoke">Do you smoke?<span class="required">*</span></label>
</div>
<div class="small-7 cell">
<!-- 0 is smoker, 1 is non-smoker -->
<input id="checkbox-smoke-yes" class="smoke" type="checkbox" value="0" name="smoke" required=""><label for="checkbox11">Yes</label>
<input id="checkbox-smoke-no" class="smoke" type="checkbox" value="1" name="smoke" required=""><label for="checkbox12">No</label>
</div>
<!-- <div class="cell">
<label for="">Do you smoke?
<input id="checkbox13" type="checkbox"><label for="checkbox13">Yes</label>
<input id="checkbox14" type="checkbox"><label for="checkbox14">No</label>
</label>
</div> -->
<!-- <div class="grid-x"> -->
<div class="medium-5 cell">
<label for="middle" class="middle">Coverage Amount:</label>
</div>
<div class="medium-6 cell">
<select class="coverage-select-amount" name="coverage">
<option value="0">Select Amount</option>
<option value="25000">$25000</option>
<option value="50000">$50000</option>
<option value="75000">$75000</option>
<option value="100000">$100000</option>
<option value="125000">$125000</option>
<option value="100000">$100000</option>
<option value="125000">$125000</option>
<option value="150000">$150000</option>
<option value="175000">$175000</option>
<option value="200000">$200000</option>
<option value="225000">$225000</option>
<option value="250000">$250000</option>
<option value="275000">$275000</option>
<option value="300000">$300000</option>
<option value="325000">$325000</option>
<option value="350000">$350000</option>
<option value="375000">$375000</option>
<option value="400000">$400000</option>
<option value="425000">$425000</option>
<option value="450000">$450000</option>
<option value="475000">$475000</option>
<option value="500000">$500000</option>
<option value="525000">$525000</option>
<option value="550000">$550000</option>
<option value="575000">$575000</option>
<option value="600000">$600000</option>
<option value="625000">$625000</option>
<option value="650000">$650000</option>
<option value="675000">$675000</option>
<option value="700000">$700000</option>
<option value="725000">$725000</option>
<option value="750000">$750000</option>
<option value="775000">$775000</option>
<option value="800000">$800000</option>
<option value="825000">$825000</option>
<option value="850000">$850000</option>
<option value="875000">$875000</option>
<option value="800000">$800000</option>
<option value="925000">$925000</option>
<option value="950000">$950000</option>
<option value="975000">$975000</option>
<option value="1000000">$1000000</option>
</select>
</div>
<!-- </div> -->
</div>
<div class="grid-container">
<div class="grid-x info-content">
<div class="divider">
<p>or</p>
</div>
<div class="info-tooltip">
<img class="text-right" src="assets/img/icon-info.png" alt="">
<span class="tooltiptext">Tell us the coverage amount you'd like and we'll quote your monthly premium. Or tell us the monthly premium you'd like to pay and we'll tell you how much coverage you can get.</span>
</div>
</div>
</div>
<div class="grid-x">
<div class="cell medium-5">
<label class="middle" for="">Monthly Premium</label>
</div>
<div class="cell medium-6 amount">
<input class="premium-amount amount" type="text" name="Monthly Premium" min="5" placeholder="$XXXX">
</div>
</div>
<div class="grid-container contest-entry">
<div class="grid-x">
<div class="cell large-12">
<p class="underline">Contest Entry</p>
</div>
</div>
<div class="grid-x grid-margin-x ">
<div class="medium-6 cell">
<input class="first-name contest-entry" type="text" name="lirst_name" placeholder="First Name">
</div>
<div class="medium-6 cell">
<input class="last-name contest-entry" type="text" name="last_name" placeholder="Last Name">
</div>
<div class="medium-4 cell">
<label class="middle" for="email">Email Address</label>
</div>
<div class="medium-8 cell">
<input class="email contest-entry" pattern="[a-zA-Z0-9_\.\+-]+@[a-zA-Z0-9-]+\.[a-zA-Z0-9-\.]+" type="email" name="email" placeholder="e.g.: jsmith@gmail.com">
</div>
</div>
</div>
<input class="button" type="submit" name="submit" id="submit-quote" value="Get a Quote">
<div class="grid-container legal-footer">
<h4>or call 1-888-913-6333</h4>
<p>
<small>
<span class="required">*</span> Mandatory field </small>
</p>
<p>
<small> Non-smoker rates are available to people who have not used any form of tobacco, tobacco cessation products or marijuana in the past 12 months. </small>
</p>
<p><small>Information collected on this page will be used for the sole purposes of providing a quote and for administering this contest.</small></p>
</div>
</form>
Text Content
share: WELCOME TO YOUR OWN VIRTUAL TIME CAPSULE! Preserve what you cherish Fill your very own virtual time capsule that you can share with a friend or your future self! Much like how a time capsule preserves things you want future generations to see, NEW Alumni Term 10 Life Insurance can help you protect your family’s financial future. Plus, your affordable rates are preserved for 10 years, so you’ll pay the same rates for a full decade, regardless of any changes in your health. GET A QUOTE & ENTER TO WIN $1000!† When you get a quote for Alumni Term 10 Life Insurance, you're automatically entered to win $1,000 cash. close Your time capsule will be sent! Question #1 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What’s your favourite '90s jam? Question #2 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What's your fondest childhood memory? Question #3 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What was your most embarrassing moment? Question #4 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What do you value most in life? Question #5 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What advice would you give your future self? Question #6 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What is your favourite movie of all time? Question #7 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What is the one thing you can’t live without? Question #8 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What do you consider the greatest invention? Question #9 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. Information collected will be used for the sole purpose of sending the time capsule to your desired destination. What do you want to see change in 10 years? Question #10 Click “Next” to continue or skip the question. You may seal your time capsule at any time by clicking “Close”. What are three things you have on your bucket list? next « previous Where would you like to send your time capsule? I would like to receive this e-mail. Please enter a valid email address Please agree to receive your time capsule email Get a quote & enter to win $1000! When you get a quote for Alumni Term 10 Life Insurance, you're automatically entered to win $1,000 cash. NEW! TERM 10 LIFE INSURANCE Features and Benefits * Coverage amounts from $25,000 to $1 million * Your spouse is also eligible to apply * Premium is guaranteed to remain the same for 10 years, so lock in lower rates while you’re young * No medical underwriting upon renewal. Your coverage is guaranteed renewable up to age 85 – regardless of any changes in your health * The cash benefit is tax-free. In the event of your death, your beneficiaries will receive a tax-free benefit * 30-Day Money-Back Guarantee. If you are not completely satisfied, you may cancel your policy within 30 days of the issue date download brochure WHY LIFE INSURANCE? Certain life events triggers the need for life insurance. Which of these apply to you? Learn more » TERM VS PERMANENT INSURANCE Guess which type of life insurance offers more insurance for less cost Learn more » TERM VS MORTGAGE INSURANCE Did you know that there's an alternative to the insurance offered by your mortgage lender? Learn more » THANK YOU FOR ENTERING THE CONTEST! HERE’S YOUR QUOTE... Your Coverage Your Premium Apply Recalculate OR CALL 1-888-913-6333 GET A QUOTE & ENTER TO WIN $1000!† When you get a quote for Alumni Term 10 Life Insurance, you’re automatically entered to win $1,000 cash. Are you a:* Male Female When's your birthday?* Do you smoke?* Yes No Coverage Amount: Select Amount $25000 $50000 $75000 $100000 $125000 $100000 $125000 $150000 $175000 $200000 $225000 $250000 $275000 $300000 $325000 $350000 $375000 $400000 $425000 $450000 $475000 $500000 $525000 $550000 $575000 $600000 $625000 $650000 $675000 $700000 $725000 $750000 $775000 $800000 $825000 $850000 $875000 $800000 $925000 $950000 $975000 $1000000 or Tell us the coverage amount you'd like and we'll quote your monthly premium. Or tell us the monthly premium you'd like to pay and we'll tell you how much coverage you can get. Monthly Premium Contest Entry Email Address OR CALL 1-888-913-6333 * Mandatory field Non-smoker rates are available to people who have not used any form of tobacco, tobacco cessation products or marijuana in the past 12 months. Information collected on this page will be used for the sole purposes of providing a quote and for administering this contest. -------------------------------------------------------------------------------- WHY LIFE INSURANCE? Certain life events triggers the need for life insurance. Which of these apply to you? Learn more » TERM VS PERMANENT INSURANCE Guess which type of life insurance offers more insurance for less cost Learn more » TERM VS MORTGAGE INSURANCE Did you know that there's an alternative to the insurance offered by your mortgage lender? Learn more » The Alumni Term 10 Life Insurance Plan is underwritten by THE MANUFACTURERS LIFE INSURANCE COMPANY (MANULIFE). † No purchase necessary. Contest open to Canadian residents who are the age of majority in their province or territory of residence as of the contest start date. Approximate value of the prize is $1,000 Canadian. Contest ends December 6, 2018. See full contest rules. Manulife and the Block Design are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under licence. © 2018 The Manufacturers Life Insurance Company. All rights reserved. Read our privacy policy. WHERE ARE YOU FROM? Select school Athabasca University Bishop's University Brock University Cambrian University Carleton University Concordia University Dalhousie University Durham College Fanshawe College George Brown College Humber College McGill University McMaster University Mohawk College Northern Alberta Insitutes of Technology Ontario College of Art and Design Queen's University Ryerson University Seneca College Simon Fraser University Southern Alberta Institute of Technology University of Alberta University of British Columbia University of Guelph University of New Brunswick University of Toronto University of Waterloo University of Windsor Western University Wilfrid Laurier University York University YOUR LIFE INSURANCE TRIGGERS * If you're single or divorced, who will take care of any obligations you may leave behind, including your aging parents and final arrangements? * If you're a parent, who will provide for your children’s daily needs and help pay for their post-secondary education? * If you're in a two-income household, how will your spouse face the challenge of paying for your joint financial obligations alone? * If you have a mortgage, who would continue to make the payments and help ensure your family has a place to live? * If you have debt, do you have enough coverage to go directly to your beneficiary instead of your estate — which creditors may access? × The difference. Term life insurance provides death benefit protection for a specified period of time (the “term”) and can be renewed. Permanent life insurance covers you for life and has an investment component. The Price. Because term insurance is purely life insurance, its premiums are usually lower than permanent insurance. That's why it's a more affordable option for people looking strictly for income replacement in case of their death. The Coverage The lower rates of term insurance allow you to buy more coverage than you could otherwise afford. In fact, households with all term insurance can replace their income for two years more than households with all permanent insurance.* * Canadian Life Insurance Owership Trends, LIMRA, 2013. × Term Insurance Mortgage Insurance You can purchase any amount to cover more than just your mortgage The insurance amount covers only your mortgage balance." You name your own beneficiary and they decide what to do with the benefit amount. The bank is the beneficiary and the benefit goes directly to them. Your coverage can stay the same throughout the term of your insurance. Your coverage goes down as you pay off the mortgage but your premiums stay the same. Your insurance is not tied to your mortgage - so you can switch banks and keep the same coverage. You man not be able to transfer your insurance if you move your mortgage to another lender. You may have to requalify. Your insurance protection remains in place as long as you pay your premiums. Your protection ends when your mortgage is paid off. × YOUR LIFE INSURANCE TRIGGERS * If you're single or divorced, who will take care of any obligations you may leave behind, including your aging parents and final arrangements? * If you're a parent, who will provide for your children’s daily needs and help pay for their post-secondary education? * If you're in a two-income household, how will your spouse face the challenge of paying for your joint financial obligations alone? * If you have a mortgage, who would continue to make the payments and help ensure your family has a place to live? * If you have debt, do you have enough coverage to go directly to your beneficiary instead of your estate — which creditors may access? × The difference. Term life insurance provides death benefit protection for a specified period of time (the “term”) and can be renewed. Permanent life insurance covers you for life and has an investment component. The Price. Because term insurance is purely life insurance, its premiums are usually lower than permanent insurance. That's why it's a more affordable option for people looking strictly for income replacement in case of their death. The Coverage The lower rates of term insurance allow you to buy more coverage than you could otherwise afford. In fact, households with all term insurance can replace their income for two years more than households with all permanent insurance.* * Canadian Life Insurance Owership Trends, LIMRA, 2013. × Term Insurance Mortgage Insurance You can purchase any amount to cover more than just your mortgage The insurance amount covers only your mortgage balance." You name your own beneficiary and they decide what to do with the benefit amount. The bank is the beneficiary and the benefit goes directly to them. Your coverage can stay the same throughout the term of your insurance. Your coverage goes down as you pay off the mortgage but your premiums stay the same. Your insurance is not tied to your mortgage - so you can switch banks and keep the same coverage. You man not be able to transfer your insurance if you move your mortgage to another lender. You may have to requalify. Your insurance protection remains in place as long as you pay your premiums. Your protection ends when your mortgage is paid off. ×