{"id":1838,"date":"2023-03-14T03:02:12","date_gmt":"2023-03-14T03:02:12","guid":{"rendered":"http:\/\/bracketweb.com\/insurwp\/?page_id=1838"},"modified":"2025-07-11T11:04:01","modified_gmt":"2025-07-11T11:04:01","slug":"demande-de-devis","status":"publish","type":"page","link":"https:\/\/helyasolutions.com\/index.php\/demande-de-devis\/","title":{"rendered":"Demande de devis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1838\" class=\"elementor elementor-1838\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a7d204 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"8a7d204\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ea0f6e5\" data-id=\"ea0f6e5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e0632d2 elementor-widget elementor-widget-insur-contact-form\" data-id=\"e0632d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"insur-contact-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <!--Policy Proposal Start-->\r\n    <section class=\"policy-proposal\">\r\n        <div class=\"container\">\r\n            <div class=\"policy-proposal__inner\">\r\n                                    <p class=\"policy-proposal__text-1\">Veuillez remplir et soumettre le formulaire ci-dessous. Notre repr\u00e9sentant vous informera des autres conditionset obtenez une \u00e9stimation rapide de votre assurance<\/p>\r\n                                                    \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1844-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1844\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1838#wpcf7-f1844-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1844\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1844-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"policy-proposal__form contact-form-validated\">\n\n    <!-- Champs classiques -->\n    <div class=\"policy-proposal__input-box\">\n        <p class=\"policy-proposal__input-title\">Nom:<\/p>\n       <span class=\"wpcf7-form-control-wrap\" data-name=\"text-303\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-303\" \/><\/span>\n    <\/div>\n\n    <div class=\"policy-proposal__input-box\">\n        <p class=\"policy-proposal__input-title\">Pr\u00e9nom:<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"text-548\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-548\" \/><\/span>\n    <\/div>\n\n    <div class=\"policy-proposal__input-box\">\n        <p class=\"policy-proposal__input-title\">Num\u00e9ro de t\u00e9l\u00e9phone:<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"contact-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"contact-number\" \/><\/span>\n    <\/div>\n\n    <div class=\"policy-proposal__input-box\">\n        <p class=\"policy-proposal__input-title\">Email:<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"email-7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-7\" \/><\/span>\n    <\/div>\n\n    <!-- Type d'assurance -->\n    <div class=\"policy-proposal__input-box\">\n        <p class=\"policy-proposal__input-title\">Choisir le type d'assurance :<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"insurance\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required wide\" aria-required=\"true\" aria-invalid=\"false\" name=\"insurance\"><option value=\"S\u00e9lectionnez un type\">S\u00e9lectionnez un type<\/option><option value=\"Assurance automobile\">Assurance automobile<\/option><option value=\"Habitation\">Habitation<\/option><option value=\"Mutuelle\">Mutuelle<\/option><\/select><\/span>\n    <\/div>\n\n    <!-- Sous-choix pour Assurance auto mobile -->\n    <div class=\"policy-proposal__input-box sub-choice\" id=\"auto-choice\" style=\"display:none;\">\n        <p class=\"policy-proposal__input-title\">S\u00e9lectionnez une option :<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"auto-options\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"auto-options[]\" value=\"D\u00e9j\u00e0 assur\u00e9\" \/><span class=\"wpcf7-list-item-label\">D\u00e9j\u00e0 assur\u00e9<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"auto-options[]\" value=\"1\u00e8re assurance\" \/><span class=\"wpcf7-list-item-label\">1\u00e8re assurance<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"auto-options[]\" value=\"R\u00e9sili\u00e9\" \/><span class=\"wpcf7-list-item-label\">R\u00e9sili\u00e9<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n\n    <!-- Sous-choix pour Habitation -->\n    <div class=\"policy-proposal__input-box sub-choice\" id=\"habitation-choice\" style=\"display:none;\">\n        <p class=\"policy-proposal__input-title\">S\u00e9lectionnez une option :<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"habitation-options\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"habitation-options[]\" value=\"Propri\u00e9taire\" \/><span class=\"wpcf7-list-item-label\">Propri\u00e9taire<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"habitation-options[]\" value=\"Locataire\" \/><span class=\"wpcf7-list-item-label\">Locataire<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n\n    <!-- Sous-choix pour Mutuel -->\n    <div class=\"policy-proposal__input-box sub-choice\" id=\"mutuel-choice\" style=\"display:none;\">\n        <p class=\"policy-proposal__input-title\">S\u00e9lectionnez une option :<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mutuel-options\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"mutuel-options[]\" value=\"Salari\u00e9\" \/><span class=\"wpcf7-list-item-label\">Salari\u00e9<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"mutuel-options[]\" value=\"Retrait\u00e9\" \/><span class=\"wpcf7-list-item-label\">Retrait\u00e9<\/span><\/label><\/span><\/span><\/span>\n    <\/div>\n\n    <button type=\"submit\" class=\"thm-btn policy-proposal__btn\">Obtenir un devis<\/button>\n<\/div>\n\n<!-- JS pour afficher uniquement le groupe correspondant -->\n<script>\ndocument.addEventListener('DOMContentLoaded', function() {\n    const insuranceSelect = document.querySelector('select[name=\"insurance\"]');\n    const autoChoice = document.getElementById('auto-choice');\n    const habitationChoice = document.getElementById('habitation-choice');\n    const mutuelChoice = document.getElementById('mutuel-choice');\n\n    \/\/ Masquer tous au d\u00e9part\n    autoChoice.style.display = 'none';\n    habitationChoice.style.display = 'none';\n    mutuelChoice.style.display = 'none';\n\n    insuranceSelect.addEventListener('change', function() {\n        autoChoice.style.display = 'none';\n        habitationChoice.style.display = 'none';\n        mutuelChoice.style.display = 'none';\n\n        if(this.value === 'Assurance auto mobile') autoChoice.style.display = 'block';\n        else if(this.value === 'Habitation') habitationChoice.style.display = 'block';\n        else if(this.value === 'Mutuel') mutuelChoice.style.display = 'block';\n    });\n});\n<\/script><input type=\"hidden\" id=\"ct_checkjs_cf7_428fca9bc1921c25c5121f9da7815cde\" name=\"ct_checkjs_cf7\" value=\"0\" \/><script>setTimeout(function(){var ct_input_name = \"ct_checkjs_cf7_428fca9bc1921c25c5121f9da7815cde\";if (document.getElementById(ct_input_name) !== null) {var ct_input_value = document.getElementById(ct_input_name).value;document.getElementById(ct_input_name).value = document.getElementById(ct_input_name).value.replace(ct_input_value, '765008867');}}, 1000);<\/script><input\n                    class=\"apbct_special_field apbct_email_id__wp_contact_form_7\"\n                    name=\"apbct__email_id__wp_contact_form_7\"\n                    aria-label=\"apbct__label_id__wp_contact_form_7\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input\n                    class=\"apbct_special_field apbct_email_id__elementor_form\"\n                    name=\"apbct__email_id__elementor_form\"\n                    aria-label=\"apbct__label_id__elementor_form\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><\/form>\n<\/div>\n                            <\/div>\r\n        <\/div>\r\n    <\/section>\r\n    <!--Policy Proposal End-->\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Veuillez remplir et soumettre le formulaire ci-dessous. Notre repr\u00e9sentant vous informera des autres conditionset obtenez une \u00e9stimation rapide de votre assurance Select City: Select citySelect city 01Select city 02Select city 03 Your Full Name: Father\u2019s\/Husband\u2019s Full Name: Indentity No: Date of Birth: Residential Address: Contact No: Fax: Email: Your Occupation: Monthly Income: Chose Plan: Choose [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-1838","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/pages\/1838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/comments?post=1838"}],"version-history":[{"count":4,"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/pages\/1838\/revisions"}],"predecessor-version":[{"id":4350,"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/pages\/1838\/revisions\/4350"}],"wp:attachment":[{"href":"https:\/\/helyasolutions.com\/index.php\/wp-json\/wp\/v2\/media?parent=1838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}