www.miway.co.za Open in urlscan Pro
197.97.121.150  Public Scan

Form analysis
2 forms found in the DOM

GET /search/site/

<form data-v-5894834e="" method="get" action="/search/site/">
  <div data-v-5894834e="" class="v-input v-text-field theme--light">
    <div class="v-input__prepend-outer">
      <div class="v-input__icon v-input__icon--prepend"><i aria-hidden="true" class="v-icon material-icons theme--light">search</i></div>
    </div>
    <div class="v-input__control">
      <div class="v-input__slot">
        <div class="v-text-field__slot"><input name="q" type="text"></div>
        <div class="v-input__append-inner">
          <div class="v-input__icon v-input__icon--"><i aria-hidden="true" class="v-icon v-icon--link material-icons theme--light"></i></div>
        </div>
      </div>
      <div class="v-text-field__details">
        <div class="v-messages theme--light">
          <div class="v-messages__wrapper"></div>
        </div>
      </div>
    </div>
  </div>
</form>

Name: personal_details — POST https://www.miway.co.za/

<form data-v-6837c976="" action="https://www.miway.co.za/" method="post" name="personal_details"><!---->
  <div class="container ma-0 pa-0 grid-list-xl">
    <div class="layout row wrap">
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First name</label><input aria-label="First name" name="first_name"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Surname</label><input aria-label="Surname" name="surname"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Cellphone number</label><input aria-label="Cellphone number" name="cellphone_number"
                    validation-rules="length(max:10,min:10),not_blank,numeric,phone" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email address</label><input aria-label="Email address" name="email_address"
                    validation-rules="email(strict:false),length(max:50,min:5),not_blank" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">ID Number</label><input aria-label="ID Number" name="id_number"
                    validation-rules="id_number,length(max:13,min:13),not_blank,numeric" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Car registration number (Optional)</label><input
                    aria-label="Car registration number (Optional)" name="car_registration_number_optional_" validation-rules="" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
    </div>
  </div>
  <div class="container ma-0 pa-0 grid-list-xl" style="display: none;">
    <div class="layout row wrap">
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First name</label><input aria-label="First name" name="first_name"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Surname</label><input aria-label="Surname" name="surname"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Cellphone number</label><input aria-label="Cellphone number" name="cellphone_number"
                    validation-rules="length(max:10,min:10),not_blank,numeric,phone" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email address</label><input aria-label="Email address" name="email_address"
                    validation-rules="email(strict:false),length(max:50,min:5),not_blank" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">ID Number</label><input aria-label="ID Number" name="id_number"
                    validation-rules="id_number,length(max:13,min:13),not_blank,numeric" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense" name="address" span="6">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Address</label>
                  <div class="v-select__selections"><input aria-label="Address" type="text" autocomplete="off" role="combobox"></div>
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--"><i aria-hidden="true" class="v-icon v-icon--link material-icons theme--light"></i></div>
                  </div>
                </div>
                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Type of Residence</label><input aria-label="Type of Residence" name="type_of_residence"
                    validation-rules="not_blank" span="6" type="text" autocomplete="off" role="combobox">
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon material-icons theme--light">arrow_drop_down</i></div>
                  </div>
                </div>
                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
    </div>
  </div>
  <div class="container ma-0 pa-0 grid-list-xl" style="display: none;">
    <div class="layout row wrap">
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First name</label><input aria-label="First name" name="first_name"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Surname</label><input aria-label="Surname" name="surname"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Cellphone number</label><input aria-label="Cellphone number" name="cellphone_number"
                    validation-rules="length(max:10,min:10),not_blank,numeric,phone" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email address</label><input aria-label="Email address" name="email_address"
                    validation-rules="email(strict:false),length(max:50,min:5),not_blank" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">ID Number</label><input aria-label="ID Number" name="id_number"
                    validation-rules="id_number,length(max:13,min:13),not_blank,numeric" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense" name="address" span="6">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Address</label>
                  <div class="v-select__selections"><input aria-label="Address" type="text" autocomplete="off" role="combobox"></div>
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--"><i aria-hidden="true" class="v-icon v-icon--link material-icons theme--light"></i></div>
                  </div>
                </div>
                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Type of Building</label><input aria-label="Type of Building" name="type_of_building"
                    validation-rules="not_blank" span="6" type="text" autocomplete="off" role="combobox">
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon material-icons theme--light">arrow_drop_down</i></div>
                  </div>
                </div>
                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
    </div>
  </div>
  <div class="container ma-0 pa-0 grid-list-xl" style="display: none;">
    <div class="layout row wrap">
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First name</label><input aria-label="First name" name="first_name"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Surname</label><input aria-label="Surname" name="surname"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Cellphone number</label><input aria-label="Cellphone number" name="cellphone_number"
                    validation-rules="length(max:10,min:10),not_blank,numeric,phone" span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Email address</label><input aria-label="Email address" name="email_address" validation-rules=""
                    span="6" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Call me now?</label><input aria-label="Call me now?" name="call_me_now_"
                    validation-rules="not_blank" span="6" type="text" autocomplete="off" role="combobox">
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon material-icons theme--light">arrow_drop_down</i></div>
                  </div>
                </div>
                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div><!----><!---->
    </div>
  </div>
  <div class="container ma-0 pa-0 grid-list-xl" style="display: none;">
    <div class="layout row wrap">
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First name</label><input aria-label="First name" name="first_name"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
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                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Surname</label><input aria-label="Surname" name="surname"
                    validation-rules="alpha_spaces,not_blank" span="6" capitalize="true" type="text"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-text-field__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Cellphone number</label><input aria-label="Cellphone number" name="cellphone_number"
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                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
        </div>
      </div>
      <div class="flex py-1 xs12 md6">
        <div data-v-b8068272="" class="form-field">
          <div data-v-b8068272="" class="v-input v-text-field v-select v-autocomplete theme--light dense">
            <div class="v-input__control">
              <div class="v-input__slot">
                <div class="v-select__slot"><label aria-hidden="true" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">What insurance do you need?</label><input aria-label="What insurance do you need?"
                    name="what_insurance_do_you_need_" validation-rules="not_blank" span="6" type="text" autocomplete="off" role="combobox">
                  <div class="v-input__append-inner">
                    <div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon material-icons theme--light">arrow_drop_down</i></div>
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                <div class="v-menu"></div>
              </div>
              <div class="v-text-field__details">
                <div class="v-messages theme--light">
                  <div class="v-messages__wrapper"></div>
                </div>
              </div>
            </div>
          </div> <!---->
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  <div data-v-6837c976="" class="flex offset-sm0 sm12 offset-md10 md2"><!----> <button data-v-6837c976="" disabled="disabled" type="button" class="mt-4 v-btn v-btn--block v-btn--disabled theme--light primary--text">
      <div class="v-btn__content"><span data-v-6837c976="">Go</span> <i data-v-6837c976="" aria-hidden="true" class="v-icon button-icon-align-right v-icon--right material-icons theme--dark"></i></div>
    </button></div>
</form>

Text Content

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Car Insurance
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Business Insurance
Other
YES
NO
House
Townhouse
Cottage-Attached
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Cluster
Flat above ground
Flat on ground
Outbuilding
Storage Facility
Park Home / Caravan
Unknown
Cluster
Townhouse
Flat above ground
Flat on ground
House
Cottage-Attached
Cottage-Not Attached
Outbuilding
Storage Facility
Park Home / Caravan
Unknown
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