{"id":7539,"date":"2016-12-09T12:16:41","date_gmt":"2016-12-09T11:16:41","guid":{"rendered":"https:\/\/www.emberjd.com\/?page_id=7539"},"modified":"2016-12-09T12:30:29","modified_gmt":"2016-12-09T11:30:29","slug":"new-business-premium","status":"publish","type":"page","link":"https:\/\/www.emberjd.com\/new-business-premium\/","title":{"rendered":"New Business Premium"},"content":{"rendered":"<p>Pay your new business premium by our https 100% secure web link. We store all quotes by home postcode, which is one of the questions on the card payment form. <\/p>\n<p>Please note that the total premium quoted must be paid in full. We do not charge any extra for Visa, Visa Debit or MasterCard payments. <\/p>\n<p>We will process your payment and issue cover as a matter of urgency during office hours and will email you to confirm or advise you if the card payment has not gone through, as cover can not be issued until we are able to confirm successful payment of the premium. <a href=\"https:\/\/www.emberjd.com\/wp-content\/uploads\/2016\/05\/Visa_mastercard.jpg\"><img decoding=\"async\" class=\"size-full wp-image-7242 alignright lazyload\" data-src=\"https:\/\/www.emberjd.com\/wp-content\/uploads\/2016\/05\/Visa_mastercard.jpg\" alt=\"additional-premium\" width=\"77\" height=\"98\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 77px; --smush-placeholder-aspect-ratio: 77\/98;\" \/><noscript><img decoding=\"async\" class=\"size-full wp-image-7242 alignright\" src=\"https:\/\/www.emberjd.com\/wp-content\/uploads\/2016\/05\/Visa_mastercard.jpg\" alt=\"additional-premium\" width=\"77\" height=\"98\" \/><\/noscript><\/a><\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_32' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Card Payment - New Business<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_32'  action='\/wp-json\/wp\/v2\/pages\/7539' data-formid='32' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_32' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_32_13\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_13\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_32_13'>\n                            <span id='input_32_13_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_13.3' id='input_32_13_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_32_13_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_32_13_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_13.6' id='input_32_13_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_32_13_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_32_18\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_18\" ><label class='gfield_label gform-field-label' for='input_32_18'>Your home postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_32_18' type='text' value='' class='medium' maxlength='8' aria-describedby=\"gfield_description_32_18\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_32_18'>(We search for quotes under the postcode)<\/div><\/li><li id=\"field_32_3\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_3\" ><label class='gfield_label gform-field-label' for='input_32_3'>Premium to pay \u00a3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_32_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_32_3\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_32_3'>(Total amount as per the Ember JD quote)<\/div><\/li><li id=\"field_32_11\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon read-only gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_11\" ><label class='gfield_label gform-field-label' for='input_32_11'>Proposed cover start date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_32_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_32_11_date_format gfield_description_32_11\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_32_11_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_32_11' class='gform_hidden' value='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_32_11'>(Cover cannot be back-dated. We issue cover during office opening hours 9am to 5pm Monday to Friday, excluding bank holidays, a cover confirmation email will be sent to you) <\/div><\/li><li id=\"field_32_4\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_4\" ><label class='gfield_label gform-field-label' for='input_32_4'>Type of card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_32_4' class='medium gfield_select'  aria-describedby=\"gfield_description_32_4\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Visa Debit' >Visa Debit<\/option><option value='Visa' >Visa<\/option><option value='MasterCard' >MasterCard<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_32_4'>(Sorry we do not accept American Express)<\/div><\/li><li id=\"field_32_15\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_15\" ><label class='gfield_label gform-field-label' for='input_32_15'>Card number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_32_15' type='text' value='' class='medium'  aria-describedby=\"gfield_description_32_15\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_32_15'>(Enter 16 digit card number, no spaces)<\/div><\/li><li id=\"field_32_7\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_7\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Expiry date (mm\/yr)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_7_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_7_col_2' class='gfield_list_col_even' \/><col id='gfield_list_7_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Month<\/th><th scope=\"col\">Year<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_7_cell1' data-label='Month'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_32_7\" aria-label='Month, Row 1' data-aria-label-template='Month, Row {0}' type='text' name='input_7[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_7_cell2' data-label='Year'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_32_7\" aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_7[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 2)' onkeypress='gformAddListItem(this, 2)'><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/noscript><\/noscript><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 2)' onkeypress='gformDeleteListItem(this, 2)' style=\"visibility:hidden;\"><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/noscript><\/noscript><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_32_7'>(Enter the month in box one and year in box two)<\/div><\/li><li id=\"field_32_16\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_16\" ><label class='gfield_label gform-field-label' for='input_32_16'>3 digit security code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_32_16' type='text' value='' class='medium'  aria-describedby=\"gfield_description_32_16\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_32_16'>(Found on the back of your card in the signature strip)<\/div><\/li><li id=\"field_32_14\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_14\" ><label class='gfield_label gform-field-label' for='input_32_14'>Contact telephone number<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_32_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_32_10\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_10\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Contact email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_32_10_container'>\n                                <span id='input_32_10_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_10' id='input_32_10' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_32_10\" \/>\n                                    <label for='input_32_10' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_32_10_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_10_2' id='input_32_10_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_32_10\" \/>\n                                    <label for='input_32_10_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><div class='gfield_description' id='gfield_description_32_10'>(An automatic confirmation email will be sent to you once you submit) <\/div><\/li><li id=\"field_32_19\" class=\"gfield gfield--type-list field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_32_19\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of last insurer and the expiry date, if applicable<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_19_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_19_col_2' class='gfield_list_col_even' \/><col id='gfield_list_19_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name of last insurer<\/th><th scope=\"col\">Expiry date<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_19_cell1' data-label='Name of last insurer'><input aria-invalid='false'  aria-describedby=\"gfield_description_32_19\" aria-label='Name of last insurer, Row 1' data-aria-label-template='Name of last insurer, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_19_cell2' data-label='Expiry date'><input aria-invalid='false'  aria-describedby=\"gfield_description_32_19\" aria-label='Expiry date, Row 1' data-aria-label-template='Expiry date, Row {0}' type='text' name='input_19[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/noscript><\/noscript><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img data-src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' src='data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' \/><noscript><img src='https:\/\/www.emberjd.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/noscript><\/noscript><\/a><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_32_19'>(Only enter details if you have had a previous home insurance policy)<\/div><\/li><li 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