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POST /thankyou.php

<form method="post" action="/thankyou.php" id="carform">
  <div class="row">
    <h3 class="customheader-co">Vehicle Information</h3>
    <div class="col-12">
      <select name="car-year" id="car-year" tabindex="1" class="form-control form-control-flat form-control-sm form-field" data-trigger="focus" required="" style="background:#eee;">
        <option value=""> Select Year...</option>
        <option value="2024">2024</option>
        <option value="2023">2023</option>
        <option value="2022">2022</option>
        <option value="2021">2021</option>
        <option value="2020">2020</option>
        <option value="2019">2019</option>
        <option value="2018">2018</option>
        <option value="2017">2017</option>
        <option value="2016">2016</option>
        <option value="2015">2015</option>
        <option value="2014">2014</option>
        <option value="2013">2013</option>
        <option value="2012">2012</option>
        <option value="2011">2011</option>
        <option value="2010">2010</option>
        <option value="2009">2009</option>
        <option value="2008">2008</option>
        <option value="2007">2007</option>
        <option value="2006">2006</option>
        <option value="2005">2005</option>
        <option value="2004">2004</option>
        <option value="2003">2003</option>
        <option value="2002">2002</option>
        <option value="2001">2001</option>
        <option value="2000">2000</option>
        <option value="1999">1999</option>
        <option value="1998">1998</option>
      </select>
    </div>
    <div class="col-12">
      <select name="car-make" id="car-make" tabindex="1" class="form-control form-control-flat form-control-sm form-field" data-trigger="focus" required="">
        <option value="">Select Make...</option>
        <option value="Acura">Acura</option>
        <option value="Audi">Audi</option>
        <option value="BMW">BMW</option>
        <option value="Buick">Buick</option>
        <option value="Cadillac">Cadillac</option>
        <option value="Chevrolet">Chevrolet</option>
        <option value="Chrysler">Chrysler</option>
        <option value="Dodge">Dodge</option>
        <option value="Fiat">Fiat</option>
        <option value="Ford">Ford</option>
        <option value="Genesis">Genesis</option>
        <option value="GMC">GMC</option>
        <option value="Honda">Honda</option>
        <option value="Hyundai">Hyundai</option>
        <option value="Infiniti">Infiniti</option>
        <option value="Jaguar">Jaguar</option>
        <option value="Jeep">Jeep</option>
        <option value="Kia">Kia</option>
        <option value="Lexus">Lexus</option>
        <option value="Lincoln">Lincoln</option>
        <option value="Mazda">Mazda</option>
        <option value="Mercedes-Benz">Mercedes-Benz</option>
        <option value="Mini">Mini</option>
        <option value="Mitsubishi">Mitsubishi</option>
        <option value="Nissan">Nissan</option>
        <option value="Polestar">Polestar</option>
        <option value="Porsche">Porsche</option>
        <option value="Scion">Scion</option>
        <option value="Smart">Smart</option>
        <option value="Subaru">Subaru</option>
        <option value="Suzuki">Suzuki</option>
        <option value="Tesla">Tesla</option>
        <option value="Toyota">Toyota</option>
        <option value="Volkswagen">Volkswagen</option>
        <option value="Volvo">Volvo</option>
      </select>
    </div>
    <div class="col-12 mb-2 ">
      <select name="car-model" id="car-model" tabindex="1" class="form-control form-control-flat form-control-sm form-field" data-trigger="focus" required="" style="background:#eee;">
        <option value=""> Select Model...</option>
      </select>
    </div>
  </div>
  <div class="row w-100">
    <div class="col-12">
      <div data-role="rangeslider" class="rangeslider">
        <label for="price-min">Current Mileage:</label>
        <span class="irs irs--modern js-irs-0"><span class="irs"><span class="irs-line" tabindex="0"></span><span class="irs-min" style="display: none; visibility: hidden;">0</span><span class="irs-max"
              style="display: none; visibility: visible;">1</span><span class="irs-from" style="visibility: hidden;">0</span><span class="irs-to" style="visibility: hidden;">0</span><span class="irs-single" style="left: 0%;">15,000
              mi</span></span><span class="irs-grid"></span><span class="irs-bar irs-bar--single" style="left: 0px; width: 9.7557%;"></span><span class="irs-shadow shadow-single" style="display: none;"></span><span class="irs-handle single"
            style="left: 7.10194%;"><i></i><i></i><i></i></span></span><input type="text" class="js-range-slider irs-hidden-input" name="my_range" value="" tabindex="-1" readonly="">
      </div>
    </div>
  </div>
  <div class="row">
    <h3 class="customheader-co">Contact Information</h3>
    <div class="col">
      <input id="first-name" type="text" class="form-control form-field" placeholder="First name">
    </div>
    <div class="col">
      <input id="last-name" type="text" class="form-control form-field" placeholder="Last name">
    </div>
    <div class="col-12">
      <input id="phone-number" type="text" class="form-control form-field" placeholder="Phone Number">
    </div>
    <div class="col-12">
      <input id="email" type="text" class="form-control form-field" placeholder="Email">
    </div>
    <div class="col-12">
      <input id="zip-code" type="text" class="form-control form-field" placeholder="Zip Code">
    </div>
  </div>
  <div class="row">
    <div class="col-12 mt-2">
      <input type="submit" name="SubmitButton" value="GET YOUR FREE QUOTE" id="SubmitButton" tabindex="11" class="customsubmit-co" style="width:100%;">
    </div>
  </div>
</form>

Text Content

Call To Get Started

877-CARCHEX

877-227-2439

Protect yourself from unexpected repairs with a CARCHEX Protection Plan

Get Started Today for as Low as $99

Call us today for your FREE quote!

877-CARCHEX

Monday—Friday 9am to 9pm EST • Saturday 10am to 7pm EST

Tell Us About Your Vehicle & Yourself


VEHICLE INFORMATION

Select Year... 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012
2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998
Select Make... Acura Audi BMW Buick Cadillac Chevrolet Chrysler Dodge Fiat Ford
Genesis GMC Honda Hyundai Infiniti Jaguar Jeep Kia Lexus Lincoln Mazda
Mercedes-Benz Mini Mitsubishi Nissan Polestar Porsche Scion Smart Subaru Suzuki
Tesla Toyota Volkswagen Volvo
Select Model...
Current Mileage: 010015,000 mi


CONTACT INFORMATION







Clicking the above button will provide your electronic signature and express
consent to receive telephone calls (which may be recorded), text messages and
emails from CARCHEX and its partners for the products and services you have
inquired about at the number or email provided, which may include the use of an
automatic telephone dialing system. For SMS messaging, you may reply with "Stop"
to opt out at any time. Standard message and data rates may apply. Message
frequency may vary. By clicking, you also agree to our Privacy Policy,
California Privacy Policy, and Terms & Conditions. You are not required to click
the button as a condition of purchase. If you have any questions or need
assistance, call 877-227-2439.
What to expect when requesting a quote CA Notice of Collection

*Sample repair cost averages based on actual claims. Actual amount depends on
individual repairs required and savings are not guaranteed.

ADDITIONAL CARCHEX PLAN BENEFITS

 * 24/7 Roadside Assistance
 * Courtesy Towing
 * Rental Cars
 * Fuel Delivery
 * Trip Interruption Service
 * Choose Your Repair Facility

WHY CARCHEX?

CARCHEX is one of the largest providers of Extended Vehicle Protection coverage.
With over a two decades of protecting customers, we work with the top
administrators to provide the highest level of coverage at the lowest possible
price for vehicle protection plans.

We are accredited with an A+ Rating by the Better Business Bureau. We are also
the recommended partner of consumer protection companies such as CARFAX,
RepairPal, SiriusXM, Kelley Blue Book and many more.

Protect your vehicle with CARCHEX
Get a FREE Quote

INDUSTRY LEADING CUSTOMER RATINGS

Read Reviews

Get the Details

View Details


VEHICLE PROTECTION PLANS ON YOUR TERMS


TITANIUM

The highest level of CARCHEX coverage available. Titanium programs provide
maximum breakdown protection for your vehicle and are most similar to your
factory coverage with only a short list of excluded items.


PLATINUM

Platinum programs offer the highest level of stated-component coverage
available. These contracts list the hundreds of specific components covered,
including all major systems on the vehicle.


POWERTRAIN PLUS

Powertrain Plus monthly or term programs provide essential coverage to the major
systems of your vehicle. These Powertrain Plus programs cover so much more
protection than just your basic powertrain system.


POWERTRAIN

Powertrain programs provide coverage for the major systems on your vehicle.
These programs are designed to protect you from the most common and expensive
repairs to the engine and transmission.


EXTRA CARE

Extra Care provides vehicle protection for many of the crucial items outside of
the powertrain such as components from the electrical system, steering,
suspension, and braking system.

Titanium Platinum Powertrain Plus Powertrain Extra Care Engine Transmission
Drive Axle Transfer Case Turbo/Supercharge Cooling Fuel Delivery Seals and
Gaskets Wear and Tear Navigation/GPS* Market Labor Rate* Electrical Air
Conditioning Steering Suspension Brakes Enhanced Electronics Interior/Exterior
Parts

Call us today for your FREE quote!

877-CARCHEX

Monday—Friday 9am to 9pm EST • Saturday 10am to 7pm EST

Consistent with consumers’ understandings and expectations of the market in
which CARCHEX operates, CARCHEX uses the terms “warranty”; “extended warranty”,
“extended auto warranty”, “extended service protection plan” and similar terms
to describe the more technical term “vehicle service contracts”. For more
information, see this FTC link or learn more here or by reviewing CARCHEX’s
website.

CARCHEX markets and sells vehicle service contracts on behalf of third- party
vehicle service contract providers, and your vehicle service contract will be
between you and the provider. This website site is intended solely for the
purpose of providing general information regarding the purchase of vehicle
service contracts. Specific contract terms, rates, taxes, fees and other charges
are determined upon validation of vehicle information and acceptance by the
vehicle service contract provider, for which CARCHEX is not responsible. Vehicle
Service Contracts may not be sold where prohibited by law.

CARCHEX 118 Shawan Road, Suite 210 Baltimore, MD 21030 (FL Company Code #
W469753)

©2023 CARCHEX, All rights reserved.

©20242023 CARCHEX, All rights reserved. Terms of Use | Privacy Policy |
California Privacy Policy