{"id":148,"date":"2017-03-13T18:51:58","date_gmt":"2017-03-13T18:51:58","guid":{"rendered":"http:\/\/stg.lareau.ca\/en\/?page_id=148"},"modified":"2025-11-26T21:26:49","modified_gmt":"2025-11-26T21:26:49","slug":"quote","status":"publish","type":"page","link":"https:\/\/lareau.ca\/en\/quote\/","title":{"rendered":"Schedule an appointment for a Quote Request"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_10' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Schedule an appointment for a Quote Request<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/en\/wp-json\/wp\/v2\/pages\/148' data-formid='10' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_10_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_1'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_10_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_2'>Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_10_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_3\" class=\"gfield gfield--type-address gfield--input-type-address 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              <\/div><\/li><li id=\"field_10_4\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_4'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_10_4' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_5'>E-mail address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_10_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_10_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Type of insurance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_10_6'>\n\t\t\t<li class='gchoice gchoice_10_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Commercial lines'  id='choice_10_6_0'    \/>\n\t\t\t\t<label for='choice_10_6_0' id='label_10_6_0' class='gform-field-label gform-field-label--type-inline'>Commercial lines<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_10_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Personal lines'  id='choice_10_6_1'    \/>\n\t\t\t\t<label for='choice_10_6_1' id='label_10_6_1' class='gform-field-label gform-field-label--type-inline'>Personal lines<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which insurance(s) do you need?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_10_11'><li class='gchoice gchoice_10_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Auto'  id='choice_10_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_1' id='label_10_11_1' class='gform-field-label gform-field-label--type-inline'>Auto<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='Home'  id='choice_10_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_2' id='label_10_11_2' class='gform-field-label gform-field-label--type-inline'>Home<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_11_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.3' type='checkbox'  value='High value Home (residence of more than $1.5M)'  id='choice_10_11_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_3' id='label_10_11_3' class='gform-field-label gform-field-label--type-inline'>High value Home (residence of more than $1.5M)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_11_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.4' type='checkbox'  value='Recreational vehicle'  id='choice_10_11_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_4' id='label_10_11_4' class='gform-field-label gform-field-label--type-inline'>Recreational vehicle<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_11_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.5' type='checkbox'  value='Other'  id='choice_10_11_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_11_5' id='label_10_11_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_7'>Line of business<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_10_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Farm' >Farm<\/option><option value='Aviation' >Aviation<\/option><option value='Business service' >Business service<\/option><option value='Construction' >Construction<\/option><option value='Food industry' >Food industry<\/option><option value='Garage' >Garage<\/option><option value='IT' >IT<\/option><option value='Large corporation' >Large corporation<\/option><option value='Manufacturers, distributors and wholesalers' >Manufacturers, distributors and wholesalers<\/option><option value='Microbreweries, vineyard and cider house' >Microbreweries, vineyard and cider house<\/option><option value='Real estate' >Real estate<\/option><option value='SME' >SME<\/option><option value='Transport' >Transport<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_10_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_8'>If you chose &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_10_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_14'>If you chose &quot;Other&quot;, please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_10_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_10_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >When would you like to be contacted? Our team is available Monday to Friday, from 8:00 a.m. to 6:00 p.m.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_10_10'><li class='gchoice gchoice_10_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Between 8:00 a.m. and 10:00 a.m.'  id='choice_10_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_1' id='label_10_10_1' class='gform-field-label gform-field-label--type-inline'>Between 8:00 a.m. and 10:00 a.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Between 10:00 a.m. and 12:00 p.m.'  id='choice_10_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_2' id='label_10_10_2' class='gform-field-label gform-field-label--type-inline'>Between 10:00 a.m. and 12:00 p.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Between 12:00 p.m. and 1:00 p.m.'  id='choice_10_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_3' id='label_10_10_3' class='gform-field-label gform-field-label--type-inline'>Between 12:00 p.m. and 1:00 p.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Between 1:00 p.m. and 4:00 p.m.'  id='choice_10_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_4' id='label_10_10_4' class='gform-field-label gform-field-label--type-inline'>Between 1:00 p.m. and 4:00 p.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Between 4:00 p.m. and 6:00 p.m.'  id='choice_10_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_10_5' id='label_10_10_5' class='gform-field-label gform-field-label--type-inline'>Between 4:00 p.m. and 6:00 p.m.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_10_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >When would you like to be contacted? Our team is available Monday to Friday, from 8:00 a.m. to 6:00 p.m.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_10_13'><li class='gchoice gchoice_10_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Between 8:00 a.m. and 10:00 a.m.'  id='choice_10_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_13_1' id='label_10_13_1' class='gform-field-label gform-field-label--type-inline'>Between 8:00 a.m. and 10:00 a.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Between 10:00 a.m. and 12:00 p.m.'  id='choice_10_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_13_2' id='label_10_13_2' class='gform-field-label gform-field-label--type-inline'>Between 10:00 a.m. and 12:00 p.m.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_10_13_3'>\n\t\t\t\t\t\t\t\t<input 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