{"id":4345,"date":"2012-09-23T20:18:09","date_gmt":"2012-09-23T20:18:09","guid":{"rendered":"http:\/\/@WEBSITE_1@\/?page_id=4345"},"modified":"2018-06-02T12:54:45","modified_gmt":"2018-06-02T12:54:45","slug":"offerte_uitvaartverzekering","status":"publish","type":"page","link":"https:\/\/www.gbwoluwe.be\/en\/offerte_uitvaartverzekering\/","title":{"rendered":"Quotation Funeral insurance"},"content":{"rendered":"<p>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_18' ><div id='gf_18' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_18'  action=\"\/en\/wp-json\/wp\/v2\/pages\/4345#gf_18\" data-formid='18' novalidate>\n        <div id='gf_progressbar_wrapper_18' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_18_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_18' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_18_19\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_19'>Facebook<\/label><div class='ginput_container'><input name='input_19' id='input_18_19' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_18_19'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_18_2\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Verzekeringnemer<\/h2><\/li><li id=\"field_18_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_18_3'>\n                            \n                            <span id='input_18_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_18_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_3.3' id='input_18_3_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_18_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_18_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_3.6' id='input_18_3_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_18_4\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_18_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_18_4_1_container' >\n                                        <label for='input_18_4_1' id='input_18_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_4.1' id='input_18_4_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_18_4_3_container' >\n                                    <label for='input_18_4_3' id='input_18_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_4.3' id='input_18_4_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_18_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_18_4_5_container' >\n                                    <label for='input_18_4_5' id='input_18_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_4.5' id='input_18_4_5' value=''    aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_18_4_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_18_5\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_5'>Email<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_5' id='input_18_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_18_6\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_6'>Telephone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_18_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_18_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_7'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_18_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_18_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_18_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_18_7' class='gform_hidden' value='https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_18_8\" class=\"gfield gfield--type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_8'>Sex<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_18_8' class='medium gfield_select'     aria-invalid=\"false\" ><option value='M' >M<\/option><option value='V' >V<\/option><option value='X' >X<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                         <input type='button' id='gform_next_button_18_1' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_2' class='gform_page' data-js='page-field-id-1' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_18_2' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_18_11\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Insured capital<\/h2><\/li><li id=\"field_18_18\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Insured amount<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_18_18'>\n\t\t\t<li class='gchoice gchoice_18_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='\u20ac5.000'  id='choice_18_18_0'    \/>\n\t\t\t\t<label for='choice_18_18_0' id='label_18_18_0' class='gform-field-label gform-field-label--type-inline'>\u20ac5.000<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_18_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='\u20ac7.500'  id='choice_18_18_1'    \/>\n\t\t\t\t<label for='choice_18_18_1' id='label_18_18_1' class='gform-field-label gform-field-label--type-inline'>\u20ac7.500<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_18_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='\u20ac10.000'  id='choice_18_18_2'    \/>\n\t\t\t\t<label for='choice_18_18_2' id='label_18_18_2' class='gform-field-label gform-field-label--type-inline'>\u20ac10.000<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_18_13\" class=\"gfield gfield--type-html gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/br><\/br>\nor\n<\/br><\/br><\/li><li id=\"field_18_14\" class=\"gfield gfield--type-number field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_14'>Other amount to be determined by yourself<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_18_14' type='text' step='any' min='4000' max='10000' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_18_14\" \/><div class='gfield_description instruction ' id='gfield_instruction_18_14'>Please enter a number from <strong>4000<\/strong> to <strong>10000<\/strong>.<\/div><\/div><\/li><li id=\"field_18_15\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Premium payment<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_18_15'>\n\t\t\t<li class='gchoice gchoice_18_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Full amount at once'  id='choice_18_15_0'    \/>\n\t\t\t\t<label for='choice_18_15_0' id='label_18_15_0' class='gform-field-label gform-field-label--type-inline'>Full amount at once<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_18_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='Deposits spread (15 years)'  id='choice_18_15_1'    \/>\n\t\t\t\t<label for='choice_18_15_1' id='label_18_15_1' class='gform-field-label gform-field-label--type-inline'>Deposits spread (15 years)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_18_15_2'>\n\t\t\t\t<input name='input_15' type='radio' value='Preferred both offers to compare premiums'  id='choice_18_15_2'    \/>\n\t\t\t\t<label for='choice_18_15_2' id='label_18_15_2' class='gform-field-label gform-field-label--type-inline'>Preferred both offers to compare premiums<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer left_label'>\n                        <input type='button' id='gform_previous_button_18_10' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='button' id='gform_next_button_18_10' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Volgende'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_18_3' class='gform_page' data-js='page-field-id-10' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_18_3' class='gform_fields left_label form_sublabel_above description_below validation_below'><li id=\"field_18_16\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Extra<\/h2><\/li><li id=\"field_18_17\" class=\"gfield gfield--type-textarea field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_18_17'>Other remarks<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_18_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer left_label'><input type='submit' id='gform_previous_button_18' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorige'  \/> <input type='submit' id='gform_submit_button_18' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_18' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_18' id='gform_theme_18' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_18' id='gform_style_settings_18' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_18' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='18' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='nqOWBYOVMJk3m\/ms7jNfAm9loTHYjFnwoeHljxGobitRL1XlkQTlmWtR0QD1u1qV+GCEM1DdwkNX7cfzQI7XoCPZO48gA1OEIDiRjJ7WCrMzh1w=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_18' value='WyJbXSIsImZiMzg2NmYzODQ5ZDBlODRiNjhkYzJlZDJlMDk0YmJjIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_18' id='gform_target_page_number_18' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_18' id='gform_source_page_number_18' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 18, 'https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_18').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_18');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_18').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_18').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_18').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_18').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_18').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_18').val();gformInitSpinner( 18, 'https:\/\/www.gbwoluwe.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [18, current_page]);window['gf_submitting_18'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_18').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_18').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [18]);window['gf_submitting_18'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_18').text());}else{jQuery('#gform_18').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"18\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_18\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_18\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_18\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 18, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n<\/p>","protected":false},"excerpt":{"rendered":"Step 1 of 3 33% CommentsThis field is for validation purposes and should be left unchanged.VerzekeringnemerName* First Last Address* Street Address City ZIP \/ Postal Code Email* Telephone*Date of birth* MM slash DD slash YYYY SexMVX Insured capitalInsured amount \u20ac5.000 \u20ac7.500 \u20ac10.000 or Other amount to be determined by yourselfPlease enter a number from 4000 to 10000.Premium payment Full amount...","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4345","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/pages\/4345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/comments?post=4345"}],"version-history":[{"count":0,"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/pages\/4345\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.gbwoluwe.be\/en\/wp-json\/wp\/v2\/media?parent=4345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}