ticket.cdlcampina.org.br Open in urlscan Pro
52.59.124.117  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="post" novalidate="novalidate"><!---->
  <div>
    <div class="b24-form-field b24-form-field-name b24-form-control-string">
      <div>
        <div>
          <div class="b24-form-control-container b24-form-control-icon-after"><input name="name" autocomplete="given-name" type="string" class="b24-form-control">
            <div class="b24-form-control-label"> Nome Completo <span class="b24-form-control-required">*</span></div> <!----> <!---->
            <div class="b24-form-control-alert-message" style="display: none;"> O campo é obrigatório </div>
          </div>
        </div> <!----> <!---->
      </div> <!---->
    </div>
    <div class="b24-form-field b24-form-field-company-name b24-form-control-string">
      <div>
        <div>
          <div class="b24-form-control-container b24-form-control-icon-after"><input type="string" class="b24-form-control">
            <div class="b24-form-control-label"> Nome da Empresa <span class="b24-form-control-required" style="display: none;">*</span></div> <!----> <!---->
            <div class="b24-form-control-alert-message" style="display: none;">
            </div>
          </div>
        </div> <!----> <!---->
      </div> <!---->
    </div>
    <div class="b24-form-field b24-form-field-phone b24-form-control-string">
      <div>
        <div>
          <div class="b24-form-control-container b24-form-control-icon-after"><input name="phone" autocomplete="tel" type="tel" class="b24-form-control b24-form-control-not-empty">
            <div class="b24-form-control-label"> Telefone/WhatsApp <span class="b24-form-control-required">*</span></div> <!----> <!---->
            <div class="b24-form-control-alert-message" style="display: none;">
            </div>
          </div>
        </div> <!----> <!---->
      </div> <!---->
    </div>
    <div class="b24-form-field b24-form-field-email b24-form-control-string">
      <div>
        <div>
          <div class="b24-form-control-container b24-form-control-icon-after"><input name="email" autocomplete="email" type="email" class="b24-form-control">
            <div class="b24-form-control-label"> E-mail Corporativo <span class="b24-form-control-required">*</span></div> <!----> <!---->
            <div class="b24-form-control-alert-message" style="display: none;"> O campo é obrigatório </div>
          </div>
        </div> <!----> <!---->
      </div> <!---->
    </div>
  </div>
  <div>
    <div class="b24-form-field b24-form-field-agreement b24-form-control-agreement"><!---->
      <div><label class="b24-form-control-container"><input type="checkbox" onclick="this.blur()"> <span class="b24-form-control-desc"><span class="b24-form-field-agreement-link">Ao clicar no botão de envio, concordo com o Consentimento</span></span>
          <span class="b24-form-control-required">*</span>
          <div class="b24-form-control-alert-message" style="display: none;">
          </div>
        </label> <!----></div>
    </div>
    <div class="v-portal" style="display: none;"></div>
  </div> <!---->
  <div class="b24-form-btn-container"><!----> <!---->
    <div class="b24-form-btn-block"><button type="submit" class="b24-form-btn"> Enviar pedido </button></div>
  </div> <span style="color: red; display: none;"> Debug: fill fields </span>
</form>

Text Content

Nome Completo *
O campo é obrigatório
Nome da Empresa *

Telefone/WhatsApp *

E-mail Corporativo *
O campo é obrigatório
Ao clicar no botão de envio, concordo com o Consentimento *


Enviar pedido
Debug: fill fields

O pedido foi enviado!







Reenviar


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