<style id="elementor-post-69482">.elementor-widget-image .eael-protected-content-message{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-image .protected-content-error-msg{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-image .widget-image-caption{color:var( --e-global-color-text );font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-widget-spacer .eael-protected-content-message{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-spacer .protected-content-error-msg{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-69482 .elementor-element.elementor-element-cf25929{--spacer-size:50px;}.elementor-widget-heading .eael-protected-content-message{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-heading .protected-content-error-msg{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-heading .elementor-heading-title{font-family:var( --e-global-typography-primary-font-family ), Sans-serif;font-weight:var( --e-global-typography-primary-font-weight );color:var( --e-global-color-primary );}.elementor-69482 .elementor-element.elementor-element-bf2cfe2{text-align:center;}.elementor-69482 .elementor-element.elementor-element-bf2cfe2 .elementor-heading-title{color:var( --e-global-color-secondary );}.elementor-widget-form .eael-protected-content-message{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-form .protected-content-error-msg{font-family:var( --e-global-typography-secondary-font-family ), Sans-serif;font-weight:var( --e-global-typography-secondary-font-weight );}.elementor-widget-form .elementor-field-group > label, .elementor-widget-form .elementor-field-subgroup label{color:var( --e-global-color-text );}.elementor-widget-form .elementor-field-group > label{font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-widget-form .elementor-field-type-html{color:var( --e-global-color-text );font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-widget-form .elementor-field-group .elementor-field{color:var( --e-global-color-text );}.elementor-widget-form .elementor-field-group .elementor-field, .elementor-widget-form .elementor-field-subgroup label{font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-widget-form .elementor-button{font-family:var( --e-global-typography-accent-font-family ), Sans-serif;font-weight:var( --e-global-typography-accent-font-weight );}.elementor-widget-form .e-form__buttons__wrapper__button-next{background-color:var( --e-global-color-accent );}.elementor-widget-form .elementor-button[type="submit"]{background-color:var( --e-global-color-accent );}.elementor-widget-form .e-form__buttons__wrapper__button-previous{background-color:var( --e-global-color-accent );}.elementor-widget-form .elementor-message{font-family:var( --e-global-typography-text-font-family ), Sans-serif;font-weight:var( --e-global-typography-text-font-weight );}.elementor-widget-form .e-form__indicators__indicator, .elementor-widget-form .e-form__indicators__indicator__label{font-family:var( --e-global-typography-accent-font-family ), Sans-serif;font-weight:var( --e-global-typography-accent-font-weight );}.elementor-widget-form{--e-form-steps-indicator-inactive-primary-color:var( --e-global-color-text );--e-form-steps-indicator-active-primary-color:var( --e-global-color-accent );--e-form-steps-indicator-completed-primary-color:var( --e-global-color-accent );--e-form-steps-indicator-progress-color:var( --e-global-color-accent );--e-form-steps-indicator-progress-background-color:var( --e-global-color-text );--e-form-steps-indicator-progress-meter-color:var( --e-global-color-text );}.elementor-widget-form .e-form__indicators__indicator__progress__meter{font-family:var( --e-global-typography-accent-font-family ), Sans-serif;font-weight:var( --e-global-typography-accent-font-weight );}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group{padding-right:calc( 10px/2 );padding-left:calc( 10px/2 );margin-bottom:10px;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-form-fields-wrapper{margin-left:calc( -10px/2 );margin-right:calc( -10px/2 );margin-bottom:-10px;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group.recaptcha_v3-bottomleft, .elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group.recaptcha_v3-bottomright{margin-bottom:0;}body.rtl .elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-labels-inline .elementor-field-group > label{padding-left:0px;}body:not(.rtl) .elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-labels-inline .elementor-field-group > label{padding-right:0px;}body .elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-labels-above .elementor-field-group > label{padding-bottom:0px;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group > label, .elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-subgroup label{color:#000000;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-type-html{padding-bottom:0px;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group .elementor-field:not(.elementor-select-wrapper){background-color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-group .elementor-select-wrapper select{background-color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .e-form__buttons__wrapper__button-next{background-color:var( --e-global-color-primary );color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button[type="submit"]{background-color:var( --e-global-color-primary );color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button[type="submit"] svg *{fill:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .e-form__buttons__wrapper__button-previous{color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .e-form__buttons__wrapper__button-next:hover{color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button[type="submit"]:hover{color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button[type="submit"]:hover svg *{fill:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .e-form__buttons__wrapper__button-previous:hover{color:#ffffff;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button{border-radius:50px 50px 50px 50px;}.elementor-69482 .elementor-element.elementor-element-2a4e1c9{--e-form-steps-indicators-spacing:20px;--e-form-steps-indicator-padding:30px;--e-form-steps-indicator-inactive-secondary-color:#ffffff;--e-form-steps-indicator-active-secondary-color:#ffffff;--e-form-steps-indicator-completed-secondary-color:#ffffff;--e-form-steps-divider-width:1px;--e-form-steps-divider-gap:10px;}/* Start custom CSS for form, class: .elementor-element-2a4e1c9 *//* Card wrapper around the whole form */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 {
  background: #ffffff;
  border-radius: 8px;
  padding: 40px;
  box-shadow: 0 4px 20px rgba(15, 42, 74, 0.08);
}

/* Consistent row spacing */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-form-fields-wrapper > .elementor-field-group {
  margin-bottom: 20px;
}

/* Input styling — soft background + border, rounded corners */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-textual,
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 select.elementor-field {
  background-color: #f7f9fc;
  border: 1px solid #dbe2ea;
  border-radius: 6px;
  padding: 12px 14px;
  transition: border-color 0.2s ease;
}

.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-textual:focus,
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 select.elementor-field:focus {
  border-color: #0f2a4a;
  outline: none;
  background-color: #ffffff;
}

/* Radio / checkbox accent color to match Ascoma navy */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 input[type="radio"],
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 input[type="checkbox"] {
  accent-color: #0f2a4a;
  width: 16px;
  height: 16px;
}

/* Particulier / Entreprise side by side (from earlier fix) */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-field-type-radio .elementor-field-subgroup {
  display: flex;
  gap: 24px;
}

/* Submit button — hover transition */
.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button {
  background-color: #7ec8f0;
  border-radius: 6px;
  transition: background-color 0.2s ease, transform 0.15s ease;
}

.elementor-69482 .elementor-element.elementor-element-2a4e1c9 .elementor-button:hover {
  background-color: #4fa8dc;
  transform: translateY(-1px);
}/* End custom CSS */</style>{"id":69482,"date":"2026-09-23T20:54:48","date_gmt":"2026-09-23T20:54:48","guid":{"rendered":"https:\/\/ascoma.decmena.com\/renewal\/"},"modified":"2026-09-28T19:38:21","modified_gmt":"2026-09-28T19:38:21","slug":"renewal","status":"publish","type":"page","link":"https:\/\/ascoma.decmena.com\/en\/renewal\/","title":{"rendered":"Renewal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"69482\" class=\"elementor elementor-69482 elementor-69340\" data-elementor-post-type=\"page\">\n\t\t\t\t <div class=\"elementor-element elementor-element-bfca016 e-con e-atomic-element e-flexbox-base e-default-div e-fa028ee \" data-id=\"bfca016\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"bfca016\">\n    \t\t<div class=\"elementor-element elementor-element-66fc8ce elementor-widget elementor-widget-image\" data-id=\"66fc8ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-1024x576.jpg\" class=\"attachment-large size-large wp-image-69481\" alt=\"\" srcset=\"https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-1024x576.jpg 1024w, https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-300x169.jpg 300w, https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-768x432.jpg 768w, https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-1536x864.jpg 1536w, https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px-1170x658.jpg 1170w, https:\/\/ascoma.decmena.com\/wp-content\/uploads\/2026\/09\/banner-1920-x-1080-px.jpg 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-dd19659 e-con e-atomic-element e-flexbox-base e-default-div e-2f81979 \" data-id=\"dd19659\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"dd19659\">\n    \t\t<div class=\"elementor-element elementor-element-cf25929 elementor-widget elementor-widget-spacer\" data-id=\"cf25929\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"spacer.default\">\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\n<\/div>\n<div class=\"elementor-element elementor-element-d25772c e-con e-atomic-element e-flexbox-base e-default-div e-01812c1 \" data-id=\"d25772c\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"d25772c\">\n    \t\t<div class=\"elementor-element elementor-element-bf2cfe2 elementor-widget elementor-widget-heading\" data-id=\"bf2cfe2\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Renewal Form - Individuals<\/h2>\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-467811c e-con e-atomic-element e-flexbox-base e-default-div e-ebae06c \" data-id=\"467811c\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"467811c\">\n    \t\t<div class=\"elementor-element elementor-element-2a4e1c9 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"2a4e1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;20&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t<template id=\"cfef_logic_data_2a4e1c9\" class=\"cfef_logic_data_js\" data-form-id=\"2a4e1c9\">{&quot;field_6598bb2&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_ee24263&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Autres: Pr\\u00e9cisez&quot;,&quot;_id&quot;:&quot;5adf0ad&quot;}]},&quot;field_ce475c7&quot;:{&quot;display_mode&quot;:&quot;show&quot;,&quot;fire_action&quot;:&quot;All&quot;,&quot;file_types&quot;:&quot;png&quot;,&quot;logic_data&quot;:[{&quot;cfef_logic_field_id&quot;:&quot;field_33f38c4&quot;,&quot;cfef_logic_field_is&quot;:&quot;==&quot;,&quot;cfef_logic_compare_value&quot;:&quot;Je souhaite recevoir plus d&#039;informations&quot;,&quot;_id&quot;:&quot;a582833&quot;}]}}<\/template>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Renewal - Individuals\" aria-label=\"Renewal - Individuals\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"69482\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"2a4e1c9\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Ascoma Assureurs Conseils\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Last Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_cf366bf elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cf366bf\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_cf366bf]\" id=\"form-field-field_cf366bf\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_08117f5 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_08117f5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_08117f5]\" id=\"form-field-field_08117f5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_3d33de7 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3d33de7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCountry\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_3d33de7]\" id=\"form-field-field_3d33de7\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Benin\">Benin<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\">Burkina Faso<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Burundi\">Burundi<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cameroon\">Cameroon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Congo\">Congo<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ivory Coast\">Ivory Coast<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Gabon\">Gabon<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Ghana\">Ghana<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Guinea-Conakry\">Guinea-Conakry<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Equatorial Guinea\">Equatorial Guinea<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\">Madagascar<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mali\">Mali<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Mauritania\">Mauritania<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Niger\">Niger<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"CAR\">CAR<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"DRC\">DRC<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\">Rwanda<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Senegal\">Senegal<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Chad\">Chad<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Togo\">Togo<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_f104a5c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f104a5c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone number  \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_f104a5c]\" id=\"form-field-field_f104a5c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone number  \" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_0e4999b elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0e4999b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_0e4999b]\" id=\"form-field-field_0e4999b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email Address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ee24263 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ee24263\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSolutions for Individuals\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Comprehensive Home Insurance\" id=\"form-field-field_ee24263-0\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-0\">Comprehensive Home Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Auto Insurance\" id=\"form-field-field_ee24263-1\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-1\">Auto Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Health Insurance\" id=\"form-field-field_ee24263-2\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-2\">Health Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Retirement Insurance\" id=\"form-field-field_ee24263-3\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-3\">Retirement Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Travel Insurance\" id=\"form-field-field_ee24263-4\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-4\">Travel Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Life Insurance\" id=\"form-field-field_ee24263-5\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-5\">Life Insurance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other: Please specify\" id=\"form-field-field_ee24263-6\" name=\"form_fields[field_ee24263][]\"> <label for=\"form-field-field_ee24263-6\">Other: Please specify<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_6598bb2 elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_6598bb2]\" id=\"form-field-field_6598bb2\" rows=\"1\" placeholder=\"Specify the solution\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_822b967 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_822b967\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInsurance Policy Number  \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_822b967]\" id=\"form-field-field_822b967\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Policy Number\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_31ced08 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_31ced08\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRenewal\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I would like to renew my contract\" id=\"form-field-field_31ced08-0\" name=\"form_fields[field_31ced08]\"> <label for=\"form-field-field_31ced08-0\">I would like to renew my contract<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_33f38c4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_33f38c4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tInformation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"I would like to receive more information\" id=\"form-field-field_33f38c4-0\" name=\"form_fields[field_33f38c4]\"> <label for=\"form-field-field_33f38c4-0\">I would like to receive more information<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_ce475c7 elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_ce475c7]\" 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href=\"https:\/\/ascoma.decmena.com\/en\/legal-notice\/\" target=\"_blank\" rel=\"noopener\">Terms of Use<\/a>.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-20 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<input type='hidden' name='lang' value='en' \/><input\n                    class=\"apbct_special_field apbct_email_id__elementor_form\"\n                    name=\"apbct__email_id__elementor_form\"\n                    aria-label=\"apbct__label_id__elementor_form\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Renewal Form &#8211; Individuals<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-69482","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.5 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Renewal - Ascoma Assureurs Conseils<\/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:\/\/ascoma.decmena.com\/en\/renewal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" 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