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<form data-form_id="3" id="fluentform_3" class="frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loaded" data-form_instance="ff_form_instance_3_1" method="POST"><input type="hidden" name="__fluent_form_embded_post_id"
    value="16"><input type="hidden" id="_fluentform_3_fluentformnonce" name="_fluentform_3_fluentformnonce" value="0e9402b0a8"><input type="hidden" name="_wp_http_referer" value="/contacto/">
  <div data-type="name-element" data-name="names" class=" ff-field_container ff-name-field-wrapper">
    <div class="ff-t-container">
      <div class="ff-t-cell ">
        <div class="ff-el-group">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_first_name_">Primer Nombre </label> </div>
          <div class="ff-el-input--content"><input type="text" name="names[first_name]" id="ff_3_names_first_name_" class="ff-el-form-control" placeholder="Primer Nombre "></div>
        </div>
      </div>
      <div class="ff-t-cell ">
        <div class="ff-el-group">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_last_name_">Apellido</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names[last_name]" id="ff_3_names_last_name_" class="ff-el-form-control" placeholder="Apellido"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_input_text">Número de Teléfono</label> </div>
    <div class="ff-el-input--content"><input type="text" name="input_text" class="ff-el-form-control" placeholder="Número de Teléfono" data-name="input_text" id="ff_3_input_text"></div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_email">Email</label> </div>
    <div class="ff-el-input--content"><input type="email" name="email" id="ff_3_email" class="ff-el-form-control" placeholder="dirección de correo electrónico" data-name="email"></div>
  </div>
  <div data-type="name-element" data-name="names_1" class=" ff-field_container ff-name-field-wrapper">
    <div class="ff-t-container">
      <div class="ff-t-cell ">
        <div class="ff-el-group  ff-el-form-top">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_1_first_name_">Ciudad</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names_1[first_name]" id="ff_3_names_1_first_name_" class="ff-el-form-control" placeholder="Ciudad"></div>
        </div>
      </div>
      <div class="ff-t-cell ">
        <div class="ff-el-group  ff-el-form-top">
          <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_names_1_last_name_">Estado</label> </div>
          <div class="ff-el-input--content"><input type="text" name="names_1[last_name]" id="ff_3_names_1_last_name_" class="ff-el-form-control" placeholder="Estado"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_subject">nombre de loro</label> </div>
    <div class="ff-el-input--content"><input type="text" name="subject" class="ff-el-form-control" placeholder="nombre de loro" data-name="subject" id="ff_3_subject"></div>
  </div>
  <div class="ff-el-group">
    <div class="ff-el-input--label ff-el-is-required asterisk-right"><label for="ff_3_message">Tu Mensaje</label> </div>
    <div class="ff-el-input--content"><textarea name="message" id="ff_3_message" class="ff-el-form-control" placeholder="Tu Mensaje" rows="4" cols="2" data-name="message"></textarea></div>
  </div>
  <div class="ff-el-group ff-text-left ff_submit_btn_wrapper"><button type="submit" class="ff-btn ff-btn-submit ff-btn-md ff_btn_style">Enviar</button></div>
</form>

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nombre de loro

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