{"id":17114,"date":"2021-10-28T00:15:45","date_gmt":"2021-10-28T00:15:45","guid":{"rendered":"https:\/\/asegureseahora.com\/?page_id=17114"},"modified":"2021-10-28T00:45:09","modified_gmt":"2021-10-28T00:45:09","slug":"formulario-salud","status":"publish","type":"page","link":"https:\/\/asegureseahora.com\/para-usted\/hogar\/formulario-salud\/","title":{"rendered":"Formulario Salud"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17114\" class=\"elementor elementor-17114\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-89f28b5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"89f28b5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-782f572\" data-id=\"782f572\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04a035e elementor-widget elementor-widget-spacer\" data-id=\"04a035e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-11db0cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"11db0cd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-b1b4f14\" data-id=\"b1b4f14\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d7c831\" data-id=\"2d7c831\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b83880 elementor-widget elementor-widget-image\" data-id=\"2b83880\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"56\" src=\"https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/04\/Logo-asegureseahora-agencia-300x56.png\" class=\"attachment-medium size-medium wp-image-9859\" alt=\"\" srcset=\"https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/04\/Logo-asegureseahora-agencia-300x56.png 300w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/04\/Logo-asegureseahora-agencia-1024x190.png 1024w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/04\/Logo-asegureseahora-agencia-768x143.png 768w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/04\/Logo-asegureseahora-agencia.png 1109w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-wp-pid=\"9859\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-054e0f3\" data-id=\"054e0f3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-863bfd7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"863bfd7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-86d10e3\" data-id=\"86d10e3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-466cb08\" data-id=\"466cb08\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c89d38b elementor-widget elementor-widget-text-editor\" data-id=\"c89d38b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"color: #000000;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt;\">Gracias por contactarnos para adquirir su Seguro de Salud.<\/span><\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-d1ae002\" data-id=\"d1ae002\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d94692a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d94692a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-d94c5f3\" data-id=\"d94c5f3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-eb66c7d\" data-id=\"eb66c7d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6254cdd elementor-widget elementor-widget-image\" data-id=\"6254cdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"478\" src=\"https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png-1024x478.jpg\" class=\"attachment-large size-large wp-image-16543\" alt=\"\" srcset=\"https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png-1024x478.jpg 1024w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png-300x140.jpg 300w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png-768x359.jpg 768w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png-1536x717.jpg 1536w, https:\/\/asegureseahora.com\/wp-content\/uploads\/2021\/09\/La-salud-tuya.png.jpg 1613w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" data-wp-pid=\"16543\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-6045d6a\" data-id=\"6045d6a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-07faace elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"07faace\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-c5b69e5\" data-id=\"c5b69e5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8e165a9\" data-id=\"8e165a9\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d38e58 elementor-widget elementor-widget-text-editor\" data-id=\"8d38e58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"color: #ffffff; font-family: verdana, geneva, sans-serif; font-size: 14pt; font-weight: var( --e-global-typography-text-font-weight );\">Por favor diligencie el siguiente formulario para que uno de nuestros asesores se ponga en contacto con usted.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-f9f687f\" data-id=\"f9f687f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1c83ac9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1c83ac9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-7b58325\" data-id=\"7b58325\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-da0c3f7\" data-id=\"da0c3f7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18508bc elementor-widget elementor-widget-html\" data-id=\"18508bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!-- AWeber Web Form Generator 3.0.1 -->\r\n<style type=\"text\/css\">\r\n#af-form-817448879 .af-body .af-textWrap, #af-form-817448879 .af-body .af-checkWrap{width:98%;display:block;float:none;}\r\n#af-form-817448879 .af-body a{color:#454545;text-decoration:none;font-style:normal;font-weight:normal;}\r\n#af-form-817448879 .af-body input.text, #af-form-817448879 .af-body textarea{background-color:#CCE3D4;border-color:#454545;border-width:1px;border-style:solid;color:#454545;text-decoration:none;font-style:normal;font-weight:normal;font-size:24px;font-family:Trebuchet MS, sans-serif;}\r\n#af-form-817448879 .af-body input.text:focus, #af-form-817448879 .af-body textarea:focus{background-color:#FFFFFF;border-color:#454545;border-width:1px;border-style:solid;}\r\n#af-form-817448879 .af-body label.choice{color:#454545;text-decoration:none;font-style:normal;font-weight:normal;font-size:inherit;font-family:inherit;}\r\n#af-form-817448879 .af-body label.previewLabel{display:block;float:none;text-align:left;width:auto;color:#454545;text-decoration:none;font-style:normal;font-weight:normal;font-size:16px;font-family:Helvetica, sans-serif;}\r\n#af-form-817448879 .af-body{padding-bottom:15px;padding-top:15px;background-repeat:no-repeat;background-position:inherit;background-image:none;color:inherit;font-size:16px;font-family:Helvetica, sans-serif;}\r\n#af-form-817448879 .af-footer{padding-bottom:0px;padding-top:0px;padding-right:16px;padding-left:16px;background-color:#FFFFFF;background-repeat:no-repeat;background-position:top left;background-image:none;border-width:1px;border-bottom-style:none;border-left-style:none;border-right-style:none;border-top-style:none;color:inherit;font-size:12px;font-family:Helvetica, sans-serif;}\r\n#af-form-817448879 .af-quirksMode .bodyText{padding-top:2px;padding-bottom:2px;}\r\n#af-form-817448879 .af-quirksMode{padding-right:60px;padding-left:60px;}\r\n#af-form-817448879 .af-standards .af-divider{margin-right:60px;margin-left:60px;}\r\n#af-form-817448879 .af-standards .af-element{padding-right:60px;padding-left:60px;}\r\n#af-form-817448879 .bodyText p{margin:1em 0;}\r\n#af-form-817448879 .buttonContainer input.submit{background-image:none;background-color:#1F5226;color:#FFFFFF;text-decoration:none;font-style:normal;font-weight:normal;font-size:16px;font-family:Helvetica, sans-serif;}\r\n#af-form-817448879 .buttonContainer input.submit{width:auto;}\r\n#af-form-817448879 .buttonContainer{text-align:right;}\r\n#af-form-817448879 body,#af-form-817448879 dl,#af-form-817448879 dt,#af-form-817448879 dd,#af-form-817448879 h1,#af-form-817448879 h2,#af-form-817448879 h3,#af-form-817448879 h4,#af-form-817448879 h5,#af-form-817448879 h6,#af-form-817448879 pre,#af-form-817448879 code,#af-form-817448879 fieldset,#af-form-817448879 legend,#af-form-817448879 blockquote,#af-form-817448879 th,#af-form-817448879 td{float:none;color:inherit;position:static;margin:0;padding:0;}\r\n#af-form-817448879 button,#af-form-817448879 input,#af-form-817448879 submit,#af-form-817448879 textarea,#af-form-817448879 select,#af-form-817448879 label,#af-form-817448879 optgroup,#af-form-817448879 option{float:none;position:static;margin:0;}\r\n#af-form-817448879 div{margin:0;}\r\n#af-form-817448879 fieldset{border:0;}\r\n#af-form-817448879 form,#af-form-817448879 textarea,.af-form-wrapper,.af-form-close-button,#af-form-817448879 img{float:none;color:inherit;position:static;background-color:none;border:none;margin:0;padding:0;}\r\n#af-form-817448879 input,#af-form-817448879 button,#af-form-817448879 textarea,#af-form-817448879 select{font-size:100%;}\r\n#af-form-817448879 p{color:inherit;}\r\n#af-form-817448879 select,#af-form-817448879 label,#af-form-817448879 optgroup,#af-form-817448879 option{padding:0;}\r\n#af-form-817448879 table{border-collapse:collapse;border-spacing:0;}\r\n#af-form-817448879 ul,#af-form-817448879 ol{list-style-image:none;list-style-position:outside;list-style-type:disc;padding-left:40px;}\r\n#af-form-817448879,#af-form-817448879 .quirksMode{width:100%;max-width:500px;}\r\n#af-form-817448879.af-quirksMode{overflow-x:hidden;}\r\n#af-form-817448879{background-color:#FFFFFF;border-color:#454545;border-width:1px;border-style:none;}\r\n#af-form-817448879{display:block;}\r\n#af-form-817448879{overflow:hidden;}\r\n.af-body .af-textWrap textarea{width:100%;}\r\n.af-body .af-textWrap{text-align:left;}\r\n.af-body input.image{border:none!important;}\r\n.af-body input.submit,.af-body input.image,.af-form .af-element input.button{float:none!important;}\r\n.af-body input.submit{white-space:inherit;}\r\n.af-body input.text{width:100%;float:none;padding:2px!important;}\r\n.af-body textarea{padding:2px!important;}\r\n.af-body.af-standards input.submit{padding:4px 12px;}\r\n.af-clear{clear:both;}\r\n.af-divider-parent{padding-bottom:15px;padding-top:0!important;}\r\n.af-divider{display:block;height:12px;margin-bottom:6px;}\r\n.af-element label{text-align:left;display:block;float:left;}\r\n.af-element-checkbox .choice{display:inline;}\r\n.af-element-checkbox label,.af-element-checkbox input.checkbox{display:inline!important;float:none!important;}\r\n.af-element{padding-bottom:5px;padding-top:5px;}\r\n.af-footer{margin-bottom:0;margin-top:0;padding:10px;}\r\n.af-form-wrapper{text-indent:0;}\r\n.af-form{box-sizing:border-box;text-align:left;margin:auto;}\r\n.af-quirksMode .af-element{padding-left:0!important;padding-right:0!important;}\r\n.lbl-right .af-element label{text-align:right;}\r\nbody {\r\n}\r\n#af-form-817448879 input.submit,\r\n#af-form-817448879 #webFormSubmitButton {\r\n  -webkit-appearance: none;\r\n}\r\n\r\n.af-form {\r\n  border-radius: 12px;\r\n}\r\n\r\n.af-header {\r\n  -webkit-clip-path: polygon(0 0, 100% 0, 100% 80%, 0% 100%);\r\n  clip-path: polygon(0 0, 100% 0, 100% 80%, 0% 100%);\r\n}\r\n\r\n.af-header p {\r\n  padding-top: 25px;\r\n  padding-right: 50px;\r\n  padding-bottom: 40px;\r\n  padding-left: 50px;\r\n}\r\n\r\n.af-body input.text,\r\n.af-body textarea {\r\n  border-radius: 4px;\r\n}\r\n\r\n.af-element {\r\n  padding-top: 10px;\r\n  padding-bottom: 10px;\r\n}\r\n\r\n#af-form-817448879 select,\r\n#af-form-817448879 label,\r\n#af-form-817448879 optgroup,\r\n#af-form-817448879 option {\r\n  padding-bottom: 5px;\r\n}\r\n\r\n#af-form-817448879 p {\r\n  margin: 0;\r\n}\r\n\r\n#af-form-817448879 .af-body .privacyPolicy {\r\n  font-size: 9px;\r\n  padding-top: 20px;\r\n  padding-bottom: 10px;\r\n}\r\n\r\n#af-form-817448879 .af-body .poweredBy {\r\n  font-size: 9px;\r\n  padding-top: 0;\r\n  padding-bottom: 0;\r\n}\r\n\r\n#af-form #webFormSubmitButton,\r\n.buttonContainer input.submit,\r\n.af-body.af-standards input.submit {\r\n  border:none;\r\n  border-radius: 4px;\r\n  padding: 10px 30px;\r\n}\r\n\r\n.bodyText p strong {\r\n  letter-spacing: 0.03em;\r\n  line-height:1.25;\r\n}\r\n\r\n.af-form .af-element-radio {\r\n  padding-bottom: 5px;\r\n  }\r\n<\/style>\r\n<form method=\"post\" class=\"af-form-wrapper\" accept-charset=\"UTF-8\" action=\"https:\/\/www.aweber.com\/scripts\/addlead.pl\" target=\"_blank\" >\r\n<div style=\"display: none;\">\r\n<input type=\"hidden\" name=\"meta_web_form_id\" value=\"817448879\" \/>\r\n<input type=\"hidden\" name=\"meta_split_id\" value=\"\" \/>\r\n<input type=\"hidden\" name=\"listname\" value=\"awlist5661320\" \/>\r\n<input type=\"hidden\" name=\"redirect\" value=\"https:\/\/asegureseahora.com\/gracias-2\/\" id=\"redirect_15d17bc60139edf929a40ade84aead25\" \/>\r\n<input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"https:\/\/asegureseahora.com\/gracias-2\/\" \/>\r\n<input type=\"hidden\" name=\"meta_adtracking\" value=\"Formulario_de_salud\" \/>\r\n<input type=\"hidden\" name=\"meta_message\" value=\"1\" \/>\r\n<input type=\"hidden\" name=\"meta_required\" value=\"name,email,custom Telefono de contacto,custom Comentarios adicionales\" \/>\r\n\r\n<input type=\"hidden\" name=\"meta_tooltip\" value=\"\" \/>\r\n<\/div>\r\n<div id=\"af-form-817448879\" class=\"af-form\"><div id=\"af-body-817448879\" class=\"af-body af-standards\">\r\n<div class=\"af-element\">\r\n<label class=\"previewLabel\" for=\"awf_field-112936930\">Nombre: <\/label>\r\n<div class=\"af-textWrap\">\r\n<input id=\"awf_field-112936930\" type=\"text\" name=\"name\" class=\"text\" value=\"\"  onfocus=\" if (this.value == '') { this.value = ''; }\" onblur=\"if (this.value == '') { this.value='';} \" tabindex=\"500\" \/>\r\n<\/div>\r\n<div class=\"af-clear\"><\/div><\/div>\r\n<div class=\"af-element\">\r\n<label class=\"previewLabel\" for=\"awf_field-112936931\">Email: <\/label>\r\n<div class=\"af-textWrap\"><input class=\"text\" id=\"awf_field-112936931\" type=\"text\" name=\"email\" value=\"\" tabindex=\"501\" onfocus=\" if (this.value == '') { this.value = ''; }\" onblur=\"if (this.value == '') { this.value='';} \" \/>\r\n<\/div><div class=\"af-clear\"><\/div>\r\n<\/div>\r\n<div class=\"af-element\">\r\n<label class=\"previewLabel\" for=\"awf_field-112936932\">Telefono de contacto:<\/label>\r\n<div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-112936932\" class=\"text\" name=\"custom Telefono de contacto\" value=\"\"  onfocus=\" if (this.value == '') { this.value = ''; }\" onblur=\"if (this.value == '') { this.value='';} \" tabindex=\"502\" \/><\/div>\r\n<div class=\"af-clear\"><\/div><\/div><div class=\"af-element\">\r\n<label class=\"previewLabel\" for=\"awf_field-112936933\">Describanos los servicios que desea tener<\/label>\r\n<div class=\"af-textWrap\"><textarea rows=\"\" cols=\"\" name=\"custom Comentarios adicionales\" id=\"awf_field-112936933\"  onfocus=\"if (this.value == '') { this.value = ''; }\" onblur=\"if (this.value == '') { this.value='';}\" tabindex=\"503\" style=\"height:60px\"><\/textarea><\/div><div class=\"af-clear\"><\/div><\/div><div class=\"af-element af-element-checkbox\"><div class=\"af-checkWrap\">\r\n<input type=\"checkbox\" value=\"yes\" id=\"awf_field-112936934\" class=\"checkbox\"  name=\"custom Si deseo recibir informacion\" tabindex=\"504\" \/> \r\n<label class=\"choice\" for=\"awf_field-112936934\">Si deseo recibir informacion:<\/label>\r\n<\/div><div class=\"af-clear\"><\/div><\/div><div class=\"af-element buttonContainer\">\r\n<input name=\"submit\" class=\"submit\" type=\"submit\" value=\"Enviar informacion\" tabindex=\"505\" \/>\r\n<div class=\"af-clear\"><\/div>\r\n<\/div>\r\n<div class=\"af-divider\" style=\"border-bottom: 1px dotted #000000;\"><\/div>\r\n<\/div>\r\n<div id=\"af-footer-817448879\" class=\"af-footer\"><div class=\"bodyText\"><p>&nbsp;<\/p><\/div><\/div>\r\n<\/div>\r\n<div style=\"display: none;\"><img decoding=\"async\" src=\"https:\/\/forms.aweber.com\/form\/displays.htm?id=HIzsLCwcHOyc\" alt=\"\" \/><\/div>\r\n<\/form>\r\n<script type=\"text\/javascript\">\r\n\/\/ Special handling for in-app browsers that don't always support new windows\r\n(function() {\r\n    function browserSupportsNewWindows(userAgent) {\r\n        var rules = [\r\n            'FBIOS',\r\n            'Twitter for iPhone',\r\n            'WebView',\r\n            '(iPhone|iPod|iPad)(?!.*Safari\\\/)',\r\n            'Android.*(wv|\\.0\\.0\\.0)'\r\n        ];\r\n        var pattern = new RegExp('(' + rules.join('|') + ')', 'ig');\r\n        return !pattern.test(userAgent);\r\n    }\r\n\r\n    if (!browserSupportsNewWindows(navigator.userAgent || navigator.vendor || window.opera)) {\r\n        document.getElementById('af-form-817448879').parentElement.removeAttribute('target');\r\n    }\r\n})();\r\n<\/script><script type=\"text\/javascript\">\r\n    <!--\r\n    (function() {\r\n        var IE = \/*@cc_on!@*\/false;\r\n        if (!IE) { return; }\r\n        if (document.compatMode && document.compatMode == 'BackCompat') {\r\n            if (document.getElementById(\"af-form-817448879\")) {\r\n                document.getElementById(\"af-form-817448879\").className = 'af-form af-quirksMode';\r\n            }\r\n            if (document.getElementById(\"af-body-817448879\")) {\r\n                document.getElementById(\"af-body-817448879\").className = \"af-body inline af-quirksMode\";\r\n            }\r\n            if (document.getElementById(\"af-header-817448879\")) {\r\n                document.getElementById(\"af-header-817448879\").className = \"af-header af-quirksMode\";\r\n            }\r\n            if (document.getElementById(\"af-footer-817448879\")) {\r\n                document.getElementById(\"af-footer-817448879\").className = \"af-footer af-quirksMode\";\r\n            }\r\n        }\r\n    })();\r\n    -->\r\n<\/script>\r\n\r\n<!-- \/AWeber Web Form Generator 3.0.1 -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-2567b90\" data-id=\"2567b90\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5683827 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5683827\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-0dd4bbf\" data-id=\"0dd4bbf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-79afda4\" data-id=\"79afda4\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c1b604f elementor-widget elementor-widget-text-editor\" data-id=\"c1b604f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-family: verdana, geneva, sans-serif; font-size: 8pt; color: #000000;\">Su informaci\u00f3n es tratada con total confidencialidad, seg\u00fan nuestra Pol\u00edtica de privacidad y de protecci\u00f3n de datos personales, ver <strong><span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/asegureseahora.com\/contacto\/politica\/\">aqu\u00ed<\/a><\/span><\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-c742696\" data-id=\"c742696\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b18ceb7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b18ceb7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-f5d7826\" data-id=\"f5d7826\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c852331\" data-id=\"c852331\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-99a29e9 elementor-widget elementor-widget-text-editor\" data-id=\"99a29e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\">Una vez tengamos la informaci\u00f3n y comprensi\u00f3n de sus necesidades de protecci\u00f3n en salud elaboraremos las cotizaciones en las aseguradoras para present\u00e1rselas y decidir cual entre todos cual es la que m\u00e1s protege a su familia y se ajusta al presupuesto.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-1e8ae04\" data-id=\"1e8ae04\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-af0a447 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"af0a447\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-9496032\" data-id=\"9496032\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b43dcd1\" data-id=\"b43dcd1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16ef276 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"16ef276\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;slideInDown&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 14pt; color: #000000;\">Nos alegra que nos de la oportunidad de asesorarlos en este paso tan importante de su vida familiar.<\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-109fda6\" data-id=\"109fda6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4dac38f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4dac38f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-2c760b0\" data-id=\"2c760b0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-104608e\" data-id=\"104608e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7537d47 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"7537d47\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;bounceInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong><span style=\"color: #000000; font-family: verdana, geneva, sans-serif;\">Sin un <span style=\"font-size: 14pt;\">Seguro de Salud <\/span>es poner la salud propia y de la familia en riesgo permanente.<\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-583b72c\" data-id=\"583b72c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Gracias por contactarnos para adquirir su Seguro de Salud. Por favor diligencie el siguiente formulario para que uno de nuestros asesores se ponga en contacto con usted. Nombre: Email: Telefono de contacto: Describanos los servicios que desea tener Si deseo recibir informacion: &nbsp; Su informaci\u00f3n es tratada con total confidencialidad, seg\u00fan nuestra Pol\u00edtica de privacidad [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-17114","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v19.4 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Formulario Salud &#8226; Seguros para la vida<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asegureseahora.com\/para-usted\/hogar\/formulario-salud\/\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/asegureseahora.com\\\/para-usted\\\/hogar\\\/formulario-salud\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/asegureseahora.com\\\/para-usted\\\/hogar\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulario Salud\"}]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Formulario Salud &#8226; Seguros para la vida","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/asegureseahora.com\/para-usted\/hogar\/formulario-salud\/","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"BreadcrumbList","@id":"https:\/\/asegureseahora.com\/para-usted\/hogar\/formulario-salud\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/asegureseahora.com\/para-usted\/hogar\/"},{"@type":"ListItem","position":2,"name":"Formulario Salud"}]}]}},"_links":{"self":[{"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/pages\/17114","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/comments?post=17114"}],"version-history":[{"count":1,"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/pages\/17114\/revisions"}],"predecessor-version":[{"id":17135,"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/pages\/17114\/revisions\/17135"}],"wp:attachment":[{"href":"https:\/\/asegureseahora.com\/para-usted\/hogar\/wp-json\/wp\/v2\/media?parent=17114"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}