{"id":212,"date":"2021-01-05T00:55:09","date_gmt":"2021-01-05T00:55:09","guid":{"rendered":"https:\/\/www.thetungagency.com\/?page_id=212"},"modified":"2021-01-05T00:57:08","modified_gmt":"2021-01-05T00:57:08","slug":"home-2-2","status":"publish","type":"page","link":"https:\/\/www.thetungagency.com\/?page_id=212","title":{"rendered":"Home"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f209-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F212#wpcf7-f209-o1\" method=\"post\" class=\"wpcf7-form init cf7skins cf7t-event cf7s-default\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"209\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f209-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<fieldset>\n<legend>Home<\/legend>\n<ol>\n<li><label for='radio-1'>What are you insuring? <\/label><span class=\"wpcf7-form-control-wrap radio-1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-1\" value=\"Home\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Home<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-1\" value=\"Condo\/Coop\/Apartment\" \/><span class=\"wpcf7-list-item-label\">Condo\/Coop\/Apartment<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-1\" value=\"Renters\" \/><span class=\"wpcf7-list-item-label\">Renters<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-1\" value=\"Building\" \/><span class=\"wpcf7-list-item-label\">Building<\/span><\/label><\/span><\/span><\/span><\/li>\n<li><label for='text-1'>Name: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap text-1\"><input type=\"text\" name=\"text-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"text-1\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/li>\n<li><label for='date-1'>Birthdate: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap date-1\"><input type=\"date\" name=\"date-1\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-1\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/li>\n<li><label for='tel-1'>Tel#: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap tel-1\"><input type=\"tel\" name=\"tel-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" id=\"tel-1\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/li>\n<li><label for='textarea-1'>Address: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap textarea-1\"><textarea name=\"textarea-1\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"textarea-1\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/li>\n<li><label for='radio-2'>Were there any losses or claims? <\/label><span class=\"wpcf7-form-control-wrap radio-2\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"radio-2\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-2\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-2\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><\/li>\n<li><label for='textarea-2'>If yes, please provide detail: <\/label><span class=\"wpcf7-form-control-wrap textarea-2\"><textarea name=\"textarea-2\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-2\" aria-invalid=\"false\"><\/textarea><\/span><\/li>\n<li><label for='radio-3'>Currently insured? <\/label><span class=\"wpcf7-form-control-wrap radio-3\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"radio-3\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-3\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-3\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><\/li>\n<li><label for='textarea-3'>If yes, please provide detail: <\/label><span class=\"wpcf7-form-control-wrap textarea-3\"><textarea name=\"textarea-3\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-3\" aria-invalid=\"false\"><\/textarea><\/span><\/li>\n<li>Please upload a copy or image of your policy.<\/li>\n<li><label for='file-1'>File 1 <\/label><span class=\"wpcf7-form-control-wrap file-1\"><input type=\"file\" name=\"file-1\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".gif,.png,.jpg,.jpeg,.pdf\" aria-invalid=\"false\" \/><\/span><\/li>\n<\/ol>\n<p>\t<input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<p>\n\t\t* Required\n\t<\/p>\n<\/fieldset>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":152,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/pages\/212"}],"collection":[{"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=212"}],"version-history":[{"count":2,"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/pages\/212\/revisions"}],"predecessor-version":[{"id":218,"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/pages\/212\/revisions\/218"}],"up":[{"embeddable":true,"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=\/wp\/v2\/pages\/152"}],"wp:attachment":[{"href":"https:\/\/www.thetungagency.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}