Sheva Insurance Services
Quote Funnel — Step 4
"How should we reach you?" — the last step. Desktop base card is live. Also shown: the consent-checkbox variant, and the loading / error / validation states.
Desktop
Base — try it (empty state)
Last step
How should we reach you?
Your broker will follow up with a personalized quote.
Best way to reach you
Best time to reach you
By submitting you agree to be contacted by Sheva Insurance Services about your quote request. We never sell your information.
Consent-checkbox variant — unticked (submit disabled)
Last step
How should we reach you?
Your broker will follow up with a personalized quote.
Phone
(661) 555-0142
Email
james@example.com
Best way to reach you
Phone call
Text message
Email
Best time to reach you
Morning
Afternoon
Evening
Anytime
Mobile
Base — completed reference
Last step
How should we reach you?
Your broker will follow up with a personalized quote.
Phone
(661) 555-0142
Email
maria@example.com
Best way to reach you
Text message
Best time to reach you
Anytime
Anything else we should know? (optional)
Two drivers, one recently licensed.
By submitting you agree to be contacted about your quote request. We never sell your information.
Consent-checkbox variant
Last step
How should we reach you?
Your broker will follow up with a personalized quote.
Phone
(661) 555-0142
Email
james@example.com
Best way to reach you
Phone call
Best time to reach you
Afternoon
Additional states
Field-level validation error
Phone
(661) 555-0142
Email
maria@
Enter a valid email address.
Submitting — loading, disabled
Submission error — data preserved
Something went wrong — please try again.