/* growform client2 bundle.url: https://assets.growform.co/96896150-mmawu6km/form.bundle.js resolve.source: memory resolve.at: 2026-03-12T09:36:10.469Z form.source: api cache.age_ms: 668 fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "68bdf3441a8f9489c6547ce1"; var FORM_BUNDLE_URL = "https://assets.growform.co/96896150-mmawu6km/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"68bdf3441a8f9489c6547ce1","options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true,"position":"formTop","hideOnFirstStep":true,"line_enableStripes":"Yes","line_animateStripes":"Yes","line_showPercent":"Yes","line_height":20,"variant":"circles","circles_size":6},"continueButton":{"continueText":"Next","submitText":"SUBMIT","backText":"Back"},"customStyles":{"width":{"unit":"px","value":580},"parentContainerMinHeight":{"value":0,"unit":"px"},"parentBackgroundImage":{"imageInitialHeight":1362,"imageInitialWidth":2066,"imageHeight":1362,"imageWidth":2066,"imageUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1597337140/uploads/qmsfk98ank3wfp1ehvyg.jpg"},"headerMarginTop":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#5106b5","bodyTextColor":"#343434","parentContainerBackgroundType":"color","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":70,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Merriweather","sq_buttonFont":"Poppins","sq_buttonFontSize":20,"showShadows":"Yes","sq_buttonTextColor":"#343434","sq_buttonColor":"#FFFFFF","sq_buttonColorSelected":"#FFFFFF","sq_buttonBorderColor":"#DADADA","sq_buttonBorderColorSelected":"primary","sq_buttonBannerColor":"#FFFFFF","rt_buttonFont":"Poppins","rt_buttonFontSize":20,"rt_buttonColor":"#FFFFFF","rt_buttonColorSelected":"#FFFFFF","rt_buttonTextColor":"#343434","rt_buttonBorderColor":"#DADADA","rt_buttonBorderColorSelected":"primary","inputLabelFont":"Poppins","inputFontSize":21,"continueSubmitButtonFontSize":20,"fullModeBackgroundColor":"#bdb8b8","canvasSetup":"minimal","buttonFontSize":20},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":""}],"logo":null,"captureSystemDetails":true,"analyticsSettings":{"google_analytics":{"trackingId":"G-485NFFPVVY"},"trustedForm":{"enabled":true}}},"fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"Thank You!!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":22,"unit":"px"},"fontWeight":"Normal"},"margins":{"marginTop":10},"stepId":"complete"},"Decorative Header_576559560634956":{"type":"Decorative Header","value":"We’d love to know more about you.","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"bold"},"stepId":"ff4727c9498ef9c0a6c989d9"},"email_907058157108782":{"type":"Email","label":"Your email address","width":12,"margins":{"marginBottom":0},"step":5,"sortOrder":3,"stepId":"ff4727c9498ef9c0a6c989d9"},"phone_589083232390193":{"type":"Phone","label":"Your phone number","width":12,"margins":{"marginBottom":0},"step":5,"sortOrder":4,"helperText":"","stepId":"ff4727c9498ef9c0a6c989d9"},"Decorative_Paragraph_194067845817258":{"type":"Decorative Paragraph","value":"Please expect to hear from us shortly.","width":12,"step":"complete","sortOrder":2,"margins":{"marginBottom":60},"stepId":"complete","fieldStyle":{"fontSize":{"value":18,"unit":"px"},"fontStyle":"none"}},"decorative_header_14021764636003":{"type":"Decorative Header","value":"Which kind of leads are you looking for?","width":12,"sortOrder":1,"stepId":"66e3c3c17a3e2346f92b931a","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"bold"}},"buttons_573184712849318":{"type":"Buttons","validationRules":{"required":true},"label":"Lead choice","width":12,"multiple":true,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Square","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes","sq_buttonsPerRow":"2"},"options":[{"text":"Medicare","image":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757281010/uploads/xoerw25t8mdx4qmqydts.png","id":"0945b05b465120e95a6ccd64"},{"text":"ACA","image":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757461428/uploads/zg73ih33o9yziuoonxvv.png","id":"84f526322481ca2418dec939"}],"stepId":"66e3c3c17a3e2346f92b931a","sortOrder":3,"hideLabel":true,"helperText":"From social and search to email and native ads, we cover it all. Plus, we supply data and run outbound campaigns to ensure you never run short on leads.","imageStyles":{"size":"150%","sq_imageOnlyMode":"Yes"}},"name_118263032980762":{"type":"Name","label":"Name","width":12,"hideLabel":true,"options":{"Firstname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Lastname":{"value":null,"errorText":null,"validationRules":{"required":true}},"Prefix":{"value":null,"errorText":null}},"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":2,"hidePrefix":true},"decorative_header_102317644852210":{"type":"Decorative Header","value":"What type of leads do you prefer?","width":12,"sortOrder":1,"stepId":"098cf828d34ca406f1d1675c","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"bold"}},"buttons_688099043121141":{"type":"Buttons","validationRules":{"required":true},"label":"Lead channel","width":12,"multiple":true,"buttonStyle":{"rt_buttonsPerRow":"1","rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes","sq_buttonsPerRow":"2"},"options":[{"text":"Web Leads (Real Time): Form Fills","image":null,"id":"0945b05b465120e95a6ccd64"},{"text":"Call (Inbound): Consumer Initiated","image":null,"id":"9848ecfa45cd0c1a5079d7c5"},{"text":"Call (Transfer): Qualified Transfers","image":null,"id":"6e0b03c652843ac3bee08028"}],"stepId":"098cf828d34ca406f1d1675c","sortOrder":3,"hideLabel":true,"helperText":"Don’t worry — we’ll make sure everything’s set up so your leads come through just as expected."},"number_897664230362952":{"type":"Number","label":"Daily Budget","currencySymbol":"$","width":12,"stepId":"864fd9b0e889fd56c812862d","sortOrder":3,"wholeNumbersOnly":true,"validationRules":{"required":true},"helperText":"On a case-by-case basis, we’re able to finance part of the lead cost, with a maximum of 30%."},"number_528969123322570":{"type":"Number","label":"Daily Volume","currencySymbol":"None","width":12,"stepId":"864fd9b0e889fd56c812862d","sortOrder":2,"wholeNumbersOnly":true,"validationRules":{"required":true},"helperText":"If you’d like to make a change, just drop us a note — we’ll update it within 24 hours and confirm."},"decorative_text_373694098424100":{"type":"Decorative Text","value":"
Volume & Budget
","fieldStyle":{"fontSize":{"value":25,"unit":"px"}},"width":12,"v":2,"stepId":"864fd9b0e889fd56c812862d","sortOrder":1},"text_663235720544314":{"type":"Text","label":"Notes","width":12,"stepId":"864fd9b0e889fd56c812862d","sortOrder":4,"multiline":true,"rows":5,"helperText":"Use this section to share how you’d like your budget allocated across lead types, or to request financing for a portion of the lead cost (up to 30%).","rowsMax":6,"validationRules":{"required":false},"location":null},"decorative_text_958011772752707":{"type":"Decorative Text","value":"Please select all that apply.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"098cf828d34ca406f1d1675c","sortOrder":2},"decorative_text_898976554701450":{"type":"Decorative Text","value":"You can select more than one kind.
","fieldStyle":{"fontSize":{"value":14,"unit":"px"}},"width":12,"v":2,"stepId":"66e3c3c17a3e2346f92b931a","sortOrder":2},"number_480381987920424":{"type":"Number","label":"Number of Produces","currencySymbol":"None","width":12,"stepId":"58c5f947f5050733b45bebb2","sortOrder":2,"wholeNumbersOnly":true,"validationRules":{"required":true}},"decorative_text_593952493965531":{"type":"Decorative Text","value":"Producer & Licensing
","fieldStyle":{"fontSize":{"value":25,"unit":"px"}},"width":12,"v":2,"stepId":"58c5f947f5050733b45bebb2","sortOrder":1},"text_321966969436812":{"type":"Text","label":"Producer Licensing Details","width":12,"stepId":"58c5f947f5050733b45bebb2","sortOrder":3,"multiline":true,"rows":5,"helperText":"Which state are you based in? Are you/your team licensed in multiple states?","rowsMax":6,"validationRules":{"required":true},"location":null},"decorative_text_899303968988081":{"type":"Decorative Text","value":"When would you like to get started?
","fieldStyle":{"fontSize":{"value":25,"unit":"px"}},"width":12,"v":2,"stepId":"b8c8157c06f26d2ac0d5eab4","sortOrder":1},"date_578101305132319":{"type":"Date","label":"Start Date","width":12,"disablePast":true,"stepId":"b8c8157c06f26d2ac0d5eab4","sortOrder":2,"validationRules":{"required":true}},"decorative_image_274852999459527":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757285254/uploads/fajxunxyc0qpjz8lupw0.png","width":12,"imageWidth":1000,"imageHeight":202,"imageInitialHeight":323,"imageInitialWidth":1601,"stepId":"complete","sortOrder":3},"decorative_text_811693228967058":{"type":"Decorative Text","value":"By clicking \"Submit\", I give my express written consent to receive calls, text messages and emails, including for marketing purposes, from AxQuotes, its network partners, affiliates, and any third parties acting on their behalf. These communications may be sent to the phone number I provide and may use automated technology, including autodialers, artificial or prerecorded voice messages, and other automated systems, even if my number is registered on a federal, state, or company-specific Do-Not-Call list.
","fieldStyle":{"fontSize":{"value":10,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":6},"text_459751922845701":{"type":"Text","label":"Company/DBA","width":12,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":5,"hideLabel":false},"decorative_text_905529502296222":{"type":"Decorative Text","value":"We specialize in wholesale insurance marketing campaigns, built on a model of speed and scale. By executing campaigns at high volume, pivoting quickly with market conditions, and maintaining strict cost controls, we deliver consistent value directly to our buyers (YOU).
Because we also operate as an insurance agency, we understand the realities of the business — especially the need to balance marketing spend with lead quality. Our approach is designed to maximize both efficiency and performance, ensuring you get more conversations that convert without overspending.
Beginning this year, we’ve gone a step further by offering flexible financing on a portion of lead costs (up to 30%), on a case-by-case basis. We recognize that in the insurance industry, there’s often a lag between origination and commission payments, and this option helps smooth cash flow so you can keep scaling without disruption.
","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"d3a93346567158c4d4bda4b1","sortOrder":4},"decorative_image_389430567153593":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757337391/uploads/tmw04zihtvybvjkp8rpn.png","width":12,"imageWidth":300,"imageHeight":61,"imageInitialHeight":323,"imageInitialWidth":1601,"stepId":"d3a93346567158c4d4bda4b1","sortOrder":1},"decorative_text_874141406889406":{"type":"Decorative Text","value":"SPEED | SCALE | VALUE
","fieldStyle":{"fontSize":{"value":20,"unit":"px"}},"width":12,"v":2,"stepId":"d3a93346567158c4d4bda4b1","sortOrder":2},"decorative_text_370597289202420":{"type":"Decorative Text","value":"Unlike generic lead providers, we don’t rely on cold data lists or recycled information. Instead, every lead we deliver is generated from live consumer engagement across multiple digital marketing channels, including Search, Social Media, Email, and Native advertising.
Consumers arrive at AxQuotes.com or one of our trusted partner sites, where they can connect in two ways:
1. By completing a detailed online form to request insurance quotes (Web Leads)
2. By calling a toll-free number (Consumer-Initiated Inbound Calls).
When a Web Lead is submitted, it is delivered to you in real time, filtered by your chosen criteria such as state or product line. You will reach out to the customer to assess the need and take further action.
On the other hand, our outbound dialer can do this job on your behalf by following up automatically as well. Since consumers provide explicit consent at the time of form submission, compliance is built into every step. For dialer-driven Web Leads, our captive center agents qualify prospects using product-specific requirements (e.g., Medicare shoppers must be 65+). Once qualified, they are seamlessly transferred to you.
For Consumer-Initiated Inbound Calls, the process is even simpler: shoppers who proactively dial our toll-free number are routed directly to you based on your filters, meaning you only speak with individuals who have already chosen to take action.
","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"eec542e2107af659cf1cb93c","sortOrder":5},"decorative_image_920861777743049":{"type":"Decorative Image","value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757337391/uploads/tmw04zihtvybvjkp8rpn.png","width":12,"imageWidth":300,"imageHeight":61,"imageInitialHeight":323,"imageInitialWidth":1601,"stepId":"eec542e2107af659cf1cb93c","sortOrder":1},"decorative_text_172267270860277":{"type":"Decorative Text","value":"SPEED | SCALE | VALUE
","fieldStyle":{"fontSize":{"value":19,"unit":"px"}},"width":12,"v":2,"stepId":"eec542e2107af659cf1cb93c","sortOrder":2},"decorative_divider_644317545177902":{"type":"Decorative Divider","width":12,"stepId":"eec542e2107af659cf1cb93c","sortOrder":3},"decorative_text_964273590021264":{"type":"Decorative Text","value":"How AxQuotes Delivers High Intent Consumers to You
","fieldStyle":{"fontSize":{"value":18,"unit":"px"}},"width":12,"v":2,"stepId":"eec542e2107af659cf1cb93c","sortOrder":4},"decorative_text_91299259430214":{"type":"Decorative Text","value":"Three Premium Channels
","fieldStyle":{"fontSize":{"value":18,"unit":"px"}},"width":12,"v":2,"stepId":"eec542e2107af659cf1cb93c","sortOrder":6},"decorative_text_571245523503472":{"type":"Decorative Text","value":"The result is a system where you receive only genuine, engaged consumers, not tire-kickers or recycled data.
✅ Three premium lead channels at your fingertips:
1. Web Leads (Real-Time):
Instantly delivered online form fills.
2. Inbound Calls (Consumer-Initiated):
Consumers who proactively reach out.
3. Qualified Transfers:
Pre-screened and agent-qualified consumers, transferred directly to you.
","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"eec542e2107af659cf1cb93c","sortOrder":7},"decorative_divider_936173620240037":{"type":"Decorative Divider","width":12,"stepId":"d3a93346567158c4d4bda4b1","sortOrder":3}},"ownedByUser":"68b9cce956563dc35dec0870","formName":"Independent Agent Onboarding","personalisation":{"form_related_to":"Law firm"},"lastEdited":"2025-09-11T22:14:01.733Z","created":"2025-09-07T21:04:04.788Z","steps":[{"id":"d3a93346567158c4d4bda4b1","name":"Summary (Page 1)","sortOrder":1,"copyOf":"66e3c3c17a3e2346f92b931a"},{"id":"eec542e2107af659cf1cb93c","name":"Summary (Page 2)","sortOrder":2,"copyOf":"d3a93346567158c4d4bda4b1"},{"id":"098cf828d34ca406f1d1675c","name":"Lead Channel","sortOrder":3,"copyOf":"66e3c3c17a3e2346f92b931a"},{"id":"66e3c3c17a3e2346f92b931a","name":"Lead Choice","sortOrder":4},{"id":"864fd9b0e889fd56c812862d","name":"Volume and Budget","sortOrder":5,"copyOf":"e3f26dc344a100467bcc708a","conditionalLogic":null},{"id":"58c5f947f5050733b45bebb2","name":"Producer and Licensing","sortOrder":6,"copyOf":"864fd9b0e889fd56c812862d","conditionalLogic":null},{"id":"b8c8157c06f26d2ac0d5eab4","name":"Start Date","sortOrder":7,"copyOf":"58c5f947f5050733b45bebb2","conditionalLogic":null},{"id":"ff4727c9498ef9c0a6c989d9","name":"Contact Info","sortOrder":8}],"folderId":"68bb255f1a8f9489c65371d7","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757346989/growform-production/form-screenshots/68bdf3441a8f9489c6547ce1.png","leadsCount":3,"isActive":true,"__v":0,"reportedSpam":false,"spamOcr":"AxQuotes\nSPEED | SCALE | VALUE\nWe specialize in wholesale insurance marketing campaigns, built on a\nmodel of speed and scale. By executing campaigns at high volume,\npivoting quickly with market conditions, and maintaining strict cost\ncontrols, we deliver consistent value directly to our buyers (YOU).\nBecause we also operate as an insurance agency, we understand the\nrealities of the business - especially the need to balance marketing\nspend with lead quality. Our approach is designed to maximize both\nefficiency and performance, ensuring you get more conversations that\nconvert without overspending.\nBeginning this year, we've gone a step further by offering flexible\nfinancing on a portion of lead costs (up to 30%), on a case-by-case\nbasis. We recognize that in the insurance industry, there's often a lag\nbetween origination and commission payments, and this option helps\nsmooth cash flow so you can keep scaling without disruption. AxQuotes SPEED | SCALE | VALUE We specialize in wholesale insurance marketing campaigns , built on a model of speed and scale . By executing campaigns at high volume , pivoting quickly with market conditions , and maintaining strict cost controls , we deliver consistent value directly to our buyers ( YOU ) . Because we also operate as an insurance agency , we understand the realities of the business - especially the need to balance marketing spend with lead quality . Our approach is designed to maximize both efficiency and performance , ensuring you get more conversations that convert without overspending . Beginning this year , we've gone a step further by offering flexible financing on a portion of lead costs ( up to 30 % ) , on a case - by - case basis . We recognize that in the insurance industry , there's often a lag between origination and commission payments , and this option helps smooth cash flow so you can keep scaling without disruption ."},"accountIsActive":true,"accountIsFreeTrial":false}}; // ---- Utils ---- function safeJSONStringify(obj) { return JSON.stringify(obj) .replace(/<\/(script|style)/gi, '<\\/$1') .replace(//g, '--\\>') .replace(/\u2028/g, '\\u2028') .replace(/\u2029/g, '\\u2029'); } function preloadScript(href) { try { if (!href) return; if (document.querySelector('link[rel="preload"][href="' + href + '"]')) return; var l = document.createElement("link"); l.rel = "preload"; l.as = "script"; l.href = href; l.crossOrigin = ""; // allow cache reuse in iframe document.head.appendChild(l); } catch (_) {} } function parseQuery() { var out = {}; try { if (!window.location.search) return out; var usp = new URLSearchParams(window.location.search); usp.forEach(function (v, k) { out[k] = v; }); } catch (_) {} return out; } function buildIframeHTML(opts) { var html = '\n' + '\n' + '\n' + ' \n' + ' \n' + ' \n' + '\n' + '\n' + ' \n' + ' \n' + '