{"id":15963,"date":"2023-10-13T12:08:33","date_gmt":"2023-10-13T10:08:33","guid":{"rendered":"https:\/\/dunach.com\/index_beta.php\/cotisation\/devis-dassurance-vehicule\/"},"modified":"2026-01-08T11:44:44","modified_gmt":"2026-01-08T10:44:44","slug":"devis-dassurance-vehicule","status":"publish","type":"page","link":"https:\/\/dunach.com\/index_beta.php\/cotisation\/devis-dassurance-vehicule\/?lang=fr","title":{"rendered":"Devis d&#8217;assurance v\u00e9hicule"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15963\" class=\"elementor elementor-15963 elementor-3856\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4393e93 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"4393e93\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;background_motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;background_motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-6b75e63\" data-id=\"6b75e63\" data-element_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-ed9c48b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ed9c48b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-50 elementor-top-column elementor-element elementor-element-f5a2280\" data-id=\"f5a2280\" data-element_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-578bce0 elementor-widget elementor-widget-heading\" data-id=\"578bce0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Devis d'assurance v\u00e9hicule<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-958b868 elementor-widget elementor-widget-heading\" data-id=\"958b868\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">de nature obligatoire, pouvant \u00eatre compl\u00e9t\u00e9e par de nombreuses couvertures compl\u00e9mentaires. Couvre les dommages corporels ou mat\u00e9riels caus\u00e9s \u00e0 des tiers. Les conditions d\u00e9pendent de nombreux facteurs : v\u00e9hicule, utilisation du v\u00e9hicule, conducteurs fr\u00e9quents et occasionnels, zone de circulation, mode de paiement, bonus, franchises, etc. Et, \u00e9videmment, de la couverture suppl\u00e9mentaire qui est contract\u00e9e. En concertation avec vous, nous vous conseillerons dans le choix des meilleures prestations et de l'assureur le plus adapt\u00e9 \u00e0 votre cas. <\/h2>\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-50 elementor-top-column elementor-element elementor-element-a20dc83\" data-id=\"a20dc83\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-49d16b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49d16b6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-50 elementor-top-column elementor-element elementor-element-da1e5df\" data-id=\"da1e5df\" data-element_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-2dbe104 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"2dbe104\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#llista-cobertures\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-down\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Quelles couvertures proposons-nous ?<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1af521b elementor-widget elementor-widget-shortcode\" data-id=\"1af521b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-15965 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-15965\" data-uid=\"6ac89c64b27b1\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-15965\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-15965 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=\"15965\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ac89c64b27b1\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-15965--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-15965--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"CONTACTE\"\n\t\t\t\tdata-actual-label=\"DONN\u00c9ES DU SOL\u00b7LICITANT\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12  titol\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><p style=\"color: #0081c6\"><strong>COORDONN\u00c9ES DU PROPOSANT<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6ac89c64b27b1\" id=\"forminator-field-text-1_6ac89c64b27b1-label\" class=\"forminator-label\">Pr\u00e9nom et nom\/nom de l&#039;enterprise: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6ac89c64b27b1\" id=\"forminator-field-text-2_6ac89c64b27b1-label\" class=\"forminator-label\">NIF\/CIF\/NIE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"12\" \/><span id=\"forminator-field-text-2_6ac89c64b27b1-description\" class=\"forminator-description\"><span data-limit=\"12\" data-type=\"characters\">0 \/ 12<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6ac89c64b27b1\" id=\"forminator-field-text-3_6ac89c64b27b1-label\" class=\"forminator-label\">Date de naissance: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-3_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-3_6ac89c64b27b1-description\" class=\"forminator-description\">JJ\/MM\/AAAA<\/span><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6ac89c64b27b1\" id=\"forminator-field-text-4_6ac89c64b27b1-label\" class=\"forminator-label\">profession\/activit\u00e9: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6ac89c64b27b1\" 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_6ac89c64b27b1\" id=\"forminator-field-text-5_6ac89c64b27b1-label\" class=\"forminator-label\">Adresse: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-5_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-5_6ac89c64b27b1-description\" class=\"forminator-description\">Rue : Nom, num\u00e9ro, bloc, escalier, \u00e9tage, porte<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6ac89c64b27b1\" id=\"forminator-field-text-6_6ac89c64b27b1-label\" class=\"forminator-label\">Code postal: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6ac89c64b27b1\" id=\"forminator-field-text-7_6ac89c64b27b1-label\" class=\"forminator-label\">VILLE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ac89c64b27b1\" id=\"forminator-field-phone-1_6ac89c64b27b1-label\" class=\"forminator-label\">T\u00e9l\u00e9phone: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6ac89c64b27b1\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"es\" data-validation=\"international\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ac89c64b27b1\" id=\"forminator-field-email-1_6ac89c64b27b1-label\" class=\"forminator-label\">E-MAIL: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6ac89c64b27b1\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12  titol\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p style=\"color: #0081c6\"><strong>COORDONN\u00c9ES DU PROPRI\u00c9TAIRE DU V\u00c9HICULE<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-17-6ac89c64b27b1-label\" class=\"forminator-label\">Le demandeur est-il le propri\u00e9taire du v\u00e9hicule ?<\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-17\" value=\"one\" id=\"forminator-field-radio-17-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-17\" value=\"two\" id=\"forminator-field-radio-17-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-18-6ac89c64b27b1-label\" class=\"forminator-label\">CARACT\u00c8RE AVEC LEQUEL IL AGIT:<\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"PARTICULIER\"><input type=\"radio\" name=\"radio-18\" value=\"one\" id=\"forminator-field-radio-18-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PARTICULIER<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"ENTREPRISE\"><input type=\"radio\" name=\"radio-18\" value=\"two\" id=\"forminator-field-radio-18-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">ENTREPRISE<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-32\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-32_6ac89c64b27b1\" id=\"forminator-field-text-32_6ac89c64b27b1-label\" class=\"forminator-label\">Pr\u00e9nom et nom du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-32\" value=\"\" placeholder=\"\" id=\"forminator-field-text-32_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-48\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-48_6ac89c64b27b1\" id=\"forminator-field-text-48_6ac89c64b27b1-label\" class=\"forminator-label\">nom de l&#039;enterprise du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-48\" value=\"\" placeholder=\"\" id=\"forminator-field-text-48_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-33\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-33_6ac89c64b27b1\" id=\"forminator-field-text-33_6ac89c64b27b1-label\" class=\"forminator-label\">NIF\/CIF\/NIE du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-33\" value=\"\" placeholder=\"\" id=\"forminator-field-text-33_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-34\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-34_6ac89c64b27b1\" id=\"forminator-field-text-34_6ac89c64b27b1-label\" class=\"forminator-label\">Date de naissance du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-34\" value=\"\" placeholder=\"\" id=\"forminator-field-text-34_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-34_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-34_6ac89c64b27b1-description\" class=\"forminator-description\">DD\/MM\/AAAA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-38\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-38_6ac89c64b27b1\" id=\"forminator-field-text-38_6ac89c64b27b1-label\" class=\"forminator-label\">Adresse du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-38\" value=\"\" placeholder=\"\" id=\"forminator-field-text-38_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-38_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-38_6ac89c64b27b1-description\" class=\"forminator-description\">Rue : Nom, num\u00e9ro, bloc, escalier, \u00e9tage, porte<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-39\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-39_6ac89c64b27b1\" id=\"forminator-field-text-39_6ac89c64b27b1-label\" class=\"forminator-label\">Code postal du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-39\" value=\"\" placeholder=\"\" id=\"forminator-field-text-39_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-40\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-40_6ac89c64b27b1\" id=\"forminator-field-text-40_6ac89c64b27b1-label\" class=\"forminator-label\">Ville du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-40\" value=\"\" placeholder=\"\" id=\"forminator-field-text-40_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6ac89c64b27b1\" id=\"forminator-field-phone-2_6ac89c64b27b1-label\" class=\"forminator-label\">T\u00e9l\u00e9phone du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6ac89c64b27b1\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"es\" data-validation=\"international\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6ac89c64b27b1\" id=\"forminator-field-email-2_6ac89c64b27b1-label\" class=\"forminator-label\">E-MAIL du propri\u00e9taire: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6ac89c64b27b1\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12  titol\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><p style=\"color: #0081c6\"><strong>DONN\u00c9ES DU CONDUCTEUR HABITUEL<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-13-6ac89c64b27b1-label\" class=\"forminator-label\">Le proposant est-il le conducteur habituel\u00a0? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-13\" value=\"one\" id=\"forminator-field-radio-13-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-13\" value=\"two\" id=\"forminator-field-radio-13-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-44\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-44_6ac89c64b27b1\" id=\"forminator-field-text-44_6ac89c64b27b1-label\" class=\"forminator-label\">Pr\u00e9nom et nom\/nom de l&#039;enterprise: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-44\" value=\"\" placeholder=\"\" id=\"forminator-field-text-44_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-45\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-45_6ac89c64b27b1\" id=\"forminator-field-text-45_6ac89c64b27b1-label\" class=\"forminator-label\">NIF\/NIE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-45\" value=\"\" placeholder=\"\" id=\"forminator-field-text-45_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"12\" \/><span id=\"forminator-field-text-45_6ac89c64b27b1-description\" class=\"forminator-description\"><span data-limit=\"12\" data-type=\"characters\">0 \/ 12<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-46\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-46_6ac89c64b27b1\" id=\"forminator-field-text-46_6ac89c64b27b1-label\" class=\"forminator-label\">Date de naissance: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-46\" value=\"\" placeholder=\"\" id=\"forminator-field-text-46_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-46_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-46_6ac89c64b27b1-description\" class=\"forminator-description\">JJ\/MM\/AAAA<\/span><\/div><\/div><div id=\"text-35\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-35_6ac89c64b27b1\" id=\"forminator-field-text-35_6ac89c64b27b1-label\" class=\"forminator-label\">Date exp. permis: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-35\" value=\"\" placeholder=\"\" id=\"forminator-field-text-35_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-35_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-35_6ac89c64b27b1-description\" class=\"forminator-description\">JJ\/MM\/AAAA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-19-6ac89c64b27b1-label\" class=\"forminator-label\">Pays exp. permis:<\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Espagne\"><input type=\"radio\" name=\"radio-19\" value=\"one\" id=\"forminator-field-radio-19-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Espagne<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Europe\"><input type=\"radio\" name=\"radio-19\" value=\"two\" id=\"forminator-field-radio-19-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Europe<\/span><\/label><label id=\"forminator-field-radio-19-label-3\" for=\"forminator-field-radio-19-3-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Reste du monde\"><input type=\"radio\" name=\"radio-19\" value=\"Reste-du-monde\" id=\"forminator-field-radio-19-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-19-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Reste du monde<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12  titol\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><p style=\"color: #0081c6\"><strong>DONN\u00c9ES DES CONDUCTEURS OCCASIONNELS\/SUPPL\u00c9MENTAIRES<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-20-6ac89c64b27b1-label\" class=\"forminator-label\">Y A-T-IL DES CONDUCTEURS OCCASIONNELS\/SUPPL\u00c9MENTAIRES DU V\u00c9HICULE ? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-20\" value=\"one\" id=\"forminator-field-radio-20-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-20\" value=\"two\" id=\"forminator-field-radio-20-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Coordonn\u00e9es du conducteur habituel\/suppl\u00e9mentaire<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:5,&quot;add_text&quot;:&quot;Ajouter un conducteur&quot;,&quot;remove_text&quot;:&quot;Supprimer un conducteur&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-27\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-27_6ac89c64b27b1\" id=\"forminator-field-text-27_6ac89c64b27b1-label\" class=\"forminator-label\">Pr\u00e9nom et nom: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-27\" value=\"\" placeholder=\"\" id=\"forminator-field-text-27_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-28\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-28_6ac89c64b27b1\" id=\"forminator-field-text-28_6ac89c64b27b1-label\" class=\"forminator-label\">NIF\/NIE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-28\" value=\"\" placeholder=\"\" id=\"forminator-field-text-28_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"9\" \/><span id=\"forminator-field-text-28_6ac89c64b27b1-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-29\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-29_6ac89c64b27b1\" id=\"forminator-field-text-29_6ac89c64b27b1-label\" class=\"forminator-label\">Date de naissance: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-29\" value=\"\" placeholder=\"\" id=\"forminator-field-text-29_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" aria-describedby=\"forminator-field-text-29_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-29_6ac89c64b27b1-description\" class=\"forminator-description\">JJ\/MM\/AAAA<span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><div id=\"text-30\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-30_6ac89c64b27b1\" id=\"forminator-field-text-30_6ac89c64b27b1-label\" class=\"forminator-label\">Date exp. permis: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-30\" value=\"\" placeholder=\"\" id=\"forminator-field-text-30_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" aria-describedby=\"forminator-field-text-30_6ac89c64b27b1-description\" \/><span id=\"forminator-field-text-30_6ac89c64b27b1-description\" class=\"forminator-description\">JJ\/MM\/AAAA<span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-14\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-14-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-14-6ac89c64b27b1-label\" class=\"forminator-label\">Pays exp. permis:<\/span><label id=\"forminator-field-radio-14-label-1\" for=\"forminator-field-radio-14-1-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Espagne\"><input type=\"radio\" name=\"radio-14\" value=\"one\" id=\"forminator-field-radio-14-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-14-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Espagne<\/span><\/label><label id=\"forminator-field-radio-14-label-2\" for=\"forminator-field-radio-14-2-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Europe\"><input type=\"radio\" name=\"radio-14\" value=\"two\" id=\"forminator-field-radio-14-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-14-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Europe<\/span><\/label><label id=\"forminator-field-radio-14-label-3\" for=\"forminator-field-radio-14-3-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Reste du monde\"><input type=\"radio\" name=\"radio-14\" value=\"Reste-du-monde\" id=\"forminator-field-radio-14-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-14-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Reste du monde<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Ajouter un conducteur\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Supprimer un conducteur\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/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-15965--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-15965--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"DONN\u00c9ES DU SOL\u00b7LICITANT\"\n\t\t\t\tdata-actual-label=\"V\u00c9HICULE\"\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=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12  titolseccio\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p style=\"color: #0081c6\"><strong>DONN\u00c9ES DU V\u00c9HICULE AUTOPROPULS\u00c9<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-12-6ac89c64b27b1-label\" class=\"forminator-label\">UTILISATION:<\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"PARTICULIER\"><input type=\"radio\" name=\"radio-12\" value=\"one\" id=\"forminator-field-radio-12-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PARTICULIER<\/span><\/label><label id=\"forminator-field-radio-12-label-2\" for=\"forminator-field-radio-12-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"PUBLIC\"><input type=\"radio\" name=\"radio-12\" value=\"two\" id=\"forminator-field-radio-12-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-12-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PUBLIC<\/span><\/label><label id=\"forminator-field-radio-12-label-3\" for=\"forminator-field-radio-12-3-6ac89c64b27b1\" class=\"forminator-radio\" title=\"AGRICOLE\"><input type=\"radio\" name=\"radio-12\" value=\"AGRICOLE\" id=\"forminator-field-radio-12-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-12-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">AGRICOLE<\/span><\/label><label id=\"forminator-field-radio-12-label-4\" for=\"forminator-field-radio-12-4-6ac89c64b27b1\" class=\"forminator-radio\" title=\"AUTRES (SPECIFIER)\"><input type=\"radio\" name=\"radio-12\" value=\"AUTRES.-SPECIFIER\" id=\"forminator-field-radio-12-4-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-12-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">AUTRES (SPECIFIER)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-41\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-41_6ac89c64b27b1\" id=\"forminator-field-text-41_6ac89c64b27b1-label\" class=\"forminator-label\">Autres. Specifier:<\/label><input type=\"text\" name=\"text-41\" value=\"\" placeholder=\"\" id=\"forminator-field-text-41_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6ac89c64b27b1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-6ac89c64b27b1-label\" class=\"forminator-label\">CAT\u00c9GORIE VEHICULE:<\/span><label id=\"forminator-field-checkbox-4-1-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-1-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"CICLOMOTEUR\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"CICLOMOTEUR\" id=\"forminator-field-checkbox-4-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-1-6ac89c64b27b1-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">CICLOMOTEUR<\/span><\/label><label id=\"forminator-field-checkbox-4-2-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-2-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"MOTOCYCLETTE\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"MOTOCYCLETTE\" id=\"forminator-field-checkbox-4-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-2-6ac89c64b27b1-label\" data-calculation=\"2\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">MOTOCYCLETTE<\/span><\/label><label id=\"forminator-field-checkbox-4-3-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-3-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"QUADRICYCLE\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"QUADRICYCLE\" id=\"forminator-field-checkbox-4-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-3-6ac89c64b27b1-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">QUADRICYCLE<\/span><\/label><label id=\"forminator-field-checkbox-4-4-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-4-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"AUTOS DE TOURISME\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"AUTOS DE TOURISME\" id=\"forminator-field-checkbox-4-4-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-4-6ac89c64b27b1-label\" data-calculation=\"4\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">AUTOS DE TOURISME<\/span><\/label><label id=\"forminator-field-checkbox-4-5-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-5-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"TAXIS ET TRANSPORT PUBLIC JUSQU&#039;\u00c0 8 PLACES + CHAUFFEUR\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"TAXIS ET TRANSPORT PUBLIC JUSQU&#039;\u00c0 8 PLACES + CHAUFFEUR\" id=\"forminator-field-checkbox-4-5-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-5-6ac89c64b27b1-label\" data-calculation=\"5\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">TAXIS ET TRANSPORT PUBLIC JUSQU'\u00c0 8 PLACES + CHAUFFEUR<\/span><\/label><label id=\"forminator-field-checkbox-4-6-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-6-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"FURGONNETTES ET CAMIONS JUSQU&#039;\u00c0 3 500 KG\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"FURGONNETTES ET CAMIONS JUSQU&#039;\u00c0 3 500 KG\" id=\"forminator-field-checkbox-4-6-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-6-6ac89c64b27b1-label\" data-calculation=\"4\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">FURGONNETTES ET CAMIONS JUSQU'\u00c0 3 500 KG<\/span><\/label><label id=\"forminator-field-checkbox-4-7-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-7-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"FURGONNETTES ET CAMIONS DE PLUS DE 3 500 KG. INDIQUER LE POIDS MAXIMUM AUTORIS\u00c9\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"FURGONNETTES ET CAMIONS DE PLUS DE 3 500 KG. INDIQUER LE POIDS MAXIMUM AUTORIS\u00c9\" id=\"forminator-field-checkbox-4-7-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-7-6ac89c64b27b1-label\" data-calculation=\"7\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">FURGONNETTES ET CAMIONS DE PLUS DE 3 500 KG. INDIQUER LE POIDS MAXIMUM AUTORIS\u00c9<\/span><\/label><label id=\"forminator-field-checkbox-4-8-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-8-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"REMORQUES\/SEMIREMORQUES\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"REMORQUES\/SEMIREMORQUES\" id=\"forminator-field-checkbox-4-8-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-8-6ac89c64b27b1-label\" data-calculation=\"99\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">REMORQUES\/SEMIREMORQUES<\/span><\/label><label id=\"forminator-field-checkbox-4-9-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-9-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"TRACTEURS\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"TRACTEURS\" id=\"forminator-field-checkbox-4-9-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-9-6ac89c64b27b1-label\" data-calculation=\"8\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">TRACTEURS<\/span><\/label><label id=\"forminator-field-checkbox-4-10-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-10-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"QUADS\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"QUADS\" id=\"forminator-field-checkbox-4-10-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-10-6ac89c64b27b1-label\" data-calculation=\"9\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">QUADS<\/span><\/label><label id=\"forminator-field-checkbox-4-11-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-11-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"AUTOCARS DE PLUS DE 8 PLACES + CHAUFFEUR. INDIQUER LES PLACES\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"AUTOCARS-DE-PLUS-DE-8-PLACES-+-CHAUFFEUR.-INDIQUER-LES-PLACES\" id=\"forminator-field-checkbox-4-11-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-11-6ac89c64b27b1-label\" data-calculation=\"10\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">AUTOCARS DE PLUS DE 8 PLACES + CHAUFFEUR. INDIQUER LES PLACES<\/span><\/label><label id=\"forminator-field-checkbox-4-12-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-4-12-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Autres types de v\u00e9hicule\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"Autres-types-de-v\u00e9hicule\" id=\"forminator-field-checkbox-4-12-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-4-12-6ac89c64b27b1-label\" data-calculation=\"11\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Autres types de v\u00e9hicule<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_6ac89c64b27b1\" id=\"calculation-1-field_6ac89c64b27b1-label\" class=\"forminator-label\">C\u00e1lculos<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_6ac89c64b27b1\" class=\"forminator-calculation forminator-input\" data-formula=\"{checkbox-4}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/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_6ac89c64b27b1\" id=\"forminator-field-number-1_6ac89c64b27b1-label\" class=\"forminator-label\">masse maximale:<\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_6ac89c64b27b1\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-22-6ac89c64b27b1-label\" class=\"forminator-label\">CAISSE\/BENNE :<\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-22\" value=\"one\" id=\"forminator-field-radio-22-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-22\" value=\"two\" id=\"forminator-field-radio-22-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-23-6ac89c64b27b1-label\" class=\"forminator-label\">Grue \u00e0 chargement automatique :<\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-23\" value=\"one\" id=\"forminator-field-radio-23-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-23\" value=\"two\" id=\"forminator-field-radio-23-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-5\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-5_6ac89c64b27b1\" id=\"forminator-field-number-5_6ac89c64b27b1-label\" class=\"forminator-label\">Capacit\u00e9 support\u00e9e (en kg) :<\/label><input name=\"number-5\" value=\"\" placeholder=\"\" id=\"forminator-field-number-5_6ac89c64b27b1\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-24\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-24-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-24-6ac89c64b27b1-label\" class=\"forminator-label\">REMORQUE\/SEMIREMORQUE :<\/span><label id=\"forminator-field-radio-24-label-1\" for=\"forminator-field-radio-24-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Oui\"><input type=\"radio\" name=\"radio-24\" value=\"one\" id=\"forminator-field-radio-24-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-24-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-24-label-2\" for=\"forminator-field-radio-24-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Non\"><input type=\"radio\" name=\"radio-24\" value=\"two\" id=\"forminator-field-radio-24-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-24-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-43\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-43_6ac89c64b27b1\" id=\"forminator-field-text-43_6ac89c64b27b1-label\" class=\"forminator-label\">Description des autres types de v\u00e9hicules\u00a0:<\/label><input type=\"text\" name=\"text-43\" value=\"\" placeholder=\"\" id=\"forminator-field-text-43_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/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_6ac89c64b27b1\" id=\"forminator-field-number-2_6ac89c64b27b1-label\" class=\"forminator-label\">LIEUX:<\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_6ac89c64b27b1\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-3\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Donn\u00e9es du v\u00e9hicule<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6ac89c64b27b1\" id=\"forminator-field-text-20_6ac89c64b27b1-label\" class=\"forminator-label\">Num\u00e9ro d&#039;immatriculation<\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"\" id=\"forminator-field-text-20_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_6ac89c64b27b1\" id=\"forminator-field-text-21_6ac89c64b27b1-label\" class=\"forminator-label\">Ann\u00e9e 1e immatriculation: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"\" id=\"forminator-field-text-21_6ac89c64b27b1\" 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-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6ac89c64b27b1\" id=\"forminator-field-text-8_6ac89c64b27b1-label\" class=\"forminator-label\">MARQUE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6ac89c64b27b1\" id=\"forminator-field-text-9_6ac89c64b27b1-label\" class=\"forminator-label\">MODELLE ET VERSION: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_6ac89c64b27b1\" 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-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6ac89c64b27b1\" id=\"forminator-field-text-11_6ac89c64b27b1-label\" class=\"forminator-label\">N\u00b0 PLACES<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_6ac89c64b27b1\" id=\"forminator-field-text-22_6ac89c64b27b1-label\" class=\"forminator-label\">Nombre de portes: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"\" id=\"forminator-field-text-22_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-47\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-47_6ac89c64b27b1\" id=\"forminator-field-text-47_6ac89c64b27b1-label\" class=\"forminator-label\">Nombre de portes:<\/label><input type=\"text\" name=\"text-47\" value=\"\" placeholder=\"\" id=\"forminator-field-text-47_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_6ac89c64b27b1\" id=\"forminator-field-text-23_6ac89c64b27b1-label\" class=\"forminator-label\">Puissance en ch:<\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"\" id=\"forminator-field-text-23_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_6ac89c64b27b1\" id=\"forminator-field-text-24_6ac89c64b27b1-label\" class=\"forminator-label\">Carburant: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"\" id=\"forminator-field-text-24_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_6ac89c64b27b1\" id=\"forminator-field-text-25_6ac89c64b27b1-label\" class=\"forminator-label\">D\u00e9placement en CM&#179;:<\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"\" id=\"forminator-field-text-25_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6ac89c64b27b1\" id=\"forminator-field-number-3_6ac89c64b27b1-label\" class=\"forminator-label\">POIDS MAXIMAL :<\/label><input name=\"number-3\" value=\"\" placeholder=\"\" id=\"forminator-field-number-3_6ac89c64b27b1\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-4\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">DONN\u00c9ES REMORQUE\/SEMIREMORQUE<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-57\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-57_6ac89c64b27b1\" id=\"forminator-field-text-57_6ac89c64b27b1-label\" class=\"forminator-label\">Num\u00e9ro d&#039;immatriculation<\/label><input type=\"text\" name=\"text-57\" value=\"\" placeholder=\"\" id=\"forminator-field-text-57_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-58\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-58_6ac89c64b27b1\" id=\"forminator-field-text-58_6ac89c64b27b1-label\" class=\"forminator-label\">Ann\u00e9e 1e immatriculation: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-58\" value=\"\" placeholder=\"\" id=\"forminator-field-text-58_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-55\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-55_6ac89c64b27b1\" id=\"forminator-field-text-55_6ac89c64b27b1-label\" class=\"forminator-label\">MARQUE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-55\" value=\"\" placeholder=\"\" id=\"forminator-field-text-55_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-56\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-56_6ac89c64b27b1\" id=\"forminator-field-text-56_6ac89c64b27b1-label\" class=\"forminator-label\">MODELLE ET VERSION: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-56\" value=\"\" placeholder=\"\" id=\"forminator-field-text-56_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_6ac89c64b27b1\" id=\"forminator-field-number-4_6ac89c64b27b1-label\" class=\"forminator-label\">POIDS MAXIMUM:<\/label><input name=\"number-4\" value=\"\" placeholder=\"\" id=\"forminator-field-number-4_6ac89c64b27b1\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><h5>D\u00c9FINITION DES ACCESSOIRES OPTIONNELS<\/h5>\n<div style=\"color: black;background-color: #0081c6;padding: 10px;border-radius: 10px\">\n<p style=\"color: white\">\u00c9quipements optionnels ajout\u00e9s au v\u00e9hicule qui ajoutent de la valeur, du confort, de la performance, de l\u2019esth\u00e9tique.<\/p>\n<p style=\"color: white\">Certains des accessoires standard les plus courants sont :<\/p>\n<ul>\n<li style=\"color: white\">Jantes et pneus.<\/li>\n<li style=\"color: white\">Navigateurs, \u00e9crans d\u2019ordinateur, \u00e9quipement audio et panneaux de contr\u00f4le.<\/li>\n<li style=\"color: white\">Commandes de climatisation.<\/li>\n<li style=\"color: white\">Si\u00e8ges configurables avec des \u00e9l\u00e9ments suppl\u00e9mentaires tels que des chauffages, des designs ergonomiques et d\u2019autres \u00e9l\u00e9ments de confort.<\/li>\n<li style=\"color: white\">Planches, tapis, tissus d\u2019ameublement ou finitions int\u00e9rieures.<\/li>\n<li style=\"color: white\">Accessoires de carrosserie tels que spoilers, spoilers, barres de toit, peintures sp\u00e9ciales et autres \u00e9l\u00e9ments.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-16-6ac89c64b27b1-label\" class=\"forminator-label\">LA VOITURE DISPOSE T\u2019ELLE D\u2019ACCESSOIRES OPTIONNELS ?<\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Oui\"><input type=\"radio\" name=\"radio-16\" value=\"one\" id=\"forminator-field-radio-16-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Oui<\/span><\/label><label id=\"forminator-field-radio-16-label-2\" for=\"forminator-field-radio-16-2-6ac89c64b27b1\" class=\"forminator-radio forminator-radio-inline\" title=\"Non\"><input type=\"radio\" name=\"radio-16\" value=\"two\" id=\"forminator-field-radio-16-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-16-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Non<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-2\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Liste des accessoires en option<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Ajouter un accessoire&quot;,&quot;remove_text&quot;:&quot;Supprimer un accessoire&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-42\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-42_6ac89c64b27b1\" id=\"forminator-field-text-42_6ac89c64b27b1-label\" class=\"forminator-label\">D\u00e9tail de l\u2019accessoire<\/label><input type=\"text\" name=\"text-42\" value=\"\" placeholder=\"\" id=\"forminator-field-text-42_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-1\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-1_6ac89c64b27b1\" id=\"forminator-field-currency-1_6ac89c64b27b1-label\" class=\"forminator-label\">Valeur:<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-1\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-1_6ac89c64b27b1\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Ajouter un accessoire\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Supprimer un accessoire\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-1-6ac89c64b27b1-label\" class=\"forminator-label\">DISPOSE D&#039;UNE GALERIE DE TOIT:<\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"OUI\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">OUI<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"NON\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NON<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-2-6ac89c64b27b1-label\" class=\"forminator-label\">ATTELAGE DE REMORQUAGE: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"OUI\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">OUI<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"NON\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NON<\/span><\/label><\/div><\/div><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-9-6ac89c64b27b1-label\" class=\"forminator-label\">Remorque &gt; 750 kg <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"OUI\"><input type=\"radio\" name=\"radio-9\" value=\"one\" id=\"forminator-field-radio-9-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">OUI<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"NON\"><input type=\"radio\" name=\"radio-9\" value=\"two\" id=\"forminator-field-radio-9-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NON<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12  titolseccio\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><p style=\"color: red\"><strong>N\u00c9CESSITE UNE PROPRE ASSURANCE. REMPLIR UN FORMULAIRE SUPPL\u00c9MENTAIRE.&nbsp;<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12  titolseccio\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p style=\"color: #0081c6\"><strong>D\u00c9TAILS DE L'ASSURANCE ACTUELLE<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-3-6ac89c64b27b1-label\" class=\"forminator-label\">AVEZ-VOUS ACTUELLEMENT UNE ASSURANCE?<\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"OUI\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">OUI<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"NON\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NON<\/span><\/label><\/div><\/div><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6ac89c64b27b1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6ac89c64b27b1-label\" class=\"forminator-label\">TYPE D&#039;ASSURANCE:<\/span><label id=\"forminator-field-checkbox-1-1-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-1-1-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"TOUS RISQUES\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-1-1-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">TOUS RISQUES<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-1-2-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"TIERS\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-1-2-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">TIERS<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6ac89c64b27b1\" id=\"forminator-field-text-15_6ac89c64b27b1-label\" class=\"forminator-label\">NOM DERNIER ASSUREUR:<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"\" id=\"forminator-field-text-15_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6ac89c64b27b1\" id=\"forminator-field-text-16_6ac89c64b27b1-label\" class=\"forminator-label\">NUM\u00c9RO DERNIER NUM\u00c9RO DE POLICE:<\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"\" id=\"forminator-field-text-16_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_6ac89c64b27b1\" id=\"forminator-field-text-26_6ac89c64b27b1-label\" class=\"forminator-label\">NUM\u00c9RO D&#039;IMMATRICULATION DU V\u00c9HICULE ASSUR\u00c9:<\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"\" id=\"forminator-field-text-26_6ac89c64b27b1\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6ac89c64b27b1-label\" aria-describedby=\"forminator-radiogroup-radio-21-6ac89c64b27b1-description\"><span id=\"forminator-radiogroup-radio-21-6ac89c64b27b1-label\" class=\"forminator-label\">INDIQUEZ L&#039;OPTION POUR LAQUELLE VOUS SOUHAITEZ UN DEVIS (SI VOUS SOUHAITEZ RECEVOIR UN DEVIS POUR PLUS D&#039;UNE OPTION, VEUILLEZ REMPLIR DES FORMULAIRES SUPPL\u00c9MENTAIRES)<\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TIERS(1)\"><input type=\"radio\" name=\"radio-21\" value=\"one\" id=\"forminator-field-radio-21-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TIERS(1)<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TIERS AVEC VITRES(2)\"><input type=\"radio\" name=\"radio-21\" value=\"two\" id=\"forminator-field-radio-21-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TIERS AVEC VITRES(2)<\/span><\/label><label id=\"forminator-field-radio-21-label-3\" for=\"forminator-field-radio-21-3-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TIERS AVEC VITRES, VOL ET INCENDIE(2)\"><input type=\"radio\" name=\"radio-21\" value=\"TERCERS-AMB-VIDRES,-ROBATORI-I-INCENDI\" id=\"forminator-field-radio-21-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TIERS AVEC VITRES, VOL ET INCENDIE(2)<\/span><\/label><label id=\"forminator-field-radio-21-label-4\" for=\"forminator-field-radio-21-4-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TIERS AVEC VITRES, VOL, INCENDIE ET \u200b\u200bPERTE TOTALE (2)\"><input type=\"radio\" name=\"radio-21\" value=\"TIERS-AVEC-LUNE,-VOL,-INCENDIE-ET-\u200b\u200bPERTE-TOTALE-(2)\" id=\"forminator-field-radio-21-4-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TIERS AVEC VITRES, VOL, INCENDIE ET \u200b\u200bPERTE TOTALE (2)<\/span><\/label><label id=\"forminator-field-radio-21-label-5\" for=\"forminator-field-radio-21-5-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TOUS RISQUES AVEC FRANCHISE(2)\"><input type=\"radio\" name=\"radio-21\" value=\"TOT-RISC-AMB-FRANQU\u00cdCIA\" id=\"forminator-field-radio-21-5-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TOUS RISQUES AVEC FRANCHISE(2)<\/span><\/label><label id=\"forminator-field-radio-21-label-6\" for=\"forminator-field-radio-21-6-6ac89c64b27b1\" class=\"forminator-radio\" title=\"TOUS RISQUES SANS FRANCHISE\"><input type=\"radio\" name=\"radio-21\" value=\"TOT-RISC-SENSE-FRANQU\u00cdCIA\" id=\"forminator-field-radio-21-6-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-21-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-21-6ac89c64b27b1-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TOUS RISQUES SANS FRANCHISE<\/span><\/label><span id=\"forminator-radiogroup-radio-21-6ac89c64b27b1-description\" class=\"forminator-description\">(1) POUR LES VOITURES ET ASSIMIL\u00c9S: RESPONSABILIT\u00c9 CIVILE OBLIGATOIRE ET COMPL\u00c9MENTAIRE, D\u00c9FENSE, CAUTIONNEMENT ET R\u00c9CLAMATION, ACCIDENTS DU CONDUCTEUR ET ASSISTANCE VOYAGE. POUR LES AUTRES TYPES DE V\u00c9HICULES: \u00c0 PR\u00c9CISER.<br> (2) EN PLUS DES GARANTIES CHOISIES, IL EST RECOMMAND\u00c9 D'AJOUTER: COLLISION AVEC DES ANIMAUX ET PH\u00c9NOM\u00c8NES ATMOSPH\u00c9RIQUES.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6ac89c64b27b1-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-6ac89c64b27b1-label\" class=\"forminator-label\">DEMANDES SP\u00c9CIALES:<\/span><label id=\"forminator-field-checkbox-3-1-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-1-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Collision avec des animaux\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Collision-avec-des-animaux-et-ph\u00e9nom\u00e8nes-atmosph\u00e9riques\" id=\"forminator-field-checkbox-3-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-1-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Collision avec des animaux<\/span><\/label><label id=\"forminator-field-checkbox-3-2-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-2-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Ph\u00e9nom\u00e8nes atmosph\u00e9riques\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Ph\u00e9nom\u00e8nes-atmosph\u00e9riques\" id=\"forminator-field-checkbox-3-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-2-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ph\u00e9nom\u00e8nes atmosph\u00e9riques<\/span><\/label><label id=\"forminator-field-checkbox-3-3-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-3-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"V\u00e9hicule de remplacement\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"one\" id=\"forminator-field-checkbox-3-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-3-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">V\u00e9hicule de remplacement<\/span><\/label><label id=\"forminator-field-checkbox-3-4-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-4-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Cours de r\u00e9cup\u00e9ration d\u00fb \u00e0 la perte partielle des points du permis de conduire\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Cours-de-r\u00e9cup\u00e9ration-d\u00fb-\u00e0-la-perte-partielle-des-points-du-permis-de-conduire\" id=\"forminator-field-checkbox-3-4-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-4-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Cours de r\u00e9cup\u00e9ration d\u00fb \u00e0 la perte partielle des points du permis de conduire<\/span><\/label><label id=\"forminator-field-checkbox-3-5-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-5-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Indemnit\u00e9 \u00e0 cause du retrait du permis de conduire\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Indemnit\u00e9-\u00e0-cause-du-retrait-du-permis-de-conduire\" id=\"forminator-field-checkbox-3-5-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-5-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Indemnit\u00e9 \u00e0 cause du retrait du permis de conduire<\/span><\/label><label id=\"forminator-field-checkbox-3-6-6ac89c64b27b1-label\" for=\"forminator-field-checkbox-3-6-6ac89c64b27b1\" class=\"forminator-checkbox\" title=\"Responsabilit\u00e9 Civile en cas de chute de la cargaison\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"Responsabilit\u00e9-Civile-en-cas-de-chute-de-la-cargaison\" id=\"forminator-field-checkbox-3-6-6ac89c64b27b1\" aria-labelledby=\"forminator-field-checkbox-3-6-6ac89c64b27b1-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Responsabilit\u00e9 Civile en cas de chute de la cargaison<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6ac89c64b27b1\" id=\"forminator-field-textarea-2_6ac89c64b27b1-label\" class=\"forminator-label\">D\u00e9tailler les risques potentiels particuli\u00e8rement pr\u00e9occupants ou les autres besoins:<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_6ac89c64b27b1\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/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-15965--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-15965--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"V\u00c9HICULE\"\n\t\t\t\tdata-actual-label=\"CONTACTE\"\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=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-6ac89c64b27b1-label\"><span id=\"forminator-radiogroup-radio-8-6ac89c64b27b1-label\" class=\"forminator-label\">Je souhaite recevoir des informations par les moyens suivants:<\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-6ac89c64b27b1\" class=\"forminator-radio\" title=\"E-MAIL\"><input type=\"radio\" name=\"radio-8\" value=\"one\" id=\"forminator-field-radio-8-1-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">E-MAIL<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-6ac89c64b27b1\" class=\"forminator-radio\" title=\"T\u00e9l\u00e9phone\"><input type=\"radio\" name=\"radio-8\" value=\"two\" id=\"forminator-field-radio-8-2-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">T\u00e9l\u00e9phone<\/span><\/label><label id=\"forminator-field-radio-8-label-3\" for=\"forminator-field-radio-8-3-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Courrier postal\"><input type=\"radio\" name=\"radio-8\" value=\"CORREU-POSTAL\" id=\"forminator-field-radio-8-3-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Courrier postal<\/span><\/label><label id=\"forminator-field-radio-8-label-4\" for=\"forminator-field-radio-8-4-6ac89c64b27b1\" class=\"forminator-radio\" title=\"Visite d&#039;un repr\u00e9sentant commercial\"><input type=\"radio\" name=\"radio-8\" value=\"VISITA-D&#039;UN-COMERCIAL\" id=\"forminator-field-radio-8-4-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Visite d'un repr\u00e9sentant commercial<\/span><\/label><label id=\"forminator-field-radio-8-label-5\" for=\"forminator-field-radio-8-5-6ac89c64b27b1\" class=\"forminator-radio\" title=\"En personne au bureau de Du\u00f1ach \u00e0 Roses\"><input type=\"radio\" name=\"radio-8\" value=\"EN-PERSONA-A-L&#039;OFICINA-DE-DUNACH-A-ROSES\" id=\"forminator-field-radio-8-5-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">En personne au bureau de Du\u00f1ach \u00e0 Roses<\/span><\/label><label id=\"forminator-field-radio-8-label-6\" for=\"forminator-field-radio-8-6-6ac89c64b27b1\" class=\"forminator-radio\" title=\"En personne au bureau de Du\u00f1ach \u00e0 Empuriabrava\"><input type=\"radio\" name=\"radio-8\" value=\"EN-PERSONA-A-L&#039;OFICINA-DE-DU\u00d1ACH-A-EMPURIABRAVA\" id=\"forminator-field-radio-8-6-6ac89c64b27b1\" aria-labelledby=\"forminator-field-radio-8-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">En personne au bureau de Du\u00f1ach \u00e0 Empuriabrava<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><p style=\"color: red !important\">LE PR\u00c9SENT DOCUMENT EST UNE SIMPLE COLLECTE DE DONN\u00c9ES, SANS AUCUNE VALEUR CONTRACTUELLE<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6ac89c64b27b1\" id=\"forminator-field-consent-1_6ac89c64b27b1-label\" class=\"forminator-label\">Je consens \/ nous consentons <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6ac89c64b27b1__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6ac89c64b27b1\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6ac89c64b27b1-label\" aria-describedby=\"forminator-field-consent-1_6ac89c64b27b1__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6ac89c64b27b1__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Je confirme que j'accepte la <a rel=\"noopener\" href=\"#link-popup\">politique de confidentialit\u00e9<\/a> de ce site web afin qu'ils puissent r\u00e9pondre \u00e0 ma demande..<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-1_6ac89c64b27b1\" name=\"hidden-1\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-2\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-2_6ac89c64b27b1\" name=\"hidden-2\" value=\"\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>ENVOYER LE FORMULAIRE<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"535ca693c8\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index_beta.php\/wp-json\/wp\/v2\/pages\/15963\" \/><input type=\"hidden\" name=\"form_id\" value=\"15965\"><input type=\"hidden\" name=\"page_id\" value=\"15963\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/dunach.com\/index_beta.php\/cotisation\/devis-dassurance-vehicule\/?lang=fr\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4240bb2 elementor-widget elementor-widget-html\" data-id=\"4240bb2\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script type=\"text\/javascript\">window.addEventListener(\"load\", function() {\r\nconst totrisc = document.getElementsByName(\"checkbox-2[]\");\r\nconst colisio = document.getElementsByName(\"checkbox-3[]\");\r\n\r\ntotrisc[5].addEventListener(\"click\", canviapeticio);\r\nfunction canviapeticio() {\r\n    if (totrisc[5].checked) {\r\n        colisio[0].checked=true;}\r\n        else{\r\n        colisio[0].checked=false;    \r\n        \r\n    }>;\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe5b9a2 elementor-widget elementor-widget-html\" data-id=\"fe5b9a2\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script type=\"text\/javascript\">\r\nwindow.addEventListener(\"load\", function() {\r\nconst cobertura = document.getElementsByName(\"text-1\");\r\nconst nif = document.getElementsByName(\"text-2\");\r\nconst naix = document.getElementsByName(\"text-3\");\r\nconst prof = document.getElementsByName(\"text-4\")\r\nconst addr = document.getElementsByName(\"text-5\");\r\nconst cp = document.getElementsByName(\"text-6\");\r\nconst pobl = document.getElementsByName(\"text-7\");\r\nconst phon = document.getElementsByName(\"phone-1\");\r\nconst ema = document.getElementsByName(\"email-1\");\r\nconst carn = document.getElementsByName(\"text-35\");\r\n\r\n\/\/ alternative is to use \"change\" - explained below\r\ncobertura[0].addEventListener(\"keyup\", buttonState);\r\n\r\nfunction buttonState() {\r\n    if (cobertura[0].value.toLowerCase() === \"broker\") {\r\n        nif[0].value = \"12345678A\";\r\n        naix[0].value = \"12\/12\/1970\";\r\n        prof[0].value =\"oficinista\";\r\n        addr[0].value = \"C\/ Nou, 123\";\r\n        cp[0].value = 17487;\r\n        pobl[0].value =\"Empuriabrava\";\r\n        phon[0].value = \"+34972450430\";\r\n        ema[0].value = \"broker@dunach.com\";\r\n        carn[0].value = \"01\/01\/1989\";\r\n    }}});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b310ef8 elementor-widget elementor-widget-html\" data-id=\"b310ef8\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script type=\"text\/javascript\">\r\nwindow.addEventListener(\"load\", function() {\r\nconst matricula = document.getElementsByName(\"text-20\");\r\nconst matrass = document.getElementsByName(\"text-26\");\r\n\r\nmatricula[0].addEventListener(\"keyup\", copiaMatricula);\r\nfunction copiaMatricula() {\r\n        matrass[0].value = matricula[0].value;\r\n      }});\r\n<\/script>\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-50 elementor-top-column elementor-element elementor-element-1b7a613\" data-id=\"1b7a613\" data-element_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-62fa451 elementor-widget elementor-widget-spacer\" data-id=\"62fa451\" data-element_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<div class=\"elementor-element elementor-element-c77ce5b elementor-widget elementor-widget-template\" data-id=\"c77ce5b\" data-element_type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:330,&quot;sticky_effects_offset&quot;:150,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1965\" class=\"elementor elementor-1965\" 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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<div class=\"elementor-element elementor-element-c897f95 elementor-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"c897f95\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-comments\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">voleu contactar-nos?<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\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-471adda elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"471adda\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-17957a5\" data-id=\"17957a5\" data-element_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-079f24a elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"079f24a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Oficina Empuriabrava \/ <br>Castell\u00f3 d'Emp\u00faries<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1758c20 elementor-widget elementor-widget-spacer\" data-id=\"1758c20\" data-element_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<div class=\"elementor-element elementor-element-735138c elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"735138c\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"tel:972450430\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">972 45 04 30<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb1510d elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"cb1510d\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"mailto:broker@dunach.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">broker@dunach.com<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc2fd95 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"cc2fd95\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.google.com\/maps\/dir\/\/Du\u00f1ach+S.A.+Corredoria+d&#039;Assegurances,+Carrer+de+Sant+Mor\u00ed,+14,+Bajo,+17487+Empuriabrava,+Girona\/@42.241695,3.0877434,13z\/data=!3m1!4b1!4m8!4m7!1m0!1m5!1m1!1s0x12ba61b0ce87c3e5:0xf5316c2e78113760!2m2!1d3.1228485!2d42.2417004\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-map-marker-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Com arribar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-405aaab elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"405aaab\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4210322\" data-id=\"4210322\" data-element_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-089ca2b elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"089ca2b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Oficina roses<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae99ddc elementor-widget elementor-widget-spacer\" data-id=\"ae99ddc\" data-element_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<div class=\"elementor-element elementor-element-68abc79 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"68abc79\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"tel:972257322\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">972 25 73 22<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39bac28 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"39bac28\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"mailto:broker@dunach.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">broker@dunach.com<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-313117e elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"313117e\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.google.com\/maps\/dir\/\/Du\u00f1ach+S.A.+Corredoria+d&#039;Assegurances,+Av.+de+Rhode,+89,+17480+Roses,+Girona\/@42.2531743,3.1129588,13z\/data=!4m8!4m7!1m0!1m5!1m1!1s0x12ba6153d851d44d:0x660b32b34718eaae!2m2!1d3.1731079!2d42.2646588\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-map-marker-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Com arribar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\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-6d47030 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d47030\" data-element_type=\"section\" id=\"llista-cobertures\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-a2cb2a0\" data-id=\"a2cb2a0\" data-element_type=\"column\" id=\"cobertures-oferim\">\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-de83422 elementor-widget elementor-widget-heading\" data-id=\"de83422\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quelles couvertures proposons-nous ?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7babfb cobertures-oferim elementor-widget elementor-widget-text-editor\" data-id=\"a7babfb\" data-element_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<ul><li>ASSURANCE OBLIGATOIRE DE LA RESPONSABILIT\u00c9 CIVILE DES V\u00c9HICULES TERRESTRES \u00c0 MOTEUR<\/li><li>L&#8217;ASSURANCE DE RESPONSABILIT\u00c9 CIVILE COMPL\u00c9MENTAIRE \u00c0 L&#8217;ASSURANCE OBLIGATOIRE<\/li><li>D\u00c9FENSE P\u00c9NALE<\/li><li>R\u00c9CLAMATION DE DOMMAGES<\/li><li>L&#8217;ASSISTANCE VOYAGE POUR LE V\u00c9HICULE ET SES OCCUPANTS<\/li><li>ACCIDENTS DU CONDUCTEUR<\/li><li>ACCIDENTS DU CONDUCTEUR ET DES OCCUPANTS<\/li><li>LA COUVERTURE DES DOMMAGES MAT\u00c9RIELS AU V\u00c9HICULE:<ul><li>BRIS DE GLACES<\/li><li>COLLISION AVEC DES ANIMAUX<\/li><li>DOMMAGES M\u00c9T\u00c9OROLOGIQUES (Y COMPRIS LA GR\u00caLE)<\/li><li>VOL ET DOMMAGES AU V\u00c9HICULE ET \u00c0 SES ACCESSOIRES<\/li><li>INCENDIE<\/li><li>DOMMAGES MAT\u00c9RIELS LIMIT\u00c9S \u00c0 LA PERTE TOTALE DU V\u00c9HICULE<\/li><li>DOMMAGES MAT\u00c9RIELS AU V\u00c9HICULE (&#8220;TOUT RISQUE&#8221;) AVEC FRANCHISE<\/li><li>DOMMAGES MAT\u00c9RIELS AU V\u00c9HICULE (&#8220;TOUT RISQUE&#8221;) SANS FRANCHISE<\/li><\/ul><\/li><\/ul><ul><li>AUTRES COUVERTURES ET PRESTATIONS :<ul><li>maintien de la valeur la deuxi\u00e8me ann\u00e9e (dans certains cas jusqu&#8217;\u00e0 trois ans)<\/li><li>V\u00c9HICULE DE REMPLACEMENT EN CAS D&#8217;ACCIDENT OU DE VOL<\/li><li>V\u00c9HICULE DE REMPLACEMENT EN CAS D&#8217;ACCIDENT OU DE VOL ET DE PANNE<\/li><li>D\u00c9FENSE DE CONTRAVENTIONS<\/li><li>RAIS DE R\u00c9CUP\u00c9RATION DES POINTS DU PERMIS DE CONDUIRE<\/li><li>FRAIS DE R\u00c9CUP\u00c9RATION DU PERMIS DE CONDUIRE<\/li><li>SUBSIDE SUITE \u00c1 UN RETRAIT DU PERMIS DE CONDUIRE<\/li><\/ul><\/li><\/ul><center>CETTE RELATION DE COUVERTURES EST FAITE SEULEMENT \u00c0 TITRE D\u2019INFORMATION<br><\/center>\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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Devis d&#8217;assurance v\u00e9hicule de nature obligatoire, pouvant \u00eatre compl\u00e9t\u00e9e par de nombreuses couvertures compl\u00e9mentaires. Couvre les dommages corporels ou &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":6935,"menu_order":18,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-15963","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Devis d&#039;assurance v\u00e9hicule - Dunach<\/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:\/\/dunach.com\/index_beta.php\/cotisation\/devis-dassurance-vehicule\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Devis d&#039;assurance v\u00e9hicule - Dunach\" \/>\n<meta property=\"og:description\" content=\"Devis d&#8217;assurance v\u00e9hicule de nature obligatoire, pouvant \u00eatre compl\u00e9t\u00e9e par de nombreuses couvertures compl\u00e9mentaires. 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