wickedawesomeinsurance.com
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34.69.219.172
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URL:
https://wickedawesomeinsurance.com/
Submission Tags: phishingrod
Submission: On April 24 via api from DE — Scanned from DE
Submission Tags: phishingrod
Submission: On April 24 via api from DE — Scanned from DE
Form analysis 5 forms found in the DOM
POST /contact[object Object]
<form x-show="!sendResponse && !sending" class="flex flex-col text-base font-mecherlesans-reg text-sf-charcoal" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers" aria-labelledby="formLabel"
action="/contact[object Object]">
<div class="flex flex-col" :class="{ "lg:flex-row": false }">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()" id="contact-form-name-1" aria-required="true">
<label class="m2-form-label" :for="$id('contact-form-name')" for="contact-form-name-1"> Your Name <span aria-hidden="true" x-show="hasError('name')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email-or-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email-or-phone" x-model="form.emailOrPhone" :aria-required="true"
autocomplete="on" type="text" placeholder="Your Email or Phone" :aria-invalid="hasError('emailOrPhone')" :aria-describedby="hasError('emailOrPhone') ? $id('error', 'emailOrPhone') : null" :error="hasError('emailOrPhone')"
@keydown.debounce.750ms="validateEmailOrPhone()" id="contact-form-email-or-phone-1" aria-required="true">
<label class="m2-form-label" :for="$id('contact-form-email-or-phone')" for="contact-form-email-or-phone-1"> Your Email or Phone <span aria-hidden="true" x-show="hasError('emailOrPhone')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')" id="message-warning-1"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')" id="contact-form-message-1" aria-describedby="message-warning-1 "></textarea>
<label :for="$id('contact-form-message')" class="m2-form-label" for="contact-form-message-1"> Your Message: <span aria-hidden="true" x-show="hasError('message')" style="display: none;"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-5" :class="{ 'lg:w-1/4 lg:ml-4': false }">
<!-- start partial: m2-cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
<!-- end partial: m2-cf-submit.hbs -->
</div>
</div>
<!-- start partial: m2-cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700" style="display: none;">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div>
<!-- end partial: m2-cf-errors.hbs -->
<div class="mt-4 space-y-2 italic">
<!-- start partial: cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3" id="cf-disclaimer-1"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email
for marketing purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email
address you have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates
may apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
<!-- end partial: cf-disclaimer.hbs -->
<!-- start partial: cf-coverage-disclaimer.hbs -->
<p class="text-xs leading-3">
<span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
</p>
<!-- end partial: cf-coverage-disclaimer.hbs -->
</div>
</form>#
<form id="quote-start-xqhgnoo" action="#">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-product-xqhgnoo"
class="block relative w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow shadow-[inset_0px_0px_0px_3px] shadow-white focus-within:shadow-sf-red-500 mt-6"
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-product-xqhgnoo" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-xqhgnoo" :aria-describedby="productSelected ? '' : describeErrorsID()"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label"></option>
</template>
<option :value="line.key" x-text="line.label" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" value="life">Life</option>
<option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
<div class="flex flex-wrap mt-5 space-y-5">
<div id="specific-location-info-xqhgnoo" class="w-full">
<div x-show="type() == 'zip'">
<!-- start partial: m2-text-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-xqhgnoo" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label class="m2-form-label" for="gaq-zip-xqhgnoo"> ZIP Code </label>
</div>
<!-- end partial: m2-text-label.hbs -->
</div>
<div x-show="type() == 'loc'" style="display: none;">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-loc-xqhgnoo"
class="block relative w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow shadow-[inset_0px_0px_0px_3px] shadow-white focus-within:shadow-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-loc-xqhgnoo" class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()"
:aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="DC">Washington, D.C.</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
</div>
</div>
<div class="w-full">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
</div>
</div>
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-xqhgnoo">
<template x-for="error in errors">
<h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</form>#
<form id="quote-start-wce2fpj" action="#">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-product-wce2fpj"
class="block relative w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow shadow-[inset_0px_0px_0px_3px] shadow-white focus-within:shadow-sf-red-500 mt-6"
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-product-wce2fpj" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-wce2fpj" :aria-describedby="productSelected ? '' : describeErrorsID()"
class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label"></option>
</template>
<option :value="line.key" x-text="line.label" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" value="life">Life</option>
<option :value="line.key" x-text="line.label" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" value="pet">Pet Insurance</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
<div class="flex flex-wrap mt-5 space-y-5">
<div id="specific-location-info-wce2fpj" class="w-full">
<div x-show="type() == 'zip'">
<!-- start partial: m2-text-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-wce2fpj" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label class="m2-form-label" for="gaq-zip-wce2fpj"> ZIP Code </label>
</div>
<!-- end partial: m2-text-label.hbs -->
</div>
<div x-show="type() == 'loc'" style="display: none;">
<!-- start partial: m2-select-label.hbs -->
<label for="gaq-loc-wce2fpj"
class="block relative w-full h-12 px-3 border-b border-sf-charcoal bg-white font-mecherlesans-reg text-sf-charcoal placeholder-current text-base transition-shadow shadow-[inset_0px_0px_0px_3px] shadow-white focus-within:shadow-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-mecherlesans-demi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full -ml-1">
<select id="gaq-loc-wce2fpj" class="w-full pr-4 bg-white appearance-none cursor-pointer focus:outline-none" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()"
:aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="DC">Washington, D.C.</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<div class="-ml-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414Z" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: m2-select-label.hbs -->
</div>
</div>
<div class="w-full">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary"> Start a quote </button>
</div>
</div>
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID" id="error-description-wce2fpj">
<template x-for="error in errors">
<h3 class="p-3 mt-4 border-2 font-mecherlesans-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</form>POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:6038880600" class="red-link">
(603) 888-0600
</a>
</h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-phone" x-model="form.phone"
:aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
:error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email" x-model="form.email"
:aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
:error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
<div class=" mt-6 xl:hidden md:m-0">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: m2-cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset>
<!-- end partial: m2-cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: m2-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
</div>
<template x-for="(att, idx) in $store.fileList">
<div :key="idx" class="relative grid w-full grid-cols-4 p-4 my-2 flex-nowrap" :class="false ? 'bg-white' : 'bg-sf-charcoal-100'">
<div class="flex justify-center h-12 col-span-1 mr-4">
<img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
<template x-if="checkType(att) != 'img'">
<div x-html="svgIcon(checkType(att), "h-full")" class="h-full">
</div>
</template>
</div>
<div class="flex flex-col justify-center col-span-3 mr-1">
<div class="flex flex-row w-full mb-1">
<span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
<span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
x-html="friendlyExtension(att.name)"></span>
</div>
<p class="text-sm truncate md:text-base" x-text="att.name">
</p>
</div>
<a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.249.249 0 0 1-.359 0L6 8.501l-1.07 1.07a.249.249 0 0 1-.359 0L3.43 8.43a.249.249 0 0 1 0-.359l1.07-1.07-1.07-1.07a.249.249 0 0 1 0-.359l1.141-1.141a.249.249 0 0 1 .359 0L6 5.501l1.07-1.07a.249.249 0 0 1 .359 0L8.57 5.572a.249.249 0 0 1 0 .359L7.5 7.001l1.07 1.07a.249.249 0 0 1 0 .359zM10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7zM12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0z"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
x-text="`Add Attachments ${sizeRemainingMessage()}`">
</span>
</label>
<input x-ref="file-upload-input" type="file" hidden="" :id="$id("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div>
<!-- end partial: m2-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: m2-cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button>
<!-- end partial: m2-cf-submit.hbs -->
</div>
</div>
<!-- start partial: m2-cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-mecherlesans-demi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div>
<!-- end partial: m2-cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p>
<!-- end partial: cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-mecherlesans-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a
licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
</p>
<!-- end partial: cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-mecherlesans-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" href="tel:6038880600" class="red-link">
(603) 888-0600
</a>
</h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<h2 class="mt-8 mb-4 text-2xl text-center font-mecherlesans-med md:hidden"> Contact Us </h2>
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: m2-cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" :class="{ "lg:flex-row lg:space-x-4 lg:w-3/4": false }" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-name')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text"
placeholder="Your Name" :aria-invalid="hasError('name')" :aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label class="m2-form-label" :for="$id('contact-form-name')"> Your Name <span aria-hidden="true" x-show="hasError('name')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-phone')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-phone" x-model="form.phone"
:aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text" placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null"
:error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label class="m2-form-label" :for="$id('contact-form-phone')"> Your Phone <span aria-hidden="true" x-show="hasError('phone')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
<!-- start partial: m2-cf-text-field.hbs -->
<div class="relative w-full">
<input :id="$id('contact-form-email')" class="m2-form-input peer" :class="{ "bg-white": false, "lg:mt-5": false }" name="contact-form-email" x-model="form.email"
:aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text" placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null"
:error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label class="m2-form-label" :for="$id('contact-form-email')"> Your Email <span aria-hidden="true" x-show="hasError('email')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-text-field.hbs -->
</div>
<!-- end partial: m2-cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full" :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
</div>
<!-- end partial: m2-cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8" "="">
<div class=" mt-6 xl:hidden md:m-0">
<!-- start partial: m2-cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset>
<!-- end partial: m2-cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: m2-cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset>
<!-- end partial: m2-cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: cf-message-warning.hbs -->
<p class="text-xs" :id="$id('message-warning')"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: m2-cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 " :class="{ "bg-white": false }" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`${$id("message-warning")} ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label :for="$id('md-contact-form-message')" class="m2-form-label"> Your Message: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</label>
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<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
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licensed representative in the agent's office, or by contacting the State Farm toll-free customer service line at <a href="tel:8557337333" class="red-link">
(855) 733-7333
</a> .
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<p></p>
</div>
</form>Text Content
CONTACT MIGUEL BISONO FOR A PERSONALIZED QUOTE
Your Name *
Your Email or Phone *
For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.
Your Message: *
Send Email
PLEASE CORRECT THE FOLLOWING:
By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.
Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .
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(603) 888-0600 Call
Text
STATE FARM® INSURANCE AGENT MIGUEL BISONO
BISONO INS AND FIN SVCS INC
5 out of 5 average rating (151 reviews)
413 S. Main Street
Nashua, NH 03060-5060
At Roundabout before Rivier University and Hayward's Ice Cream.
Contact Us
Contact Us
Location Map & Directions
Get ID Card
ABOUT ME
My name is Miguel Bisono and I am the proud owner of the State Farm Agency
located at 413 S. Main St, Nashua, NH.
My State Farm career started at Sandy Dodd - State Farm Agent in Nashua, NH and
I've had the honor of being part of State Farm for 10+ years. I earned the
privilege of becoming a State Farm Agent on September 1st, 2020. State Farm has
given me the opportunity create a stable life for the people I love and cherish
the most while also helping my community manage the risks of everyday life,
recover from the unexpected, and achieve their dreams.
My team is not only qualified and experienced, they are committed to putting
your needs first as they assist you in understanding your options for Financial
Services, Rocket Pro, Car Insurance, Home Insurance, Business Insurance, Life
Insurance, Health Insurance, Pet Insurance and Renters Insurance.
We look forward to earning your business!
…Read More
*
*
*
*
5 out of 5 average rating (151 reviews)
OFFICE HOURS
Today
9am - 5pm (Eastern)
Mon-Fri
9am - 5pm
Sat-Sun
Closed
After Hours by Appointment
Call us 24 hours a day!
*
*
*
*
INSURANCE PRODUCTS OFFERED
Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet
OTHER PRODUCTS
Banking, Home Loans
View Licenses
WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE?
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SupplementPet Insurance
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*
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*
5 out of 5 average rating (151 reviews)
Contact Us
Contact Us
Location Map & Directions
Get ID Card
WOULD YOU LIKE TO CREATE A PERSONALIZED QUOTE?
Select an Insurance Product
Select Product AutoHomeownersCondo OwnersRentersLifeHospital IncomeMedicare
SupplementPet Insurance
ZIP Code
State Selection
Your State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington
Washington, D.C. West Virginia Wisconsin Wyoming
Start a quote
Continue a saved quote Items needed for a quote
File a Claim Send Payment
* Auto
Insurance
* Homeowners
Insurance
* Condo
Insurance
* Renters
Insurance
* Business
Insurance
* Life
Insurance
* Pet
Insurance
*
See More
OFFICE INFO
OFFICE INFO
ADDRESS
413 S. Main Street
Nashua, NH 03060-5060
Map & Directions
* PHONE
(603) 888-0600
* FAX
(603) 371-2722
LANGUAGES
English, Spanish
About Me
My name is Miguel Bisono and I am the proud owner of the State Farm Agency
located at 413 S. Main St, Nashua, NH.
My State Farm career started at Sandy Dodd - State Farm Agent in Nashua, NH and
I've had the honor of being part of State Farm for 10+ years. I earned the
privilege of becoming a State Farm Agent on September 1st, 2020. State Farm has
given me the opportunity create a stable life for the people I love and cherish
the most while also helping my community manage the risks of everyday life,
recover from the unexpected, and achieve their dreams.
My team is not only qualified and experienced, they are committed to putting
your needs first as they assist you in understanding your options for Financial
Services, Rocket Pro, Car Insurance, Home Insurance, Business Insurance, Life
Insurance, Health Insurance, Pet Insurance and Renters Insurance.
We look forward to earning your business!
Products
INSURANCE PRODUCTS OFFERED
Auto, Homeowners, Condo, Renters, Personal Articles, Business, Life, Health, Pet
OTHER PRODUCTS
Banking, Home Loans
View Licenses
OFFICE INFO
OFFICE INFO
ADDRESS
413 S. Main Street
Nashua, NH 03060-5060
Map & Directions
* PHONE
(603) 888-0600
* FAX
(603) 371-2722
LANGUAGES
English, Spanish
Simple Insights®
SIMPLE INSIGHTS®
TEACHING CHILDREN TO SAVE AND INVEST
TEACHING CHILDREN TO SAVE AND INVEST
Teaching children to save involves giving them an allowance, helping them set
savings goals, opening savings accounts, and being a financial role model.
Read More
BUYING MODERN MANUFACTURED HOMES
BUYING MODERN MANUFACTURED HOMES
Buying a manufactured or modular home can be a confusing process, but using this
guide from State Farm® can help decipher some of the mystery.
Read More
TEEN PASSENGER SAFETY
TEEN PASSENGER SAFETY
Talk to your young driver about passenger safety and learn some tips to help
keep teen drivers and their passengers safe while in the car.
Read More
View More Articles
Social Media
SOCIAL MEDIA
Skip Infinite Scroll Facebook Feed
Videos
VIDEOS
LEGACY OF SAFETY
Audio Transcript
WEB DEVELOPMENT FOR A GOOD CAUSE WITH 48IN48
Audio Transcript
STATE FARM EDUCATION ASSIST™
Audio Transcript
STRANDS OF MAGIC
Audio Transcript
Contact Us Our Mission Our Team We're Hiring
YOU CAN ALSO CALL US AT (603) 888-0600
CONTACT US
Your preferred method of contact
* Your Email
* Your Phone
Your Name *
Your Phone *
Your Email *
Your Message: *
For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.
Your preferred method of contact
* Your Email
* Your Phone
I'd like more info about: *
For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.
Your Message: *
Remove
Please attach only file(s) — Unsupported file types will not be delivered to the
agent.
Send Email
PLEASE CORRECT THE FOLLOWING:
By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.
Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .
Our mission is to create value and make a difference in our community by
providing insurance and financial services that meet our customer’s needs. While
being known for our remarkable customer service. We strive for continuous
improvement to achieve greatness in everything we do by working together as a
team and always putting your needs first. What that means to you is we’re here
to educate you so that you can protect everything you’ve worked so hard for.
CAITLIN EVANS
Account Representative
Hello! My name is Caitlin! I was born and raised in Nashua, NH. I'm a mom to my
beautiful daughter Jade and kitty Bella. I enjoy spending time with family and
friends. I am licensed in Auto Insurance, Home Insurance, Business Insurance,
Life Insurance, Health Insurance and Pet Insurance. I have been helping State
Farm customers for 10 plus years in corporate (auto claims and after-hours) as
well as local agency. I take pride in helping others! Let me know if I can help
you or your family.
…Read More
Available Positions
Insurance Account Position - State Farm Agent Team Member (Base Salary +
Commission)
Nashua, NH Full Time
Please Note: This opportunity is about potential employment with an independent
contractor agent who solicits applications for State Farm products and services,
and does NOT result in employment with any of the State Farm Insurance
Companies. The employment selection decision , terms and conditions of
employment (such as compensation and benefits) are all determined solely by the
independent contractor agent.
YOU CAN ALSO CALL US AT (603) 888-0600
CONTACT US
Your preferred method of contact
* Your Email
* Your Phone
Your Name *
Your Phone *
Your Email *
Your Message: *
For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.
Your preferred method of contact
* Your Email
* Your Phone
I'd like more info about: *
For your protection, please do not include sensitive personal information such
as social security numbers, credit/debit card number, or health/medical
information.
Your Message: *
Remove
Please attach only file(s) — Unsupported file types will not be delivered to the
agent.
Send Email
PLEASE CORRECT THE FOLLOWING:
By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.
Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333 .
AGENT LICENSES FOR MIGUEL BISONO
NH-16628453
NMLS #: 1285946
If you are using a screen reader and having difficulty with this website please
call (603) 888-0600 .
DISCLOSURES
Life Insurance and annuities are issued by State Farm Life Insurance Company.
(Not Licensed in MA, NY, and WI) State Farm Life and Accident Assurance Company
(Licensed in New York and Wisconsin) Home Office, Bloomington, Illinois.
Deposit products offered by U.S. Bank National Association. Member FDIC.
Pet insurance products are underwritten in the United States by American Pet
Insurance Company and ZPIC Insurance Company, 6100-4th Ave. S, Seattle, WA
98108. Administered by Trupanion Managers USA, Inc. (CA license No. 0G22803, NPN
9588590). Terms and conditions apply, see full policy on Trupanion's website for
details. State Farm Mutual Automobile Insurance Company, its subsidiaries and
affiliates, neither offer nor are financially responsible for pet insurance
products. State Farm is a separate entity and is not affiliated with Trupanion
or American Pet Insurance.
Pre-existing conditions: If you currently have a pet medical insurance policy,
switching carriers or purchasing a new policy may affect certain provisions such
as coverages for pre-existing conditions or deductibles already established
under your current policy. Let your State Farm® agent know if your existing
policy has provisions that might make it beneficial for you to keep.
State Farm (including State Farm Mutual Automobile Insurance Company and its
subsidiaries and affiliates) is not responsible for, and does not endorse or
approve, either implicitly or explicitly, the content of any third party sites
referenced in this material. Products and services are offered by third parties
and State Farm does not warrant the merchantability, fitness or quality of the
products and services of the third parties.
Rocket Mortgage, LLC; NMLS #3030; www.NMLSConsumerAccess.org . Equal Housing
Lender. Licensed in 50 states. AL License No. MC 20979, Control No. 100152352.
AR, TX: 1050 Woodward Ave., Detroit, MI 48226-1906, (888) 474-0404; AZ: 1 N.
Central Ave., Ste. 2000, Phoenix, AZ 85004, Mortgage Banker License #BK-0902939;
CA: Licensed by the Department of Financial Protection and Innovation under the
California Residential Mortgage Lending Act; CO: Regulated by the Division of
Real Estate; GA: Residential Mortgage Licensee #11704; IL: Residential Mortgage
Licensee #4127 – Dept. of Financial and Professional Regulation; KS: Licensed
Mortgage Company MC.0025309; MA: Mortgage Lender License #ML 3030; ME:
Supervised Lender License; MN: Not an offer for a rate lock agreement; MS:
Licensed by the MS Dept. of Banking and Consumer Finance; NH: Licensed by the NH
Banking Dept., #6743MB; NV: License #626; NJ: New Jersey – Rocket Mortgage, LLC,
1050 Woodward Ave., Detroit, MI 48226, (888) 474-0404, Licensed by the N.J.
Department of Banking and Insurance.; NY: Rocket Mortgage, LLC, 1050 Woodward
Ave., Detroit, MI 48226 Licensed Mortgage Banker-NYS Department of Financial
Services; OH: MB 850076; OR: License #ML-1387; PA: Licensed by the Dept. of
Banking – License #21430; RI: Licensed Lender; WA: Consumer Loan Company License
CL-3030. Conditions may apply.
State Farm VP Management Corp. is a separate entity from those State Farm
entities which provide banking and insurance products. Investing involves risk,
including potential for loss.
Neither State Farm nor its agents provide tax or legal advice. Please consult a
tax or legal advisor for advice regarding your personal circumstances.
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