{"id":12467,"date":"2017-01-26T14:45:23","date_gmt":"2017-01-26T13:45:23","guid":{"rendered":"http:\/\/www.zalba-caldu.com\/?page_id=12467"},"modified":"2023-03-02T17:18:53","modified_gmt":"2023-03-02T16:18:53","slug":"presupuesto-seguro-vehiculo","status":"publish","type":"page","link":"https:\/\/www.zalba-caldu.com\/seguros\/automovil\/presupuesto-seguro-vehiculo\/","title":{"rendered":"Presupuesto Seguro para Veh\u00edculo"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container boxed-wrapper 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 fusion-flex-align-items-flex-start fusion-flex-justify-content-space-around fusion-flex-content-wrap\" style=\"max-width:calc( 1440px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-box-shadow:1px 1px 3px 0px ;;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:2;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><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_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_21' style='display:none'><div id='gf_21' 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; se\u00f1ala los campos obligatorios<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_21'  action='\/wp-json\/wp\/v2\/pages\/12467\/#gf_21' data-formid='21' novalidate>\n        <div id='gf_progressbar_wrapper_21' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>4<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_25' style='width:25%; color:#fff; background-color:#29B0C3;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_21_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><div id='gform_fields_21' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_21_26\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_26\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nombre y apellidos<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 no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_21_26'>\n                            \n                            <span id='input_21_26_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_26.3' id='input_21_26_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_21_26_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nombre<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><div id=\"field_21_27\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_27\" ><label class='gfield_label gform-field-label' for='input_21_27'>Correo electr\u00f3nico<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_27' id='input_21_27' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_21_28\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_28\" ><label class='gfield_label gform-field-label' for='input_21_28'>Tel\u00e9fono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_21_28' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_31\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_31\" ><label class='gfield_label gform-field-label' for='input_21_31'>\u00bfC\u00f3mo nos ha conocido?<\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_21_31' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccione una opci\u00f3n<\/option><option value='Redes sociales' >Redes sociales<\/option><option value='Soy cliente' >Soy cliente<\/option><option value='Webs especializadas' >Webs especializadas<\/option><option value='Por personas aseguradas' >Por personas aseguradas<\/option><option value='Revistas especializadas' >Revistas especializadas<\/option><option value='Concesionarios' >Concesionarios<\/option><option value='Sal\u00f3n Internacional del Caravaning' >Sal\u00f3n Internacional del Caravaning<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><fieldset id=\"field_21_30\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_30\" ><legend class='gfield_label gform-field-label' >Preferencia hora de contacto<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_30'>\n\t\t\t<div class='gchoice gchoice_21_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Indiferente'  id='choice_21_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_30_0' id='label_21_30_0' class='gform-field-label gform-field-label--type-inline'>Indiferente<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Ma\u00f1anas'  id='choice_21_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_30_1' id='label_21_30_1' class='gform-field-label gform-field-label--type-inline'>Ma\u00f1anas<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Tardes'  id='choice_21_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_30_2' id='label_21_30_2' class='gform-field-label gform-field-label--type-inline'>Tardes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_21_74\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_74\" ><legend class='gfield_label gform-field-label' >\u00bfC\u00f3mo prefieres que nos pongamos en contacto?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_74'>\n\t\t\t<div class='gchoice gchoice_21_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='Email'  id='choice_21_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_74_0' id='label_21_74_0' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_74' type='radio' value='Tel\u00e9fono'  id='choice_21_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_74_1' id='label_21_74_1' class='gform-field-label gform-field-label--type-inline'>Tel\u00e9fono<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_21_50' class='gform_next_button gform-theme-button button' value='Siguiente '  onclick='jQuery(\"#gform_target_page_number_21\").val(\"2\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_21\").val(\"2\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_21_2' class='gform_page' data-js='page-field-id-50' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_21_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_21_32\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_32\" ><h3 class=\"gsection_title\">Datos del veh\u00edculo a asegurar<\/h3><\/div><div id=\"field_21_75\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_75\" ><label class='gfield_label gform-field-label' for='input_21_75'>Clase de veh\u00edculo<\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_21_75' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='Turismo' >Turismo<\/option><option value='Moto' >Moto<\/option><option value='Furgoneta' >Furgoneta<\/option><option value='Ciclomotor' >Ciclomotor<\/option><option value='Quad' >Quad<\/option><\/select><\/div><\/div><div id=\"field_21_33\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_33\" ><label class='gfield_label gform-field-label' for='input_21_33'>Marca, modelo y versi\u00f3n<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_21_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_35\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_35\" ><label class='gfield_label gform-field-label' for='input_21_35'>Matr\u00edcula<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_21_35' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_39\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_39\" ><label class='gfield_label gform-field-label' for='input_21_39'>A\u00f1o de primera matriculaci\u00f3n<\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_21_39' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_55\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_55\" ><label class='gfield_label gform-field-label' for='input_21_55'>Potencia veh\u00edculo en caballos<\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_21_55' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_76\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_76\" ><label class='gfield_label gform-field-label' for='input_21_76'>C\u00f3digo postal<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_21_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_21_56\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_56\" ><legend class='gfield_label gform-field-label' >Uso<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_56'>\n\t\t\t<div class='gchoice gchoice_21_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Particular'  id='choice_21_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_56_0' id='label_21_56_0' class='gform-field-label gform-field-label--type-inline'>Particular<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Servicio p\u00fablico'  id='choice_21_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_56_1' id='label_21_56_1' class='gform-field-label gform-field-label--type-inline'>Servicio p\u00fablico<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_21_57\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_57\" ><legend class='gfield_label gform-field-label' >\u00bfLo acabas de comprar?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_57'>\n\t\t\t<div class='gchoice gchoice_21_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='S\u00ed'  id='choice_21_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_57_0' id='label_21_57_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='No'  id='choice_21_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_57_1' id='label_21_57_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_21_58\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_58\" ><legend class='gfield_label gform-field-label' >\u00bfTiene bola de remolque?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_58'>\n\t\t\t<div class='gchoice gchoice_21_58_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='S\u00ed'  id='choice_21_58_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_58_0' id='label_21_58_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_58_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_58' type='radio' value='No'  id='choice_21_58_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_58_1' id='label_21_58_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_21_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Anterior'  onclick='jQuery(\"#gform_target_page_number_21\").val(\"1\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_21\").val(\"1\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_21_51' class='gform_next_button gform-theme-button button' value='Siguiente '  onclick='jQuery(\"#gform_target_page_number_21\").val(\"3\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_21\").val(\"3\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_21_3' class='gform_page' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_21_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_21_60\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_60\" ><h3 class=\"gsection_title\">Conductor del veh\u00edculo<\/h3><\/div><div id=\"field_21_80\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_80\" ><label class='gfield_label gform-field-label' for='input_21_80'>NIF<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_21_80' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_21_79\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_79\" ><legend class='gfield_label gform-field-label' >Sexo<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_79'>\n\t\t\t<div class='gchoice gchoice_21_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Hombre'  id='choice_21_79_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_79_0' id='label_21_79_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Mujer'  id='choice_21_79_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_79_1' id='label_21_79_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_61\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_61\" ><label class='gfield_label gform-field-label' for='input_21_61'>Fecha de nacimiento<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_61' id='input_21_61' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_61_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_61_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_61' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_83\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_83\" ><label class='gfield_label gform-field-label' for='input_21_83'>Fecha del carnet de conducir<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_83' id='input_21_83' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_83_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_83_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_83' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_21_91\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_91\" ><legend class='gfield_label gform-field-label' >\u00bfHay alg\u00fan conductor menor de 25 a\u00f1os o con menos de 2 a\u00f1os de antig\u00fcedad de carnet de conducir?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_91'>\n\t\t\t<div class='gchoice gchoice_21_91_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='S\u00ed'  id='choice_21_91_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_91_0' id='label_21_91_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_91_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_91' type='radio' value='No'  id='choice_21_91_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_91_1' id='label_21_91_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_92\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_92\" ><label class='gfield_label gform-field-label' for='input_21_92'>NIF<\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_21_92' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_21_93\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_93\" ><legend class='gfield_label gform-field-label' >Sexo<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_93'>\n\t\t\t<div class='gchoice gchoice_21_93_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='Hombre'  id='choice_21_93_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_93_0' id='label_21_93_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_93_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_93' type='radio' value='Mujer'  id='choice_21_93_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_93_1' id='label_21_93_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_94\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_94\" ><label class='gfield_label gform-field-label' for='input_21_94'>Fecha de nacimiento<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_94' id='input_21_94' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_94_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_94_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_94' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_95\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_95\" ><label class='gfield_label gform-field-label' for='input_21_95'>Fecha del carnet de conducir<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_95' id='input_21_95' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_95_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_95_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_95' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_21_63\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_63\" ><legend class='gfield_label gform-field-label' >\u00bfEl tomador es el mismo que el conductor habitual?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_63'>\n\t\t\t<div class='gchoice gchoice_21_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='S\u00ed'  id='choice_21_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_63_0' id='label_21_63_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='No'  id='choice_21_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_63_1' id='label_21_63_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_77\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_77\" ><label class='gfield_label gform-field-label' for='input_21_77'>NIF del Tomador<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_21_77' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_21_81\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_81\" ><legend class='gfield_label gform-field-label' >Sexo del Tomador<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_81'>\n\t\t\t<div class='gchoice gchoice_21_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Hombre'  id='choice_21_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_81_0' id='label_21_81_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Mujer'  id='choice_21_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_81_1' id='label_21_81_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_82\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_82\" ><label class='gfield_label gform-field-label' for='input_21_82'>Fecha de nacimiento del Tomador<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_82' id='input_21_82' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_82_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_82_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_82' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_62\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_62\" ><label class='gfield_label gform-field-label' for='input_21_62'>Fecha del carnet de conducir del Tomador<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_62' id='input_21_62' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_62_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_62_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_62' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_21_64\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_64\" ><legend class='gfield_label gform-field-label' >\u00bfEl propietario es el mismo que el conductor habitual?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_64'>\n\t\t\t<div class='gchoice gchoice_21_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='S\u00ed'  id='choice_21_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_64_0' id='label_21_64_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='No'  id='choice_21_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_64_1' id='label_21_64_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_84\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_84\" ><label class='gfield_label gform-field-label' for='input_21_84'>NIF del Propietario<\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_21_84' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_21_85\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_inline field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_85\" ><legend class='gfield_label gform-field-label' >Sexo del Propietario<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_85'>\n\t\t\t<div class='gchoice gchoice_21_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Hombre'  id='choice_21_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_85_0' id='label_21_85_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Mujer'  id='choice_21_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_85_1' id='label_21_85_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_87\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_87\" ><label class='gfield_label gform-field-label' for='input_21_87'>Fecha de nacimiento del Propietario<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_87' id='input_21_87' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_87_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_87_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_87' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_86\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_86\" ><label class='gfield_label gform-field-label' for='input_21_86'>Fecha del carnet de conducir del Propietario<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_86' id='input_21_86' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_86_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_86_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_86' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_98\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_98\" ><h3 class=\"gsection_title\">Cobertura<\/h3><\/div><fieldset id=\"field_21_68\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_68\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Cobertura<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_21_68'><div class='gchoice gchoice_21_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='TERCEROS B\u00c1SICO (incluida Asistencia y Lunas)'  id='choice_21_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_68_1' id='label_21_68_1' class='gform-field-label gform-field-label--type-inline'>TERCEROS B\u00c1SICO (incluida Asistencia y Lunas)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_21_68_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='TERCEROS COMPLETO (B\u00e1sico + Robo + Incendio)'  id='choice_21_68_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_68_2' id='label_21_68_2' class='gform-field-label gform-field-label--type-inline'>TERCEROS COMPLETO (B\u00e1sico + Robo + Incendio)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_21_68_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.3' type='checkbox'  value='TODO RIESGO SIN FRANQUICIA'  id='choice_21_68_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_68_3' id='label_21_68_3' class='gform-field-label gform-field-label--type-inline'>TODO RIESGO SIN FRANQUICIA<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_21_68_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.4' type='checkbox'  value='TODO RIESGO CON FRANQUICIA'  id='choice_21_68_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_68_4' id='label_21_68_4' class='gform-field-label gform-field-label--type-inline'>TODO RIESGO CON FRANQUICIA<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_41\" class=\"gfield gfield--type-number field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_21_41\" ><label class='gfield_label gform-field-label' for='input_21_41'>Accesorios<\/label><div class='gfield_description' id='gfield_description_21_41'>Indique el valor total en euros de los accesorios no de serie que incorpora el veh\u00edculo (excepto seguro b\u00e1sico)<\/div><div class='ginput_container ginput_container_number'><input name='input_41' id='input_21_41' type='text' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_21_41\" \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_21_59' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Anterior'  onclick='jQuery(\"#gform_target_page_number_21\").val(\"2\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_21\").val(\"2\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_21_59' class='gform_next_button gform-theme-button button' value='Siguiente '  onclick='jQuery(\"#gform_target_page_number_21\").val(\"4\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_21\").val(\"4\");  jQuery(\"#gform_21\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_21_4' class='gform_page' data-js='page-field-id-59' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_21_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_21_97\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_97\" ><h3 class=\"gsection_title\">Bonificaci\u00f3n por no siniestralidad<\/h3><\/div><div id=\"field_21_69\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_69\" ><p>Para aplicar bonificaci\u00f3n por no siniestralidad, indica los datos de la p\u00f3liza en la cual el veh\u00edculo est\u00e1 asegurado actualmente. Si el veh\u00edculo a asegurar no tiene seguro actualmente, puedes indicar los datos de cualquier otra p\u00f3liza que tengas en vigor a tu nombre.<\/p><\/div><div id=\"field_21_71\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_71\" ><label class='gfield_label gform-field-label' for='input_21_71'>Compa\u00f1\u00eda aseguradora<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_21_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_72\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_72\" ><label class='gfield_label gform-field-label' for='input_21_72'>N\u00famero de p\u00f3liza<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_21_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_73\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_73\" ><label class='gfield_label gform-field-label' for='input_21_73'>NIF<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_21_73' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_88\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_88\" ><label class='gfield_label gform-field-label' for='input_21_88'>Matr\u00edcula asegurada<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_21_88' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_21_96\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_96\" ><label class='gfield_label gform-field-label' for='input_21_96'>Fecha de vencimiento del seguro<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_96' id='input_21_96' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/aaaa' aria-describedby=\"input_21_96_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_21_96_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_96' class='gform_hidden' value='https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_20\" ><label class='gfield_label gform-field-label' for='input_21_20'>Observaciones<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_21_20' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_46\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_46\" ><label class='gfield_label gform-field-label' for='input_21_46'>Si desea adjuntarnos un fichero, use el siguiente campo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20480000' \/><input name='input_46' id='input_21_46' type='file' class='medium' aria-describedby=\"gfield_upload_rules_21_46\" onchange='javascript:gformValidateFileSize( this, 20480000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_21_46'>Tama\u00f1o m\u00e1ximo de archivo: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_21_46'><\/div><\/div><\/div><div id=\"field_21_24\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_24\" ><strong>AUTORIZACI\u00d3N<br\/>\nEn tanto no se revoque expresamente este encargo, autorizo a Aon Iberia Corredur\u00eda de Seguros y Reaseguros S.A.U. para que utilice y trate mis datos.<\/strong>\n<\/br><a href=\"https:\/\/www.aon.com\/spain\/privacidad.jsp\" target=\"_blank\">Leer pol\u00edtica de privacidad<\/a><\/div><fieldset id=\"field_21_25\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_21_25\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Aceptaci\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_21_25_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_21_25_1' >He le\u00eddo y acepto la pol\u00edtica de privacidad.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_25.2' value='He le\u00eddo y acepto la pol\u00edtica de privacidad.' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='23' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_21_47\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_21_47\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Desea publicidad<\/legend><div class='ginput_container ginput_container_consent'><input name='input_47.1' id='input_21_47_1' type='checkbox' value='1'    aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_21_47_1' >Deseo recibir informaci\u00f3n sobre novedades y promociones<\/label><input type='hidden' name='input_47.2' value='Deseo recibir informaci\u00f3n sobre novedades y promociones' class='gform_hidden' \/><input type='hidden' name='input_47.3' value='23' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_21_48\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_48\" ><div class='ginput_container ginput_container_text'><input name='input_48' id='input_21_48' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Web Zalba-Cald\u00fa' \/><\/div><\/div><div id=\"field_21_99\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_99\" ><div class='ginput_container ginput_container_text'><input name='input_99' id='input_21_99' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Coche' \/><\/div><\/div><div id=\"field_21_49\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_21_49\" ><div class='ginput_container ginput_container_text'><input name='input_49' id='input_21_49' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Anterior'  onclick='if(window[\"gf_submitting_21\"]){return false;}  if( !jQuery(\"#gform_21\")[0].checkValidity || jQuery(\"#gform_21\")[0].checkValidity()){window[\"gf_submitting_21\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_21\"]){return false;} if( !jQuery(\"#gform_21\")[0].checkValidity || jQuery(\"#gform_21\")[0].checkValidity()){window[\"gf_submitting_21\"]=true;}  jQuery(\"#gform_21\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_21' class='gform_button button' value='Enviar'  onclick='if(window[\"gf_submitting_21\"]){return false;}  if( !jQuery(\"#gform_21\")[0].checkValidity || jQuery(\"#gform_21\")[0].checkValidity()){window[\"gf_submitting_21\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_21\"]){return false;} if( !jQuery(\"#gform_21\")[0].checkValidity || jQuery(\"#gform_21\")[0].checkValidity()){window[\"gf_submitting_21\"]=true;}  jQuery(\"#gform_21\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_21' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='21' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_21' value='WyJ7XCIyNS4xXCI6XCJhN2ZjNjMxYzFlYWJlYTdjOTYwMmZhZTYxNjcyZTQwZVwiLFwiMjUuMlwiOlwiOWExNGYzODIzNDRjY2NhMjY3ZDk1ZTkzZTAyNGUxYWZcIixcIjI1LjNcIjpcIjQ0N2Q0NzU3NTFkODljN2UwYzNkZDAzOTdjM2ZhZjhjXCIsXCI0Ny4xXCI6XCJhN2ZjNjMxYzFlYWJlYTdjOTYwMmZhZTYxNjcyZTQwZVwiLFwiNDcuMlwiOlwiYTA1NjJhN2Q0YWRjYjU4NmEwZDg3ZjU0YWY3Njk0YTdcIixcIjQ3LjNcIjpcIjQ0N2Q0NzU3NTFkODljN2UwYzNkZDAzOTdjM2ZhZjhjXCJ9IiwiM2I1MTkyZjFjZGIxMmE3ODA3Yjk5ZjBkYTYxNzhlYTEiXQ==' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_21' id='gform_target_page_number_21' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_21' id='gform_source_page_number_21' 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( 21, 'https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_21').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_21');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_21').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_21').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_21').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_21').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_21').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_21').val();gformInitSpinner( 21, 'https:\/\/www.zalba-caldu.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [21, current_page]);window['gf_submitting_21'] = 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_21').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_21').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [21]);window['gf_submitting_21'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_21').text());}, 50);}else{jQuery('#gform_21').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"21\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_21\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_21\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_21\" );        let postRenderFired = false;                function triggerPostRender() {       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1_2 fusion-flex-column columna-sticky\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-size:cover;--awb-border-color:#003c55;--awb-border-left:5px;--awb-border-style:solid;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:0px;--awb-width-medium:50%;--awb-order-medium:1;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:34;line-height:1.24;\">Presupuesto personalizado de Seguro para Veh\u00edculo<\/h1><\/div><div class=\"fusion-text fusion-text-2\"><p>Cumplimenta el siguiente cuestionario para solicitar tu presupuesto personalizado para tu seguro de circulaci\u00f3n.<\/p>\n<p>Rellena todos los campos para que podamos ponernos en contacto contigo.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background 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-margin-top:40px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1497.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p><span class=\"small-paragraph\"><b>CLA\u00daSULA INFORMATIVA<\/b><\/span><\/p>\n<p><span class=\"small-paragraph\">RESPONSABLE DEL TRATAMIENTO: Aon Iberia Corredur\u00eda de Seguros y Reaseguros S.A.U. con domicilio social en C\/ Vel\u00e1zquez, N\u00ba86D, C.P. 28006 de Madrid y oficina comercial en Edificio Z-C, calle Dinamarca, n\u00ba 1, Pol. Ind. La Casaza, 50180 Utebo, Zaragoza.<br \/>\nEn cumplimiento de la normativa sobre protecci\u00f3n de datos personales, le informamos que los datos personales recogidos en este formulario ser\u00e1n tratados por el responsable con la finalidad de enviarle informaci\u00f3n, contestar a su solicitud, prestar los servicios relacionados con los contratos, as\u00ed como informar sobre otros productos o servicios de las sociedades del grupo Aon en Espa\u00f1a, previa aceptaci\u00f3n por el interesado.<br \/>\nLos datos proporcionados ser\u00e1n tratados y conservados, una vez atendida su solicitud o facilitada la informaci\u00f3n requerida, para poder consultarlos en pr\u00f3ximas solicitudes, prestar los servicios relacionados con los contratos y cualquier gesti\u00f3n que se encuentre entre las facultades atribuidas legalmente para el desempe\u00f1o de la labor de Mediaci\u00f3n.<br \/>\nPodr\u00e1 ejercer sus derechos de acceso, rectificaci\u00f3n, supresi\u00f3n, oposici\u00f3n, limitaci\u00f3n, portabilidad o revocar su consentimiento mediante correo electr\u00f3nico a la direcci\u00f3n rgpd.zc@zalba-caldu.com acreditando su identidad e identific\u00e1ndose como usuario de la p\u00e1gina web www.zalba-caldu.com y concretando su solicitud.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":12136,"menu_order":50,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - 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