landing.forum.cl
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https://landing.forum.cl/contact-call-cotizaciones/
Submission: On February 03 via manual from IN — Scanned from DE
Submission: On February 03 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST /fsg?pageId=2c00467d-74c3-4b92-9666-929199d31c49&variant=a
<form action="/fsg?pageId=2c00467d-74c3-4b92-9666-929199d31c49&variant=a" method="POST"><input type="hidden" name="pageId" value="2c00467d-74c3-4b92-9666-929199d31c49"><input type="hidden" name="pageVariant" value="a">
<div class="fields">
<div class="lp-pom-form-field single-line-text" id="container_nombre"><label class="main lp-form-label" for="nombre" id="label_nombre" style="height: auto;"><span class="label-style">Nombre *</span></label><input id="nombre" name="nombre"
type="text" class="ub-input-item single text form_elem_nombre" placeholder="nombre" required=""></div>
<div class="lp-pom-form-field single-line-text" id="container_input_rut"><label class="main lp-form-label" for="input_rut" id="label_input_rut" style="height: auto;"><span class="label-style">Rut *</span></label><input id="input_rut"
name="input_rut" type="text" class="ub-input-item single text form_elem_input_rut" placeholder="rut sin puntos y con guión" required=""></div>
<div class="lp-pom-form-field single-line-text" id="container_telefono"><label class="main lp-form-label" for="telefono" id="label_telefono" style="height: auto;"><span class="label-style">Teléfono *</span></label><input id="telefono"
name="telefono" type="text" class="ub-input-item single text form_elem_telefono" required=""></div>
<div class="lp-pom-form-field email" id="container_email"><label class="main lp-form-label" for="email" id="label_email" style="height: auto;"><span class="label-style">Email *</span></label><input id="email" name="email" type="email"
class="ub-input-item single text form_elem_email" placeholder="micorreo@correo.com" required="" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9_-]+\.[a-zA-Z0-9-.]{2,61}$"></div>
<div class="lp-pom-form-field drop-down" id="container_nuevo"><label class="main lp-form-label" for="nuevo" id="label_nuevo" style="height: auto;"><span class="label-style">¿Nuevo o Usado?</span></label><select id="nuevo" name="nuevo"
class="ub-input-item single form_elem_nuevo">
<option value="Nuevo">Nuevo</option>
<option value="Usado">Usado</option>
</select></div>
<div class="lp-pom-form-field drop-down" id="container_marca"><label class="main lp-form-label" for="marca" id="label_marca" style="height: auto;"><span class="label-style">Marca *</span></label><select id="marca" name="marca"
class="ub-input-item single form_elem_marca" required="">
<option value="">Marca</option>
<option value="AGRALE">AGRALE</option>
<option value="ALFA ROMEO">ALFA ROMEO</option>
<option value="APRILIA">APRILIA</option>
<option value="ASIA MOTORS">ASIA MOTORS</option>
<option value="ASTON MARTIN">ASTON MARTIN</option>
<option value="AUDI">AUDI</option>
<option value="AUSA">AUSA</option>
<option value="AUTORRAD">AUTORRAD</option>
<option value="BAIC">BAIC</option>
<option value="BENTLEY">BENTLEY</option>
<option value="BMW">BMW</option>
<option value="BOBCAT">BOBCAT</option>
<option value="BRILLIANCE">BRILLIANCE</option>
<option value="BUICK">BUICK</option>
<option value="BYD">BYD</option>
<option value="CADILLAC">CADILLAC</option>
<option value="CASE">CASE</option>
<option value="CATERPILLAR">CATERPILLAR</option>
<option value="CHANGAN">CHANGAN</option>
<option value="CHERY">CHERY</option>
<option value="CHEVROLET">CHEVROLET</option>
<option value="CHRYSLER">CHRYSLER</option>
<option value="CITROEN">CITROEN</option>
<option value="DAEWOO">DAEWOO</option>
<option value="DAIHATSU">DAIHATSU</option>
<option value="DEUTZ FAHR">DEUTZ FAHR</option>
<option value="DFM">DFM</option>
<option value="DFSK">DFSK</option>
<option value="DODGE ">DODGE </option>
<option value="DONGFENG">DONGFENG</option>
<option value="DOOSAN">DOOSAN</option>
<option value="DS">DS</option>
<option value="DUCATI">DUCATI</option>
<option value="EUROPARD">EUROPARD</option>
<option value="FARMTRAC">FARMTRAC</option>
<option value="FAW">FAW</option>
<option value="FERRARI">FERRARI</option>
<option value="FIAT ">FIAT </option>
<option value="FORD">FORD</option>
<option value="FOTON">FOTON</option>
<option value="FREIGHTLINER">FREIGHTLINER</option>
<option value="FUSO">FUSO</option>
<option value="GAC">GAC</option>
<option value="GAC GONOW">GAC GONOW</option>
<option value="GEELY">GEELY</option>
<option value="GMC">GMC</option>
<option value="GWM">GWM</option>
<option value="HAFEI">HAFEI</option>
<option value="HAIMA">HAIMA</option>
<option value="HANGCHA">HANGCHA</option>
<option value="HARLEY DAVIDSON">HARLEY DAVIDSON</option>
<option value="HARLEY-DAVIDSON">HARLEY-DAVIDSON</option>
<option value="HAVAL">HAVAL</option>
<option value="HIGER">HIGER</option>
<option value="HINO">HINO</option>
<option value="HITACHI">HITACHI</option>
<option value="HONDA">HONDA</option>
<option value="HUMMER">HUMMER</option>
<option value="HYUNDAI">HYUNDAI</option>
<option value="INDIAN">INDIAN</option>
<option value="INFINITI">INFINITI</option>
<option value="INTERNATIONAL">INTERNATIONAL</option>
<option value="IVECO">IVECO</option>
<option value="JAC">JAC</option>
<option value="JAGUAR">JAGUAR</option>
<option value="JBC">JBC</option>
<option value="JCB">JCB</option>
<option value="JEEP">JEEP</option>
<option value="JINBEI">JINBEI</option>
<option value="JINMA">JINMA</option>
<option value="JMC">JMC</option>
<option value="JOHN DEERE">JOHN DEERE</option>
<option value="KAWASAKI">KAWASAKI</option>
<option value="KENWORTH">KENWORTH</option>
<option value="Kia">KIA</option>
<option value="KOMATSU">KOMATSU</option>
<option value="KTM">KTM</option>
<option value="KYC">KYC</option>
<option value="LAMBORGHINI">LAMBORGHINI</option>
<option value="LAND ROVER">LAND ROVER</option>
<option value="LANDINI">LANDINI</option>
<option value="LEXUS">LEXUS</option>
<option value="LIFAN">LIFAN</option>
<option value="LOTUS">LOTUS</option>
<option value="MACK">MACK</option>
<option value="MAHINDRA">MAHINDRA</option>
<option value="MAN">MAN</option>
<option value="MANITOU">MANITOU</option>
<option value="MASERATI ">MASERATI </option>
<option value="MASSEY FERGUSON">MASSEY FERGUSON</option>
<option value="MAXUS">MAXUS</option>
<option value="MAZDA">MAZDA</option>
<option value="MCLAREN">MCLAREN</option>
<option value="MERCEDES-BENZ">MERCEDES-BENZ</option>
<option value="MG ">MG </option>
<option value="MICHIGAN">MICHIGAN</option>
<option value="MINI">MINI</option>
<option value="MITSUBISHI">MITSUBISHI</option>
<option value="MITSUBISHI FUSO">MITSUBISHI FUSO</option>
<option value="MV AGUSTA">MV AGUSTA</option>
<option value="NEW HOLLAND">NEW HOLLAND</option>
<option value="Ninguno">Ninguno</option>
<option value="NISSAN">NISSAN</option>
<option value="OPEL">OPEL</option>
<option value="PEUGEOT">PEUGEOT</option>
<option value="PONTIAC">PONTIAC</option>
<option value="PORSCHE">PORSCHE</option>
<option value="PROTON">PROTON</option>
<option value="RAM">RAM</option>
<option value="RENAULT">RENAULT</option>
<option value="ROLLS ROYCE">ROLLS ROYCE</option>
<option value="ROVER ">ROVER </option>
<option value="SAAB">SAAB</option>
<option value="SAMSUNG">SAMSUNG</option>
<option value="SCANIA">SCANIA</option>
<option value="SEAT">SEAT</option>
<option value="SINOTRUK">SINOTRUK</option>
<option value="SKODA">SKODA</option>
<option value="SMA">SMA</option>
<option value="SMART">SMART</option>
<option value="SSANGYONG ">SSANGYONG </option>
<option value="SUBARU">SUBARU</option>
<option value="SUZUKI">SUZUKI</option>
<option value="TAFE">TAFE</option>
<option value="TATA">TATA</option>
<option value="TOYOTA">TOYOTA</option>
<option value="TREMAC">TREMAC</option>
<option value="TRIUMPH">TRIUMPH</option>
<option value="USADOS">USADOS</option>
<option value="VESPA">VESPA</option>
<option value="VOLKSWAGEN">VOLKSWAGEN</option>
<option value="VOLVO">VOLVO</option>
<option value="YAMAHA">YAMAHA</option>
<option value="YUEJIN">YUEJIN</option>
<option value="YUTONG">YUTONG</option>
<option value="ZNA DONGFENG">ZNA DONGFENG</option>
<option value="ZOTYE">ZOTYE</option>
<option value="ZX">ZX</option>
</select></div>
<div class="lp-pom-form-field drop-down" id="container_region"><label class="main lp-form-label" for="region" id="label_region" style="height: auto;"><span class="label-style">Región *</span></label><select id="region" name="region"
class="ub-input-item single form_elem_region" required="">
<option value="">Seleccione Región</option>
</select></div>
<div class="lp-pom-form-field drop-down" id="container_comuna"><label class="main lp-form-label" for="comuna" id="label_comuna" style="height: auto;"><span class="label-style">Comuna *</span></label><select id="comuna" name="comuna"
class="ub-input-item single form_elem_comuna" required="">
<option value="">Seleccione Comuna</option>
</select></div>
<div class="lp-pom-form-field drop-down" id="container_sucursal"><label class="main lp-form-label" for="sucursal" id="label_sucursal" style="height: auto;"><span class="label-style">Sucursal *</span></label><select id="sucursal"
name="sucursal" class="ub-input-item single form_elem_sucursal" required="">
<option value="">Seleccione Sucursal</option>
</select></div><input id="cr" name="cr" type="hidden" class="hidden" value="0"><input id="rh" name="rh" type="hidden" class="hidden" value="0"><input id="origen" name="origen" type="hidden" class="hidden" value="Contact Cotizaciones"><input
id="identificador" name="identificador" type="hidden" class="hidden" value="549b9d84-ad18-442f-3c55-616708ea7d1c">
</div><button class="lp-element lp-pom-button" id="lp-pom-button-13" type="submit"><span class="label"><strong>Enviar</strong></span></button>
<input type="hidden" name="ubafs-jev" id="ubafs-jev"
value="{"date":"2022-02-03T19:38:11.234Z","agent":"Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/97.0.4692.71 Safari/537.36","screen":{"availWidth":1600,"availHeight":1200,"width":1600,"height":1200},"window":{"innerWidth":1600,"innerHeight":1200},"hasPlugins":true}">
</form>Text Content
Nombre * Rut * Teléfono * Email * ¿Nuevo o Usado?NuevoUsado Marca *MarcaAGRALEALFA ROMEOAPRILIAASIA MOTORSASTON MARTINAUDIAUSAAUTORRADBAICBENTLEYBMWBOBCATBRILLIANCEBUICKBYDCADILLACCASECATERPILLARCHANGANCHERYCHEVROLETCHRYSLERCITROENDAEWOODAIHATSUDEUTZ FAHRDFMDFSKDODGE DONGFENGDOOSANDSDUCATIEUROPARDFARMTRACFAWFERRARIFIAT FORDFOTONFREIGHTLINERFUSOGACGAC GONOWGEELYGMCGWMHAFEIHAIMAHANGCHAHARLEY DAVIDSONHARLEY-DAVIDSONHAVALHIGERHINOHITACHIHONDAHUMMERHYUNDAIINDIANINFINITIINTERNATIONALIVECOJACJAGUARJBCJCBJEEPJINBEIJINMAJMCJOHN DEEREKAWASAKIKENWORTHKIAKOMATSUKTMKYCLAMBORGHINILAND ROVERLANDINILEXUSLIFANLOTUSMACKMAHINDRAMANMANITOUMASERATI MASSEY FERGUSONMAXUSMAZDAMCLARENMERCEDES-BENZMG MICHIGANMINIMITSUBISHIMITSUBISHI FUSOMV AGUSTANEW HOLLANDNingunoNISSANOPELPEUGEOTPONTIACPORSCHEPROTONRAMRENAULTROLLS ROYCEROVER SAABSAMSUNGSCANIASEATSINOTRUKSKODASMASMARTSSANGYONG SUBARUSUZUKITAFETATATOYOTATREMACTRIUMPHUSADOSVESPAVOLKSWAGENVOLVOYAMAHAYUEJINYUTONGZNA DONGFENGZOTYEZX Región *Seleccione Región Comuna *Seleccione Comuna Sucursal *Seleccione Sucursal Enviar COTIZACIÓN