segurosinteligentes.com.br
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177.71.195.213
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URL:
https://segurosinteligentes.com.br/
Submission: On June 12 via manual from ES — Scanned from ES
Submission: On June 12 via manual from ES — Scanned from ES
Form analysis 10 forms found in the DOM
GET https://segurosinteligentes.com.br/
<form role="search" method="get" class="et-search-form" action="https://segurosinteligentes.com.br/">
<input type="search" class="et-search-field" placeholder="Pesquisar …" value="" name="s" title="Pesquisar por:">
</form>POST /#wpcf7-f18657-o1
<form action="/#wpcf7-f18657-o1" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="18657">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f18657-o1">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><strong>DADOS DA BICICLETA</strong><br>
<span class="wpcf7-form-control-wrap marca"><input type="text" name="marca" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="MARCA"></span>
</p>
<p style="padding-bottom: 0.3em;"><span class="wpcf7-form-control-wrap modelo"><input type="text" name="modelo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true"
aria-invalid="false" placeholder="MODELO"></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Eu autorizo o envio dos meus dados pessoais<br> à Gebram Corretora de Seguros.</span></label></span></span></span>
</p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="18658">
</form>POST /#wpcf7-f18634-o2
<form action="/#wpcf7-f18634-o2" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="18634">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f18634-o2">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><span class="wpcf7-form-control-wrap endereco"><input type="text" name="endereco" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ENDEREÇO"></span></p>
<p><strong>DATA DE NASCIMENTO</strong><br>
<span class="wpcf7-form-control-wrap nasc"><input type="date" name="nasc" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="form-data" aria-required="true" aria-invalid="false"></span>
</p>
<p><span class="wpcf7-form-control-wrap estadocivil"><input type="text" name="estadocivil" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ESTADO CIVIL"></span></p>
<p><span class="wpcf7-form-control-wrap profissao"><input type="text" name="profissao" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="PROFISSÃO"></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="18635">
</form>POST /#wpcf7-f18629-o3
<form action="/#wpcf7-f18629-o3" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="18629">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f18629-o3">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><span class="wpcf7-form-control-wrap endereco"><input type="text" name="endereco" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ENDEREÇO"></span></p>
<p><strong>TIPO<br>
<span class="wpcf7-form-control-wrap tipo"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="tipo" value="CASA"><span class="wpcf7-list-item-label">CASA</span></span><span
class="wpcf7-list-item last"><input type="radio" name="tipo" value="APARTAMENTO"><span class="wpcf7-list-item-label">APARTAMENTO</span></span></span></span></strong></p>
<p><strong>CONDOMÍNIO FECHADO<br>
<span class="wpcf7-form-control-wrap condominio"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="condominio" value="SIM"><span
class="wpcf7-list-item-label">SIM</span></span><span class="wpcf7-list-item last"><input type="radio" name="condominio" value="NÃO"><span class="wpcf7-list-item-label">NÃO</span></span></span></span></strong></p>
<p><strong>TIPO DE CONSTRUÇÃO<br>
<span class="wpcf7-form-control-wrap construcao"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="construcao" value="ALVENARIA"><span
class="wpcf7-list-item-label">ALVENARIA</span></span><span class="wpcf7-list-item"><input type="radio" name="construcao" value="MADEIRA"><span class="wpcf7-list-item-label">MADEIRA</span></span><span class="wpcf7-list-item last"><input
type="radio" name="construcao" value="MISTA"><span class="wpcf7-list-item-label">MISTA</span></span></span></span></strong></p>
<p><strong>UTILIZAÇÃO<br>
<span class="wpcf7-form-control-wrap utilizacao"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="utilizacao" value="HABITUAL"><span
class="wpcf7-list-item-label">HABITUAL</span></span><span class="wpcf7-list-item last"><input type="radio" name="utilizacao" value="VERANEIO"><span class="wpcf7-list-item-label">VERANEIO</span></span></span></span></strong></p>
<p><span class="wpcf7-form-control-wrap valor"><input type="text" name="valor" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="VALOR DO IMÓVEL (PRÉDIO + CONTEÚDO)"></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="18630">
</form>POST /#wpcf7-f18618-o4
<form action="/#wpcf7-f18618-o4" method="post" class="wpcf7-form init" enctype="multipart/form-data" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="18618">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f18618-o4">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><span class="wpcf7-form-control-wrap tipo-equipamento"><select name="tipo-equipamento" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
<option value="">TIPO DE EQUIPAMENTO</option>
<option value="Câmera">Câmera</option>
<option value="Filmadora">Filmadora</option>
<option value="Notebook">Notebook</option>
<option value="Smartphone">Smartphone</option>
<option value="Smartwatch">Smartwatch</option>
<option value="Tablet">Tablet</option>
</select></span></p>
<p><span class="wpcf7-form-control-wrap marca"><input type="text" name="marca" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="MARCA"></span>
</p>
<p style="padding-bottom: 0.3em;"><span class="wpcf7-form-control-wrap modelo"><input type="text" name="modelo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true"
aria-invalid="false" placeholder="MODELO"></span></p>
<p><strong>DATA DE AQUISIÇÃO</strong><br>
<span class="wpcf7-form-control-wrap data-aquisicao"><input type="date" name="data-aquisicao" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="form-data" aria-required="true"
aria-invalid="false"></span>
</p>
<p><span class="wpcf7-form-control-wrap valor-aquisicao"><input type="text" name="valor-aquisicao" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="VALOR DE AQUISIÇÃO"></span></p>
<p style="padding-top: 5px; padding-bottom: 0.3em;">Nota fiscal do equipamento a ser segurado (se houver): <span class="wpcf7-form-control-wrap nota-fiscal"><input type="file" name="nota-fiscal" size="40" class="wpcf7-form-control wpcf7-file"
accept=".pdf,.doc,.docx,.jpg,.png,.gif" aria-invalid="false"></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="18619">
</form>POST /#wpcf7-f2079-o5
<form action="/#wpcf7-f2079-o5" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="2079">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f2079-o5">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="TELEFONE"></span></p>
<p><span class="wpcf7-form-control-wrap veiculo"><input type="text" name="veiculo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="VEÍCULO"></span></p>
<p><span class="wpcf7-form-control-wrap ano"><input type="text" name="ano" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="ANO"></span></p>
<p><strong><span class="wpcf7-form-control-wrap tipo"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="tipo" value="NOVO"><span
class="wpcf7-list-item-label">NOVO</span></span><span class="wpcf7-list-item last"><input type="radio" name="tipo" value="RENOVAÇÃO"><span class="wpcf7-list-item-label">RENOVAÇÃO</span></span></span></span></strong></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="2081">
</form>POST /#wpcf7-f2109-o6
<form action="/#wpcf7-f2109-o6" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="2109">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f2109-o6">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap rg"><input type="text" name="rg" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-rg" aria-required="true" aria-invalid="false" placeholder="RG"></span><span
class="wpcf7-form-control-wrap emissao-rg"><input type="text" name="emissao-rg" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true" aria-invalid="false"
placeholder="DATA DE EMISSÃO DO RG"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><span class="wpcf7-form-control-wrap endereco"><input type="text" name="endereco" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ENDEREÇO"></span></p>
<p><span class="wpcf7-form-control-wrap nome-animal"><input type="text" name="nome-animal" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="NOME DO ANIMAL"></span></p>
<p><strong>DATA DE NASCIMENTO DO ANIMAL</strong><br>
<span class="wpcf7-form-control-wrap nasc-animal"><input type="date" name="nasc-animal" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="form-data" aria-required="true"
aria-invalid="false"></span>
</p>
<p><span class="wpcf7-form-control-wrap raca"><input type="text" name="raca" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="RAÇA DO ANIMAL"></span></p>
<p><span class="wpcf7-form-control-wrap registro"><input type="text" name="registro" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="NÚMERO DE REGISTRO DO ANIMAL"></span></p>
<p><strong>SEXO DO ANIMAL<br>
<span class="wpcf7-form-control-wrap sexo-animal"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="sexo-animal" value="MACHO"><span
class="wpcf7-list-item-label">MACHO</span></span><span class="wpcf7-list-item last"><input type="radio" name="sexo-animal" value="FÊMEA"><span class="wpcf7-list-item-label">FÊMEA</span></span></span></span></strong></p>
<p><strong>CASTRADO(A)<br>
<span class="wpcf7-form-control-wrap castrado"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="castrado" value="SIM"><span
class="wpcf7-list-item-label">SIM</span></span><span class="wpcf7-list-item last"><input type="radio" name="castrado" value="NÃO"><span class="wpcf7-list-item-label">NÃO</span></span></span></span></strong></p>
<p><strong>UTILIZAÇÃO<br>
<span class="wpcf7-form-control-wrap utilizacao"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="utilizacao" value="ADESTRAMENTO"><span
class="wpcf7-list-item-label">ADESTRAMENTO</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="CCE"><span class="wpcf7-list-item-label">CCE</span></span><span class="wpcf7-list-item"><input
type="radio" name="utilizacao" value="CORRIDA"><span class="wpcf7-list-item-label">CORRIDA</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="ENDURO"><span
class="wpcf7-list-item-label">ENDURO</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="EXPOSIÇÃO"><span class="wpcf7-list-item-label">EXPOSIÇÃO</span></span><span class="wpcf7-list-item"><input
type="radio" name="utilizacao" value="LAZER"><span class="wpcf7-list-item-label">LAZER</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="POLO"><span
class="wpcf7-list-item-label">POLO</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="REPRODUÇÃO"><span class="wpcf7-list-item-label">REPRODUÇÃO</span></span><span class="wpcf7-list-item"><input
type="radio" name="utilizacao" value="SALTO"><span class="wpcf7-list-item-label">SALTO</span></span><span class="wpcf7-list-item"><input type="radio" name="utilizacao" value="TRABALHO"><span
class="wpcf7-list-item-label">TRABALHO</span></span><span class="wpcf7-list-item last"><input type="radio" name="utilizacao" value="VAQUEJADA"><span class="wpcf7-list-item-label">VAQUEJADA</span></span></span></span></strong></p>
<p><span class="wpcf7-form-control-wrap endereco-alojamento"><input type="text" name="endereco-alojamento" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ENDEREÇO DO ALOJAMENTO"></span></p>
<p><span class="wpcf7-form-control-wrap valor"><input type="text" name="valor" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="VALOR DO ANIMAL"></span></p>
<p><strong>TIPO DE SEGURO<br>
<span class="wpcf7-form-control-wrap tipo-seguro"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="tipo-seguro" value="NOVO"><span
class="wpcf7-list-item-label">NOVO</span></span><span class="wpcf7-list-item last"><input type="radio" name="tipo-seguro" value="RENOVAÇÃO"><span class="wpcf7-list-item-label">RENOVAÇÃO</span></span></span></span></strong></p>
<p><span class="wpcf7-form-control-wrap seguradora-atual"><input type="text" name="seguradora-atual" value="" size="40" class="wpcf7-form-control wpcf7-text" id="form-nome" aria-invalid="false" placeholder="SEGURADORA ATUAL (SE HOUVER)"></span></p>
<p><strong>COBERTURA(S) DESEJADA(S)<br>
<span class="wpcf7-form-control-wrap coberturas"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required" id="form-tipo"><span class="wpcf7-list-item first"><input type="checkbox" name="coberturas[]"
value="VIDA + TRANSPORTE"><span class="wpcf7-list-item-label">VIDA + TRANSPORTE</span></span><span class="wpcf7-list-item"><input type="checkbox" name="coberturas[]" value="REEMBOLSO CIRÚRGICO"><span
class="wpcf7-list-item-label">REEMBOLSO CIRÚRGICO</span></span><span class="wpcf7-list-item"><input type="checkbox" name="coberturas[]" value="REEMBOLSO CLÍNICO"><span class="wpcf7-list-item-label">REEMBOLSO CLÍNICO</span></span><span
class="wpcf7-list-item"><input type="checkbox" name="coberturas[]" value="REEMBOLSO NECROPSIA"><span class="wpcf7-list-item-label">REEMBOLSO NECROPSIA</span></span><span class="wpcf7-list-item"><input type="checkbox" name="coberturas[]"
value="FERTILIDADE"><span class="wpcf7-list-item-label">FERTILIDADE</span></span><span class="wpcf7-list-item"><input type="checkbox" name="coberturas[]" value="PRENHEZ"><span class="wpcf7-list-item-label">PRENHEZ</span></span><span
class="wpcf7-list-item"><input type="checkbox" name="coberturas[]" value="PERDA DE FUNÇÃO ESPORTIVA"><span class="wpcf7-list-item-label">PERDA DE FUNÇÃO ESPORTIVA</span></span><span class="wpcf7-list-item last"><input type="checkbox"
name="coberturas[]" value="ROUBO OU FURTO QUALIFICADO"><span class="wpcf7-list-item-label">ROUBO OU FURTO QUALIFICADO</span></span></span></span></strong></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="2110">
</form>POST /#wpcf7-f2101-o7
<form action="/#wpcf7-f2101-o7" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="2101">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f2101-o7">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
value="03AL8dmw9o2V38dOUaJ1kAXeOXXW40FT3VDk3-FRu1_0ud0gahlb3frwn1opK5V8EwhEQuA-xihKXS2xDRRUVsM0SsVQQrtQUNnOxDcqvVpB_YVpVIzvm5dgUOrq0rmgpHoNaDlxPFPt7gwXulhXqSawJ5meDp-9bkDr5wxfMWdATa1PsZp-QWgr6xof7HkaXf0S2URcMwVOnN3lTtl3JIvaFaVAHZtxClXr0Dv3x0cCnTl0v-TSMAN7TKs4_ac6tPsfx610X6wwUyTLfzwvDcHiugGl3MjHIz24Fh2_AHjwflnUp3w1mjPqgU45Xe_QmS0NcWPOTtItoI1NVTNlpMqr_sX5n3DNYAv5ji8p2htiVdSeyP46yehbzjLLupcO75PjWW-TN49i6eDyfjOB4zZcb439AEuwlQW38ClYxKm8D42rQuRvBp3__d-BkIAYUYd_qfRG1X3cqfjGvMrunUbzOn919DN5Gi5Gg0sl47NXTc7yeALc_iX-mB6WS2U7YxIMHmSytDQhcSU6J2YSTRyQ95p5x7Sf59ThPGG7zDKCy5OI56jQCpt3AkAhUwmIVorCBMpbb_HsNW">
</div>
<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><strong>DATA DE NASCIMENTO</strong><br>
<span class="wpcf7-form-control-wrap nasc"><input type="date" name="nasc" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="form-data" aria-required="true" aria-invalid="false"></span>
</p>
<p><span class="wpcf7-form-control-wrap nome-pet"><input type="text" name="nome-pet" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="NOME DO PET"></span></p>
<p style="padding-bottom: 0.3em;"><span class="wpcf7-form-control-wrap cep"><input type="text" name="cep" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="CEP DE RESIDENCIA DO PET"></span></p>
<p><strong>DATA DE NASCIMENTO DO PET</strong><br>
<span class="wpcf7-form-control-wrap nasc-pet"><input type="date" name="nasc-pet" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="form-data" aria-required="true" aria-invalid="false"></span>
</p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="2102">
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<div style="display: none;">
<input type="hidden" name="_wpcf7" value="2080">
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<input type="hidden" name="_wpcf7_locale" value="pt_BR">
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<input type="hidden" name="_wpcf7_recaptcha_response"
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<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-fone" aria-required="true" aria-invalid="false" placeholder="TELEFONE"></span></p>
<p><span class="wpcf7-form-control-wrap veiculo"><input type="text" name="veiculo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="VEÍCULO"></span></p>
<p><span class="wpcf7-form-control-wrap ano"><input type="text" name="ano" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="ANO"></span></p>
<p><strong><span class="wpcf7-form-control-wrap tipo"><span class="wpcf7-form-control wpcf7-radio" id="form-tipo"><span class="wpcf7-list-item first"><input type="radio" name="tipo" value="NOVO"><span
class="wpcf7-list-item-label">NOVO</span></span><span class="wpcf7-list-item last"><input type="radio" name="tipo" value="RENOVAÇÃO"><span class="wpcf7-list-item-label">RENOVAÇÃO</span></span></span></span></strong></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="2085">
</form>POST /#wpcf7-f2066-o9
<form action="/#wpcf7-f2066-o9" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="2066">
<input type="hidden" name="_wpcf7_version" value="5.3">
<input type="hidden" name="_wpcf7_locale" value="pt_BR">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f2066-o9">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response"
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<p><span class="wpcf7-form-control-wrap nome"><input type="text" name="nome" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false" placeholder="NOME"></span>
</p>
<p><span class="wpcf7-form-control-wrap e-mail"><input type="email" name="e-mail" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="form-email" aria-required="true"
aria-invalid="false" placeholder="E-MAIL"></span><span class="wpcf7-form-control-wrap cpf"><input type="text" name="cpf" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-cpf" aria-required="true"
aria-invalid="false" placeholder="CPF"></span></p>
<p><span class="wpcf7-form-control-wrap telefone"><input type="tel" name="telefone" value="" size="40" maxlength="11" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel" id="form-fone" aria-invalid="false"
placeholder="TELEFONE FIXO (OPCIONAL)"></span><span class="wpcf7-form-control-wrap celular"><input type="tel" name="celular" value="" size="40" maxlength="11"
class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" id="form-cel" aria-required="true" aria-invalid="false" placeholder="CELULAR"></span></p>
<p><span class="wpcf7-form-control-wrap marca"><input type="text" name="marca" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="MARCA DO VEÍCULO"></span></p>
<p><span class="wpcf7-form-control-wrap veiculo"><input type="text" name="veiculo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="MODELO DO VEÍCULO"></span></p>
<p><span class="wpcf7-form-control-wrap ano-fab"><input type="text" name="ano-fab" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ANO DE FABRICAÇÃO"></span></p>
<p><span class="wpcf7-form-control-wrap ano-mod"><input type="text" name="ano-mod" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="form-nome" aria-required="true" aria-invalid="false"
placeholder="ANO DO MODELO"></span></p>
<p style="color: white;"><span class="wpcf7-form-control-wrap aceite"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="aceite" value="1" aria-invalid="false" checked="checked"
class="form-aceite" id="form-aceite"><span class="wpcf7-list-item-label"> Ao enviar meus dados, eu concordo com e aceito<br> a
<a style="color: white !important; text-decoration: underline;" href="https://www.itssegcompany.com.br/lgpd" target="_blank">Política de Privacidade</a> da It'sSeg Company.</span></label></span></span></span></p>
<p><input type="submit" value="ENVIAR" class="wpcf7-form-control wpcf7-submit" id="form-submit"><span class="ajax-loader"></span></p>
<input type="hidden" class="wpcf7-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="wpcf7-response-output" aria-hidden="true"></div><input type="hidden" name="pum_form_popup_id" value="2064">
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+55 11 3035 0600
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01009 000, São Paulo, SP
+55 11 3188 7310
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Ed. Square Office, Jardim Blumenau,
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Jardim América, 13231 190,
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13295 000, Itupeva, SP
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