{"id":3519,"date":"2017-10-16T12:33:39","date_gmt":"2017-10-16T18:33:39","guid":{"rendered":"http:\/\/actioninsurancegroup.com\/?page_id=3519"},"modified":"2020-02-24T14:44:34","modified_gmt":"2020-02-24T21:44:34","slug":"condo-insurance-alberta-quote-form","status":"publish","type":"page","link":"https:\/\/actioninsurancegroup.com\/condo-insurance-alberta-quote-form\/","title":{"rendered":"Condo Insurance Alberta Quote Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-first\" style=\"--awb-bg-size:cover;width:75%;width:calc(75% - ( ( 4% ) * 0.75 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h1>Condo Insurance Quote Form<\/h1>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-clearfix\" style=\"float:left;margin-bottom:20px;width:100%;max-width:25%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:rgba(28,129,184,0.59);border-color:rgba(28,129,184,0.59);border-top-width:3px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-2\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_chrome gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' style='display:none'><div id='gf_9' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/wp-json\/wp\/v2\/pages\/3519#gf_9' data-formid='9' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_9_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_288\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above gfield_visibility_hidden\"  data-js-reload=\"field_9_288\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_9_288'>Source<\/label><div class='ginput_container ginput_container_text'><input name='input_288' id='input_9_288' type='text' value='Direct' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_248\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_248\" ><p style=\"color: #b0e9fd;\">Your request will be reviewed thoroughly by an insurance expert to ensure that we can provide you the best coverage at the most affordable price. You will receive a comprehensive quote by email within two (2) business hours.  If you prefer to obtain a quote by phone, please contact our <a style=\"color: #ffffff;\" href=\"\/contact-us-calgary-insurance\/\">Calgary<\/a> or <a style=\"color: #ffffff;\" href=\"\/contact-us-strathmore-insurance\/\">Strathmore<\/a> office directly.<\/p><\/div><fieldset id=\"field_9_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_2\" ><legend class='gfield_label gform-field-label' >How many applicants on this policy?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_9_2'>Applicants include anyone on the property title.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_2'>\n\t\t\t<div class='gchoice gchoice_9_2_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='One (Referred to as Applicant #1)'  id='choice_9_2_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_9_2\"   \/>\n\t\t\t\t\t<label for='choice_9_2_0' id='label_9_2_0' class='gform-field-label gform-field-label--type-inline'>One (Referred to as Applicant #1)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_2_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='Two (Referred to as Applicant #2)'  id='choice_9_2_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_2_1' id='label_9_2_1' class='gform-field-label gform-field-label--type-inline'>Two (Referred to as Applicant #2)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_2_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_2' type='radio' value='3 +'  id='choice_9_2_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_2_2' id='label_9_2_2' class='gform-field-label gform-field-label--type-inline'>3 +<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_3\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_3\" ><h3>Sorry, this form can only accept up to two applicants.\nWe can still provide you a quote by telephone.  Please call our office directly 1.866.457.4555.<\/h3><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_9_244' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"2\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"2\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_2' class='gform_page' data-js='page-field-id-244' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_2' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_6\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_6\" ><h3 class=\"gsection_title\">Applicant #1<\/h3><\/div><fieldset id=\"field_9_9\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_9'>\n                            \n                            <span id='input_9_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.3' id='input_9_9_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_9_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.6' id='input_9_9_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_9_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_9_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_10\" ><legend class='gfield_label gform-field-label' >Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_10'>\n\t\t\t<div class='gchoice gchoice_9_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Male'  id='choice_9_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_10_0' id='label_9_10_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Female'  id='choice_9_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_10_1' id='label_9_10_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_249\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_249\" ><label class='gfield_label gform-field-label' for='input_9_249'>Date of Birth (mm\/dd\/yyyy)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_249' id='input_9_249' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_249_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_249_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_249' class='gform_hidden' value='https:\/\/actioninsurancegroup.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_9_11\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_11\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_9_11' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_9_11_1_container' >\n                                        <input type='text' name='input_11.1' id='input_9_11_1' value=''    aria-required='true'    \/>\n                                        <label for='input_9_11_1' id='input_9_11_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_9_11_3_container' >\n                                    <input type='text' name='input_11.3' id='input_9_11_3' value=''    aria-required='true'    \/>\n                                    <label for='input_9_11_3' id='input_9_11_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_11.4' id='input_9_11_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_9_11_5_container' >\n                                    <input type='text' name='input_11.5' id='input_9_11_5' value=''    aria-required='true'    \/>\n                                    <label for='input_9_11_5' id='input_9_11_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_11.6' id='input_9_11_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_9_12\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_12\" ><label class='gfield_label gform-field-label' for='input_9_12'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_9_12' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_13\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_13\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_9_13_container'>\n                                <span id='input_9_13_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_13' id='input_9_13' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_9_13' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_9_13_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_13_2' id='input_9_13_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_9_13_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_9_250\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_250\" ><label class='gfield_label gform-field-label' for='input_9_250'>Occupation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_250' id='input_9_250' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_251\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_251\" ><label class='gfield_label gform-field-label' for='input_9_251'>Years Continuously Employed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_251' id='input_9_251' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Less than 1 Year' >Less than 1 Year<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15 +' >15 +<\/option><\/select><\/div><\/div><div id=\"field_9_252\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_252\" ><label class='gfield_label gform-field-label' for='input_9_252'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_252' id='input_9_252' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Single' >Single<\/option><option value='Married' >Married<\/option><option value='Common-Law' >Common-Law<\/option><option value='Divorced' >Divorced<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"1\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"1\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_9_14' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"3\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"3\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_3' class='gform_page' data-js='page-field-id-14' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_3' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_39\" ><h3 class=\"gsection_title\">Applicant #2<\/h3><\/div><fieldset id=\"field_9_253\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_253\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_253'>\n                            \n                            <span id='input_9_253_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_253.3' id='input_9_253_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_253_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_253_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_253.6' id='input_9_253_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_253_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_9_254\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_254\" ><legend class='gfield_label gform-field-label' >Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_254'>\n\t\t\t<div class='gchoice gchoice_9_254_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_254' type='radio' value='Male'  id='choice_9_254_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_254_0' id='label_9_254_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_254_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_254' type='radio' value='Female'  id='choice_9_254_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_254_1' id='label_9_254_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_260\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_260\" ><label class='gfield_label gform-field-label' for='input_9_260'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_260' id='input_9_260' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_260_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_260_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_260' class='gform_hidden' value='https:\/\/actioninsurancegroup.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_9_255\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_255\" ><label class='gfield_label gform-field-label' for='input_9_255'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_255' id='input_9_255' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_256\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_256\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_9_256_container'>\n                                <span id='input_9_256_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_256' id='input_9_256' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_9_256' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_9_256_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_256_2' id='input_9_256_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_9_256_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_9_257\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_257\" ><label class='gfield_label gform-field-label' for='input_9_257'>Occupation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_257' id='input_9_257' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_258\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_258\" ><label class='gfield_label gform-field-label' for='input_9_258'>Years Continuously Employed<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_258' id='input_9_258' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Less than 1 Year' >Less than 1 Year<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15 +' >15 +<\/option><\/select><\/div><\/div><div id=\"field_9_259\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_259\" ><label class='gfield_label gform-field-label' for='input_9_259'>Marital Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_259' id='input_9_259' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Single' >Single<\/option><option value='Married' >Married<\/option><option value='Common-Law' >Common-Law<\/option><option value='Divorced' >Divorced<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_52' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"2\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"2\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_9_52' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"4\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"4\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_4' class='gform_page' data-js='page-field-id-52' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_4' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_51\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_51\" ><h3 class=\"gsection_title\">History<\/h3><\/div><div id=\"field_9_261\" class=\"gfield gfield--type-select field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_261\" ><label class='gfield_label gform-field-label' for='input_9_261'>Claims or Losses?<\/label><div class='gfield_description' id='gfield_description_9_261'>Have there been any insurance losses or claims made by the applicant(s) in the past five (5) years? <\/div><div class='ginput_container ginput_container_select'><select name='input_261' id='input_9_261' class='medium gfield_select'  aria-describedby=\"gfield_description_9_261\"   aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_9_262\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_262\" ><label class='gfield_label gform-field-label' for='input_9_262'>Specify...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_262'>Please state the date and details of the claim or loss.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_262' id='input_9_262' class='textarea medium'  aria-describedby=\"gfield_description_9_262\" maxlength='500'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_9_263\" class=\"gfield gfield--type-select field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_263\" ><label class='gfield_label gform-field-label' for='input_9_263'>Policy Cancellation?<\/label><div class='gfield_description' id='gfield_description_9_263'>Have you ever had an insurance policy cancelled?<\/div><div class='ginput_container ginput_container_select'><select name='input_263' id='input_9_263' class='medium gfield_select'  aria-describedby=\"gfield_description_9_263\"   aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><div id=\"field_9_264\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_264\" ><label class='gfield_label gform-field-label' for='input_9_264'>Cancellation Details ...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_264'>Please provide details of when your policy was cancelled, with whom and why it was cancelled.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_264' id='input_9_264' class='textarea medium'  aria-describedby=\"gfield_description_9_264\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_147' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"3\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"3\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_9_147' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"5\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"5\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_5' class='gform_page' data-js='page-field-id-147' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_5' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_265\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_265\" ><h3 class=\"gsection_title\">Condo Information<\/h3><\/div><div id=\"field_9_266\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_266\" ><label class='gfield_label gform-field-label' for='input_9_266'>Purchase Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_266'>When did you purchase the condo?<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_266' id='input_9_266' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_266_date_format gfield_description_9_266\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_266_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_266' class='gform_hidden' value='https:\/\/actioninsurancegroup.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_9_283\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_283\" ><label class='gfield_label gform-field-label' for='input_9_283'>Mortgage Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_283'>Do you have an mortgage on your condo?<\/div><div class='ginput_container ginput_container_select'><select name='input_283' id='input_9_283' class='medium gfield_select'  aria-describedby=\"gfield_description_9_283\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><div id=\"field_9_284\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_284\" ><label class='gfield_label gform-field-label' for='input_9_284'>Mortgage Details ...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_284'>Please indicate the bank that holds your mortgage and the current mortgage amount.<\/div><div class='ginput_container ginput_container_text'><input name='input_284' id='input_9_284' type='text' value='' class='medium'  aria-describedby=\"gfield_description_9_284\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_267\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_267\" ><label class='gfield_label gform-field-label' for='input_9_267'>Year Built<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_267'>When was the condo built?<\/div><div class='ginput_container ginput_container_select'><select name='input_267' id='input_9_267' class='medium gfield_select'  aria-describedby=\"gfield_description_9_267\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Before 1920' >Before 1920<\/option><option value='Unsure' >Unsure<\/option><option value='1920' >1920<\/option><option value='1921' >1921<\/option><option value='1922' >1922<\/option><option value='1923' >1923<\/option><option value='1924' >1924<\/option><option value='1925' >1925<\/option><option value='1926' >1926<\/option><option value='1927' >1927<\/option><option value='1928' >1928<\/option><option value='1929' >1929<\/option><option value='1930' >1930<\/option><option value='1931' >1931<\/option><option value='1932' >1932<\/option><option value='1933' >1933<\/option><option value='1934' >1934<\/option><option value='1935' >1935<\/option><option value='1936' >1936<\/option><option value='1937' >1937<\/option><option value='1938' >1938<\/option><option value='1939' >1939<\/option><option value='1940' >1940<\/option><option value='1941' >1941<\/option><option value='1942' >1942<\/option><option value='1943' >1943<\/option><option value='1944' >1944<\/option><option value='1945' >1945<\/option><option value='1946' >1946<\/option><option value='1947' >1947<\/option><option value='1948' >1948<\/option><option value='1949' >1949<\/option><option value='1950' >1950<\/option><option value='1951' >1951<\/option><option value='1952' >1952<\/option><option value='1953' >1953<\/option><option value='1954' >1954<\/option><option value='1955' >1955<\/option><option value='1956' >1956<\/option><option value='1957' >1957<\/option><option value='1958' >1958<\/option><option value='1959' >1959<\/option><option value='1960' >1960<\/option><option value='1961' >1961<\/option><option value='1962' >1962<\/option><option value='1963' >1963<\/option><option value='1964' >1964<\/option><option value='1965' >1965<\/option><option value='1966' >1966<\/option><option value='1967' >1967<\/option><option value='1968' >1968<\/option><option value='1969' >1969<\/option><option value='1970' >1970<\/option><option value='1971' >1971<\/option><option value='1972' >1972<\/option><option value='1973' >1973<\/option><option value='1974' >1974<\/option><option value='1975' >1975<\/option><option value='1976' >1976<\/option><option value='1977' >1977<\/option><option value='1978' >1978<\/option><option value='1979' >1979<\/option><option value='1980' >1980<\/option><option value='1981' >1981<\/option><option value='1982' >1982<\/option><option value='1983' >1983<\/option><option value='1984' >1984<\/option><option value='1985' >1985<\/option><option value='1986' >1986<\/option><option value='1987' >1987<\/option><option value='1988' >1988<\/option><option value='1989' >1989<\/option><option value='1990' >1990<\/option><option value='1991' >1991<\/option><option value='1992' >1992<\/option><option value='1993' >1993<\/option><option value='1994' >1994<\/option><option value='1995' >1995<\/option><option value='1996' >1996<\/option><option value='1997' >1997<\/option><option value='1998' >1998<\/option><option value='1999' >1999<\/option><option value='2000' >2000<\/option><option value='2001' >2001<\/option><option value='2002' >2002<\/option><option value='2003' >2003<\/option><option value='2004' >2004<\/option><option value='2005' >2005<\/option><option value='2006' >2006<\/option><option value='2007' >2007<\/option><option value='2008' >2008<\/option><option value='2009' >2009<\/option><option value='2010' >2010<\/option><option value='2011' >2011<\/option><option value='2012' >2012<\/option><option value='2013' >2013<\/option><option value='2014' >2014<\/option><option value='2015' >2015<\/option><option value='2016' >2016<\/option><option value='2017' >2017<\/option><option value='2018' >2018<\/option><option value='2019' >2019<\/option><option value='2020' >2020<\/option><option value='2021' >2021<\/option><option value='2022' >2022<\/option><option value='2023' >2023<\/option><option value='2024' >2024<\/option><option value='2025' >2025<\/option><\/select><\/div><\/div><div id=\"field_9_268\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_268\" ><label class='gfield_label gform-field-label' for='input_9_268'>Number of Storys<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_268'>How many floors, exluding the basement does the condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_268' id='input_9_268' class='medium gfield_select'  aria-describedby=\"gfield_description_9_268\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='One' >One<\/option><option value='Two' >Two<\/option><option value='Three' >Three<\/option><option value='Four' >Four<\/option><option value='Five' >Five<\/option><\/select><\/div><\/div><div id=\"field_9_269\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_269\" ><label class='gfield_label gform-field-label' for='input_9_269'>How Many Units?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_269'>How many units are in your condominium?  <\/div><div class='ginput_container ginput_container_text'><input name='input_269' id='input_9_269' type='text' value='' class='medium'  aria-describedby=\"gfield_description_9_269\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_270\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_270\" ><label class='gfield_label gform-field-label' for='input_9_270'>Square Footage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_270'>Enter the square footage of your condo, excluding basement.<\/div><div class='ginput_container ginput_container_text'><input name='input_270' id='input_9_270' type='text' value='' class='medium'  aria-describedby=\"gfield_description_9_270\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_271\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_271\" ><label class='gfield_label gform-field-label' for='input_9_271'>Number of Bathrooms<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_271'>Include all bathrooms.<\/div><div class='ginput_container ginput_container_select'><select name='input_271' id='input_9_271' class='medium gfield_select'  aria-describedby=\"gfield_description_9_271\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='1' >1<\/option><option value='1.5' >1.5<\/option><option value='2' >2<\/option><option value='2.5' >2.5<\/option><option value='3' >3<\/option><option value='3.5' >3.5<\/option><option value='4' >4<\/option><option value='4.5' >4.5<\/option><option value='5' >5<\/option><option value='5.5' >5.5<\/option><option value='6' >6<\/option><option value='6+' >6+<\/option><\/select><\/div><\/div><div id=\"field_9_273\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_273\" ><label class='gfield_label gform-field-label' for='input_9_273'>Basement Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_273'>What type of basement does your condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_273' id='input_9_273' class='medium gfield_select'  aria-describedby=\"gfield_description_9_273\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='None' >None<\/option><option value='Below Grade' >Below Grade<\/option><option value='Partial' >Partial<\/option><option value='Walkout' >Walkout<\/option><\/select><\/div><\/div><div id=\"field_9_274\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_274\" ><label class='gfield_label gform-field-label' for='input_9_274'>Basement Sq. Footage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_274'>What is the square footage of your basement?<\/div><div class='ginput_container ginput_container_text'><input name='input_274' id='input_9_274' type='text' value='' class='medium'  aria-describedby=\"gfield_description_9_274\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_275\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_275\" ><label class='gfield_label gform-field-label' for='input_9_275'>Basement Finished?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_275'>What percentage of your basement is finished?<\/div><div class='ginput_container ginput_container_select'><select name='input_275' id='input_9_275' class='medium gfield_select'  aria-describedby=\"gfield_description_9_275\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='None' >None<\/option><option value='Partial' >Partial<\/option><option value='Full' >Full<\/option><\/select><\/div><\/div><div id=\"field_9_278\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_278\" ><label class='gfield_label gform-field-label' for='input_9_278'>Fireplace?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_278'>Does your condo have a fireplace?<\/div><div class='ginput_container ginput_container_select'><select name='input_278' id='input_9_278' class='medium gfield_select'  aria-describedby=\"gfield_description_9_278\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='No' >No<\/option><option value='Yes - Electric' >Yes - Electric<\/option><option value='Yes - Gas' >Yes - Gas<\/option><option value='Yes - Mix' >Yes - Mix<\/option><\/select><\/div><\/div><div id=\"field_9_281\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_281\" ><label class='gfield_label gform-field-label' for='input_9_281'>Furnace Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_281'>What type of heat does your condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_281' id='input_9_281' class='medium gfield_select'  aria-describedby=\"gfield_description_9_281\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Gas' >Gas<\/option><option value='Electric' >Electric<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/div><div id=\"field_9_282\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_282\" ><label class='gfield_label gform-field-label' for='input_9_282'>Water Heater Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_282'>What type of water heater does your condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_282' id='input_9_282' class='medium gfield_select'  aria-describedby=\"gfield_description_9_282\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Gas' >Gas<\/option><option value='Electric' >Electric<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/div><div id=\"field_9_272\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_272\" ><label class='gfield_label gform-field-label' for='input_9_272'>Garage Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_272' id='input_9_272' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='None' >None<\/option><option value='Shared Underground' >Shared Underground<\/option><option value='Single Attached' >Single Attached<\/option><option value='Single Detached' >Single Detached<\/option><option value='Double Attached' >Double Attached<\/option><option value='Double Detached' >Double Detached<\/option><option value='Triple Attached' >Triple Attached<\/option><option value='Triple Detached' >Triple Detached<\/option><\/select><\/div><\/div><div id=\"field_9_276\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_276\" ><label class='gfield_label gform-field-label' for='input_9_276'>Condo Siding<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_276'>What type of exterior does your condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_276' id='input_9_276' class='medium gfield_select'  aria-describedby=\"gfield_description_9_276\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Vinyl' >Vinyl<\/option><option value='Brick' >Brick<\/option><option value='Concrete' >Concrete<\/option><option value='Wood' >Wood<\/option><option value='Mix' >Mix<\/option><option value='Stucco' >Stucco<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/div><div id=\"field_9_277\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_277\" ><label class='gfield_label gform-field-label' for='input_9_277'>Roof<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_277'>What type of roof does your condo have?<\/div><div class='ginput_container ginput_container_select'><select name='input_277' id='input_9_277' class='medium gfield_select'  aria-describedby=\"gfield_description_9_277\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Ashpalt Tile' >Ashpalt Tile<\/option><option value='Clay' >Clay<\/option><option value='Metal' >Metal<\/option><option value='Wood' >Wood<\/option><option value='Unsure' >Unsure<\/option><\/select><\/div><\/div><div id=\"field_9_279\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_279\" ><label class='gfield_label gform-field-label' for='input_9_279'>Sump Pump?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_279'>Does your condo have a sump pump?<\/div><div class='ginput_container ginput_container_select'><select name='input_279' id='input_9_279' class='medium gfield_select'  aria-describedby=\"gfield_description_9_279\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='No' >No<\/option><option value='Yes' >Yes<\/option><option value='Not Sure' >Not Sure<\/option><\/select><\/div><\/div><div id=\"field_9_280\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_280\" ><label class='gfield_label gform-field-label' for='input_9_280'>Alarm Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_280'>Is your condo protected by security alarms?<\/div><div class='ginput_container ginput_container_select'><select name='input_280' id='input_9_280' class='medium gfield_select'  aria-describedby=\"gfield_description_9_280\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='No' >No<\/option><option value='Yes - Monitored by 3rd Party' >Yes - Monitored by 3rd Party<\/option><option value='Yes - Self Monitored' >Yes - Self Monitored<\/option><option value='Yes - Common Areas Only' >Yes - Common Areas Only<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_285' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"4\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"4\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_9_285' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_9\").val(\"6\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_9\").val(\"6\");  jQuery(\"#gform_9\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_6' class='gform_page' data-js='page-field-id-285' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_6' class='gform_fields top_label form_sublabel_below description_above'><div id=\"field_9_287\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_287\" ><h3 class=\"gsection_title\">Final Questions ...<\/h3><\/div><div id=\"field_9_229\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_229\" ><label class='gfield_label gform-field-label' for='input_9_229'>How did you hear about us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_229' id='input_9_229' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Action Insurance Group Staff Member' >Action Insurance Group Staff Member<\/option><option value='Employee Group Program' >Employee Group Program<\/option><option value='A Specific Broker' >A Specific Broker<\/option><option value='Radio Ad' >Radio Ad<\/option><option value='Google' >Google<\/option><option value='Bing' >Bing<\/option><option value='Facebook' >Facebook<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_9_230\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_230\" ><label class='gfield_label gform-field-label' for='input_9_230'>Referral Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_9_230'>Please Specify the Action Insurance Group staff member, Employee Group, Friend or Family Member or Specific Broker's name that referred you to us.<\/div><div class='ginput_container ginput_container_text'><input name='input_230' id='input_9_230' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_230\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_232\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_232\" ><label class='gfield_label gform-field-label' for='input_9_232'>What is your preferred contact method?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_232' id='input_9_232' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select ...<\/option><option value='Email' >Email<\/option><option value='Phone' >Phone<\/option><option value='Either' >Either<\/option><\/select><\/div><\/div><fieldset id=\"field_9_247\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_247\" ><legend class='gfield_label gform-field-label' >What office are you nearest?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_247'>\n\t\t\t<div class='gchoice gchoice_9_247_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='Calgary, AB'  id='choice_9_247_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_247_0' id='label_9_247_0' class='gform-field-label gform-field-label--type-inline'>Calgary, AB<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_247_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_247' type='radio' value='Strathmore, AB'  id='choice_9_247_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_9_247_1' id='label_9_247_1' class='gform-field-label gform-field-label--type-inline'>Strathmore, AB<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_212\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_212\" ><label class='gfield_label gform-field-label' for='input_9_212'>Comments<\/label><div class='gfield_description' id='gfield_description_9_212'>Please let us know if you have any additional information or comments.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_212' id='input_9_212' class='textarea large'  aria-describedby=\"gfield_description_9_212\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_289\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_9_289\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_9_289'>As your broker, I am gathering this consent on behalf of the insurer who advises me that: in respect of this quotation\/application, any policy we issue and subsequent renewals or changes, we may collect, use and disclose personal information reports including policy history, claims history, investigative information, rating information, risk information and only with respect to you, your personal credit information including credit score, as permitted by law and in accordance with our privacy policies.<br \/>\n<br \/>\nDo you, and on behalf of others listed, authorize us to collect, use and disclose to appropriate third parties, including your broker, this information solely relating to your personal property policy for the purposes necessary to assess the risk, determine a premium, determine eligibility and conditions for a premium payment plan, investigate and settle claims, analyze business results and detect and prevent fraud?<br \/>\n<\/div><div class='ginput_container ginput_container_consent'><input name='input_289.1' id='input_9_289_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_9_289\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_9_289_1' >I agree<\/label><input type='hidden' name='input_289.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_289.3' value='3' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_9' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_9\"]){return false;}  if( !jQuery(\"#gform_9\")[0].checkValidity || jQuery(\"#gform_9\")[0].checkValidity()){window[\"gf_submitting_9\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_9\"]){return false;} if( !jQuery(\"#gform_9\")[0].checkValidity || jQuery(\"#gform_9\")[0].checkValidity()){window[\"gf_submitting_9\"]=true;}  jQuery(\"#gform_9\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_9' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_9\"]){return false;}  if( !jQuery(\"#gform_9\")[0].checkValidity || jQuery(\"#gform_9\")[0].checkValidity()){window[\"gf_submitting_9\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_9\"]){return false;} if( !jQuery(\"#gform_9\")[0].checkValidity || jQuery(\"#gform_9\")[0].checkValidity()){window[\"gf_submitting_9\"]=true;}  jQuery(\"#gform_9\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_9' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='9' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_9' value='WyJ7XCIyODkuMVwiOlwiZTk5OGFlYTI4YTAzYzc4ZDg3YmFjMzk0MmVkZTI3YWZcIixcIjI4OS4yXCI6XCI0YmMwYjMyNjBlODYyZjg3YzE4ODU5YmI1MDIwYzgzZFwiLFwiMjg5LjNcIjpcIjE0ZmI3MTJiYTM4ODRlN2UxZGZkZGM4ZGYzZjQ3NWUwXCJ9IiwiYzUzM2ExODNmMzcyNjNlNzMzMzRlNDA1ZmEzOWEzN2YiXQ==' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_9' id='gform_target_page_number_9' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_9' id='gform_source_page_number_9' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 9, 'https:\/\/actioninsurancegroup.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_9').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_9');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_9').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_9').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_9').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_9').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_9').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_9').val();gformInitSpinner( 9, 'https:\/\/actioninsurancegroup.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [9, current_page]);window['gf_submitting_9'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_9').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_9').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [9]);window['gf_submitting_9'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_9').text());}, 50);}else{jQuery('#gform_9').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"9\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_9\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_9\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_9\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [9, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 9, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last\" style=\"--awb-bg-size:cover;width:25%;width:calc(25% - ( ( 4% ) * 0.25 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"800\" height=\"325\" alt=\"secure auto insurance quote form\" title=\"secure-form\" src=\"https:\/\/actioninsurancegroup.com\/wp-content\/uploads\/2017\/10\/secure-form.png\" class=\"img-responsive wp-image-3484\" srcset=\"https:\/\/actioninsurancegroup.com\/wp-content\/uploads\/2017\/10\/secure-form-200x81.png 200w, https:\/\/actioninsurancegroup.com\/wp-content\/uploads\/2017\/10\/secure-form-400x163.png 400w, https:\/\/actioninsurancegroup.com\/wp-content\/uploads\/2017\/10\/secure-form-600x244.png 600w, https:\/\/actioninsurancegroup.com\/wp-content\/uploads\/2017\/10\/secure-form.png 800w\" sizes=\"(max-width: 800px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-3\"><p style=\"color: #ffffff; font-size: 12px;\">The information you provide on this form is encrypted with SSL technology to ensure your information is safe. We will never share, sell or publish your personal information. You can learn more by reading our <a href=\"\/privacy-policy\/\">privacy policy<\/a>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/pages\/3519"}],"collection":[{"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/comments?post=3519"}],"version-history":[{"count":0,"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/pages\/3519\/revisions"}],"wp:attachment":[{"href":"https:\/\/actioninsurancegroup.com\/wp-json\/wp\/v2\/media?parent=3519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}