{"id":456,"date":"2019-10-29T21:43:18","date_gmt":"2019-10-29T21:43:18","guid":{"rendered":"http:\/\/www.insurance-education-group.com\/insuranceeducationgroup\/?page_id=456"},"modified":"2019-10-29T21:43:18","modified_gmt":"2019-10-29T21:43:18","slug":"quote-concierge-quote-form","status":"publish","type":"page","link":"https:\/\/www.insurance-education-group.com\/quote-concierge-quote-form\/","title":{"rendered":"Quote Concierge Quote Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_custom_heading text=&#8221;Thank You for Your Interest in Quote Concierge!&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_empty_space][vc_column_text]Due to overwhelming demand, we are not accepting sign-ups at this time.<\/p>\n<p>We&#8217;d love to serve you in the near future, so please fill out the form below to be added to the wait list, and we will reach out to you as soon as we can.<\/p>\n<p>We thank you again and we look forward to serving you soon![\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]\r\n<style type=\"text\/css\">\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=text],\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=email],\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=tel],\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=url],\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=password],\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field input[type=number]\r\n\t{\r\n\t\theight:45px ;\t\tborder-width: 1px;\t}\r\n\tbody #wpforms-455 .wpforms-form .wpforms-field .wpforms-field-row\r\n\t{\r\n\t\t\t}\r\n\t\r\n\r\n\r\n \r\n\tbody #wpforms-455 .wpforms-form .wpforms-field select {\r\n\r\n\t\theight:45px ;\t\tborder-width: 1px;\t}\r\n\r\n\r\n\/* Styling for Tablets *\/\r\n@media only screen and (max-width: 800px) and (min-width:481px) {\r\n\t\r\n\r\n\r\n\r\n}\r\n\r\n@media only screen and (max-width: 480px){\r\n\t\r\n\r\n\r\n\r\n}\r\n\/*Option to add custom CSS *\/\r\n\r\n\r\n\r\n\r\n\t\t<\/style>\r\n\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-455\"><form id=\"wpforms-form-455\" class=\"wpforms-validate wpforms-form\" data-formid=\"455\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/456\" data-token=\"24aa869e5d1e8252597081474cb90228\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-455-field_1-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-first wpforms-mobile-full\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-455-field_1\">Number of Policies:<\/label><select id=\"wpforms-455-field_1\" class=\"wpforms-field-large\" name=\"wpforms[fields][1]\"><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><\/select><\/div><div id=\"wpforms-455-field_2-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-mobile-full\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-455-field_2\">Preferred Billing Method<\/label><select id=\"wpforms-455-field_2\" class=\"wpforms-field-large\" name=\"wpforms[fields][2]\"><option value=\"Annually ($2\/month)\" >Annually ($2\/month)<\/option><option value=\"Monthly ($3\/month)\" >Monthly ($3\/month)<\/option><\/select><\/div><div id=\"wpforms-455-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-455-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-455-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-455-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-455-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"455\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"2\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-455\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Sending...\" data-submit-text=\"Notify Me When Ready\">Notify Me When Ready<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->[vc_column_text]\n<h6><strong>Privacy Notice<\/strong>: All information collected using this secure form will only be used to provide you with the service you requested. 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