uniservmsa.com
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192.169.157.80
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URL:
https://uniservmsa.com/
Submission: On July 07 via api from US — Scanned from DE
Submission: On July 07 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://uniservmsa.com/
<form method="get" id="searchform" action="https://uniservmsa.com/">
<i class="icon_search icon-search"></i>
<a href="#" class="icon_close"><i class="icon-cancel"></i></a>
<input type="text" class="field" name="s" id="s" placeholder="Enter your search">
<input type="submit" class="submit" value="" style="display:none;">
</form>Name: form14 — POST /
<form name="form14" action="/" method="post" id="form14" class="form14" enctype="multipart/form-data" onsubmit="check_required('submit', '14'); return false;"><input type="hidden" name="pum_form_popup_id" value="3203">
<div id="14pages" class="wdform_page_navigation" show_title="false" show_numbers="true" type="none"></div> <input type="hidden" id="counter14" value="36" name="counter14"> <input type="hidden" id="Itemid14" value="" name="Itemid14">
<div class="wdform-page-and-images" style="display:table; border-top:0px solid black;">
<div id="14form_view1" class="wdform_page" page_title="Untitled page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="false" previous_title="Previous" previous_type="text" previous_class="wdform-page-button"
previous_checkable="false">
<div class="wdform_section">
<div class="wdform_column ui-sortable">
<div wdid="1" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">Agency Name:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_1_element14" name="wdform_1_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="11" class="wdform_row ui-sortable-handle">
<div type="type_name" class="wdform-field" style="width:300px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">Your Name:</span></div>
<div class="wdform-element-section " style=" width: 200px;">
<div style="display: table-cell; width:50%">
<div><input type="text" class="input_deactive" id="wdform_11_element_first14" name="wdform_11_element_first14" value="" title="" style="width: 100%;"></div>
<div><label class="mini_label">First</label></div>
</div>
<div style="display:table-cell;">
<div style="margin: 0px 8px; padding: 0px;"></div>
</div>
<div style="display: table-cell; width:50%">
<div><input type="text" class="input_deactive" id="wdform_11_element_last14" name="wdform_11_element_last14" value="" title="" style="width: 100%;"></div>
<div><label class="mini_label">Last</label></div>
</div>
</div>
</div>
</div>
<div wdid="12" class="wdform_row ui-sortable-handle">
<div type="type_address" class="wdform-field" style="width:400px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">Address:</span></div>
<div class="wdform-element-section wdform_address" style=" width: 300px;">
<div> <span style="float: left; width: 100%; padding-bottom: 8px; display: block;"><input type="text" id="wdform_12_street114" name="wdform_12_street114" value="" style="width: 100%;"><label class="mini_label">Street
Address</label></span><span style="float: left; width: 48%; padding-bottom: 8px;"><input type="text" id="wdform_12_city14" name="wdform_14_city14" value="" style="width: 100%;"><label class="mini_label">City</label></span><span
style="float: right; width: 48%; padding-bottom: 8px;"><input type="text" id="wdform_12_state14" name="wdform_15_state14" value="" style="width: 100%;"><label class="mini_label">State</label></span><span
style="float: left; width: 48%; padding-bottom: 8px;"><input type="text" id="wdform_12_postal14" name="wdform_16_postal14" value="" style="width: 100%;"><label class="mini_label">Zip Code</label></span></div>
</div>
</div>
</div>
<div wdid="18" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">Web Address:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_18_element14" name="wdform_18_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="19" class="wdform_row ui-sortable-handle">
<div type="type_submitter_mail" class="wdform-field" style="width:300px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">E-mail:</span></div>
<div class="wdform-element-section " style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_19_element14" name="wdform_19_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="20" class="wdform_row ui-sortable-handle">
<div type="type_phone" class="wdform-field" style="width:300px">
<div class="wdform-label-section " style="float: left;; width: 100px;"><span class="wdform-label">Phone Number:</span> </div>
<div class="wdform-element-section " style=" width: 200px;">
<div style="display: table-cell;vertical-align: middle;">
<div><input type="text" class="input_deactive" id="wdform_20_element_first14" name="wdform_20_element_first14" value="" title="" style="width: 50px;"></div>
<div><label class="mini_label">Area Code</label></div>
</div>
<div style="display: table-cell;vertical-align: middle;">
<div class="wdform_line" style="margin: 0px 4px 10px 4px; padding: 0px;">-</div>
</div>
<div style="display: table-cell;vertical-align: middle; width:100%;">
<div><input type="text" class="input_deactive" id="wdform_20_element_last14" name="wdform_20_element_last14" value="" title="" style="width: 100%;"></div>
<div><label class="mini_label">Phone Number</label></div>
</div>
</div>
</div>
</div>
<div wdid="21" class="wdform_row ui-sortable-handle">
<div type="type_own_select" class="wdform-field" style="width:300px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">Agency Type:</span></div>
<div class="wdform-element-section wdform_select" style=" width: 200px; "><select id="wdform_21_element14" name="wdform_21_element14" style="width: 100%">
<option value="" selected="selected"></option>
<option value="Captive">Captive</option>
<option value="Independent">Independent</option>
</select></div>
</div>
</div>
<div wdid="22" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:440px">
<div class="wdform-label-section" style="float: left; width: 230px;"><span class="wdform-label">How long have you been P&C Licensed?:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_22_element14" name="wdform_22_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="23" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:420px">
<div class="wdform-label-section" style="float: left; width: 210px;"><span class="wdform-label">How long have you Life Licensed?:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_23_element14" name="wdform_23_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="24" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:440px">
<div class="wdform-label-section" style="float: left; width: 230px;"><span class="wdform-label">Your PERSONAL P&C license number:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_24_element14" name="wdform_24_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="25" class="wdform_row ui-sortable-handle">
<div type="type_own_select" class="wdform-field" style="width:300px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">P&C Volume:</span></div>
<div class="wdform-element-section wdform_select" style=" width: 200px; "><select id="wdform_25_element14" name="wdform_25_element14" style="width: 100%">
<option value="" selected="selected"></option>
<option value="0-500,000">0-500,000</option>
<option value="500,000-1,000,000">500,000-1,000,000</option>
<option value="1,000,001-3,000,000">1,000,001-3,000,000</option>
<option value="3,000,001-5,000,000">3,000,001-5,000,000</option>
<option value="5,000,001+">5,000,001+</option>
</select></div>
</div>
</div>
<div wdid="26" class="wdform_row ui-sortable-handle">
<div type="type_own_select" class="wdform-field" style="width:300px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">Life Volume:</span></div>
<div class="wdform-element-section wdform_select" style=" width: 200px; "><select id="wdform_26_element14" name="wdform_26_element14" style="width: 100%">
<option value="" selected="selected"></option>
<option value="0-500,000">0-500,000</option>
<option value="500,000-1,000,000">500,000-1,000,000</option>
<option value="1,000,001-3,000,000">1,000,001-3,000,000</option>
<option value="3,000,001-5,000,000">3,000,001-5,000,000</option>
<option value="5,000,001+">5,000,001+</option>
</select></div>
</div>
</div>
<div wdid="27" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:380px">
<div class="wdform-label-section" style="float: left; width: 170px;"><span class="wdform-label">Years operating an Agency?:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_27_element14" name="wdform_27_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="28" class="wdform_row ui-sortable-handle">
<div type="type_editor" class="wdform-field">
<p>What are your top 3 Carriers:</p>
</div>
</div>
<div wdid="29" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">1:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_29_element14" name="wdform_29_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="30" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">2:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_30_element14" name="wdform_30_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="31" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">3:</span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_31_element14" name="wdform_31_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="32" class="wdform_row ui-sortable-handle">
<div type="type_text" class="wdform-field" style="width:370px">
<div class="wdform-label-section" style="float: left; width: 160px;"><span class="wdform-label">How did you hear about us?: </span></div>
<div class="wdform-element-section" style=" width: 200px;"><input type="text" class="input_deactive" id="wdform_32_element14" name="wdform_32_element14" value="" title="" style="width: 100%;"></div>
</div>
</div>
<div wdid="33" class="wdform_row ui-sortable-handle">
<div type="type_textarea" class="wdform-field" style="width:310px">
<div class="wdform-label-section" style="float: left;; width: 100px;"><span class="wdform-label">Comments:</span></div>
<div class="wdform-element-section " style=" width: 200px"><textarea class="input_deactive" id="wdform_33_element14" name="wdform_33_element14" title="" style="width: 100%; height: 100px;"></textarea></div>
</div>
</div>
<div wdid="34" class="wdform_row ui-sortable-handle">
<div type="type_captcha" class="wdform-field">
<div class="wdform-label-section" style="float: left; width: 100px;"><span class="wdform-label">Word Verification:</span></div>
<div class="wdform-element-section " style="">
<div style="display: table;">
<div style="display: table-cell;vertical-align: middle;">
<div valign="middle" style="display: table-cell; text-align: center;"><img type="captcha" digit="6" src=" https://uniservmsa.com/wp-admin/admin-ajax.php?action=formmakerwdcaptcha&digit=6&i=14" id="wd_captcha14"
class="captcha_img" style="display:none"></div>
<div valign="middle" style="display: table-cell;">
<div class="captcha_refresh" id="_element_refresh14"></div>
</div>
</div>
<div style="display: table-cell;vertical-align: middle;">
<div style="display: table-cell;"><input type="text" class="captcha_input" id="wd_captcha_input14" name="captcha_input" style="width: 75px;"></div>
</div>
</div>
</div>
</div>
</div>
<div wdid="35" class="wdform_row ui-sortable-handle">
<div type="type_submit_reset" class="wdform-field">
<div class="wdform-label-section" style="display: table-cell;"></div>
<div class="wdform-element-section " style="display: table-cell;"><button type="button" class="button-submit" onclick="check_required14("submit", "14");">Submit</button><button type="button" class="button-reset"
onclick="check_required14("reset");">Reset</button></div>
</div>
</div>
</div>
</div>
<div valign="top" class="wdform_footer" style="width: 100%;">
<div style="width: 100%;">
<div style="width: 100%; display: table;">
<div style="display: table-row-group;">
<div id="14page_nav1" style="display: table-row;"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wdform_preload"></div>
</form>Text Content
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* Home
* About Us
* Partner Programs
* MSA
* VMSA
* ASDA
* MA
* Profit Centers
* Insurance
* Personal Lines
* Property
* Homeowners
* Renters
* Seasonal Homes
* Landlords
* Vacant Homes
* Auto
* Personal Auto
* Business Auto
* Classic Car
* Motorcycle
* RV
* Boat
* Commercial Lines
* Commercial Auto
* Artisan
* Truckers
* Livery
* General Liability
* Property
* Workers Compensation
* Inland Marine
* Financial Services
* Life Insurance
* College Funding
* Retirement
* Mortgage
* FHA
* Conventional
* Real Estate
* Buying
* Selling
* Blog
* Contact Us
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TOP 10 SMARTPLAN HIGHLIGHTS
FULL BINDING AUTHORITY
OWNERSHIP OF BOOK OF BUSINESS
KEEP YOUR BRAND OR USE OURS, YOUR CHOICE!
IN-HOUSE MARKETING AGENCY
TRAINING
COMPETITIVE COMISSIONS
PROFIT SHARING
NO MONTHLY DUES
NO MINIMUM PRODUCTION REQUIREMENTS
EXIT STRATEGY
CHOOSE YOUR SMART PLAN
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MA SMARTPLAN
Marketing Affiliate / Agent
Not ready to dive into the insurance industry just yet but like to network? Not
a problem. We have a SmartPlan for you!
AAM SMARTPLAN
ASD Account Manager
Do you have a passion for helping people with their insurance needs but don’t
quite like chasing the business? We have a SmartPlan plan for you!
VMSA SMARTPLAN
Virtual-Multi Service Agency
Are you and entrepreneur at heart but don’t have the budget to open a retail
office? Don’t worry we love helping entrepreneur get to the next level. We have
a SmartPlan for you!
MSA SMARTPLAN
Multi Service Agency
Do you currently own and operate an agency and want to get to the next level? Or
are looking to open a scratch retail agency? We have a SmatPlan for you!
AGENCY SERVICES DEPARTMENT
LICENSING ASSISTANCE
TECHNOLOGY
TRAINING
--------------------------------------------------------------------------------
MARKETING
ONGOING SUPPORT
HUMAN RESOURCES
Have any questions?
INFO@UNISERVMSA.COM
Call us
888 698 6473
We built the Smartplan to meet and conquer the problems that smaller and
mid-size agencies face. We provide more strength, more commission, higher
contingent income, and better carrier relationships.
TWITTER
LATEST POSTS
* HELLO WORLD!
July 13, 2015
Physical Address:
8175 Limonite Ave. Suite A,
Riverside, CA 92509
888.698.6473
info@uniservmsa.com
© 2015 UniservMartplan. All Rights Reserved. UnikoMedia.Com
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Join
Agency Name:
Your Name:
First
Last
Address:
Street AddressCityStateZip Code
Web Address:
E-mail:
Phone Number:
Area Code
-
Phone Number
Agency Type:
CaptiveIndependent
How long have you been P&C Licensed?:
How long have you Life Licensed?:
Your PERSONAL P&C license number:
P&C Volume:
0-500,000500,000-1,000,0001,000,001-3,000,0003,000,001-5,000,0005,000,001+
Life Volume:
0-500,000500,000-1,000,0001,000,001-3,000,0003,000,001-5,000,0005,000,001+
Years operating an Agency?:
What are your top 3 Carriers:
1:
2:
3:
How did you hear about us?:
Comments:
Word Verification:
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