rotulagem.cleofas.com.br Open in urlscan Pro
162.214.88.62  Public Scan

Form analysis
1 forms found in the DOM

POST /

<form id="wpforms-form-9" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="9" method="post" enctype="multipart/form-data" action="/" data-token="0ef932b801d476a9dca516d6e6de9d3d" data-token-time="1719917142"
  novalidate="novalidate"><noscript class="wpforms-error-noscript">Ative o JavaScript no seu navegador para preencher este formulário.</noscript>
  <div class="wpforms-hidden" id="wpforms-error-noscript">Ative o JavaScript no seu navegador para preencher este formulário.</div>
  <div class="wpforms-field-container">
    <div id="wpforms-9-field_6-container" class="wpforms-field wpforms-field-name" data-field-id="6"><label class="wpforms-field-label" for="wpforms-9-field_6">Nome Completo <span class="wpforms-required-label"
          aria-hidden="true">*</span></label><input type="text" id="wpforms-9-field_6" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][6]" aria-errormessage="wpforms-9-field_6-error" required=""></div>
    <div id="wpforms-9-field_7-container" class="wpforms-field wpforms-field-email" data-field-id="7"><label class="wpforms-field-label" for="wpforms-9-field_7">E-mail <span class="wpforms-required-label" aria-hidden="true">*</span></label><input
        type="email" id="wpforms-9-field_7" class="wpforms-field-large wpforms-field-required" name="wpforms[fields][7]" spellcheck="false" aria-errormessage="wpforms-9-field_7-error" required=""></div>
    <div id="wpforms-9-field_10-container" class="wpforms-field wpforms-field-text" data-field-id="10"><label class="wpforms-field-label" for="wpforms-9-field_10">Data de nascimento <span class="wpforms-required-label"
          aria-hidden="true">*</span></label><input type="text" id="wpforms-9-field_10" class="wpforms-field-large wpforms-field-required wpforms-limit-characters-enabled" data-form-id="9" data-field-id="10" data-text-limit="8"
        name="wpforms[fields][10]" placeholder="xx-xx-xx" aria-errormessage="wpforms-9-field_10-error" maxlength="8" required="">
      <div class="wpforms-field-limit-text" id="wpforms-field-limit-text-9-10" aria-live="polite">0 de 8 caracteres no máximo.</div>
    </div>
    <div id="wpforms-9-field_9-container" class="wpforms-field wpforms-field-radio" data-field-id="9">
      <fieldset>
        <legend class="wpforms-field-label">Qual sexo você se identifica? <span class="wpforms-required-label" aria-hidden="true">*</span></legend>
        <ul id="wpforms-9-field_9" class="wpforms-field-required">
          <li class="choice-1 depth-1"><input type="radio" id="wpforms-9-field_9_1" name="wpforms[fields][9]" value="Feminino" aria-errormessage="wpforms-9-field_9_1-error" required=""><label class="wpforms-field-label-inline"
              for="wpforms-9-field_9_1">Feminino</label></li>
          <li class="choice-2 depth-1"><input type="radio" id="wpforms-9-field_9_2" name="wpforms[fields][9]" value="Masculino" aria-errormessage="wpforms-9-field_9_2-error" required=""><label class="wpforms-field-label-inline"
              for="wpforms-9-field_9_2">Masculino</label></li>
          <li class="choice-3 depth-1"><input type="radio" id="wpforms-9-field_9_3" name="wpforms[fields][9]" value="Outro" aria-errormessage="wpforms-9-field_9_3-error" required=""><label class="wpforms-field-label-inline"
              for="wpforms-9-field_9_3">Outro</label></li>
        </ul>
      </fieldset>
    </div>
    <div id="wpforms-9-field_1-container" class="wpforms-field wpforms-field-payment-checkbox imagem-selecionada wpforms-list-3-columns" data-field-id="1">
      <fieldset>
        <legend class="wpforms-field-label">Faça uma compra virtual de 5 a 10 itens para o seu pré-treino para os próximos 3 dias. CLIQUE NA IMAGEM para fazer a sua escolha.</legend>
        <ul id="wpforms-9-field_1" class="wpforms-image-choices wpforms-image-choices-none">
          <li class="choice-1 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-9-field_1_1"><span class="wpforms-image-choices-image"><img decoding="async"
                  src="https://rotulagem.cleofas.com.br/wp-content/uploads/2024/07/7.png" alt="1" title="1"></span><br><input type="checkbox" id="wpforms-9-field_1_1" class="wpforms-payment-price" data-amount="10.00" name="wpforms[fields][1][]"
                value="1" aria-errormessage="wpforms-9-field_1_1-error"><span class="wpforms-image-choices-label">1</span></label></li>
          <li class="choice-2 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-9-field_1_2"><span class="wpforms-image-choices-image"><img decoding="async"
                  src="https://rotulagem.cleofas.com.br/wp-content/uploads/2024/07/8.png" alt="2" title="2"></span><br><input type="checkbox" id="wpforms-9-field_1_2" class="wpforms-payment-price" data-amount="25.00" name="wpforms[fields][1][]"
                value="2" aria-errormessage="wpforms-9-field_1_2-error"><span class="wpforms-image-choices-label">2</span></label></li>
          <li class="choice-3 wpforms-image-choices-item"><label class="wpforms-field-label-inline" for="wpforms-9-field_1_3"><span class="wpforms-image-choices-image"><img decoding="async"
                  src="https://rotulagem.cleofas.com.br/wp-content/uploads/2024/07/9.png" alt="3" title="3"></span><br><input type="checkbox" id="wpforms-9-field_1_3" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][1][]"
                value="3" aria-errormessage="wpforms-9-field_1_3-error"><span class="wpforms-image-choices-label">3</span></label></li>
        </ul>
      </fieldset>
    </div>
  </div><!-- .wpforms-field-container -->
  <div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="9"><input type="hidden" name="page_title" value="teste"><input type="hidden" name="page_url" value="https://rotulagem.cleofas.com.br/"><input type="hidden"
      name="page_id" value="64"><input type="hidden" name="wpforms[post_id]" value="64"><button type="submit" name="wpforms[submit]" id="wpforms-submit-9" class="wpforms-submit" data-alt-text="Enviando…" data-submit-text="Enviar"
      aria-live="assertive" value="wpforms-submit">Enviar</button><img decoding="async" src="https://rotulagem.cleofas.com.br/wp-content/plugins/wpforms-lite/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;"
      width="26" height="26" alt="Carregando"></div>
</form>

Text Content

Ative o JavaScript no seu navegador para preencher este formulário.
Ative o JavaScript no seu navegador para preencher este formulário.
Nome Completo *
E-mail *
Data de nascimento *
0 de 8 caracteres no máximo.
Qual sexo você se identifica? *
 * Feminino
 * Masculino
 * Outro

Faça uma compra virtual de 5 a 10 itens para o seu pré-treino para os próximos 3
dias. CLIQUE NA IMAGEM para fazer a sua escolha.
 * 
   1
 * 
   2
 * 
   3

Enviar