miwaylife.myblu.io
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156.38.226.202
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Submitted URL: https://www.metasending.co.za/mailer/inc/rdr.php?r=7053263c56c3c3
Effective URL: https://miwaylife.myblu.io/
Submission: On March 01 via api from ZA — Scanned from DE
Effective URL: https://miwaylife.myblu.io/
Submission: On March 01 via api from ZA — Scanned from DE
Form analysis
1 forms found in the DOMPOST thankyou.php
<form class="needs-validation" action="thankyou.php" method="post" novalidate="">
<div class="form-group">
<input type="text" class="form-control" id="name" name="name" aria-describedby="nameHelp" placeholder="Your name" style="border: 0;border-radius: 0;border-bottom: 2px solid #e8004c;padding: 20px;font-size: 24px;" required="">
<div class="invalid-feedback"> Your name is required. </div>
</div>
<div class="form-group">
<input type="tel" class="form-control" id="cellno" name="cellno" aria-describedby="cellnoHelp" placeholder="Your cell number (e.g. 0831234567)" style="border: 0;border-radius: 0;border-bottom: 2px solid #E8004CFF;padding: 20px;font-size: 24px;"
pattern="^0(6[0123456789][0-9]{7}|7[1234689][0-9]{7}|8[1234][0-9]{7})$" required="">
<div class="invalid-feedback"> Your cell number is required. </div>
</div>
<div class="form-group">
<input type="email" class="form-control" id="email" name="email" placeholder="Your email address" style="border: 0;border-radius: 0;border-bottom: 2px solid #E8004CFF;padding: 20px;font-size: 24px;">
<div class="invalid-feedback"> Please enter a valid email address. </div>
</div>
<div class="form-check">
<input type="checkbox" class="form-check-input" id="terms" name="terms" required="">
<label class="form-check-label" for="terms">Yes please ask a MiWayLife consultant to call me about Life Insurance. I have read your <a href="https://blu.deals/terms.php?client=MiWayLife" target="_blank">terms & conditions</a> &
<a href="https://blu.deals/privacy_policy.pdf" target="_blank">privacy policy</a></label>
</div>
<div class="form-group pt-4">
<button type="submit" class="btn btn-lg btn-primary btn-block custom-btn">Get a Quote</button>
</div>
<input type="hidden" name="token" value="bbd9fa431151f64fcdeab134dcceaca3f1dc0310dc6d739cbcf80732a4758e6f">
<input type="hidden" name="campaignid" value="205">
<input type="hidden" name="batchid" value="">
<script>
// Example starter JavaScript for disabling form submissions if there are invalid fields
(function() {
'use strict';
window.addEventListener('load', function() {
// Fetch all the forms we want to apply custom Bootstrap validation styles to
var forms = document.getElementsByClassName('needs-validation');
// Loop over them and prevent submission
var validation = Array.prototype.filter.call(forms, function(form) {
form.addEventListener('submit', function(event) {
if (form.checkValidity() === false) {
event.preventDefault();
event.stopPropagation();
}
form.classList.add('was-validated');
}, false);
});
}, false);
})();
</script>
</form>
Text Content
Tell us Your Story Get your quote for life & funeral cover in just 5 minutes, no paperwork, no invasive medical tests. Durban, ZA R600,000 Life Cover Male, Age 46 Smoker R412 pm Germiston, ZA R1.8 Million Life Cover Female, Age 34 Non-smoker R336 pm Paulshof, ZA R350,000 Life Cover Male, Age 51 Smoker R420 pm Get a Quote This is a direct marketing campaign powered by Blue Label Data Solutions (blu.deals) on behalf of MiWayLife. You are receiving this offer because you are a member of our customer database. If you choose to register on the MiWayLife Website or Application and/or subscribe for MiWayLife product and/or services, MiWayLife's privacy policy and terms of service will apply and that will include consent to MiWayLife sharing personal information which you give them with us for record keeping purposes, to enable us to update your personal information on our database accurately and for further marketing services. Privacy Policy | Terms & Conditions × Request a call back from MiWayLife Your name is required. Your cell number is required. Please enter a valid email address. Yes please ask a MiWayLife consultant to call me about Life Insurance. I have read your terms & conditions & privacy policy Get a Quote MiWayLife is an authorised FSP (No. 45741) and its product offering is underwritten by Sanlam Life Insurance Limited, a registered long-term insurer. MiWayLife is a division of Sanlam Life Insurance Limited - Reg No. 1998/021121/06