{"id":193,"date":"2014-07-03T15:39:42","date_gmt":"2014-07-03T14:39:42","guid":{"rendered":"http:\/\/www.esdras-assurances.fr\/assurance\/?page_id=193"},"modified":"2016-05-02T20:47:05","modified_gmt":"2016-05-02T19:47:05","slug":"demande-de-devis-habitation","status":"publish","type":"page","link":"https:\/\/www.esdras-assurances.fr\/assurance\/?page_id=193","title":{"rendered":"Demande de devis habitation"},"content":{"rendered":"<script>jQuery(document).ready(function(){});<\/script><script type=\"text\/javascript\"> var xyz_cfm_date_format = \"m\/d\/Y\";function xyz_cfm_5_1_check(){var firstErrorId = \"\"; var xyz_cfm_client_error = 0;var xyz_cfm_name_dateeffet_347_1 = document.getElementById(\"dateeffet_347_1\").value;\nif(xyz_cfm_name_dateeffet_347_1.trim() == \"\"){\ndocument.getElementById(\"text_dateeffet_347_1\").innerHTML = \"Remplir champ de texte\";\nif(firstErrorId ==  \"\"){\nfirstErrorId = \n\"dateeffet_347_1\";\n}\nxyz_cfm_client_error = 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class=\"xyz_cfm_theme_div_id_0\"><table style=\"width: 100%; vertical-align: top;\">\n<tbody>\n<tr>\n<td colspan=\"2\">Les champs marqu\u00e9s d'un<span style=\"color: #ff0000;\">(*)<\/span>sont obligatoires.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"text-decoration: underline;\"><span style=\"font-size: small;\"><strong>Informations logement<\/strong><\/span><\/span><\/td>\n<td>\u00a0<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Date d'effet souhait\u00e9e<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"dateeffet_347_1\" name=\"dateeffet\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_dateeffet_347_1\"><\/div>\n<\/td>\n<td colspan=\"2\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Quel est le type de logement?<\/td>\n<td>\u00a0<select id=\"typelog_159_1\" name=\"typelog\" class=\"\" ><option value=\"\">Select<\/option><option value=\"appartement\">appartement<\/option><option value=\"maison individuelle sans 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id=\"nbpiece_162_1\" name=\"nbpiece\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_nbpiece_162_1\"><\/div>\n<\/td>\n<td colspan=\"2\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Superficie<\/td>\n<td>\u00a0<input  class=\"\"  type=\"text\" id=\"superficie_163_1\" name=\"superficie\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_superficie_163_1\"><\/div>\n<\/td>\n<td colspan=\"2\">\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Ann\u00e9e de construction du logement :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"anneeconstruc_374_1\" name=\"anneeconstruc\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_anneeconstruc_374_1\"><\/div>\n<\/td>\n<td colspan=\"2\"> <\/td>\n<\/tr>\n<tr>\n<td>Nombre de niveaux pour les maisons :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"nbniveaumais_375_1\" name=\"nbniveaumais\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_nbniveaumais_375_1\"><\/div>\n<\/td>\n<td colspan=\"2\"> <\/td>\n<\/tr>\n<tr>\n<td>Quel \u00e9tage si appartement :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"queletage_376_1\" name=\"queletage\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_queletage_376_1\"><\/div>\n<\/td>\n<td colspan=\"2\"> <\/td>\n<\/tr>\n<tr>\n<td>Nombre total d'\u00e9tages de l'immeuble :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"nombreetage_377_1\" name=\"nombreetage\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_nombreetage_377_1\"><\/div>\n<\/td>\n<td colspan=\"2\"> <\/td>\n<\/tr>\n<tr>\n<td>Type de chauffage  :<\/td>\n<td><select id=\"typechauff_378_1\" name=\"typechauff\" class=\"\" ><option value=\"\">Select<\/option><option value=\"po\u00eale\">po\u00eale<\/option><option value=\"chemin\u00e9e\">chemin\u00e9e<\/option><option value=\"\u00e9lectrique\">\u00e9lectrique<\/option><option value=\"gaz\">gaz<\/option><\/select><div style=\"font-weight: normal;color:red; \" id=\"dropdown_typechauff_378_1\"><\/div><\/td>\n<td colspan=\"2\"> <\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"text-decoration: underline;\"><span style=\"font-size: small;\"><strong>Capital mobilier :<\/strong><\/span><\/span><\/td>\n<td>\u00a0<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Quelle est sa valeur?<\/td>\n<td colspan=\"3\">\u00a0<input  class=\"\"  type=\"text\" id=\"quelleval_164_1\" name=\"quelleval\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_quelleval_164_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Quel est le pourcentage d'objet de valeur?<\/td>\n<td colspan=\"3\">\u00a0<input  class=\"\"  type=\"text\" id=\"pourcenval_165_1\" name=\"pourcenval\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_pourcenval_165_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>La p\u00e9riode 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colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon6\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon6\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon6_169_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"text-decoration: underline;\"><span style=\"font-size: small;\"><strong>Options possibles :<\/strong><\/span><\/span><\/td>\n<td>\u00a0<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td>Dommages aux v\u00e9randas<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon7\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon7\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon7_170_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>RC mat\u00e9riel de jardinage automoteur<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon8\"  value=\"oui&nbsp;\" \/> 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class=\"\" type=\"radio\" name=\"ouinon11\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon11\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon11_174_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Assistante maternelle agr\u00e9\u00e9e<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon12\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon12\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon12_175_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Caves \u00e0 vins<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon13\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon13\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon13_176_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Objets de loisirs<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon14\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon14\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon14_177_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Arbres et arbustes<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon15\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon15\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon15_178_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Assurance scolaire - accidents corporels<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon16\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon16\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon16_179_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Piscine<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon17\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon17\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon17_180_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Extension RC - Cheval<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon18\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon18\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon18_181_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>RC Chien de 2\u00e8me cat\u00e9gorie<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon19\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon19\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon19_182_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Bris de glace \u00e9tendu (aquarium plus de 200L...)<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon20\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon20\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon20_183_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Court de tennis<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon21\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon21\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon21_184_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Pack d\u00e9veloppement durable<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon22\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon22\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon22_185_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Rachat de franchise<\/td>\n<td colspan=\"3\">\u00a0<div><input class=\"\" type=\"radio\" name=\"ouinon23\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"ouinon23\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_ouinon23_186_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Panneaux photovolta\u00efques<\/td>\n<td colspan=\"3\"> <div><input class=\"\" type=\"radio\" name=\"panophotovol\"  value=\"oui&nbsp;\" \/> oui&nbsp;<input class=\"\" type=\"radio\" name=\"panophotovol\"  value=\"non\" \/> non<\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_panophotovol_379_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td>Si oui superficie et valeur<\/td>\n<td colspan=\"3\"> <input  class=\"\"  type=\"text\" id=\"superficieetvaleur_380_1\" name=\"superficieetvaleur\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_superficieetvaleur_380_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Paiement souhait\u00e9<\/td>\n<td colspan=\"3\"><div><input class=\"\" type=\"radio\" name=\"paiementsouhaite\"  value=\"annuel&nbsp;\" \/> annuel&nbsp;<input class=\"\" type=\"radio\" name=\"paiementsouhaite\"  value=\"semestriel&nbsp;\" \/> semestriel&nbsp;<input class=\"\" type=\"radio\" name=\"paiementsouhaite\"  value=\"trimestriel&nbsp;\" \/> trimestriel&nbsp;<span style=\"color:red;\" id=\"paiementsouhaite_348_1\">*<\/span><\/div><div style=\"font-weight: normal;color:red;\" id=\"radiobutton_paiementsouhaite_348_1\"><\/div><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<hr style=\"width: 97%; height: 1px;\" size=\"1\" width=\"97%\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><span style=\"text-decoration: underline;\"><span style=\"font-size: small;\"><strong>Vos coordonn\u00e9es<\/strong><\/span><\/span><\/td>\n<td>\u00a0<\/td>\n<td>\u00a0<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<hr style=\"width: 97%; height: 1px;\" size=\"1\" width=\"97%\" \/><\/td>\n<\/tr>\n<tr>\n<td>Nom:<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"yourName_147_1\" name=\"yourName\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_yourName_147_1\"><\/div>\n<\/td>\n<td>Pr\u00e9nom :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"prenom2_152_1\" name=\"prenom2\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_prenom2_152_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Adresse 1 :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"adress_153_1\" name=\"adress\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_adress_153_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Adresse 2 :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"adress2_154_1\" name=\"adress2\"  value=\"\"  ><div style=\"font-weight: normal;color:red;\" id=\"text_adress2_154_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Code Postal :<span style=\"color: #ff0000;\"><br \/><\/span><\/td>\n<td><input  class=\"\"  type=\"text\" id=\"cp_155_1\" name=\"cp\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_cp_155_1\"><\/div>\n<\/td>\n<td>Ville<span style=\"color: #ff0000;\"> :<\/span><\/td>\n<td><input  class=\"\"  type=\"text\" id=\"ville_156_1\" name=\"ville\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_ville_156_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>T\u00e9l\u00e9phone fixe :<span style=\"color: #ff0000;\"><br \/><\/span><\/td>\n<td><input  class=\"\"  type=\"text\" id=\"telfixe_157_1\" name=\"telfixe\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_telfixe_157_1\"><\/div>\n<\/td>\n<td>T\u00e9l\u00e9phone mobile :<\/td>\n<td><input  class=\"\"  type=\"text\" id=\"telmob_158_1\" name=\"telmob\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"text_telmob_158_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td>Adresse e-mail :<span style=\"color: #ff0000;\"><br \/><\/span><\/td>\n<td><input  class=\"\"  type=\"text\" id=\"yourEmail_148_1\" name=\"yourEmail\"  value=\"\"  ><span style=\"color:red;\">*<\/span><div style=\"font-weight: normal;color:red;\" id=\"email_yourEmail_148_1\"><\/div>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<hr size=\"1\" width=\"97%\" \/><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<p align=\"center\">Les informations ci dessus sont destin\u00e9es au cabinet ESDRAS Assurances, elles ne seront pas transmises \u00e0 des tiers<\/p>\n<p align=\"center\"><input class=\"\"  type=\"submit\" name=\"submit\" id=\"submit_151_1\" value=\"Envoyer\"  ><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<input type =\"hidden\" name=\"xyz_cfm_frmName_1\"  value=\"form5\" >\n<\/form>\n<p style=\"text-align: center;\"><strong>Merci, <span class=\"st\">nous vous contacterons rapidement.<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Merci, nous vous contacterons rapidement.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Demande de devis habitation - Esdras Assurances<\/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:\/\/www.esdras-assurances.fr\/assurance\/?page_id=193\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Demande de devis habitation - Esdras Assurances\" \/>\n<meta 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