optin.hearsaysocial.com
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Submitted URL: https://optin.hearsaysocial.com/682/group/298823/optin/text_message/
Effective URL: https://optin.hearsaysocial.com/682/text_message/phone/+13144323221/
Submission: On April 12 via api from US — Scanned from DE
Effective URL: https://optin.hearsaysocial.com/682/text_message/phone/+13144323221/
Submission: On April 12 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form class="as-optin-form">
<div class="as-optin-form__group"><label for="firstName" class="as-optin-form__label">First Name</label><input id="firstName" class="as-optin-form__input" type="text" value=""></div>
<div class="as-optin-form__group"><label for="lastName" class="as-optin-form__label">Last Name</label><input id="lastName" class="as-optin-form__input" type="text" value=""></div>
<div class="as-optin-form__group"><label for="phone" class="as-optin-form__label">Phone Number</label><input id="phone" class="as-optin-form__input" type="tel" value=""></div>
<div class="as-optin-form__group"><label for="email" class="as-optin-form__label">Email (Optional)</label><input id="email" class="as-optin-form__input" type="email" value=""></div>
<div class="as-optin-form__group"><input class="as-optin-form__checkbox" id="consent-check" type="checkbox"><label for="consent-check">I consent to allowing my American Family Insurance agency to send me text messages on behalf of American Family
Insurance and the terms of service below.</label></div><button class="as-optin-button" disabled="" type="button">Sign Up</button>
<p class="as-optin-info">By clicking Sign Up, I consent to be contacted by my American Family Insurance agency at the telephone number I have provided above for marketing and other purposes. I understand that such contact will be made using
software that is capable of, but is not currently being used as, an automatic dialing service. Consent is not a condition to purchase any goods and services.</p>
</form>
Text Content
SIGN UP FOR TEXT MESSAGING I hereby provide my express written consent to allow my American Family Insurance agency to text me via the phone number below. I understand and agree that any text sent/received by me pursuant to this consent may be monitored and stored by American Family Insurance. First Name Last Name Phone Number Email (Optional) I consent to allowing my American Family Insurance agency to send me text messages on behalf of American Family Insurance and the terms of service below. Sign Up By clicking Sign Up, I consent to be contacted by my American Family Insurance agency at the telephone number I have provided above for marketing and other purposes. I understand that such contact will be made using software that is capable of, but is not currently being used as, an automatic dialing service. Consent is not a condition to purchase any goods and services. Privacy Policy© American Family Insurance, 2020