mdesk.manageo.com
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76.76.21.241
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Submitted URL: http://cpg.lb-desk.com/redirect?url=WK8OHK&sid=1347357164
Effective URL: https://mdesk.manageo.com/forms/0aaa69bb-9731-44a7-aa38-4676e041743c
Submission: On July 22 via api from FR — Scanned from FR
Effective URL: https://mdesk.manageo.com/forms/0aaa69bb-9731-44a7-aa38-4676e041743c
Submission: On July 22 via api from FR — Scanned from FR
Form analysis 1 forms found in the DOM
POST https://op.pm-com.fr/valid_form.jsp
<form method="post" id="contact" action="https://op.pm-com.fr/valid_form.jsp" class="jss6">
<div class="MuiGrid-root MuiPaper-root jss4 MuiPaper-elevation3 MuiPaper-rounded MuiGrid-container MuiGrid-item MuiGrid-direction-xs-column MuiGrid-align-items-xs-center MuiGrid-grid-xs-10 MuiGrid-grid-sm-8 MuiGrid-grid-md-6 MuiGrid-grid-lg-4">
<div class="MuiGrid-root jss3 MuiGrid-container MuiGrid-justify-content-xs-center"><span
style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:absolute;top:0;left:0;bottom:0;right:0"><img alt="company logo" sizes="100vw"
srcset="/_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=3840&q=75 3840w"
src="/_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=3840&q=75" decoding="async" data-nimg="fill"
style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:scale-down"><noscript><img
alt="company logo" sizes="100vw"
srcset="/_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=3840&q=75 3840w"
src="/_next/image?url=https%3A%2F%2Fmdeskdataproduction.blob.core.windows.net%2Fform-images%2Fb3459de0-fc75-11ec-b497-23d1603a0e2d_logo.jpg&w=3840&q=75" decoding="async" data-nimg="fill"
style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:scale-down"
loading="lazy"></noscript></span></div>
<div class="MuiGrid-root jss11 MuiGrid-container MuiGrid-justify-content-xs-center">
<p class="MuiTypography-root MuiTypography-body1 MuiTypography-alignCenter">Remplissez le formulaire ci-dessous, nous vous ferons un retour sous 24h. </p>
</div>
<div class="MuiGrid-root MuiGrid-container MuiGrid-direction-xs-column MuiGrid-justify-content-xs-center">
<div class="MuiFormControl-root MuiTextField-root"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated Mui-required Mui-required" data-shrink="false" for="social_reason"
id="social_reason-label">Raison sociale<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> <!-- -->*</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-formControl MuiInput-formControl"><input type="text" aria-invalid="false" id="social_reason" name="societe" required="" class="MuiInputBase-input MuiInput-input"
value=""></div>
</div>
<div class="MuiGrid-root jss7 MuiGrid-container MuiGrid-spacing-xs-3 MuiGrid-justify-content-xs-space-between">
<div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-6">
<div class="MuiFormControl-root MuiTextField-root MuiFormControl-fullWidth"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated Mui-required Mui-required" data-shrink="false" for="lastname"
id="lastname-label">Nom<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> <!-- -->*</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-fullWidth MuiInput-fullWidth MuiInputBase-formControl MuiInput-formControl"><input type="text" aria-invalid="false" id="lastname" name="nom" required=""
class="MuiInputBase-input MuiInput-input" value=""></div>
</div>
</div>
<div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-6">
<div class="MuiFormControl-root MuiTextField-root MuiFormControl-fullWidth"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated Mui-required Mui-required" data-shrink="false" for="name"
id="name-label">Prénom<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> <!-- -->*</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-fullWidth MuiInput-fullWidth MuiInputBase-formControl MuiInput-formControl"><input type="text" aria-invalid="false" id="name" name="prenom" required=""
class="MuiInputBase-input MuiInput-input" value=""></div>
</div>
</div>
</div>
<div class="MuiFormControl-root MuiTextField-root"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated Mui-required Mui-required" data-shrink="false" for="email" id="email-label">Email<span
aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> <!-- -->*</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-formControl MuiInput-formControl"><input type="text" aria-invalid="false" id="email" name="email" required="" class="MuiInputBase-input MuiInput-input" value="">
</div>
</div>
<div class="MuiFormControl-root MuiTextField-root jss7" style="margin-top:55px;margin-bottom:30px"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated Mui-required Mui-required"
data-shrink="false" for="phone" id="phone-label">Téléphone<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> <!-- -->*</span></label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-formControl MuiInput-formControl"><input type="tel" aria-invalid="false" id="phone" name="telephone" required="" value="" class="MuiInputBase-input MuiInput-input"
maxlength="14"></div>
</div>
<div class="MuiFormControl-root MuiTextField-root"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated" data-shrink="false" for="comments" id="comments-label">Commentaires</label>
<div class="MuiInputBase-root MuiInput-root MuiInput-underline MuiInputBase-formControl MuiInput-formControl MuiInputBase-multiline MuiInput-multiline"><textarea aria-invalid="false" id="comments" name="commentaire" rows="5"
class="MuiInputBase-input MuiInput-input MuiInputBase-inputMultiline MuiInput-inputMultiline"></textarea></div>
</div><input type="text" value="GroupeOmega_07_2022" name="campagne" readonly="" hidden=""><input value="https://mdesk.manageo.com/forms/0aaa69bb-9731-44a7-aa38-4676e041743c?confirm=true" name="url_retour" readonly="" hidden="">
</div>
<div class="MuiGrid-root jss8 MuiGrid-container MuiGrid-direction-xs-column"><span class="MuiTypography-root MuiTypography-caption">* champs obligatoires</span><label class="MuiFormControlLabel-root" required=""><span
class="MuiButtonBase-root MuiIconButton-root jss12 MuiCheckbox-root MuiCheckbox-colorPrimary MuiIconButton-colorPrimary" aria-disabled="false"><span class="MuiIconButton-label"><input type="checkbox" class="jss15" name="checkedB"
data-indeterminate="false" value=""><svg class="MuiSvgIcon-root" focusable="false" viewBox="0 0 24 24" aria-hidden="true">
<path d="M19 5v14H5V5h14m0-2H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2z"></path>
</svg></span><span class="MuiTouchRipple-root"></span></span><span class="MuiTypography-root MuiFormControlLabel-label MuiTypography-body1"><span class="MuiTypography-root MuiTypography-caption">En validant ce formulaire, j’accepte
la<a class="jss9" style="color:#fa802b" href="/Politique-de-gestion-et-de-confidentialite-des-Donnees-a-Caractere-Personnel-Prospection.pdf"> <!-- -->politique de confidentialité</a></span></span></label>
<p class="MuiFormHelperText-root" style="color:red"></p>
</div>
<div class="MuiGrid-root jss10 MuiGrid-container"><button class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-fullWidth" tabindex="0" type="button" style="background:#fa802b;padding:14px 16px"><span
class="MuiButton-label">VALIDER</span><span class="MuiTouchRipple-root"></span></button></div>
</div>
</form>Text Content
Remplissez le formulaire ci-dessous, nous vous ferons un retour sous 24h. Raison sociale * Nom * Prénom * Email * Téléphone * Commentaires * champs obligatoiresEn validant ce formulaire, j’accepte la politique de confidentialité VALIDER Conformément à la loi Informatique et Libertés du 06/01/1978, vous disposez d'un droit d'accès aux informations vous concernant en écrivant au siège de Manageo. Ces informations sont destinées à Manageo et peuvent faire l'objet d'un traitement informatisé.