{"id":7128,"date":"2022-05-09T14:40:27","date_gmt":"2022-05-09T18:40:27","guid":{"rendered":"https:\/\/www.bmicos.com\/ecuador\/?page_id=7128"},"modified":"2023-07-19T14:42:47","modified_gmt":"2023-07-19T19:42:47","slug":"formulario-contacto-header","status":"publish","type":"page","link":"https:\/\/www.bmicos.com\/ecuador\/en\/formulario-contacto-header\/","title":{"rendered":"Contact Form Header"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7128\" class=\"elementor elementor-7128\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d250cc2 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"d250cc2\" data-element_type=\"section\" 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12px;\r\n  font-weight: normal;\r\n}\r\n.form-all .form-pagebreak-back,\r\n.form-all .form-pagebreak-next {\r\n  min-width: 128px;\r\n}\r\nli[data-type=\"control_image\"] div {\r\n  text-align: left;\r\n}\r\nli[data-type=\"control_image\"] img {\r\n  border: none;\r\n  border-width: 0px !important;\r\n  border-style: solid !important;\r\n  border-color: false !important;\r\n}\r\n.supernova {\r\n  height: 100%;\r\n  background-repeat: no-repeat;\r\n  background-attachment: scroll;\r\n  background-position: center top;\r\n  background-repeat: repeat;\r\n}\r\n.supernova {\r\n  background-image: none;\r\n}\r\n#stage {\r\n  background-image: none;\r\n}\r\n\/* | *\/\r\n.form-all {\r\n  background-repeat: no-repeat;\r\n  background-attachment: scroll;\r\n  background-position: center top;\r\n  background-repeat: repeat;\r\n}\r\n.form-header-group {\r\n  background-repeat: no-repeat;\r\n  background-attachment: scroll;\r\n  background-position: center top;\r\n}\r\n.header-large h1.form-header {\r\n  font-size: 2em;\r\n}\r\n.header-large h2.form-header {\r\n  font-size: 1.5em;\r\n}\r\n.header-large h3.form-header {\r\n  font-size: 1.17em;\r\n}\r\n.header-large h1 + .form-subHeader {\r\n  font-size: 1em;\r\n}\r\n.header-large h2 + .form-subHeader {\r\n  font-size: .875em;\r\n}\r\n.header-large h3 + .form-subHeader {\r\n  font-size: .75em;\r\n}\r\n.header-default h1.form-header {\r\n  font-size: 2em;\r\n}\r\n.header-default h2.form-header {\r\n  font-size: 1.5em;\r\n}\r\n.header-default h3.form-header {\r\n  font-size: 1.17em;\r\n}\r\n.header-default h1 + .form-subHeader {\r\n  font-size: 1em;\r\n}\r\n.header-default h2 + .form-subHeader {\r\n  font-size: .875em;\r\n}\r\n.header-default h3 + .form-subHeader {\r\n  font-size: .75em;\r\n}\r\n.header-small h1.form-header {\r\n  font-size: 2em;\r\n}\r\n.header-small h2.form-header {\r\n  font-size: 1.5em;\r\n}\r\n.header-small h3.form-header {\r\n  font-size: 1.17em;\r\n}\r\n.header-small h1 + .form-subHeader {\r\n  font-size: 1em;\r\n}\r\n.header-small h2 + .form-subHeader {\r\n  font-size: .875em;\r\n}\r\n.header-small h3 + .form-subHeader {\r\n  font-size: .75em;\r\n}\r\n.form-header-group {\r\n  text-align: left;\r\n}\r\n.form-header-group {\r\n  font-family: \"Inter\", sans-serif;\r\n}\r\ndiv.form-header-group.header-large {\r\n  margin: 0px -38px;\r\n}\r\ndiv.form-header-group.header-large {\r\n  padding: 0px 52px;\r\n}\r\n.form-header-group .form-header,\r\n.form-header-group .form-subHeader {\r\n  color: 0;\r\n}\r\n.form-line-error {\r\n  overflow: hidden;\r\n  -webkit-transition-property: none;\r\n  -moz-transition-property: none;\r\n  -ms-transition-property: none;\r\n  -o-transition-property: none;\r\n  transition-property: none;\r\n  -webkit-transition-duration: 0.3s;\r\n  -moz-transition-duration: 0.3s;\r\n  -ms-transition-duration: 0.3s;\r\n  -o-transition-duration: 0.3s;\r\n  transition-duration: 0.3s;\r\n  -webkit-transition-timing-function: ease;\r\n  -moz-transition-timing-function: ease;\r\n  -ms-transition-timing-function: ease;\r\n  -o-transition-timing-function: ease;\r\n  transition-timing-function: ease;\r\n  background-color: #fff4f4;\r\n}\r\n.form-line-error .form-error-message {\r\n  background-color: #f23a3c;\r\n  clear: both;\r\n  float: none;\r\n}\r\n.form-line-error .form-error-message .form-error-arrow {\r\n  border-bottom-color: #f23a3c;\r\n}\r\n.form-line-error input:not(#coupon-input),\r\n.form-line-error textarea,\r\n.form-line-error .form-validation-error {\r\n  border: 1px solid #f23a3c;\r\n  box-shadow: 0 0 3px #f23a3c;\r\n}\r\n.supernova {\r\n  background-color: #ffffff;\r\n}\r\n.supernova body {\r\n  background-color: transparent;\r\n}\r\n.supernova .form-all,\r\n.form-all {\r\n  background-color: #ffffff;\r\n}\r\n.form-textbox,\r\n.form-textarea,\r\n.form-radio-other-input,\r\n.form-checkbox-other-input,\r\n.form-captcha input,\r\n.form-spinner input {\r\n  background-color: #ffffff;\r\n}\r\n.form-matrix-table tr {\r\n  border-color: #e6e6e6;\r\n}\r\n.form-matrix-table tr:nth-child(2n) {\r\n  background-color: #f2f2f2;\r\n}\r\n.form-all {\r\n  color: #2c3345;\r\n}\r\n.form-label-top,\r\n.form-label-left,\r\n.form-label-right,\r\n.form-html {\r\n  color: #2c3345;\r\n}\r\n.form-line-error {\r\n  overflow: hidden;\r\n  -webkit-transition-property: none;\r\n  -moz-transition-property: none;\r\n  -ms-transition-property: none;\r\n  -o-transition-property: none;\r\n  transition-property: none;\r\n  -webkit-transition-duration: 0.3s;\r\n  -moz-transition-duration: 0.3s;\r\n  -ms-transition-duration: 0.3s;\r\n  -o-transition-duration: 0.3s;\r\n  transition-duration: 0.3s;\r\n  -webkit-transition-timing-function: ease;\r\n  -moz-transition-timing-function: ease;\r\n  -ms-transition-timing-function: ease;\r\n  -o-transition-timing-function: ease;\r\n  transition-timing-function: ease;\r\n  background-color: #fff4f4;\r\n}\r\n.form-header-group .form-header,\r\n.form-header-group .form-subHeader {\r\n  color: 0;\r\n}\r\n\r\n\/*PREFERENCES STYLE*\/\r\n    .form-all {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-all .qq-upload-button,\r\n    .form-all .form-submit-button,\r\n    .form-all .form-submit-reset,\r\n    .form-all .form-submit-print {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-all .form-pagebreak-back-container,\r\n    .form-all .form-pagebreak-next-container {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-header-group {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n    .form-label {\r\n      font-family: Inter, sans-serif;\r\n    }\r\n  \r\n    .form-label.form-label-auto {\r\n      \r\n    display: block;\r\n    float: none;\r\n    text-align: left;\r\n    width: 100%;\r\n  \r\n    }\r\n  \r\n    .form-line {\r\n      margin-top: 12px;\r\n      margin-bottom: 12px;\r\n    }\r\n  \r\n    .form-all {\r\n      max-width: 400px;\r\n      width: 100%;\r\n    }\r\n  \r\n    .form-label.form-label-left,\r\n    .form-label.form-label-right,\r\n    .form-label.form-label-left.form-label-auto,\r\n    .form-label.form-label-right.form-label-auto {\r\n      width: 230px;\r\n    }\r\n  \r\n    .form-all {\r\n      font-size: 12px\r\n    }\r\n    .form-all .qq-upload-button,\r\n    .form-all .qq-upload-button,\r\n    .form-all .form-submit-button,\r\n    .form-all .form-submit-reset,\r\n    .form-all .form-submit-print {\r\n      font-size: 12px\r\n    }\r\n    .form-all .form-pagebreak-back-container,\r\n    .form-all .form-pagebreak-next-container {\r\n      font-size: 12px\r\n    }\r\n  \r\n    .supernova .form-all, .form-all {\r\n      background-color: #ffffff;\r\n    }\r\n  \r\n    .form-all {\r\n      color: #2C3345;\r\n    }\r\n    .form-header-group .form-header {\r\n      color: #2C3345;\r\n    }\r\n    .form-header-group .form-subHeader {\r\n      color: #2C3345;\r\n    }\r\n    .form-label-top,\r\n    .form-label-left,\r\n    .form-label-right,\r\n    .form-html,\r\n    .form-checkbox-item label,\r\n    .form-radio-item label {\r\n      color: #2C3345;\r\n    }\r\n    .form-sub-label {\r\n      color: #464d5f;\r\n    }\r\n  \r\n    .supernova {\r\n      background-color: #ffff;\r\n    }\r\n    .supernova body {\r\n      background: transparent;\r\n    }\r\n  \r\n    .form-textbox,\r\n    .form-textarea,\r\n    .form-dropdown,\r\n    .form-radio-other-input,\r\n    .form-checkbox-other-input,\r\n    .form-captcha input,\r\n    .form-spinner input {\r\n      background-color: #ffffff;\r\n    }\r\n  \r\n    .supernova {\r\n      background-image: none;\r\n    }\r\n    #stage {\r\n      background-image: none;\r\n    }\r\n  \r\n    .form-all {\r\n      background-image: none;\r\n    }\r\n  \r\n  .ie-8 .form-all:before { display: none; }\r\n  .ie-8 {\r\n    margin-top: auto;\r\n    margin-top: initial;\r\n  }\r\n  \r\n  \/*PREFERENCES STYLE*\/\/*__INSPECT_SEPERATOR__*\/body {\r\n    background-color: #FFFFFF;\r\n}\r\n.form-required {\r\n    display : none;\r\n}\r\n\r\n.form-label.form-label-top {\r\n\r\n}\r\n\r\n.form-sub-label {\r\n    padding-bottom : 10px;\r\n}\r\n\r\n.form-input-wide {\r\n\r\n}\r\n\r\n.form-header-group.header-default {\r\n    padding : 0px;\r\n}\r\n\r\n.form-submit-button.submit-button.jf-form-buttons.jsTest-submitField {\r\n\r\n}\r\n\r\n.form-required {\r\n    display : none;\r\n}\r\n\r\n.form-line.form-line-column.form-col-1.jf-required {\r\n\r\n}\r\n\r\n.form-label.form-label-top {\r\n\r\n}\r\n\r\n.form-sub-label {\r\n    padding-bottom : 10px;\r\n}\r\n\r\n.form-input-wide {\r\n\r\n}\r\n\r\n.form-header-group.header-default {\r\n    padding : 0px;\r\n}\r\n\r\n.form-submit-button.submit-button.jf-form-buttons.jsTest-submitField {\r\n\r\n}\r\n\r\n#id_9 {\r\n    padding-top : 13px;\r\n}\r\n\r\n.form-textbox {\r\n    border-radius : 0px!important;\r\n}\r\n\r\n\r\n    \/* Injected CSS Code *\/\r\n<\/style>\r\n\r\n<form class=\"jotform-form\" action=\"https:\/\/hipaa-submit.jotform.com\/submit\/220955894763067\" method=\"post\" name=\"form_220955894763067\" id=\"220955894763067\" accept-charset=\"utf-8\" autocomplete=\"off\"><input type=\"hidden\" name=\"formID\" value=\"220955894763067\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/>\r\n  <div role=\"main\" class=\"form-all\">\r\n    <ul class=\"form-section page-section\">\r\n      <li class=\"form-line\" data-type=\"control_image\" id=\"id_3\">\r\n        <div id=\"cid_3\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div style=\"text-align:center\"><img decoding=\"async\" alt=\"Logo BMI\" loading=\"lazy\" class=\"form-image\" style=\"border:0\" src=\"https:\/\/www.jotform.com\/uploads\/Soporte_BMI\/form_files\/logo-BMI-1.624dd38a6f2c24.38680220.png\" tabindex=\"0\" height=\"86px\" width=\"164px\" data-component=\"image\" \/><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li id=\"cid_4\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httac htvam\">\r\n            <h2 id=\"header_4\" class=\"form-header\" data-component=\"header\">Solicite una cotizaci\u00f3n<\/h2>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_5\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_5\" for=\"input_5\"> Seleccione que tipo de producto desea<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_5\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_5\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_5\" class=\"form-radio validate[required]\" id=\"input_5_0\" name=\"q5_seleccioneQue\" value=\"Empresas\" required=\"\" \/><label id=\"label_input_5_0\" for=\"input_5_0\">Empresas<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_5\" class=\"form-radio validate[required]\" id=\"input_5_1\" name=\"q5_seleccioneQue\" value=\"Personas\" required=\"\" \/><label id=\"label_input_5_1\" for=\"input_5_1\">Personas<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_6\"><label class=\"form-label form-label-top\" id=\"label_6\" for=\"input_6\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_6\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_6\" name=\"q6_nombre\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"Nombre:\" data-component=\"textbox\" aria-labelledby=\"label_6\" required=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_textbox\" id=\"id_7\"><label class=\"form-label form-label-top\" id=\"label_7\" for=\"input_7\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_7\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_7\" name=\"q7_apellido\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"Apellido:\" data-component=\"textbox\" aria-labelledby=\"label_7\" required=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_8\"><label class=\"form-label form-label-top\" id=\"label_8\" for=\"input_8\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"email\" id=\"input_8\" name=\"q8_email\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"Email:\" data-component=\"email\" aria-labelledby=\"label_8\" required=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_9\"><label class=\"form-label form-label-top\" id=\"label_9\" for=\"input_9\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_9\" name=\"q9_ruc\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"RUC \/ C\u00e9dula:\" data-component=\"textbox\" aria-labelledby=\"label_9\" required=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_dropdown\" id=\"id_18\"><label class=\"form-label form-label-top\" id=\"label_18\" for=\"input_18\"> Regi\u00f3n<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_18\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <select class=\"form-dropdown validate[required]\" id=\"input_18\" name=\"q18_region\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"Regi\u00f3n\">\r\n            <option value=\"\">Please Select<\/option>\r\n            <option selected=\"\" value=\"SIERRA-ORIENTE\">SIERRA-ORIENTE<\/option>\r\n            <option value=\"COSTA-GALAPAGOS\">COSTA-GALAPAGOS<\/option>\r\n            <option value=\"AUSTRO\">AUSTRO<\/option>\r\n          <\/select> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-3 jf-required\" data-type=\"control_number\" id=\"id_20\"><label class=\"form-label form-label-top\" id=\"label_20\" for=\"input_20\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_20\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"number\" id=\"input_20\" name=\"q20_telefono\" data-type=\"input-number\" class=\" form-number-input form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"Tel\u00e9fono\" data-component=\"number\" aria-labelledby=\"label_20\" required=\"\" step=\"any\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-4\" data-type=\"control_number\" id=\"id_10\"><label class=\"form-label form-label-top\" id=\"label_10\" for=\"input_10\"> <\/label>\r\n        <div id=\"cid_10\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"number\" id=\"input_10\" name=\"q10_#deempleados\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"# de Empleados\" data-component=\"number\" aria-labelledby=\"label_10 sublabel_input_10\" step=\"any\" \/><label class=\"form-sub-label\" for=\"input_10\" id=\"sublabel_input_10\" style=\"min-height:13px\" aria-hidden=\"false\">Aplica para producto corporativo<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_11\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_11\" for=\"input_11\"> Seleccione el\/los planes de su inter\u00e9s<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_11\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_11\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_11\" class=\"form-radio validate[required]\" id=\"input_11_0\" name=\"q11_Producto\" value=\"Seguros de Vida\" required=\"\" \/><label id=\"label_input_11_0\" for=\"input_11_0\">Seguros de Vida<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_11\" class=\"form-radio validate[required]\" id=\"input_11_1\" name=\"q11_Producto\" value=\"Planes Locales\" required=\"\" \/><label id=\"label_input_11_1\" for=\"input_11_1\">Planes Locales<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_11\" class=\"form-radio validate[required]\" id=\"input_11_2\" name=\"q11_Producto\" value=\"Planes Internacionales\" required=\"\" \/><label id=\"label_input_11_2\" for=\"input_11_2\">Planes Internacionales<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_13\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_13\" for=\"input_13\"> <\/label>\r\n        <div id=\"cid_13\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_13\" class=\"form-textarea\" name=\"q13_mensaje\" style=\"width:648px;height:80px\" data-component=\"textarea\" aria-labelledby=\"label_13\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_17\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_17\" for=\"input_17\"> <\/label>\r\n        <div id=\"cid_17\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_17\" name=\"q17_informacion_de_bmi\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"NuevaWeb\" style=\"width:310px\" size=\"310\" value=\"NuevaWeb\" placeholder=\"NuevaWeb\" data-component=\"textbox\" aria-labelledby=\"label_17\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_checkbox\" id=\"id_24\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_24\" for=\"input_24\"> <span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_24\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_24\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_24\" class=\"form-checkbox validate[required]\" id=\"input_24_0\" name=\"q24_typeA[]\" value=\"He le\u00eddo y acepto los &lt;a href=&quot;https:\/\/www.bmicos.com\/ecuador\/terminos-y-condiciones-de-uso-del-sitio-web\/&quot; target=&quot;_blank&quot;&gt;t\u00e9rminos y condiciones&lt;\/a&gt; de BMI y su &lt;a href=&quot;https:\/\/www.bmicos.com\/ecuador\/proteccion-de-datos\/ &quot; target=&quot;_blank&quot;&gt;aviso de privacidad&lt;\/a&gt;.\" required=\"\" \/><label id=\"label_input_24_0\" for=\"input_24_0\">He le\u00eddo y acepto los <a href=\"https:\/\/www.bmicos.com\/ecuador\/terminos-y-condiciones-de-uso-del-sitio-web\/\" target=\"_blank\" rel=\"nofollow\">t\u00e9rminos y condiciones<\/a> de BMI y su <a href=\"https:\/\/www.bmicos.com\/ecuador\/proteccion-de-datos\/ \" target=\"_blank\" rel=\"nofollow\">aviso de privacidad<\/a>.<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\r\n        <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div data-align=\"center\" class=\"form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField\" 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type=\"text\/javascript\">JotForm.forwardToHIPAA=true;<\/script><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request a quote Select what type of product you want* CompaniesPersons * * * * Region* Please SelectSIERRA-ORIENTECOSTA-GALAPAGOSAUSTRO * Applies for corporate product Select the plan(s) of your interest* Life InsuranceLocal PlansInternational Plans * I have read and accept the terms and BMI conditions and privacy notice. 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