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optin.hearsaysocial.com Open in urlscan Pro
54.69.78.64  Public Scan

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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

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.

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