Either a friend, family member, co-worker or colleague who may benefit from our insurance services & financial solutions.
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-first-name"
as=${html``}
/>
${ parent.decodeEntities(`Enter your first name here`) }
{
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
}}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-last-name"
as=${html``}
/>
${ parent.decodeEntities(`Enter your last name here`) }
parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-email"
as=${html``}
/>
${ parent.decodeEntities(`Example: user@website.com`) }
parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-telephone"
as=${html``}
/>
parent.handleCheckbox(el, 'onLoad')}
class="mf-checkbox multi-option-input-type"
id="mf-input-checkbox-b19ab8f">
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-checkbox"
as=${html``}
/>
${ parent.decodeEntities(`Select the product(s) of interest`) }
parent.activateValidation({"message":"This field is required.","urlMessage":"Please enter a valid URL starting with http:// or https://","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-ref_nm"
as=${html``}
/>
parent.activateValidation({"message":"This field is required.","urlMessage":"Please enter a valid URL starting with http:// or https://","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
/>
<${validation.ErrorMessage}
errors=${validation.errors}
name="mf-ref_ph"
as=${html``}
/>
How can we help?
Feel free to ask a question or simply leave a comment