Example Contact Form Contact Form for insurance jerks Reason for Contact:Please Select HereCANCEL MEMBERSHIPInsurance CompanySEO CompanyWeb DeveloperUnsolicited VendorTo Cancel your service, simply do the following: Log in to your account Do This Do That Confirm you did Steps 2 and 3 above Log out of your account. That's it! Please select your insurance company below:Odds are I've had your company contact me many many many times.Please Select HereAetnaAflacAllstateAmerican FamilyBerkshire HathawayColonial LifeFamily HeritageFarmersLiberty NationalLiberty MutualProgressivePrudentialState FarmOtherHow much would you like me to spend on your franchise while I'm unemployed?Please Select Here$25,000 - $50,000$50,000 - $100,000$100,000+Your Pitch:I understand SEO is built into WordPress sites and any fool can do their own SEO, but I want to charge you money for something you can do yourself because I am a spammer and: Your Pitch:I understand you built this website (and many others) but want to try and sell you website development because:Your Pitch:I understand you are unemployed and looking for work, but would like you to pull money out your ass because: Your Pitch:I am a spammer that hasn't had a chance to annoy you yet, please consider my worthless services because: Missing Insurance Company:I am shocked your company hasn't hounded me yet to invest in a franchise. To include your company, please provide details below and I'll happily add you to the radio choices above.Your Name:*Your Email Address:*
