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@@ -24,24 +24,37 @@ <h3>Ricevi aggiornamenti | |
sui nostri prossimi sviluppi</h3> | ||
<br> | ||
<br> | ||
<form action="" method="post"> | ||
<form action="https://agroteca.us11.list-manage.com/subscribe/post" method="POST"> | ||
<input type="hidden" name="u" value="a02eef9bf033bcf1a1447b039"> | ||
<input type="hidden" name="id" value="6be5a5f6bb"> | ||
<input type="hidden" name="orig-lang" value="1"> | ||
<div class="mb-3"> | ||
<label for="exampleFormControlInput1" class="form-label">Referente</label> | ||
<input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Nome Cognome"> | ||
<label for="b_email" class="form-label">Email *</label> | ||
<input type="email" id="MERGE0" class="form-control" name="MERGE0" tabindex="-1" value="" | ||
placeholder="[email protected]" required autocapitalize="off" autocorrect="off" autocomplete="email" | ||
autofocus="1"> | ||
</div> | ||
<br> | ||
<div class="mb-3"> | ||
<label for="exampleFormControlInput1" class="form-label">Azienda</label> | ||
<input type="text" class="form-control" id="exampleFormControlInput1" placeholder="Azienda"> | ||
<label for="MERGE1" class="form-label">Referente</label> | ||
<input type="text" id="MERGE1" class="form-control" name="MERGE1" value="" placeholder="Nome Cognome" | ||
autocomplete="family-name"> | ||
</div> | ||
<br> | ||
<div class="mb-3"> | ||
<label for="exampleFormControlInput1" class="form-label">Email</label> | ||
<input type="email" class="form-control" id="exampleFormControlInput1" placeholder="[email protected]"> | ||
<label for="MERGE2" class="form-label">Azienda</label> | ||
<input type="text" id="MERGE2" class="form-control" name="MERGE2" value="" placeholder="Azienda" | ||
autocomplete="organization"> | ||
</div> | ||
<br> | ||
<div class="mb-3"> | ||
<label for="MERGE3" class="form-label">Contatto Telefonico</label> | ||
<input type="tel" id="MERGE3" class="form-control" name="MERGE3" value="" placeholder="Numero" | ||
autocomplete="tel"> | ||
</div> | ||
<br> | ||
<br> | ||
<button type="submit" class="btn btn-light mb-3">Invia</button> | ||
<button type="submit" name="submit" value="Subscribe" class="btn btn-light mb-3">Invia</button> | ||
</form> | ||
</div> | ||
</div> | ||
|