{"id":5,"date":"2017-01-23T10:30:22","date_gmt":"2017-01-23T15:30:22","guid":{"rendered":"http:\/\/gpswp.com\/ursinsurance\/?page_id=5"},"modified":"2018-11-06T19:07:13","modified_gmt":"2018-11-07T00:07:13","slug":"contact","status":"publish","type":"page","link":"https:\/\/gpswp.com\/ursinsurance\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"<p>Please use the form below to contact us. We look forward to hearing from you and will get back to you as soon as possible.<\/p>\n<div class=\"well\"><form id=\"general-contact-form\" class=\"gpswp-va-form\" method=\"post\">\n\t<input type=\"hidden\" name=\"InquiryType\" value=\"1\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"FirstName\">First Name (Full) *<\/label>\n\t\t\t\t<input type=\"text\" name=\"FirstName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"LastName\">Last Name *<\/label>\n\t\t\t\t<input type=\"text\" name=\"LastName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"PreferredName\">Preferred Name *<\/label>\n\t\t\t\t<input type=\"text\" name=\"PreferredName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"ZipCode\">Zip Code *<\/label>\n\t\t\t\t<input type=\"text\" name=\"ZipCode\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"row\">\n\t\t<div class=\"col-md-8\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label>Email *<\/label>\n\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t<div class=\"input-group-btn\">\n\t\t\t\t\t\t<button type=\"button\" class=\"btn btn-default dropdown-toggle\" data-toggle=\"dropdown\"><span class=\"select-display\">Personal<\/span> <span class=\"caret\"><\/span><\/button>\n\t\t\t\t\t\t<ul class=\"dropdown-menu\" role=\"menu\">\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"2\">Personal<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"1\">Business<\/a><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<input type=\"hidden\" class=\"input-group-select-val\" name=\"EmailType\" value=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type=\"text\" name=\"Email\" class=\"form-control\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label>Phone Number<\/label>\n\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t<div class=\"input-group-btn\">\n\t\t\t\t\t\t<button type=\"button\" class=\"btn btn-default dropdown-toggle\" data-toggle=\"dropdown\"><span class=\"select-display\">Mobile<\/span> <span class=\"caret\"><\/span><\/button>\n\t\t\t\t\t\t<ul class=\"dropdown-menu\" role=\"menu\">\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"2\">Mobile<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"1\">Home<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"3\">Business<\/a><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<input type=\"hidden\" class=\"input-group-select-val\" name=\"PhoneNumberType\" value=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type=\"text\" name=\"PhoneNumber\" class=\"form-control\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<div data-site-key=\"6LfMlCITAAAAAPSB_59qDiYv3fbMUPhifMUxcNG_\"><\/div>\n\t\t\t\t<input type=\"hidden\" name=\"RecaptchaSiteKey\" value=\"6LfMlCITAAAAAPSB_59qDiYv3fbMUPhifMUxcNG_\">\n\t\t\t\t<div class=\"g-recaptcha-message\" style=\"display: none\">\n\t\t\t\t\t<span style=\"color: red; font-size: .875em;\">Please check the box above.<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t\n\t<div class=\"form-group\">\n\t\t<div class=\"sending-message\" style=\"display: none\">\n\t\t\t<p>&nbsp;<\/p>\n\t\t\t<p>\n\t\t\t\tSending email ... \n\t\t\t\t<svg height=\"18px\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 30\" style=\"vertical-align: middle\">\n\t                <rect x=\"0\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t                <rect x=\"10\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0.15s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0.15s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t                <rect x=\"20\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0.3s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0.3s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t            <\/svg>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<input type=\"submit\" name=\"submit\" value=\"Submit\" class=\"btn btn-primary btn-default\" \/>\n\t<\/div>\n\n\t<div class=\"error-message alert alert-danger\" style=\"display: none\"><\/div>\n<\/form>\n\n<script>\njQuery(document).ready(function($) {\n\tvar va_form_fields = {\n\t\tform_id: 'general-contact-form',\n\t\tva_id: '3697',\n\t\temail_to: 'info@ursinsurance.net',\n\t\tinquiry_type: '1'\n\t};\n\n\tvar form = $('#' + va_form_fields.form_id);\n\n\tvar sessionDateSelect = form.find('#SessionDate');\n\tvar locationModal = form.find('#LocationModal')\n\tvar locationSelect = form.find('#Location');\n\n\tsessionDateSelect.on('change', function() {\n\t\tvar selectedOption = $(this).find('option[value=\"' + $(this).val() + '\"]');\n\t\tvar possibleVenues = selectedOption.data('venues').split(',');\n\n\t\t\/\/ Empty out old options\n\t\tlocationSelect.empty();\n\n\t\tif (possibleVenues.length) {\n\t\t\t\/\/ Append new\n\t\t\tfor (var i = 0; i < possibleVenues.length; i++) {\n\t\t\t\tlocationSelect.append('<option value=\"' + possibleVenues[i] + '\">' + possibleVenues[i] + '<\/option>');\n\t\t\t}\n\t\t\tlocationModal.removeClass('hidden');\n\t\t}\n\n\t\tif (possibleVenues.length == 1) {\n\t\t\tlocationModal.addClass('hidden');\n\t\t}\n\t});\n\n\tsessionDateSelect.trigger('change');\n\t\n\n\tform.validate({\n\t\terrorElement: \"span\",\n\t\trules: {\n\t\t\tFirstName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tPreferredName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tLastName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tEmail: {\n\t\t\t\trequired: true,\n\t\t\t\temail: true\n\t\t\t},\n\t\t\tPhoneNumber: {\n\t\t\t\trequired: false,\n\t\t\t\tphoneUS: true\n\t\t\t},\n\t\t\tZipCode: {\n\t\t\t\trequired: true,\n\t\t\t\tzipcodeUS: true\n\t\t\t}\n\t\t},\n\t\tmessages: {\n\t\t\tPhoneNumber: {\n\t\t\t\tphoneUS: \"Please enter your 10 digit US phone number.\"\n\t\t\t},\n\t\t\tZipCode: {\n\t\t\t\trequired: \"Please enter your US zip code.\",\n\t\t\t\tzipcodeUS: \"Please enter your US zip code.\"\n\t\t\t}\n\t\t}\n\t});\n\n\tform.leadify({\n\t\tsiteType: 'premium',\n\t\tvaId: va_form_fields.va_id,\n\t\tinquiryType: va_form_fields.inquiry_type,\n\t\temailTo: va_form_fields.email_to,\n\t\tcaptcha: true,\n\t\tonSubmit: function() {\n\t\t\tvar isValid = form.valid();\n\n\t\t\tcaptchaResponse = grecaptcha.getResponse(grecaptchas[va_form_fields.form_id]);\n\n\t\t\tif (isValid && captchaResponse !== '') {\n\t\t\t\tform.find('.sending-message').show();\n\t\t\t\tform.find('input[type=submit]').prop('disabled', true);\n\t\t\t\tform.find('.g-recaptcha-message').hide();\n\t\t\t\tform.find('.error-message').hide();\n\t\t\t\t\/\/ _gaq.push(['_trackEvent', 'Lead', 'Submit']);\n\t\t\t} else {\n\t\t\t\tform.find('.g-recaptcha-message').show();\n\t\t\t\treturn false;\n\t\t\t}\n\t\t},\n\t\tonSuccess: function(response){\n\t\t\tif (va_form_fields.inquiry_type == 32) {\n\t\t\t\twindow.location.replace(response);\n\t\t\t}\n            else {\n\t\t\t\tform.html('<div class=\"alert alert-success\" role=\"alert\"><p>Thank you for your information. We will reach out to you in a timely manner.<\/p><\/div>');\n\t\t\t}\n\t\t},\n\t\tonError: function(){\n\t\t\tform.find('.sending-message').hide();\n\t\t\tform.find('input[type=submit]').prop('disabled', false);\n\t\t\tform.find('.error-message').text('Houston we have a problem.').show();\n\t\t}\n\t});\n});\n<\/script>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Please use the form below to contact us. We look forward to hearing from you and will get back to you as soon as possible.<\/p>\n","protected":false},"author":1,"featured_media":187,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_links_to":"","_links_to_target":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ursinsurance.net\/contact\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contact - URS Insurance\" \/>\n<meta property=\"og:description\" content=\"Please use the form below to contact us. 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