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66.155.17.145
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Submitted URL: https://r1.ddlnk.net/4294-1GLOV-7Z4ZPP-Z2M27-1/c.aspx
Effective URL: https://quotesearch.com/lifeinsurance/landingpage?supplierid=208&supplierkey=3149bf57-8020-4ea9-9fd1-580f710503d5&channe...
Submission: On July 05 via api from IE — Scanned from DE
Effective URL: https://quotesearch.com/lifeinsurance/landingpage?supplierid=208&supplierkey=3149bf57-8020-4ea9-9fd1-580f710503d5&channe...
Submission: On July 05 via api from IE — Scanned from DE
Form analysis 1 forms found in the DOM
POST
<form id="form" method="post" novalidate="novalidate"><span mode="out-in">
<div class="fade-item u:pb-5 u@sm:pb-2" style="display: none;">
<div class=" u:flex u:flex-col ">
<div class="u:flex u:flex-col u:items-start"><label for="firstname-input" class="form-label u:mx-auto">First Name</label> <input placeholder="First Name" id="firstname-input" type="text" name="firstname" maxlength="50"
class="form-input u:mt-1"> <!----></div>
<div class="u:flex u:flex-col u:items-start u:mt-3"><label for="lastname-input" class="form-label u:mx-auto">Last Name</label> <input placeholder="Last Name" id="lastname-input" type="text" name="lastname" maxlength="50"
class="form-input u:mt-1"> <!----></div>
</div>
</div>
<div class="u:text-center fade-item u:pb-5 u@sm:pb-2" style="">
<fieldset>
<legend>
<h2 class="u:p u:font-bold u:text-primary-500">Have you smoked in the last 12 months?</h2>
</legend>
<div role="radiogroup" class="u:flex u@sm:flex-col u@sm:items-center u:mt-2">
<div class="radio-button-img u:w-6/12 u@sm:w-7/12"><input type="radio" name="smoker" id="smoker-yes" value="Yes" autocomplete="off"> <label for="smoker-yes">
<div class="smoker-error blob"><svg width="82" height="68" viewBox="0 0 82 60" fill="none" xmlns="http://www.w3.org/2000/svg">
<path
d="M7.56144 25.8653C7.58003 25.7537 8.99332 13.8152 21.4339 11.8626C24.744 11.3419 27.0499 10.1146 28.3144 8.21781C29.988 5.68878 29.2628 2.71344 29.2442 2.69484C29.0768 2.08118 29.4488 1.46752 30.0624 1.30015C30.6761 1.13279 31.2898 1.50471 31.4571 2.11837C31.4943 2.28574 32.4613 6.06069 30.2298 9.44514C28.6119 11.9184 25.7668 13.499 21.7873 14.1127C11.1132 15.7863 9.88592 25.6607 9.83013 26.107C9.75575 26.7393 9.19787 27.1856 8.58421 27.1112C8.52842 27.1112 8.47263 27.0926 8.41685 27.074C7.85897 26.9438 7.50565 26.4418 7.56144 25.8653Z"
fill="#DCDADC"></path>
<path
d="M10.4989 13.313C10.1083 12.8295 10.1827 12.1043 10.6662 11.7137C13.0279 9.79837 15.8173 8.45947 18.9228 7.73423C19.5364 7.58547 20.1501 7.97598 20.2803 8.57105C20.429 9.18471 20.0385 9.79837 19.4435 9.92855C16.6727 10.5794 14.1994 11.7695 12.0981 13.4618C11.8006 13.7035 11.4286 13.7593 11.0939 13.6663C10.8708 13.6291 10.6476 13.499 10.4989 13.313Z"
fill="#EDEBEE"></path>
<path
d="M22.7346 8.18057C22.4743 7.6041 22.716 6.93464 23.2739 6.6743C23.8504 6.41396 24.2595 6.09783 24.4826 5.74451C24.836 5.22382 25.5426 5.09365 26.0633 5.44698C26.584 5.8003 26.7141 6.50694 26.3608 7.02762C25.8959 7.71567 25.1707 8.29214 24.2223 8.73844C23.962 8.85002 23.7016 8.86861 23.4413 8.81283C23.1437 8.70125 22.8834 8.4781 22.7346 8.18057Z"
fill="#EDEBEE"></path>
<path
d="M33.8551 2.76916C33.7807 2.09971 33.6691 1.6534 33.6319 1.54183C33.4646 0.928166 33.8365 0.314502 34.4502 0.14714C35.0638 -0.0202232 35.6775 0.351694 35.8449 0.965358C35.9006 1.16991 36.0308 1.70919 36.1238 2.50881C36.1982 3.14107 35.7519 3.69895 35.1382 3.77333C34.9894 3.79193 34.8407 3.77333 34.7105 3.73614C34.2456 3.60597 33.9109 3.23405 33.8551 2.76916Z"
fill="#EDEBEE"></path>
<path
d="M18.3831 18.7244C18.1413 18.1479 18.4016 17.4785 18.9781 17.2367C19.9451 16.8276 21.0051 16.5301 22.1208 16.3627C26.7512 15.6375 30.117 13.7221 32.1068 10.691C32.8506 9.55665 33.3899 8.27353 33.6688 6.89744C33.799 6.28378 34.3941 5.89326 35.0078 6.02343C35.64 6.13501 36.0119 6.74867 35.8818 7.36234C35.5284 9.01737 34.8962 10.5422 34.0036 11.9369C31.6419 15.5445 27.774 17.776 22.4741 18.6128C21.5258 18.7616 20.6517 19.0033 19.8707 19.3381C19.629 19.4496 19.3686 19.4496 19.1269 19.3939C18.8108 19.3009 18.5132 19.0591 18.3831 18.7244Z"
fill="#EDEBEE"></path>
<path d="M7.35603 36.2231L44.3618 46.1905L43.339 49.984L5.99854 39.9423C6.25888 38.6591 6.70518 37.4132 7.35603 36.2231Z" fill="#DCDADC"></path>
<path d="M79.5458 55.6558L78.9135 57.9989C78.709 58.7985 77.8908 59.2634 77.0911 59.0588L54.0137 52.8478L55.0364 49.0543L79.5458 55.6558Z" fill="#F59E54"></path>
<path d="M44.3547 46.1821L43.335 49.9708L54.0189 52.8465L55.0387 49.0577L44.3547 46.1821Z" fill="#CAC6CA"></path>
<path
d="M3.95328 28.1153L6.85423 28.8964C6.59389 30.0865 6.03601 31.2766 5.51533 32.132C4.77149 33.1176 4.3066 34.2334 4.08345 35.3677C3.8231 36.7252 3.89749 38.1385 4.23221 39.4774L1.10811 38.6406C0.308487 38.436 -0.15641 37.6178 0.0481448 36.8182L0.680404 34.4751L2.09369 29.1939C2.35403 28.3571 3.17225 27.8922 3.95328 28.1153Z"
fill="#9C9B9A"></path>
<path d="M79.9174 48.5521C80.717 48.7567 81.1819 49.5749 80.9774 50.3745L79.5641 55.6558L55.0361 49.0542L56.8399 42.3411L79.9174 48.5521Z" fill="#FBBC53"></path>
<path d="M46.1533 39.4717L44.3457 46.1873L55.0296 49.063L56.8372 42.3474L46.1533 39.4717Z" fill="#DCDADC"></path>
<path d="M9.16069 33.6755C10.0905 32.5598 10.4438 31.2581 10.5368 29.882L46.1851 39.4774L44.3813 46.1905L7.37549 36.2231C7.84038 35.3491 8.43545 34.4751 9.16069 33.6755Z" fill="#EDEBEE"></path>
<path
d="M5.53375 32.1135C6.05443 31.2581 6.6309 30.0679 6.87265 28.8778L10.5174 29.8634C10.4245 31.2395 10.0897 32.5598 9.14134 33.6569C8.4161 34.4752 7.82104 35.3306 7.33754 36.2046C6.68669 37.3947 6.24039 38.6406 5.98005 39.9052L4.25063 39.4403C3.91591 38.1014 3.84152 36.6881 4.10186 35.3306C4.32501 34.2148 4.78991 33.1177 5.53375 32.1135Z"
fill="#F18A55"></path>
</svg> <span>Yes</span></div>
</label></div>
<div class="radio-button-img u:w-6/12 u@sm:w-7/12 u:ml-2 u@sm:ml-0 u@sm:mt-2"><input type="radio" name="smoker" id="smoker-no" value="No" autocomplete="off"> <label for="smoker-no">
<div class="smoker-error blob"><svg width="80" height="68" viewBox="0 0 80 68" fill="none" xmlns="http://www.w3.org/2000/svg">
<path
d="M7.46517 25.4321C7.48353 25.3219 8.87892 13.5345 21.1621 11.6067C24.4302 11.0926 26.7069 9.88079 27.9554 8.00803C29.6079 5.51101 28.8918 2.57334 28.8734 2.55498C28.7082 1.94908 29.0754 1.34319 29.6813 1.17794C30.2872 1.0127 30.8931 1.37991 31.0583 1.9858C31.0951 2.15105 32.0498 5.87822 29.8465 9.21982C28.2492 11.6618 25.44 13.2224 21.5109 13.8283C10.972 15.4807 9.76023 25.2301 9.70515 25.6708C9.6317 26.295 9.08089 26.7357 8.475 26.6622C8.41991 26.6622 8.36483 26.6439 8.30975 26.6255C7.75894 26.497 7.41009 26.0013 7.46517 25.4321Z"
fill="#DCDADC"></path>
<path
d="M10.3658 13.0388C9.98023 12.5615 10.0537 11.8454 10.531 11.4598C12.8628 9.56872 15.6169 8.24676 18.6831 7.53071C19.289 7.38382 19.8949 7.76939 20.0234 8.35693C20.1703 8.96282 19.7847 9.56872 19.1972 9.69724C16.4615 10.3399 14.0195 11.5149 11.9448 13.1857C11.651 13.4244 11.2838 13.4795 10.9533 13.3877C10.733 13.351 10.5127 13.2224 10.3658 13.0388Z"
fill="#EDEBEE"></path>
<path
d="M22.4472 7.97133C22.1901 7.40216 22.4288 6.74118 22.9796 6.48413C23.5488 6.22709 23.9527 5.91496 24.173 5.56611C24.5219 5.05202 25.2196 4.9235 25.7337 5.27234C26.2478 5.62119 26.3763 6.31889 26.0275 6.83298C25.5684 7.51232 24.8524 8.08149 23.916 8.52214C23.659 8.63231 23.4019 8.65067 23.1449 8.59558C22.8511 8.48542 22.5941 8.2651 22.4472 7.97133Z"
fill="#EDEBEE"></path>
<path
d="M33.426 2.62846C33.3525 1.96748 33.2424 1.52683 33.2057 1.41667C33.0404 0.810775 33.4076 0.204881 34.0135 0.0396368C34.6194 -0.125607 35.2253 0.241602 35.3905 0.847496C35.4456 1.04946 35.5742 1.58191 35.666 2.37141C35.7394 2.99567 35.2987 3.54648 34.6928 3.61992C34.546 3.63828 34.3991 3.61992 34.2706 3.5832C33.8115 3.45468 33.4811 3.08747 33.426 2.62846Z"
fill="#EDEBEE"></path>
<path
d="M18.1505 18.3818C17.9118 17.8126 18.1688 17.1516 18.738 16.9129C19.6927 16.509 20.7393 16.2153 21.8409 16.05C26.4127 15.3339 29.7359 13.4428 31.7005 10.4501C32.4349 9.33008 32.9673 8.06321 33.2427 6.70454C33.3713 6.09865 33.9588 5.71308 34.5647 5.8416C35.189 5.95176 35.5562 6.55766 35.4276 7.16355C35.0788 8.79763 34.4545 10.3032 33.5732 11.6802C31.2415 15.2421 27.4225 17.4454 22.1898 18.2716C21.2534 18.4185 20.3904 18.6572 19.6193 18.9877C19.3806 19.0978 19.1236 19.0978 18.8849 19.0428C18.5728 18.951 18.279 18.7123 18.1505 18.3818Z"
fill="#EDEBEE"></path>
<path d="M7.26268 35.6589L43.8 45.5001L42.7901 49.2457L5.92236 39.331C6.17941 38.0642 6.62006 36.834 7.26268 35.6589Z" fill="#DCDADC"></path>
<path d="M78.5385 54.8456L77.9142 57.159C77.7123 57.9485 76.9044 58.4075 76.1149 58.2056L53.3296 52.0732L54.3394 48.3276L78.5385 54.8456Z" fill="#F59E54"></path>
<path d="M43.793 45.4919L42.7861 49.2327L53.3348 52.0719L54.3417 48.3312L43.793 45.4919Z" fill="#CAC6CA"></path>
<path
d="M3.90323 27.6538L6.76746 28.4249C6.51041 29.6 5.9596 30.775 5.4455 31.6196C4.71109 32.5927 4.25208 33.6943 4.03175 34.8143C3.7747 36.1546 3.84815 37.55 4.17863 38.872L1.09408 38.0458C0.304581 37.8438 -0.15443 37.0359 0.0475353 36.2464L0.67179 33.933L2.06718 28.7187C2.32423 27.8924 3.13209 27.4334 3.90323 27.6538Z"
fill="#9C9B9A"></path>
<path d="M78.9061 47.8319C79.6956 48.0338 80.1546 48.8417 79.9527 49.6312L78.5573 54.8455L54.3398 48.3276L56.1208 41.6995L78.9061 47.8319Z" fill="#FBBC53"></path>
<path d="M45.5694 38.8665L43.7847 45.4971L54.3333 48.3363L56.118 41.7058L45.5694 38.8665Z" fill="#DCDADC"></path>
<path d="M9.04434 33.1435C9.96236 32.0419 10.3112 30.7566 10.403 29.3979L45.6 38.8719L43.819 45.5001L7.28174 35.6589C7.74075 34.7959 8.32828 33.933 9.04434 33.1435Z" fill="#EDEBEE"></path>
<path
d="M5.46432 31.6012C5.97841 30.7566 6.54759 29.5816 6.78627 28.4065L10.3849 29.3796C10.2931 30.7383 9.96263 32.0419 9.02625 33.1251C8.31019 33.933 7.72265 34.7776 7.24528 35.6405C6.60267 36.8156 6.16202 38.0457 5.90497 39.2942L4.19745 38.8352C3.86696 37.5133 3.79352 36.1179 4.05057 34.7776C4.27089 33.6759 4.7299 32.5927 5.46432 31.6012Z"
fill="#F18A55"></path>
<path
d="M11.8248 67.2254C10.9387 67.2254 10.0526 66.9336 9.36035 66.3257C8.00349 65.1343 8.03118 63.2134 9.38804 62.0219L65.9607 12.9539C67.3176 11.7625 69.5052 11.7868 70.862 12.9782C72.2189 14.1697 72.1912 16.0906 70.8344 17.282L14.2617 66.3257C13.5971 66.9336 12.711 67.2254 11.8248 67.2254Z"
fill="#74CBF1"></path>
</svg> <span>No</span></div>
</label></div>
</div> <!---->
</fieldset>
<fieldset class="u:mt-4 u@sm:mt-3" style="display: none;">
<legend>
<h2 class="u:p u:font-bold u:text-primary-500">Has your partner smoked in the last 12 months?</h2>
</legend>
<div role="radiogroup" class="u:flex u:mt-2">
<div class="radio-button-img u:w-6/12"><input type="radio" name="smokerpartner" id="smoker2-yes" value="Yes"> <label for="smoker2-yes">
<div class="smokerpartner-error"><svg width="82" height="68" viewBox="0 0 82 60" fill="none" xmlns="http://www.w3.org/2000/svg">
<path
d="M7.56144 25.8653C7.58003 25.7537 8.99332 13.8152 21.4339 11.8626C24.744 11.3419 27.0499 10.1146 28.3144 8.21781C29.988 5.68878 29.2628 2.71344 29.2442 2.69484C29.0768 2.08118 29.4488 1.46752 30.0624 1.30015C30.6761 1.13279 31.2898 1.50471 31.4571 2.11837C31.4943 2.28574 32.4613 6.06069 30.2298 9.44514C28.6119 11.9184 25.7668 13.499 21.7873 14.1127C11.1132 15.7863 9.88592 25.6607 9.83013 26.107C9.75575 26.7393 9.19787 27.1856 8.58421 27.1112C8.52842 27.1112 8.47263 27.0926 8.41685 27.074C7.85897 26.9438 7.50565 26.4418 7.56144 25.8653Z"
fill="#DCDADC"></path>
<path
d="M10.4989 13.313C10.1083 12.8295 10.1827 12.1043 10.6662 11.7137C13.0279 9.79837 15.8173 8.45947 18.9228 7.73423C19.5364 7.58547 20.1501 7.97598 20.2803 8.57105C20.429 9.18471 20.0385 9.79837 19.4435 9.92855C16.6727 10.5794 14.1994 11.7695 12.0981 13.4618C11.8006 13.7035 11.4286 13.7593 11.0939 13.6663C10.8708 13.6291 10.6476 13.499 10.4989 13.313Z"
fill="#EDEBEE"></path>
<path
d="M22.7346 8.18057C22.4743 7.6041 22.716 6.93464 23.2739 6.6743C23.8504 6.41396 24.2595 6.09783 24.4826 5.74451C24.836 5.22382 25.5426 5.09365 26.0633 5.44698C26.584 5.8003 26.7141 6.50694 26.3608 7.02762C25.8959 7.71567 25.1707 8.29214 24.2223 8.73844C23.962 8.85002 23.7016 8.86861 23.4413 8.81283C23.1437 8.70125 22.8834 8.4781 22.7346 8.18057Z"
fill="#EDEBEE"></path>
<path
d="M33.8551 2.76916C33.7807 2.09971 33.6691 1.6534 33.6319 1.54183C33.4646 0.928166 33.8365 0.314502 34.4502 0.14714C35.0638 -0.0202232 35.6775 0.351694 35.8449 0.965358C35.9006 1.16991 36.0308 1.70919 36.1238 2.50881C36.1982 3.14107 35.7519 3.69895 35.1382 3.77333C34.9894 3.79193 34.8407 3.77333 34.7105 3.73614C34.2456 3.60597 33.9109 3.23405 33.8551 2.76916Z"
fill="#EDEBEE"></path>
<path
d="M18.3831 18.7244C18.1413 18.1479 18.4016 17.4785 18.9781 17.2367C19.9451 16.8276 21.0051 16.5301 22.1208 16.3627C26.7512 15.6375 30.117 13.7221 32.1068 10.691C32.8506 9.55665 33.3899 8.27353 33.6688 6.89744C33.799 6.28378 34.3941 5.89326 35.0078 6.02343C35.64 6.13501 36.0119 6.74867 35.8818 7.36234C35.5284 9.01737 34.8962 10.5422 34.0036 11.9369C31.6419 15.5445 27.774 17.776 22.4741 18.6128C21.5258 18.7616 20.6517 19.0033 19.8707 19.3381C19.629 19.4496 19.3686 19.4496 19.1269 19.3939C18.8108 19.3009 18.5132 19.0591 18.3831 18.7244Z"
fill="#EDEBEE"></path>
<path d="M7.35603 36.2231L44.3618 46.1905L43.339 49.984L5.99854 39.9423C6.25888 38.6591 6.70518 37.4132 7.35603 36.2231Z" fill="#DCDADC"></path>
<path d="M79.5458 55.6558L78.9135 57.9989C78.709 58.7985 77.8908 59.2634 77.0911 59.0588L54.0137 52.8478L55.0364 49.0543L79.5458 55.6558Z" fill="#F59E54"></path>
<path d="M44.3547 46.1821L43.335 49.9708L54.0189 52.8465L55.0387 49.0577L44.3547 46.1821Z" fill="#CAC6CA"></path>
<path
d="M3.95328 28.1153L6.85423 28.8964C6.59389 30.0865 6.03601 31.2766 5.51533 32.132C4.77149 33.1176 4.3066 34.2334 4.08345 35.3677C3.8231 36.7252 3.89749 38.1385 4.23221 39.4774L1.10811 38.6406C0.308487 38.436 -0.15641 37.6178 0.0481448 36.8182L0.680404 34.4751L2.09369 29.1939C2.35403 28.3571 3.17225 27.8922 3.95328 28.1153Z"
fill="#9C9B9A"></path>
<path d="M79.9174 48.5521C80.717 48.7567 81.1819 49.5749 80.9774 50.3745L79.5641 55.6558L55.0361 49.0542L56.8399 42.3411L79.9174 48.5521Z" fill="#FBBC53"></path>
<path d="M46.1533 39.4717L44.3457 46.1873L55.0296 49.063L56.8372 42.3474L46.1533 39.4717Z" fill="#DCDADC"></path>
<path d="M9.16069 33.6755C10.0905 32.5598 10.4438 31.2581 10.5368 29.882L46.1851 39.4774L44.3813 46.1905L7.37549 36.2231C7.84038 35.3491 8.43545 34.4751 9.16069 33.6755Z" fill="#EDEBEE"></path>
<path
d="M5.53375 32.1135C6.05443 31.2581 6.6309 30.0679 6.87265 28.8778L10.5174 29.8634C10.4245 31.2395 10.0897 32.5598 9.14134 33.6569C8.4161 34.4752 7.82104 35.3306 7.33754 36.2046C6.68669 37.3947 6.24039 38.6406 5.98005 39.9052L4.25063 39.4403C3.91591 38.1014 3.84152 36.6881 4.10186 35.3306C4.32501 34.2148 4.78991 33.1177 5.53375 32.1135Z"
fill="#F18A55"></path>
</svg> <span>Yes</span></div>
</label></div>
<div class="radio-button-img u:w-6/12 u:ml-2"><input type="radio" name="smokerpartner" id="smoker2-no" value="No"> <label for="smoker2-no">
<div class="smokerpartner-error"><svg width="80" height="68" viewBox="0 0 80 68" fill="none" xmlns="http://www.w3.org/2000/svg">
<path
d="M7.46517 25.4321C7.48353 25.3219 8.87892 13.5345 21.1621 11.6067C24.4302 11.0926 26.7069 9.88079 27.9554 8.00803C29.6079 5.51101 28.8918 2.57334 28.8734 2.55498C28.7082 1.94908 29.0754 1.34319 29.6813 1.17794C30.2872 1.0127 30.8931 1.37991 31.0583 1.9858C31.0951 2.15105 32.0498 5.87822 29.8465 9.21982C28.2492 11.6618 25.44 13.2224 21.5109 13.8283C10.972 15.4807 9.76023 25.2301 9.70515 25.6708C9.6317 26.295 9.08089 26.7357 8.475 26.6622C8.41991 26.6622 8.36483 26.6439 8.30975 26.6255C7.75894 26.497 7.41009 26.0013 7.46517 25.4321Z"
fill="#DCDADC"></path>
<path
d="M10.3658 13.0388C9.98023 12.5615 10.0537 11.8454 10.531 11.4598C12.8628 9.56872 15.6169 8.24676 18.6831 7.53071C19.289 7.38382 19.8949 7.76939 20.0234 8.35693C20.1703 8.96282 19.7847 9.56872 19.1972 9.69724C16.4615 10.3399 14.0195 11.5149 11.9448 13.1857C11.651 13.4244 11.2838 13.4795 10.9533 13.3877C10.733 13.351 10.5127 13.2224 10.3658 13.0388Z"
fill="#EDEBEE"></path>
<path
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<path d="M78.5385 54.8456L77.9142 57.159C77.7123 57.9485 76.9044 58.4075 76.1149 58.2056L53.3296 52.0732L54.3394 48.3276L78.5385 54.8456Z" fill="#F59E54"></path>
<path d="M43.793 45.4919L42.7861 49.2327L53.3348 52.0719L54.3417 48.3312L43.793 45.4919Z" fill="#CAC6CA"></path>
<path
d="M3.90323 27.6538L6.76746 28.4249C6.51041 29.6 5.9596 30.775 5.4455 31.6196C4.71109 32.5927 4.25208 33.6943 4.03175 34.8143C3.7747 36.1546 3.84815 37.55 4.17863 38.872L1.09408 38.0458C0.304581 37.8438 -0.15443 37.0359 0.0475353 36.2464L0.67179 33.933L2.06718 28.7187C2.32423 27.8924 3.13209 27.4334 3.90323 27.6538Z"
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<path
d="M5.46432 31.6012C5.97841 30.7566 6.54759 29.5816 6.78627 28.4065L10.3849 29.3796C10.2931 30.7383 9.96263 32.0419 9.02625 33.1251C8.31019 33.933 7.72265 34.7776 7.24528 35.6405C6.60267 36.8156 6.16202 38.0457 5.90497 39.2942L4.19745 38.8352C3.86696 37.5133 3.79352 36.1179 4.05057 34.7776C4.27089 33.6759 4.7299 32.5927 5.46432 31.6012Z"
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<path
d="M11.8248 67.2254C10.9387 67.2254 10.0526 66.9336 9.36035 66.3257C8.00349 65.1343 8.03118 63.2134 9.38804 62.0219L65.9607 12.9539C67.3176 11.7625 69.5052 11.7868 70.862 12.9782C72.2189 14.1697 72.1912 16.0906 70.8344 17.282L14.2617 66.3257C13.5971 66.9336 12.711 67.2254 11.8248 67.2254Z"
fill="#74CBF1"></path>
</svg> <span>No</span></div>
</label></div>
</div> <!---->
</fieldset>
</div>
<div class="fade-item u:pb-5 u@sm:pb-2" style="display: none;">
<div class="u:flex u:flex-col">
<div class="u:w-12/12 u:text-center">
<legend class="u:block">
<h2 class="u:p u:font-bold u:text-primary-500">What is your Date of Birth?</h2>
</legend>
<div class="u:pt-2 u:flex">
<div class="select-field-wrapper u:w-3/12"><select aria-label="Date of birth Day" id="DobDay" name="dobday" class="select-field">
<option value="" hidden="hidden">Day</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select></div>
<div class="select-field-wrapper u:w-5/12 u:ml-1"><select aria-label="Date of birth Month" id="DobMonth" name="dobmonth" class="select-field">
<option value="" hidden="hidden">Month</option>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select></div>
<div class="select-field-wrapper u:w-4/12 u:ml-1"><select aria-label="Date of birth Year" id="DobYear" name="dobyear" class="select-field">
<option value="" hidden="hidden">Year</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>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
</select></div>
</div> <!---->
</div>
<div class="u:w-12/12 u:flex u:flex-col u:items-start u:mt-3"><label for="postcode-input" class="form-label u:mx-auto">Postcode</label> <input placeholder="Postcode" id="postcode-input" type="text" name="postcode" autocomplete="postal-code"
maxlength="8" class="form-input u:mt-1"> <!----></div>
</div>
</div>
<div class="fade-item u:pb-5 u@sm:pb-2" style="display: none;">
<div class="u:flex u:flex-col">
<div class="u:flex u:flex-col u:items-start u:w-12/12"><label for="email-input" class="form-label u:mx-auto">Email Address</label> <input placeholder="Email" id="email-input" type="text" name="email" maxlength="80" class="form-input u:mt-1">
<!----></div>
<div class="u:flex u:flex-col u:items-start u:w-12/12 u:mt-3"><label for="mobile-input" class="form-label u:mx-auto">Phone Number</label> <input placeholder="Mobile" id="mobile-input" type="text" name="phone" maxlength="14"
class="form-input u:mt-1"> <!----></div>
</div>
</div>
</span>
<div class="u:flex u:flex-col u:justify-center u:items-center ">
<div style="display: none;"><label class="newsletterOptin"><input id="marketingpermission" name="marketingpermission" type="checkbox" class="newsletterOptin-input"> <span class="newsletterOptin-text"> We would like to use email, text and display
notifications to let you know about <strong>QuoteSearch</strong> products and services. If you do not want to receive these, <br class="u@md:hidden">un-tick this box. </span></label></div>
</div>
</form>Text Content
QuoteSearch Logo 023 9421 4065 Closed. Opens today at 9:30am Aviva Logo Legal & General Logo Liverpool Victoria Logo Royal London Logo Vitality Logo Zurich Logo COMPARE LIFE INSURANCE QUOTES Step 1 out of 4 First Name Last Name HAVE YOU SMOKED IN THE LAST 12 MONTHS? Yes No HAS YOUR PARTNER SMOKED IN THE LAST 12 MONTHS? Yes No WHAT IS YOUR DATE OF BIRTH? Day 01020304050607080910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 20042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952 Postcode Email Address Phone Number We would like to use email, text and display notifications to let you know about QuoteSearch products and services. If you do not want to receive these, un-tick this box. Continue < Back Safe | Secure | Privacy Protected Please wait, we're searching for life insurance quotes... Home About Us Blog Privacy Policy My Options Contact Us Unsubscribe Complaints Affiliates Pricing Claims Speak to an expert: 023 9421 4065 info@quotesearch.com Mon - Thu: 9am - 6.30pm Fri: 9am - 4pm Sat - Sun: Closed QuoteSearch Copyright © 2014-2022 Zuru Jersey Limited is an appointed representative of Zuru Media Limited which is authorised and regulated by the Financial Conduct Authority. Show More [+] QuoteSearch Copyright© 2014-2022 Zuru Jersey Limited All Rights Reserved. Zuru Jersey Limited is an appointed representative of Zuru Media Limited which is authorised and regulated by the Financial Conduct Authority. Licenced on the Data Protection Register - Licence No 50186. View our Data Protection Policy. We make every effort to ensure you receive quotes from the whole of the market however sometimes we may introduce you to a broker who works with a limited number of providers. We are happy to introduce you to an alternative broker upon request. *Quoted rates are based on level term life cover over 20 years, for a 25 year old non-smoker. Prices correct as of 16/06/2022. Actual prices, policies and cover amounts will vary depending on individual circumstances. The information on this website is targeted at consumers in the UK. This website is free to you but to operate this website we may receive a fee from the provider or intermediary we refer you to. Calls to you and telephone transfers to any provider or intermediary we refer you to may be recorded for quality and training purposes. The content of this website does not constitute financial advice and is provided for general information purposes only. We take care to make sure that the information and material is accurate and up-to-date. 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