supporto.officinaromagnoli.it
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URL:
https://supporto.officinaromagnoli.it/
Submission: On August 03 via automatic, source certstream-suspicious — Scanned from IT
Submission: On August 03 via automatic, source certstream-suspicious — Scanned from IT
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1 forms found in the DOMPOST https://supporto.officinaromagnoli.it/
<form enctype="multipart/form-data" id="stg-ticket-form1006776331" action="https://supporto.officinaromagnoli.it/" method="post" role="form" class="stg-form">
<input type="hidden" name="stg_saveTicket" value="1">
<input type="hidden" name="stg_confirm_url" value="https://supporto.officinaromagnoli.it/ticket-inviato/">
<div class="row">
<div class="col-lg-6 col-xs-12">
<p><label>Nome</label><br><input required="required" name="stg_ticket_name" value="" type="text" class="stgh_standart_field"></p>
</div>
<div class="col-lg-6 col-xs-12">
<p><label>Cognome</label><br><input required="required" type="text" name="stgh_custom_fields[custom_field_60]" value="" class="stgh_custom_fields"></p>
</div>
<div class="col-lg-6 col-xs-12">
<p><label>Numero di Telefono</label><br><input required="required" type="text" name="stgh_custom_fields[custom_field_61]" value="" class="stgh_custom_fields"></p>
</div>
<div class="col-lg-6 col-xs-12">
<p><label>E-Mail</label><br><input required="required" name="stg_ticket_email" value="" type="text" class="stgh_standart_field"></p>
</div>
<div class="col-lg-12 col-xs-12">
<p><label>Azienda<br><input required="required" type="text" name="stgh_custom_fields[custom_field_62]" value="" class="stgh_custom_fields"></label></p>
</div>
<div class="col-lg-12 col-xs-12">
<p><label>Indirizzo</label><br><input id="indirizzo" class="stgh_custom_fields" name="stgh_custom_fields[custom_field_58]" required="required" type="text" value=""></p>
</div>
<div class="col-lg-6 col-xs-12">
<p><label>Tipologia Prodotto:</label><br><label class="dropdown"><select class="stgh_custom_fields" name="stgh_custom_fields[custom_field_63]">
<option value="Elettrocompressori Lubrificati">Elettrocompressori Lubrificati</option>
<option value="Elettrocompressori Oil Free">Elettrocompressori Oil Free</option>
<option value="Trattamento Aria">Trattamento Aria</option>
<option value="Impianti Medicali">Impianti Medicali</option>
<option value="Compressori Alta Pressione Booster">Compressori Alta Pressione Booster</option>
<option value="Serbatoi Scaricatori Condensa">Serbatoi Scaricatori Condensa</option>
<option value="Idropulitrici Pulizia Industriale">Idropulitrici Pulizia Industriale</option>
</select></label></p>
</div>
<div class="col-lg-6 col-xs-12">
<p><label>Numero seriale:<br></label><input type="text" name="stgh_custom_fields[custom_field_66]" value="" class="stgh_custom_fields"></p>
</div>
<div class="col-lg-12 col-xs-12">
<p><label>Oggetto</label><br><input required="required" id="stg_ticket_subject" name="stg_ticket_subject" value="" type="text" class="stgh_standart_field"></p>
</div>
<div class="col-lg-12 col-xs-12">
<p><label>Descrizione del Problema</label><br><textarea required="required" name="stg_ticket_message" class="stgh_standart_field"></textarea></p>
<p> </p>
<div id="stg_ticket_files_block">
<label for="stg_ticket_files"><b>Allegati</b></label>
<input type="file" value="" id="stg_ticket_files" name="stgh_attachment[]"
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</div>
<p></p>
</div>
</div> <br>
<button value="" name="stgsubmit" id="stgsubmit" type="submit">Invia</button>
</form>
Text Content
* Officina Romagnoli Chiama subito al tel. 0574 23689 per richiedere un intervento in loco entro le 24h Nome Cognome Numero di Telefono E-Mail Azienda Indirizzo Tipologia Prodotto: Elettrocompressori Lubrificati Elettrocompressori Oil Free Trattamento Aria Impianti Medicali Compressori Alta Pressione Booster Serbatoi Scaricatori Condensa Idropulitrici Pulizia Industriale Numero seriale: Oggetto Descrizione del Problema Allegati Invia © 2019 Officina Meccanica Romagnoli Gianfranco di Romagnoli Ilaria e c. snc Via Venezia 25/A, 59100 Prato (PO) - Tel. 0574 23689/23342 - Fax 0574 29274 - P.IVA 00236260972 - C.F. 00452140486 info@officinaromagnoli.it - Privacy & Cookie Policy Azienda Prodotti Servizi CONCESSIONARIO AUTORIZZATO × Hai bisogno di aiuto? Scrivici in chat