garantia.vivenso.com.br
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144.22.162.46
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Submitted URL: https://garantia.pro-aqua.com.br/
Effective URL: https://garantia.vivenso.com.br/
Submission: On August 28 via automatic, source certstream-suspicious — Scanned from US
Effective URL: https://garantia.vivenso.com.br/
Submission: On August 28 via automatic, source certstream-suspicious — Scanned from US
Form analysis
1 forms found in the DOMPOST
<form class="FormReg" id="FormReg" method="post" action="">
<input type="hidden" name="op" id="op" value="SaveRegGar">
<div class="row mt-md-4 mt-3">
<div class="col-md-6">
<div class="popover2 marker-on-bottom max-phone bg-info">
<div class="textpopover">Insira aqui o código da garantia</div>
</div>
<div class="popover2 marker-on-right no-phone bg-info mt-2">
<div class="textpopover">Insira aqui o código da garantia</div>
</div>
</div>
<div class="form-group col-md-6">
<input type="text" class="form-control text-center text-uppercase codgar bg-light" maxlength="8" id="codigo" name="codigo" required="" autocomplete="off">
</div>
</div>
<div class="passos text-muted mt-md-4 mt-2 divsubl">
<h2>Dados da Compra</h2>
</div>
<div class="row mt-2">
<div class="form-group col-md-4">
<label for="dtcompra">Data da Compra</label><span class="text-danger">*</span>
<div class="input-group">
<input type="text" class="form-control datepicker bg-light" id="dtcompra" name="dtcompra" required="" autocomplete="off">
<div class="input-group-append">
<span class="input-group-text">
<i class="fa fa-calendar-check"></i>
</span>
</div>
</div>
</div>
<div class="form-group col-md-4">
<label for="revendedor">Local da Compra</label>
<select class="form-control form-control bg-light" id="revendedor" name="revendedor" required="">
<option value="">Selecione ...</option>
<option disabled=""></option>
<option value="9">PRO-AQUA LATINOAMÉRICA INDUSTRIAL LTDA</option>
<option value="8">PRAEX TECHNOLOGY</option>
<option value="7">Vip Ecologic Group</option>
<option value="6">Aggile - Pro-Aquasul</option>
<option value="5">Magazine Stroebel</option>
<option value="4">OUTRO</option>
</select>
</div>
<div class="form-group col-md-4">
<label for="vendedor">Vendedor</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="vendedor" name="vendedor" required="">
</div>
<div class="form-group col-md-4">
<label for="seriemaq">N° Serie da Maquina</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="seriemaq" name="seriemaq" required="">
</div>
<div class="form-group col-md-4">
<label for="serieesc">N° Serie da Escova Elétrica</label>
<input type="text" class="form-control bg-light" id="serieesc" name="serieesc">
</div>
<div class="form-group col-md-4">
<label for="seriesek">N° Serie da SEK.</label>
<input type="text" class="form-control bg-light" id="seriesek" name="seriesek">
</div>
</div>
<div class="passos text-muted mt-md-4 mt-2 divsubl">
<h2>Dados do Cliente</h2>
</div>
<div class="row mt-2">
<div class="form-group col-md-4">
<label for="nomecli">Nome Completo</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="nomecli" name="nomecli" required="">
</div>
<div class="form-group col-md-4">
<label for="emailcli">Email</label><span class="text-danger">*</span>
<input type="email" class="form-control bg-light" id="emailcli" name="emailcli" required="">
</div>
<div class="form-group col-md-2">
<label for="celcli">Celular</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="celcli" name="celcli" required="" maxlength="15">
</div>
<div class="form-group col-md-2">
<label for="fonecli">Fone Fixo</label>
<input type="text" class="form-control bg-light" id="fonecli" name="fonecli" maxlength="14">
</div>
<div class="form-group col-md-2">
<label for="cepcli">CEP</label>
<div class="input-icon">
<input type="text" id="cepcli" name="cepcli" class="form-control bg-light" autocomplete="off" required="" maxlength="9">
<span class="input-icon-addon text-primary" id="buscacep">
<i class="fa fa-search" style="cursor: pointer;"></i>
</span>
</div>
</div>
<div class="form-group col-md-4 col-9">
<label for="endereco">Endereço</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="endereco" name="endereco">
</div>
<div class="form-group col-md-1 col-3">
<label for="numero">Nº</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="numero" name="numero">
</div>
<div class="form-group col-md-4 col-9">
<label for="cidcli">Cidade</label><span class="text-danger">*</span>
<input type="text" class="form-control bg-light" id="cidcli" name="cidcli">
</div>
<div class="form-group col-md-1 col-3">
<label for="estadocli">UF</label><span class="text-danger">*</span>
<input type="text" class="form-control text-uppercase bg-light" id="ufcli" name="ufcli" maxlength="2">
</div>
<div class="form-group col-md-3">
<button class="btn btn-info btn-block" type="submit" title="Gravar Alterações" id="btnsave">
<i class="far fa-save mr-1"></i> Registrar Garantia </button>
</div>
</div>
</form>
Text Content
Registro de Garantia Estendida Insira aqui o código da garantia Insira aqui o código da garantia DADOS DA COMPRA Data da Compra* Local da Compra Selecione ... PRO-AQUA LATINOAMÉRICA INDUSTRIAL LTDAPRAEX TECHNOLOGYVip Ecologic GroupAggile - Pro-AquasulMagazine StroebelOUTRO Vendedor* N° Serie da Maquina* N° Serie da Escova Elétrica N° Serie da SEK. DADOS DO CLIENTE Nome Completo* Email* Celular* Fone Fixo CEP Endereço* Nº* Cidade* UF* Registrar Garantia Garantia Registrada PARABÉNS VOCÊ REGISTROU SUA GARANTIA ESTENDIDA! Seu VIVENSO agora está garantido por 3 anos a partir da data da compra. Você receberá uma confirmação em seu e-mail (pwoche@gmail.com) e um Certificado de Garantia impresso e assinado em seu endereço. A Equipe VIVENSO agradece. OK Registrando Garantia. Aguarde...