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Submitted URL: http://echo4.bluehornet.com/ct/102445785:7TtxmzGNn:m:1:3710613429:E51F1C237DB5AB6256D67114118E66C3:r
Effective URL: https://policyvista.com/form/?c=19884&source=2&pcid=ed3a650798eb4b0a85d991ed47dfebb8
Submission: On November 17 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

#

<form action="#"><input type="hidden" id="leadid_token" name="jornayaId" value="A9EC42B6-B43B-BD14-22D9-1DE8ADA34058">
  <div class="d-flex justify-content-start form--btnAction--xTap1 form--backBtn--tJC0s">&nbsp;</div>
  <div class="d-flex justify-content-center">
    <h2>Select Your Vehicle Year</h2>
  </div>
  <div class="form--divideEvenlyYear--jrak7">
    <div class="d-flex flex-wrap justify-content-center form--gridify--mwKM3">
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2023</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2022</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2021</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2020</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2019</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2018</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2017</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2016</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2015</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2014</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2013</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2012</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2011</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2010</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2009</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2008</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2007</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2006</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2005</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2004</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2003</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2002</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2001</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">2000</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">1999</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">1998</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">1997</div>
      <div role="button" class="col-12 col-sm-4 col-md-2 col-lg-2 form--optionPill--8YEET form--centered--sNmjZ">1996</div>
    </div>
  </div><input type="hidden" name="xxTrustedFormToken" id="xxTrustedFormToken_0" value="https://cert.trustedform.com/bcd44db108b56dc4502ca65502181d2c4286554a"><input type="hidden" name="xxTrustedFormCertUrl" id="xxTrustedFormCertUrl_0"
    value="https://cert.trustedform.com/bcd44db108b56dc4502ca65502181d2c4286554a"><input type="hidden" name="xxTrustedFormPingUrl" id="xxTrustedFormPingUrl_0"
    value="https://ping.trustedform.com/0.AWA-BzaVtP5NFQnTF2bw06R-vEsg9Fu_HRfq0e4G1uqr7aMbmvh45QfRURbPFoq1RGG14ZFp.owUPQCdtkMr_uOJwnccODw.9Vju9ZXNa6xiZ-kF9FPu6A">
</form>

Text Content

Drivers in your state can save up to $600/year

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