{"id":7312,"date":"2026-06-25T11:43:14","date_gmt":"2026-06-25T11:43:14","guid":{"rendered":"https:\/\/grupoxandra.eu\/?page_id=7312"},"modified":"2026-06-25T11:47:32","modified_gmt":"2026-06-25T11:47:32","slug":"autoverzekeringsformulier","status":"publish","type":"page","link":"https:\/\/grupoxandra.eu\/es\/autoverzekeringsformulier\/","title":{"rendered":"autoverzekeringsformulier"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"7312\" class=\"elementor elementor-7312\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-add4a18 e-flex e-con-boxed e-con e-parent\" data-id=\"add4a18\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53d38e9 elementor-widget elementor-widget-heading\" data-id=\"53d38e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Recibe una propuesta \u00fanica<br> para su seguro de autom\u00f3vil personalizado.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b53704c e-flex e-con-boxed e-con e-parent\" data-id=\"b53704c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f4609c0 elementor-widget elementor-widget-shortcode\" data-id=\"f4609c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-7195 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-7195\" data-uid=\"6a3d8ee1d898e\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-7195\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-7195 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"7195\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a3d8ee1d898e\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-pagination-progress\" aria-hidden=\"true\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Finalizar\"\n\t\t\t\tdata-actual-label=\"Page 1\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SUS DATOS PERSONALES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_6a3d8ee1d898e\" id=\"forminator-field-first-name-1_6a3d8ee1d898e-label\" class=\"forminator-label\">Nombre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"Nombre\" id=\"forminator-field-first-name-1_6a3d8ee1d898e\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_6a3d8ee1d898e\" id=\"forminator-field-last-name-1_6a3d8ee1d898e-label\" class=\"forminator-label\">Apellido <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"Apellido\" id=\"forminator-field-last-name-1_6a3d8ee1d898e\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a3d8ee1d898e\" id=\"forminator-field-phone-1_6a3d8ee1d898e-label\" class=\"forminator-label\">Su n\u00famero de tel\u00e9fono donde mejor podemos contactarle <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_6a3d8ee1d898e-description\" class=\"forminator-description\">Con c\u00f3digo de pa\u00eds<\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a3d8ee1d898e\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a3d8ee1d898e\" id=\"forminator-field-email-1_6a3d8ee1d898e-label\" class=\"forminator-label\">Su direcci\u00f3n de correo electr\u00f3nico donde mejor podemos contactarle <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Correo electr\u00f3nico\" id=\"forminator-field-email-1_6a3d8ee1d898e\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-1_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-1_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfEs usted ya cliente nuestro? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-1_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-1_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Ja\"  data-calculation=\"0\">S\u00ed<\/option><option value=\"Nee\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"P\u00e1gina 1\"\n\t\t\t\tdata-actual-label=\"Page 2\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SUS DATOS PERSONALES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-2_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-2_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfC\u00f3mo lleg\u00f3 a nosotros? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-2_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-2_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Google\"  data-calculation=\"0\">Google<\/option><option value=\"Sociale media\"  data-calculation=\"0\">Medios sociales<\/option><option value=\"Via makelaar of gestor\u00eda of andere professionals\"  data-calculation=\"0\">A trav\u00e9s de un agente inmobiliario, gestor\u00eda u otros profesionales<\/option><option value=\"Via kennissen \/ vrienden\"  data-calculation=\"0\">V\u00eda conocidos \/ amigos<\/option><option value=\"custom_option\"  data-calculation=\"0\">Otro<\/option><\/select><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-form-7195__field--select-2_6a3d8ee1d898e\" name=\"custom-select-2\" class=\"forminator-input\" placeholder=\"V\u00eda\" aria-label=\"Otro\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a3d8ee1d898e\" id=\"forminator-field-text-1_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfPodr\u00eda dar el nombre? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Nombre y Apellidos\" id=\"forminator-field-text-1_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-3_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-3_6a3d8ee1d898e-label\" class=\"forminator-label\">Su n\u00famero fiscal espa\u00f1ol (NIE) <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-3_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-3_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Ik heb een NIE nummer\"  data-calculation=\"0\">Tengo un n\u00famero NIE<\/option><option value=\"Ik heb nog geen NIE nummer\"  data-calculation=\"0\">Todav\u00eda no tengo n\u00famero NIE<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a3d8ee1d898e\" id=\"forminator-field-text-2_6a3d8ee1d898e-label\" class=\"forminator-label\">NIE <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"N0000000N\" id=\"forminator-field-text-2_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-4_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-4_6a3d8ee1d898e-label\" class=\"forminator-label\">Tu g\u00e9nero <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-4_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-4_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Man\"  data-calculation=\"0\">Hombre<\/option><option value=\"Vrouw\"  data-calculation=\"0\">Mujer<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a3d8ee1d898e\" id=\"forminator-field-date-1-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">Tu fecha de nacimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a3d8ee1d898e\" id=\"forminator-field-text-3_6a3d8ee1d898e-label\" class=\"forminator-label\">Tu nacionalidad <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Tu nacionalidad\" id=\"forminator-field-text-3_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"P\u00e1gina 2\"\n\t\t\t\tdata-actual-label=\"Uw verblijfsadres in Spanje\"\n\t\t\t\tdata-name=\"page-break-4\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Su direcci\u00f3n de residencia en Espa\u00f1a<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6a3d8ee1d898e\" id=\"forminator-field-text-17_6a3d8ee1d898e-label\" class=\"forminator-label\">C\u00f3digo postal <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-17_6a3d8ee1d898e-description\" class=\"forminator-description\"><span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\" id=\"forminator-field-text-17_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a3d8ee1d898e\" id=\"forminator-field-text-4_6a3d8ee1d898e-label\" class=\"forminator-label\">Municipio <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a3d8ee1d898e\" id=\"forminator-field-text-5_6a3d8ee1d898e-label\" class=\"forminator-label\">Calle <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a3d8ee1d898e\" id=\"forminator-field-text-6_6a3d8ee1d898e-label\" class=\"forminator-label\">N\u00famero <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"Uw verblijfsadres in Spanje\"\n\t\t\t\tdata-actual-label=\"Page 4\"\n\t\t\t\tdata-name=\"page-break-5\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SUS DATOS PERSONALES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-5_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-5_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfEs la tomadora de seguro una empresa? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-5_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-5\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-5_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Nee\"  data-calculation=\"0\">No<\/option><option value=\"Ja\"  data-calculation=\"0\">S\u00ed<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-4\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-4-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"4\"\n\t\t\t\tdata-label=\"P\u00e1gina 4\"\n\t\t\t\tdata-actual-label=\"Page 5\"\n\t\t\t\tdata-name=\"page-break-6\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-10\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SUS DATOS PERSONALES<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a3d8ee1d898e\" id=\"forminator-field-text-7_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el nombre de la empresa? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a3d8ee1d898e\" id=\"forminator-field-text-8_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero fiscal de la empresa? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00bfCu\u00e1l es la direcci\u00f3n fiscal de la empresa?<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a3d8ee1d898e\" id=\"forminator-field-text-9_6a3d8ee1d898e-label\" class=\"forminator-label\">Tierra <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a3d8ee1d898e\" id=\"forminator-field-text-10_6a3d8ee1d898e-label\" class=\"forminator-label\">C\u00f3digo postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a3d8ee1d898e\" id=\"forminator-field-text-11_6a3d8ee1d898e-label\" class=\"forminator-label\">Municipio <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a3d8ee1d898e\" id=\"forminator-field-text-12_6a3d8ee1d898e-label\" class=\"forminator-label\">Calle <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"\" id=\"forminator-field-text-12_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a3d8ee1d898e\" id=\"forminator-field-text-13_6a3d8ee1d898e-label\" class=\"forminator-label\">N\u00famero de casa <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\" id=\"forminator-field-text-13_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-5\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-5-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"5\"\n\t\t\t\tdata-label=\"P\u00e1gina 5\"\n\t\t\t\tdata-actual-label=\"Page 6\"\n\t\t\t\tdata-name=\"page-break-7\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">ESPEC\u00cdFICO<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-6_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-6_6a3d8ee1d898e-label\" class=\"forminator-label\">En qu\u00e9 idioma desea recibir la cotizaci\u00f3n? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-6_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-6_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Spaans\"  data-calculation=\"0\">Espa\u00f1ol<\/option><option value=\"Engels\"  data-calculation=\"0\">Ingl\u00e9s<\/option><option value=\"Frans\"  data-calculation=\"0\">Frances<\/option><option value=\"Duits\"  data-calculation=\"0\">Alem\u00e1n<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a3d8ee1d898e\" id=\"forminator-field-date-2-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1ndo desea que la p\u00f3liza entre en vigor? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"\" id=\"forminator-field-date-2-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6a3d8ee1d898e\" id=\"forminator-field-text-18_6a3d8ee1d898e-label\" class=\"forminator-label\">Nombre de la persona que es titular de la p\u00f3liza y que probablemente conducir\u00e1 el veh\u00edculo. <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6a3d8ee1d898e\" id=\"forminator-field-text-19_6a3d8ee1d898e-label\" class=\"forminator-label\">N\u00famero de identificaci\u00f3n fiscal espa\u00f1ol o n\u00famero NIE de esta persona? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\" id=\"forminator-field-text-19_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a3d8ee1d898e\" id=\"forminator-field-date-3-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la fecha de nacimiento de esta persona? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"\" id=\"forminator-field-date-3-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_6a3d8ee1d898e\" id=\"forminator-field-date-4-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfDesde cu\u00e1ndo tiene esta persona un permiso de conducir? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-4-picker_6a3d8ee1d898e-description\" class=\"forminator-description\">Independientemente del pa\u00eds donde se expidi\u00f3 este permiso de conducir) Indique la fecha original de la primera expedici\u00f3n.<\/span><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"\" id=\"forminator-field-date-4-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-4-picker_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-20\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-20_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-20_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfDesea indicar un segundo conductor en la p\u00f3liza? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-7195__field--select-20_6a3d8ee1d898e-description\" class=\"forminator-description\">Esto solo es necesario cuando otra persona conduce el coche regularmente) Por defecto, todos los conductores mayores de 26 a\u00f1os con un permiso de conducir de al menos 2 a\u00f1os est\u00e1n cubiertos.<\/span><select  id=\"forminator-form-7195__field--select-20_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-20\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-20_6a3d8ee1d898e-label\" aria-describedby=\"forminator-form-7195__field--select-20_6a3d8ee1d898e-description\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Ja\"  data-calculation=\"0\">S\u00ed<\/option><option value=\"Nee\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6a3d8ee1d898e\" id=\"forminator-field-text-20_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el nombre y apellido del segundo conductor? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"\" id=\"forminator-field-text-20_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_6a3d8ee1d898e\" id=\"forminator-field-text-21_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el n\u00famero fiscal espa\u00f1ol o n\u00famero NIE del segundo conductor? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-21_6a3d8ee1d898e-description\" class=\"forminator-description\">Atenci\u00f3n, un conductor adicional s\u00f3lo puede ser a\u00f1adido si posee un n\u00famero NIE.<\/span><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"\" id=\"forminator-field-text-21_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-21_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_6a3d8ee1d898e\" id=\"forminator-field-date-5-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la fecha de nacimiento del segundo conductor? <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"\" id=\"forminator-field-date-5-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_6a3d8ee1d898e\" id=\"forminator-field-date-6-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la fecha de la primera expedici\u00f3n de la licencia de conducir del segundo conductor? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-6-picker_6a3d8ee1d898e-description\" class=\"forminator-description\">Independientemente del pa\u00eds donde se expidi\u00f3 este permiso de conducir) Indique la fecha de expedici\u00f3n original.<\/span><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"\" id=\"forminator-field-date-6-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-6-picker_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-6\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-6-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"6\"\n\t\t\t\tdata-label=\"P\u00e1gina 6\"\n\t\t\t\tdata-actual-label=\"Page 7\"\n\t\t\t\tdata-name=\"page-break-8\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-13\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DATOS DE SU VEH\u00cdCULO A ASEGURAR<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-22\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-22_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-22_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfTiene el coche ya una matr\u00edcula espa\u00f1ola? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-form-7195__field--select-22_6a3d8ee1d898e-description\" class=\"forminator-description\">Si completa la matr\u00edcula, a menudo podemos verificar autom\u00e1ticamente datos adicionales del veh\u00edculo.<\/span><select  id=\"forminator-form-7195__field--select-22_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-22\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-22_6a3d8ee1d898e-label\" aria-describedby=\"forminator-form-7195__field--select-22_6a3d8ee1d898e-description\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Ja\"  data-calculation=\"0\">S\u00ed<\/option><option value=\"Nee\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_6a3d8ee1d898e\" id=\"forminator-field-text-22_6a3d8ee1d898e-label\" class=\"forminator-label\">Por favor, proporcione la matr\u00edcula. <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"\" id=\"forminator-field-text-22_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_6a3d8ee1d898e\" id=\"forminator-field-text-23_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la marca y el modelo del coche? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-23_6a3d8ee1d898e-description\" class=\"forminator-description\">Lo encuentras en tu certificado de matriculaci\u00f3n (permiso de circulaci\u00f3n) o factura de compra.<\/span><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"\" id=\"forminator-field-text-23_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-23_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_6a3d8ee1d898e\" id=\"forminator-field-text-24_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfQu\u00e9 actuaci\u00f3n \/ versi\u00f3n es? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-24_6a3d8ee1d898e-description\" class=\"forminator-description\">Esto es importante porque el mismo coche puede tener diferentes versiones con un valor diferente. Normalmente lo encontrar\u00e1: en la factura de compra, en los documentos de mantenimiento, o a trav\u00e9s de su garaje. \u00bfNo lo encuentra? Entonces rellene lo que sepa lo mejor posible.<\/span><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"\" id=\"forminator-field-text-24_6a3d8ee1d898e\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-24_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a3d8ee1d898e\" id=\"forminator-field-number-1_6a3d8ee1d898e-label\" class=\"forminator-label\">A\u00f1o de construcci\u00f3n del veh\u00edculo. <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-number-1_6a3d8ee1d898e-description\" class=\"forminator-description\">Indique aqu\u00ed el a\u00f1o en que se produjo el coche. Por ejemplo: 2021. Normalmente lo encontrar\u00e1 en la factura de compra o a trav\u00e9s de su taller.<\/span><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_6a3d8ee1d898e\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"9999\" aria-describedby=\"forminator-field-number-1_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_6a3d8ee1d898e\" id=\"forminator-field-date-7-picker_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la fecha de la primera puesta en servicio del coche? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-date-7-picker_6a3d8ee1d898e-description\" class=\"forminator-description\">Esto lo puede encontrar en el permiso de circulaci\u00f3n.<\/span><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"Elegir Fecha\" id=\"forminator-field-date-7-picker_6a3d8ee1d898e\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-7-picker_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a3d8ee1d898e\" id=\"forminator-field-number-2_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la cilindrada del coche? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-number-2_6a3d8ee1d898e-description\" class=\"forminator-description\">Encuentra esto en tu comprobante de registro.<\/span><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_6a3d8ee1d898e\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" aria-describedby=\"forminator-field-number-2_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6a3d8ee1d898e\" id=\"forminator-field-number-3_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1l es la potencia (PK) del coche? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-number-3_6a3d8ee1d898e-description\" class=\"forminator-description\">Lo encontrar\u00e1 en su certificado de inscripci\u00f3n.<\/span><input name=\"number-3\" value=\"\" placeholder=\"\" id=\"forminator-field-number-3_6a3d8ee1d898e\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" aria-describedby=\"forminator-field-number-3_6a3d8ee1d898e-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_6a3d8ee1d898e\" id=\"forminator-field-number-4_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfCu\u00e1ntas puertas tiene el coche? <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-4\" value=\"\" placeholder=\"\" id=\"forminator-field-number-4_6a3d8ee1d898e\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-23\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-23_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-23_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfEn qu\u00e9 combustible funciona el coche? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-23_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-23\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-23_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Diesel\"  data-calculation=\"0\">Di\u00e9sel<\/option><option value=\"Benzine\"  data-calculation=\"0\">Gasolina<\/option><option value=\"Hybride\"  data-calculation=\"0\">H\u00edbrido<\/option><option value=\"Plug-in-Hybride\"  data-calculation=\"0\">Enchufe H\u00edbrido<\/option><option value=\"Elektrisch\"  data-calculation=\"0\">El\u00e9ctrico<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-24\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-24_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-24_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfEs el coche manual o autom\u00e1tico? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-24_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-24\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-24_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Handgeschakeld\"  data-calculation=\"0\">Caja de cambios manual<\/option><option value=\"Automatisch\"  data-calculation=\"0\">Autom\u00e1ticamente<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-25\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-25_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-25_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfEl coche tiene enganche? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-7195__field--select-25_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-25\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Kies \u00e9\u00e9n optie\" data-search=\"false\" data-search-placeholder=\"Kies \u00e9\u00e9n optie\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-25_6a3d8ee1d898e-label\"><option value=\"\"  >Elige una opci\u00f3n<\/option><option value=\"Ja\"  data-calculation=\"0\">S\u00ed<\/option><option value=\"Nee\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-7\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-7-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"7\"\n\t\t\t\tdata-label=\"P\u00e1gina 7\"\n\t\t\t\tdata-actual-label=\"Page 8\"\n\t\t\t\tdata-name=\"page-break-9\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-12\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">COBERTURA<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-21\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-7195__field--select-21_6a3d8ee1d898e\" id=\"forminator-form-7195__field--select-21_6a3d8ee1d898e-label\" class=\"forminator-label\">\u00bfDesea una opci\u00f3n de asistencia en carretera m\u00e1s completa con coche de sustituci\u00f3n en caso de aver\u00eda?<\/label><span id=\"forminator-form-7195__field--select-21_6a3d8ee1d898e-description\" class=\"forminator-description\">Est\u00e1ndar es un coche de sustituci\u00f3n en caso de accidente incluido siempre que se cumplan ciertas condiciones. Con esta extensi\u00f3n tambi\u00e9n estar\u00e1 cubierto en caso de aver\u00eda.<\/span><select  id=\"forminator-form-7195__field--select-21_6a3d8ee1d898e\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-21\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-7195__field--select-21_6a3d8ee1d898e-label\" aria-describedby=\"forminator-form-7195__field--select-21_6a3d8ee1d898e-description\"><option value=\"Ja, ik wens ook dekking bij pech\"  data-calculation=\"0\">S\u00ed, yo tambi\u00e9n deseo cobertura por aver\u00eda.<\/option><option value=\"Nee, enkel dekking bij ongeval (standaard inbegrepen)\"  data-calculation=\"0\">No, solo cobertura en caso de accidente (incluida de serie)<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-7195--page-8\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-7195--page-8-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"8\"\n\t\t\t\tdata-label=\"P\u00e1gina 8\"\n\t\t\t\tdata-actual-label=\"Page 9\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00daLTIMA REVISI\u00d3N<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p>Perfecto, hemos recibido todos los datos correctamente. \u00bfQuiere revisarlos cuidadosamente antes de hacer clic en \u2018enviar\u2019? As\u00ed podremos procesar su solicitud de inmediato correctamente.<\/p>\n<p>Despu\u00e9s de la confirmaci\u00f3n, comenzaremos inmediatamente a preparar su presupuesto personalizado. Si falta informaci\u00f3n o se necesita una aclaraci\u00f3n adicional, nos pondremos en contacto con usted personalmente.<\/p><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar y solicitar cotizaciones<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"59195110d2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/7312\" \/><input type=\"hidden\" name=\"form_id\" value=\"7195\"><input type=\"hidden\" name=\"page_id\" value=\"7312\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/grupoxandra.eu\/es\/autoverzekeringsformulier\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_48\" class=\"forminator-hidden\" aria-hidden=\"true\">Por favor, no rellenes este campo. <input id=\"input_48\" type=\"text\" name=\"input_48\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Reciba una propuesta \u00fanica para su seguro de autom\u00f3vil a medida.<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7312","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/pages\/7312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/comments?post=7312"}],"version-history":[{"count":7,"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/pages\/7312\/revisions"}],"predecessor-version":[{"id":7322,"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/pages\/7312\/revisions\/7322"}],"wp:attachment":[{"href":"https:\/\/grupoxandra.eu\/es\/wp-json\/wp\/v2\/media?parent=7312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}