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form=document.forms["fform"+fid] var v=form.filelist.value; f=f.replace(/\+/g," ") v=v+label+"|"+f+";"; form.filelist.value=v; fb_lastup=""; uploadispresent=true; } function startupload() { fb_lastup="1"; } </script> <div class="forms-def"> <form method="POST" id="fform293" name="fform293" action="/blog/view/974/makes_us_happy_when_this_happens//post/" onSubmit='return formverify("293");' > <input type=hidden name="postPageName" value="/blog/view/974/makes_us_happy_when_this_happens/?sub=1"> <input type=hidden name="thisPageName" value="/blog/view/974/makes_us_happy_when_this_happens/"> <input type=hidden name="thisDomain" value="correirainsurance.com"> <input type=hidden name="id" value="293"> <input type=hidden name="sdb" value="1"> <input type=hidden name=options value=""> <input type="hidden" name="filelist" value=""> <input type=hidden name=compName value=compFormBuilder2> <input type=hidden name=MAILSUBJECT value="Quick Quote Request"> <div class="esbFormMessage1" style="margin-bottom:25px"></div> <input type=hidden name=pageon value=y> <input type=hidden name=uploadreq value=n> <table class="esbFormHolder esmTT" style="margin:0px" border="0"><tr><td valign=top> <table class="esbFormTable"> <tr><td colspan=2 class="esbLabel esbFormLab" style="text-align:left" valign=top><div class="form-group"><label class="esbLabel esbFormLab esbFormRequired" style="text-align:left;display:none" style="font-size:12pt" for="f293a1"><b>Full Name:</b></label><input class="esbFormField esbFormRequired" type="text" id="f293a1" name="form_Full_Name:" placeholder="Full Name: (required)" size=10><font class="esbRF" color=red>*</font></div></td></tr><tr><td colspan=2 class="esbLabel esbFormLab" style="text-align:left" valign=top><div class="form-group"><label class="esbLabel esbFormLab esbFormRequired" style="text-align:left;display:none" style="font-size:12pt" for="f293a2"><b>Email:</b></label><input class="esbFormField esbFormRequired" type="email" id="f293a2" 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name="form_esbFormSpace" value="esbFormSpace"></td></tr> <script src="https://www.google.com/recaptcha/api.js" async defer></script><input type="hidden" name="recaptcha-response"><tr><td valign=top class="esbLabel esbFormLab esbFormFF"><label class="esbLabel esbFormLab esbFormFF " style="font-size:12pt" for="field_addr"><b>Do not enter anything in this field:</b></label><input class="esbFormField" type="text" name="field_addr" size=6></td></tr></table> </td></tr></table> <script src="//ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script> <script>var j$=$</script> <div class="esbRequiredField esbRF"><font color=red>*</font> indicates a required field</div> <a class="esbB3" onclick="return verifier('293');"><span>Send To Agent</span></a> <div id="recaptcha-div" class="g-recaptcha" data-sitekey="6LcBOkMUAAAAAKX53vIbuVOoRvigaPBfIQujN_6f" data-callback="captchasubmit" data-size="invisible"> </div> <script type="text/javascript"> var handlepostcaptcha=null; function 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{background-image:url(https://correirainsurance.com/i/t/w/cp/requiredfield.png);background-repeat:no-repeat;background-size:29px;background-position:10px center;position:relative;z-index:100;margin-bottom:9px;padding:14px;padding-right:20px;background-color:#ffffff;color:#000000;border-radius:4px;border:1px solid #b0b0b0;display:inline-block;padding-left:45px;} </style> <div id="esbFormReqMsg" onclick="j$('#esbFormReqMsg').hide()"> <div class="arr"></div><div class="arr2"></div> <div id="esbFormReqMsg-box1" class="box1"> Please fill this field. </div> </div> <div class="esbFormPrivacyDiv"> </div> </div> <div align=left id="comp295" class="esbSec" > </div></div></div></div></div></div></td></tr></table> </div> <div align=left id="comp1863" class="esbSec" > <style type="text/css"> table.tab1863 div.tc {height:100%;} table.tab1863 td.tc {background-color:#;padding:0px;} </style> <table style="border-collapse:collapse" class="tab1863 esmT" cellpadding=0 cellspacing=0 border=0 width="100%"> 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class="esbFootTitle1 esbFootTitleH1">Customer Service Center</div> <div class="esbFootSec"><div class="footlinks1"><ul> <li><a href="/service"><span>Service</span></a> <li><a href="/payments---claims"><span>Payments & Claims</span></a> <li><a href="/auto-id-card-request"><span>Auto ID Card Request</span></a> <li><a href="/policy-change-request"><span>Policy Change Request</span></a> <li><a href="/certificate-of-insurance-request"><span>Certificate of Insurance Request</span></a> </ul> <div class="esbFootTitle1">Request A Quote</div> <ul> <li><a href="/request-a-quote"><span>Request A Quote</span></a> </ul> <div class="esbFootTitle1">Personal Insurance</div> <ul> <li><a href="/auto"><span>Auto</span></a> <li><a href="/homeowners"><span>Homeowners</span></a> <li><a href="/condominium"><span>Condominium</span></a> <li><a href="/personal-insurance-products"><span>Personal Insurance Products</span></a> </ul> <div class="esbFootTitle1">Business Insurance Products</div> <ul> <li><a 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href="contact#emailus" onclick="ezgu('contact#emailus','_self');return false;">Email Us</a> <div itemprop="telephone"><strong>Phone:</strong> <a href="tel:+15088222999">(508) 822-2999 </a></div> <p><strong>Hours of Operation:</strong></p> <div content="Mo,Tu,We,Th,Fr, 08:00-17:00" itemprop="openingHours"><strong>Mon-Fri: </strong>8:00am-5:00pm<br /> <strong>Saturday</strong> - By appointment<br /> <strong>Sunday</strong> - Closed</div> </div></div></div> <div class="esbFootSec"> <style type="text/css"> div.esbFooterSocialIco img, div.esbFooterSocialIco a {display:block;padding-right:2px;} div.esbFooterSocialIco img {width:32x32px;} </style> <div class="esbFooterSocialIco"><div class="esbFooterSocialIcoDiv"><table cellpadding=0 cellspacing=0 border=0><tr> <td><a href="http://www.facebook.com/CorreiraInsurance/" target="facebook" ><img src="https://correirainsurance.com/zirw/h499b4/i/t/w/integration/social/icons/fc2/fb_32x32.png" alt="our facebook page" border=0></a></td> 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