{"id":491,"date":"2024-08-29T12:04:12","date_gmt":"2024-08-29T10:04:12","guid":{"rendered":"https:\/\/jlc-assurances.com\/?page_id=491"},"modified":"2024-10-15T19:41:27","modified_gmt":"2024-10-15T17:41:27","slug":"devis-assurance-sante","status":"publish","type":"page","link":"https:\/\/jlc-assurances.com\/?page_id=491","title":{"rendered":"Devis Assurance sant\u00e9"},"content":{"rendered":"\n<section id=\"wp-block-themeisle-blocks-advanced-columns-e7931e5c\" class=\"wp-block-themeisle-blocks-advanced-columns alignfull has-1-columns has-desktop-equal-layout has-tablet-equal-layout has-mobile-equal-layout has-vertical-top has-light-bg\"><div class=\"wp-block-themeisle-blocks-advanced-columns-overlay\"><\/div><div class=\"innerblocks-wrap\">\n<div id=\"wp-block-themeisle-blocks-advanced-column-49224624\" class=\"wp-block-themeisle-blocks-advanced-column\">\n<style type=\"text\/css\">#nex-forms{display:none;}<\/style><div id=\"nf_form_80432\">\r\n\t\t\t\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-spinner div:after {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-grid div {background: #40C4FF; }\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-ellipsis div { background: #40C4FF;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-default div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-roller div:after {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-heart div,\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-heart div:after,\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-heart div:before {background: #40C4FF;}\r\n\t\r\n\t\t\t\t\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-facebook div {background: #40C4FF;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-circle > div {background: #40C4FF;}\r\n\t\t\t\t\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t\t#nex-forms.assurance_sant\u00e9_v2 .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\r\n\t\t\t<\/style>\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\" data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms assurance_sant\u00e9_v2  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-default\"><div class=\"nex_success_message msg_top msgv2 animated hidden\" style=\"display:none;\"><div class=\"nex_success_message_container\" style=\"background: #fff; box-shadow: #00000033 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color:#ddd;\"><div class=\"msg_text\"><div class=\"form_field all_fields icon html_fields wow bounceInUp\" style=\"margin-bottom: 15px;\" id=\"_21501\" data-animation-name=\"bounceInUp\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"icon_container_wrapper icon_center\">\n\t\t\t\t\t\t\t\t  <div class=\"icon_container\" id=\"field_container\" style=\"border-width: 0px; background-color: transparent;\">\n\t\t\t\t\t\t\t\t\t<div class=\"\">\n\t\t\t\t\t\t\t\t\t  <div class=\"input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element icon_element\" style=\"font-size: 50px; color: #8bc34a;\"><span class=\"fas fa-check-circle\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields html html_fields wow fadeInDown\" style=\"margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-wow-delay=\"0.5s\" id=\"_75632\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t  <div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t\t  <div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Merci d'avoir compl\u00e9t\u00e9 votre demande de devis assurance sant\u00e9.<br>Nos conseillers se chargent de vous transmettre un devis dans les meilleurs d\u00e9lais !<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both;\"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container ui-nex-forms-container-fe  bootstrap\" id=\"ui-nex-forms-container-11\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div class=\"nex-forms-header-footer nex-forms-header timer_inline timer_right \"><div class=\"bc-outer-container \"><div style=\"\" class=\"nf_ms_breadcrumb  bc-gutter-20 bc-top bc-solid bc-connected bc-unfolded pilled \">\n\t\t\t\t\t\t\t\t\t\t<ul class=\"the_br align_center pilled md-color-blue has-no-descriptions\" data-align-crumb=\"align_center\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"blue\" data-show-front-end=\"yes\" data-show-inside=\"no\"><li class=\"no-description has-icon current\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">1<\/span><span class=\"the_step_icon fas fa-award\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"1\"><div class=\"sreader\">1<\/div><div class=\"step_title\">Vos garanties souhait\u00e9es 1<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon current-next\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">2<\/span><span class=\"the_step_icon fas fa-award\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"2\"><div class=\"sreader\">2<\/div><div class=\"step_title\">Vos garanties souhait\u00e9es 2<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">3<\/span><span class=\"the_step_icon fas fa-birthday-cake\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"3\"><div class=\"sreader\">3<\/div><div class=\"step_title\">Votre date de naissance<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">4<\/span><span class=\"the_step_icon fas fa-phone\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"4\"><div class=\"sreader\">4<\/div><div class=\"step_title\">Votre r\u00e9gime &amp; Nombre d'enfants<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description has-icon\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">5<\/span><span class=\"the_step_icon fas fa-chalkboard-teacher\"><\/span><\/div><a href=\"#\" rel=\"nofollow\" data-show-step=\"5\"><div class=\"sreader\">5<\/div><div class=\"step_title\">Vos coordonn\u00e9es<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><\/ul>\n\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar the_br\" style=\"display:none;\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"blue\" data-show-front-end=\"yes\" data-show-inside=\"no\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar_percentage md-color-blue\" style=\"width:5%;\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span>0%<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/jlc-assurances.com\/wp-content\/plugins\/nex-forms<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">false<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/jlc-assurances.com\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/jlc-assurances.com<\/div><div class=\"hidden\" id=\"ms_scroll_to_top\" style=\"display:none;\">no<\/div><div class=\"v7_container form_type_normal   \" style=\"padding: 28px; background: white; width: 100%; box-shadow: #00000033 0px 7px 16px 0px;\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"11\" class=\"submit-nex-form nex-forms-11\" data-form-id=\"11\" name=\"nex_form\" action=\"https:\/\/jlc-assurances.com\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"11\"><input type=\"hidden\" name=\"ip\" value=\"216.73.216.134\"><input type=\"hidden\" name=\"nf_page_id\" value=\"491\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Devis Assurance sant\u00e9\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_34551\" id=\"_34551\">\n\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" autocomplete=\"enabled\" id=\"_34551__ms_current_step\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_67275\" id=\"_67275\">\n\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" autocomplete=\"enabled\" id=\"_67275__ms_current_step\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_27504\" id=\"_27504\">\n\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" autocomplete=\"enabled\" id=\"_27504__ms_current_step\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_35253\" id=\"_35253\">\n\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" autocomplete=\"enabled\" id=\"_35253__ms_current_step\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"form_field hidden\" style=\"\" data-id=\"_48319\" id=\"_48319\">\n\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\" autocomplete=\"enabled\" id=\"_48319__ms_current_step\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"custom-fields step nf_multi_step_1 is_grid\" style=\"position: relative; left: 0px; top: 0px;\" data-step-name=\"Vos garanties souhait\u00e9es 1\" data-step-num=\"1\" data-id=\"_3472\" data-step-icon=\"fas fa-award\" id=\"_3472\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading heading html_fields\" style=\"margin-bottom: 2px; position: relative; top: 0px;\" data-id=\"_60760\" id=\"_60760\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\" autocomplete=\"enabled\" id=\"_60760__math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"font-size: 21px;\">Calculez votre tarif d'Assurance Sant\u00e9 en ligne \u00e0 partir de 18\u20ac\/mois !<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-id=\"_25293\" data-grid-name=\"\" style=\"position: relative; left: 0px; top: 0px;\" id=\"_25293\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_25293  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"panel-default\"><div class=\"panel-body\"><\/div><\/div><\/div><div class=\"grid_input_holder id-_25293  col-sm-8 grid-target-1\" data-grid-width=\"8\" data-grid-num=\"1\"><div class=\"form_field all_fields select common_fields selection_fields required\" style=\"margin-bottom: 15px;\" data-id=\"_89423\" id=\"_89423\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__89423\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">*Garanties d'hospitalisation souhait\u00e9s ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"garanties_dhospitalisation_souhait\u00e9s_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Obligatoire\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\" id=\"input__89423\"><option value=\"0\" selected=\"selected\">--- S\u00e9l\u00e9ctionnez votre choix ---<\/option><option value=\"Faible\">Faible<\/option><option value=\"Moyen\">Moyen<\/option><option value=\"Fort\">Fort<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required\" style=\"margin-bottom: 15px;\" data-id=\"_88981\" id=\"_88981\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__88981\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">*Garanties dentaires souhait\u00e9s ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"garanties_dentaires_souhait\u00e9s_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Obligatoire\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\" id=\"input__88981\"><option value=\"0\" selected=\"selected\">--- S\u00e9l\u00e9ctionnez votre choix ---<\/option><option value=\"Faible\">Faible<\/option><option value=\"Moyen\">Moyen<\/option><option value=\"Fort\">Fort<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_25293  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" data-id=\"_7165\" id=\"_7165\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"svg_ready the_input_element btn btn-default nex-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><a href=\"#primary\" style=\"width: 50px !important; padding: 27px !important; margin: 0 -29px 0 -26px !important; color: #fff !important;\"><span class=\"fa fa-chevron-right\"><\/span><\/a><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields wow fadeInDown\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-id=\"_22710\" id=\"_22710\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\" autocomplete=\"enabled\" id=\"_22710__math_result\"><h3 style=\"font-size: 24px;\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><\/h3><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_2 is_grid\" style=\"position: relative; left: 0px; top: 0px; display: none;\" data-step-name=\"Vos garanties souhait\u00e9es 2\" data-step-num=\"2\" data-id=\"_70781\" data-step-icon=\"fas fa-award\" id=\"_70781\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid-system-3 is_grid\" data-id=\"_63018\" data-grid-name=\"\" style=\"position: relative; left: 0px; top: 0px;\" id=\"_63018\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_63018  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"panel-default\"><div class=\"panel-body\"><\/div><\/div><\/div><div class=\"grid_input_holder id-_63018  col-sm-8 grid-target-1\" data-grid-width=\"8\" data-grid-num=\"1\"><div class=\"form_field all_fields select common_fields selection_fields required\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_96960\" id=\"_96960\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__96960\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">*Garanties sur les frais m\u00e9dicaux souhait\u00e9s ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"garanties_sur_les_frais_m\u00e9dicaux_souhait\u00e9s_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Merci de choisir le niveau de garantie en frais m\u00e9dicaux\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\" id=\"input__96960\"><option value=\"0\" selected=\"selected\">--- S\u00e9l\u00e9ctionnez votre choix ---<\/option><option value=\"Faible\">Faible<\/option><option value=\"Moyen\">Moyen<\/option><option value=\"Fort\">Fort<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_50458\" id=\"_50458\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__50458\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">*Garanties optiques souhait\u00e9s ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"garanties_optiques_souhait\u00e9s_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Merci de choisir le niveau de garantie en optique\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\" id=\"input__50458\"><option value=\"0\" selected=\"selected\">--- S\u00e9l\u00e9ctionnez votre choix ---<\/option><option value=\"Faible\">Faible<\/option><option value=\"Moyen\">Moyen<\/option><option value=\"Fort\">Fort<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_63018  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" data-id=\"_11665\" id=\"_11665\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"svg_ready the_input_element btn btn-default nex-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><a href=\"#primary\" style=\"width: 50px !important; padding: 27px !important; margin: 0 -29px 0 -26px !important; color: #fff !important;\"><span class=\"fa fa-chevron-right\"><\/span><\/a><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields heading html_fields wow fadeInDown\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-id=\"_70009\" id=\"_70009\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\" autocomplete=\"enabled\" id=\"_70009__math_result\"><h3 style=\"font-size: 24px;\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><\/h3><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step has_prefix_icon nf_multi_step_3 is_grid\" style=\"display: none;\" data-step-name=\"Votre date de naissance\" data-step-num=\"3\" data-id=\"_53738\" data-step-icon=\"fas fa-birthday-cake\" id=\"_53738\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields wow fadeInDown\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-id=\"_95465\" id=\"_95465\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\" autocomplete=\"enabled\" id=\"_95465__math_result\"><h3 style=\"font-size: 24px;\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\"><\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 has_prefix_icon is_grid\" data-id=\"_67415\" style=\"position: relative; left: 0px; top: 0px;\" id=\"_67415\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_67415  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_25503\" id=\"_25503\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_left\"><button class=\"svg_ready the_input_element btn btn-default prev-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><span class=\"fa fa-chevron-left\"><\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_67415  col-sm-8 grid-target-1\" data-grid-width=\"8\" data-grid-num=\"1\"><div class=\"form_field all_fields date special_fields has_prefix_icon is_focused\" style=\"margin-bottom: 15px;\" data-id=\"_73685\" id=\"_73685\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__73685\"><span class=\"the_label style_bold\" style=\"font-size: 15px; color: #00599f;\">Quelle est votre date de naissance ?<\/span><small class=\"sub-text style_italic\">Saisir au format JJ\/MM\/AAAA<\/small><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"DD\/MM\/YYYY\" data-language=\"fr\"><span class=\"input-group-addon prefix\" style=\"color: #888888; background: white; border-color: #dddddd;\"><span class=\"fas fa-birthday-cake\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"quelle_est_votre_date_de_naissance_\" class=\"error_message form-control the_input_element aling_left align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Merci de saisir votre date de naissance au format JJ\/MM\/AAAA\" title=\"\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" placeholder=\"JJ\/MM\/AAAA\" id=\"input__73685\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_67415  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_73577\" id=\"_73577\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"svg_ready the_input_element btn btn-default nex-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><span class=\"fa fa-chevron-right\"><\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step nf_multi_step_4 is_grid\" style=\"display: none;\" data-step-name=\"Votre r\u00e9gime &amp; Nombre d'enfants\" data-step-num=\"4\" data-id=\"_41223\" data-step-icon=\"fas fa-phone\" id=\"_41223\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid-system-3 is_grid\" style=\"position: relative; top: 0px; left: 0px;\" data-id=\"_34200\" id=\"_34200\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_34200  col-sm-2 grid-target-0\" data-grid-width=\"2\" data-grid-num=\"0\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_96886\" id=\"_96886\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_left\"><button class=\"svg_ready the_input_element btn btn-default prev-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><span class=\"fa fa-chevron-left\"><\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_34200  col-sm-8 grid-target-1\" data-grid-width=\"8\" data-grid-num=\"1\"><div class=\"form_field all_fields select common_fields selection_fields required\" style=\"margin-bottom: 15px;\" data-id=\"_52431\" id=\"_52431\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__52431\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">*Quel est votre r\u00e9gime ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"quel_est_votre_r\u00e9gime_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Merci de saisir votre r\u00e9gime\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"0\" data-required=\"true\" id=\"input__52431\"><option value=\"0\" selected=\"selected\">--- S\u00e9l\u00e9ctionnez votre choix ---<\/option><option value=\"R\u00e9gime g\u00e9n\u00e9ral\">R\u00e9gime g\u00e9n\u00e9ral<\/option><option value=\"R\u00e9gime TNS\">R\u00e9gime TNS<\/option><option value=\"R\u00e9gime agricole\">R\u00e9gime agricole<\/option><option value=\"R\u00e9gine Moselle\">R\u00e9gine Moselle<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields\" style=\"margin-bottom: 15px;\" data-id=\"_96208\" id=\"_96208\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \" for=\"input__96208\"><span class=\"the_label style_bold\" style=\"font-size: 16px; color: #00599f;\">Combien d'enfants avez-vous ?<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"combien_denfants_avez-vous_\" class=\"the_input_element error_message text pre-format form-control aling_left align_left\" data-content=\"Merci de saisir le nombre de vos enfants\" style=\"font-size: 13px; color: #000000; background: white; border-color: #dddddd;\" data-default-selected-value=\"Sans enfant\" data-required=\"false\" data-selected=\"0\" id=\"input__96208\"><option value=\"Sans enfant\" selected=\"selected\">Sans enfant<\/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><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_34200  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_62430\" id=\"_62430\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_right\"><button class=\"svg_ready the_input_element btn btn-default nex-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><span class=\"fa fa-chevron-right\"><\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step has_prefix_icon nf_multi_step_5 is_grid\" style=\"display: none;\" data-step-name=\"Vos coordonn\u00e9es\" data-step-num=\"5\" data-id=\"_93332\" data-step-icon=\"fas fa-chalkboard-teacher\" id=\"_93332\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields radio-group common_fields selection_fields required\" style=\"margin-bottom: 15px;\" data-id=\"_54712\" id=\"_54712\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: #00599f;\">*Civilit\u00e9<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Merci de nous indiquer votre civilit\u00e9\" title=\"\"><label class=\"radio-inline \" for=\"__11__54712_civilit\u00e9_Madame_madame\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"civilit\u00e9\" id=\"__11__54712_civilit\u00e9_Madame_madame\" value=\"Madame\" style=\"display: none;\" autocomplete=\"enabled\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label radio-label\" style=\"color: #000000;\">Madame<\/span><\/span><\/label><label class=\"radio-inline \" for=\"__11__54712_civilit\u00e9_Monsieur_monsieur\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element required\" type=\"radio\" name=\"civilit\u00e9\" id=\"__11__54712_civilit\u00e9_Monsieur_monsieur\" value=\"Monsieur\" style=\"display: none;\" autocomplete=\"enabled\"><a class=\"fa ui-state-default\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label radio-label\" style=\"color: #000000;\">Monsieur<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 15px;\" data-id=\"_26039\" id=\"_26039\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \" for=\"input__26039\"><span class=\"the_label\" style=\"font-size: 13px; color: #00599f;\">*Nom<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-user\" style=\"font-size: 17px;\"><\/span><\/span><input name=\"nom\" class=\"error_message  form-control the_input_element  aling_left required align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Merci d'indiquer votre nom\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;\" type=\"text\" id=\"input__26039\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 15px;\" data-id=\"_16237\" id=\"_16237\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \" for=\"input__16237\"><span class=\"the_label\" style=\"font-size: 13px; color: #00599f;\">*Pr\u00e9nom<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fa fa-user\" style=\"font-size: 17px;\"><\/span><\/span><input name=\"pr\u00e9nom\" class=\"error_message  form-control the_input_element  aling_left required align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Merci d'indiquer votre pr\u00e9nom\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;\" type=\"text\" id=\"input__16237\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields name preset_fields required has_prefix_icon\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 15px;\" data-id=\"_35245\" id=\"_35245\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\"><label class=\"nf_title \" for=\"input__35245\"><span class=\"the_label\" style=\"font-size: 13px; color: #00599f;\">*T\u00e9l\u00e9phone mobile<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix\"><span class=\"fas fa-phone\" style=\"font-size: 17px;\"><\/span><\/span><input name=\"t\u00e9l\u00e9phone_mobile\" class=\"error_message  form-control the_input_element  aling_left required align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Merci d'indiquer votre num\u00e9ro de t\u00e9l\u00e9phone mobile\" title=\"\" data-secondary-message=\"\" style=\"font-size: 13px;\" type=\"text\" id=\"input__35245\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields email email preset_fields required has_prefix_icon\" style=\"position: relative; top: 0px; left: 0px; z-index: 10000000; margin-bottom: 15px;\" data-id=\"_91685\" id=\"_91685\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\" style=\"padding-bottom: 20px;\"><div class=\"row\"><div class=\"label_container align_let col-sm-3 align_left\" style=\"display: block;\"><label class=\"nf_title \" for=\"input__91685\"><span class=\"the_label\" style=\"font-size: 13px; color: #00599f;\">*Email<\/span><\/label><\/div><div class=\"input_container col-sm-9\"><div class=\"input-group\"><span class=\"input-group-addon prefix \"><span class=\"fa fa-envelope\" style=\"font-size: 17px;\"><\/span><\/span><input name=\"email\" class=\"error_message email form-control the_input_element  aling_left align_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" style=\"font-size: 13px;\" placeholder=\"\" type=\"text\" id=\"input__91685\" autocomplete=\"enabled\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields check-group common_fields selection_fields required radio-group\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_58596\" id=\"_58596\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_left\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 10px; color: #000000;\">*J'accepte d'\u00eatre rappel\u00e9 par JLC Assurances ainsi que les CGU du site.<\/span><\/label><\/div><div class=\"input_holder radio-group\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"alert-success\" data-checked-class=\"fa-check\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"Merci d'accepter les CGU de JLC Assurances et d'\u00eatre \u00e9ventuellement appel\u00e9 par un conseiller de Jlc Assurances.\" title=\"\"><div class=\"input-inner\"><label class=\"checkbox-inline radio-inline\" for=\"__11__58596_jaccepte_d\u00eatre_rappel\u00e9_par_jlc_assurances_ainsi_que_les_cgu_du_site[]_Oui_oui\"><span class=\"has-pretty-child\"><div class=\"clearfix prettycheckbox labelright blue has-pretty-child\"><input class=\"check the_input_element required\" type=\"checkbox\" name=\"jaccepte_d\u00eatre_rappel\u00e9_par_jlc_assurances_ainsi_que_les_cgu_du_site[]\" id=\"__11__58596_jaccepte_d\u00eatre_rappel\u00e9_par_jlc_assurances_ainsi_que_les_cgu_du_site[]_Oui_oui\" value=\"Oui\" style=\"display: none;\" autocomplete=\"enabled\"><a class=\"ui-state-default\" style=\"background: #ffffff;\" rel=\"nofollow\" href=\"#\">.<\/a><\/div><span class=\"input-label check-label\" style=\"color: #000000;\">Oui<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 is_grid\" style=\"position: relative; top: 0px; left: 0px;\" data-id=\"_53376\" id=\"_53376\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_53376  col-sm-3 grid-target-0\" data-grid-width=\"3\" data-grid-num=\"0\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_2232\" id=\"_2232\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container align_left\"><button class=\"svg_ready the_input_element btn btn-default prev-step\" onclick=\"\" style=\"background-color: #5cb85c; color: #ffffff; border-color: #cccccc07; font-size: 20px;\"><span class=\"fa fa-chevron-left\"><\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_53376  col-sm-9 grid-target-1\" data-grid-width=\"9\" data-grid-num=\"1\"><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_36031\" id=\"_36031\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"nex-submit svg_ready the_input_element btn btn-default col-sm-12 style_bold\" onclick=\"\" style=\"background-color: #5cb85c; border-color: #2979ff; color: #ffffff; font-size: 25px;\">Obtenir mon devis<\/button><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\tPowered by <a href=\"https:\/\/1.envato.market\/zQ6de\">NEX-Forms<\/a><\/form><\/div><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\">.correct {\n    color: #8bc34a;\n    font-weight: bold;\n    text-transform: uppercase;\n}\n.wrong .fa {\n    font-size: 14px;\n}\n.wrong {\n    color: #f44336;\n    font-weight: bold;\n    text-transform: uppercase;\n}<\/style>\n<\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":434,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-491","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/pages\/491","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=491"}],"version-history":[{"count":14,"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/pages\/491\/revisions"}],"predecessor-version":[{"id":523,"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/pages\/491\/revisions\/523"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=\/wp\/v2\/media\/434"}],"wp:attachment":[{"href":"https:\/\/jlc-assurances.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}