cmpcfindeano.cl.grupoz.cl Open in urlscan Pro
45.226.170.3  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="POST" class="contactForm" style="background:#ccc; border-radius:10px; padding:30px 15px;">
  <center>
    <h2><b>Regístrate</b></h2>
  </center>
  <div class="mb-3">
    <input required="" style="margin-bottom:10px; border-radius:20px;" type="text" class="form-control" name="email" id="email" aria-describedby="emailHelp" placeholder="ejemplo@domain.com">
  </div>
  <div class="mb-3">
    <div class="position-relative auth-pass-inputgroup mb-3">
      <input required="" type="text" style="margin-bottom:10px; border-radius:20px;" class="form-control" name="nombre" id="nombre" aria-describedby="emailHelp" placeholder="Nombre">
    </div>
  </div>
  <div class="mb-3">
    <div class="position-relative auth-pass-inputgroup mb-3">
      <input required="" type="text" style="margin-bottom:10px; border-radius:20px;" class="form-control" name="apellido" id="apellido" aria-describedby="emailHelp" placeholder="Apellido">
    </div>
  </div>
  <div class="mb-3">
    <div class="position-relative auth-pass-inputgroup mb-3">
      <input required="" type="text" style="margin-bottom:10px; border-radius:20px;" class="form-control" name="pais" id="pais" aria-describedby="emailHelp" placeholder="País">
    </div>
  </div>
  <div class="mb-3">
    <div class="position-relative auth-pass-inputgroup mb-3">
      <input required="" type="text" style="margin-bottom:10px; border-radius:20px;" class="form-control" name="negocio" id="negocio" aria-describedby="emailHelp" placeholder="Negocio">
    </div>
  </div>
  <div class="mt-4">
    <center><button class="btn" type="submit"><img src="assets/images/ingresar.png"></button></center>
  </div>
  <!-- Aqui se imprimen los erroes de validaciones -->
  <div class="msg-salida text-center p-2 rounded"></div>
</form>

Text Content

REGÍSTRATE