{"id":5416,"date":"2025-01-06T11:20:30","date_gmt":"2025-01-06T11:20:30","guid":{"rendered":"https:\/\/wp.storebuild.shop\/insurai\/?page_id=5416"},"modified":"2026-07-18T00:21:40","modified_gmt":"2026-07-18T00:21:40","slug":"contact","status":"publish","type":"page","link":"https:\/\/eternalifeprotection.com\/?page_id=5416","title":{"rendered":"Contact"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5416\" class=\"elementor elementor-5416\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80fb157 e-flex e-con-boxed e-con e-parent\" data-id=\"80fb157\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;storebuild_scrolling_effects&quot;:&quot;no&quot;,&quot;storebuild_mouse_effects&quot;:&quot;no&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f795366 e-con-full e-flex e-con e-child\" data-id=\"f795366\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;storebuild_scrolling_effects&quot;:&quot;no&quot;,&quot;storebuild_mouse_effects&quot;:&quot;no&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a4bc4b2 elementor-widget elementor-widget-heading\" data-id=\"a4bc4b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Request A Callback<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b2e2142 elementor-widget elementor-widget-shortcode\" data-id=\"b2e2142\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5435-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"5435\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5416#wpcf7-f5435-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5435\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5435-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n   <!-- First Name -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n      <\/div>\n   <\/div>\n   \n   <!-- Last Name -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Date of Birth (Starts as text, transforms to date on click) -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"popup-dob-field\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date of Birth\" value=\"\" type=\"text\" name=\"birth-date\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Age -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"1\" max=\"120\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age\" value=\"\" type=\"number\" name=\"age\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Zip Code -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip Code\" value=\"\" type=\"text\" name=\"zip-code\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Cell Phone -->\n   <div class=\"col-lg-6 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Cell Phone\" value=\"\" type=\"tel\" name=\"cell-phone\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Landline -->\n   <div class=\"col-lg-12 mb-20\">\n      <div class=\"tp-contact-single-input\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"landline\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Landline (Optional)\" value=\"\" type=\"tel\" name=\"landline\" \/><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Disclaimer Checkbox -->\n   <div class=\"col-lg-12 mb-20\">\n      <div class=\"tp-contact-disclaimer\">\n         <span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-disclaimer\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-disclaimer\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I accept the terms and conditions and agree to the disclaimer.<\/span><\/label><\/span><\/span><\/span>\n      <\/div>\n   <\/div>\n\n   <!-- Submit Button -->\n   <div class=\"col-lg-12\">\n      <div class=\"tp-contact-btn-2 lineheight-1\">\n         <button type=\"submit\" class=\"tp-btn tp-btn-green lineheight-1\">Send Your Message<\/button>\n      <\/div>\n   <\/div>\n<\/div>\n\n<!-- Tiny script to handle the field transition seamlessly -->\n<script>\ndocument.addEventListener(\"DOMContentLoaded\", function() {\n   const dobField = document.getElementById(\"popup-dob-field\");\n   if (dobField) {\n      \/\/ Switch to date picker when clicked\/focused\n      dobField.addEventListener(\"focus\", function() {\n         this.type = \"date\";\n      });\n      \/\/ Switch back to text placeholder if left empty\n      dobField.addEventListener(\"blur\", function() {\n         if (!this.value) {\n            this.type = \"text\";\n         }\n      });\n   }\n});\n<\/script><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Request A Callback<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-5416","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/pages\/5416","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5416"}],"version-history":[{"count":19,"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/pages\/5416\/revisions"}],"predecessor-version":[{"id":6632,"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=\/wp\/v2\/pages\/5416\/revisions\/6632"}],"wp:attachment":[{"href":"https:\/\/eternalifeprotection.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}