www.prenota.hotelfernanda.it
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URL:
https://www.prenota.hotelfernanda.it/
Submission: On June 23 via api from US — Scanned from IT
Submission: On June 23 via api from US — Scanned from IT
Form analysis
1 forms found in the DOMName: form-prenotazione — POST #
<form method="post" id="form-prenotazione" name="form-prenotazione" action="#">
<input type="hidden" name="lingua" id="lingua" value="1">
<input id="numero_camere" name="numero_camere" value="1" type="hidden">
<input id="show_ip" name="show_ip" value="0" type="hidden">
<input id="ragione_sociale" name="ragione_sociale" value="Grazie Ti risponderemo nel minor tempo possibile" type="hidden">
<input id="ip_archivia" name="ip_archivia" value="0" type="hidden">
<input id="url" name="url" value="https://www.hotelfernanda.it" type="hidden">
<input id="formID1" value="Wabi-UTM" name="formCtr" type="hidden">
<div class="title" style="padding:10px; color:red"></div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="nome">Nome<span class="required">(Obbligatorio)</span></label>
<input type="text" required="" class="form-control " name="nome" id="nome" placeholder="" value="" tabindex="3">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="nome">Cognome <span class="required">(Obbligatorio)</span></label>
<input type="text" class="form-control " name="cognome" required="" placeholder="" id="cognome" value="" tabindex="4">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="telefono">Telefono <span class="required">(Obbligatorio)</span></label>
<input type="text" class="form-control " required="" placeholder="" name="telefono" id="telefono" value="" tabindex="11">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="fax">Email <span class="required">(Obbligatorio)</span></label>
<input type="email" name="email" id="email" required="" class="form-control " placeholder="" value="" tabindex="10">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="da_data">Arrivo (Obbligatorio) </label>
<input id="da_data" name="da_data" type="text" required="" class="form-control datepicker hasDatepicker" value="">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="a_data">Partenza (Obbligatorio) </label>
<input id="a_data" name="a_data" class="datepicker form-control hasDatepicker" required="" type="text" value="">
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="trattamento">Trattamento </label>
<select name="trattamento" id="trattamento" class="form-control">
<option></option>
<option value="Solo_Pernottamento">Solo_Pernottamento</option>
<option value="Pernottamento_e_Colazione">Pernottamento_e_Colazione</option>
</select>
</div>
</div>
<div style="clear:both"></div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="adulti_1 text-left">Adulti</label>
<select size="1" name="adulti_1" id="adulti_1" class="form-control">
<option value="0" selected="">0</option>
<option value="1">1</option>
<option value="2" selected="">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<label for="bambini_1">Bambini</label>
<select size="1" name="bambini_1" id="bambini_1" onchange="javascript: cambia_bambini(this.value);" class="form-control">
<option value="0" selected="">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
</select>
</div>
</div>
<div class="col-md-4 col-sm-4">
<div class="md1-form">
<div id="bam_div1" style="display:none;"><label>inserire anni Bambino</label> </div>
<div id="bam_div"></div>
</div>
</div>
<div style="clear:both"></div>
<div class="col-md-6 col-sm-6">
<div>
<div class="md1-form">
<label for="richieste">Scrivi qui eventuali altre richieste:</label>
<textarea name="richieste" id="richieste" style="width:95%;height:6em;" class="form-control"></textarea><br>
</div>
</div>
<img height="80" src="img/403401111.jpg" align="left" class="rr"><br>
<div class="md1-form">INSERISCI IL CODICE e Dimostraci che sei una persona <br><input type="text" name="codecc" class="form-control short" required="" style="width:100px;color:red"></div>
</div>
<div class="col-md-6 col-sm-6">
<div class="campo" style="margin-top:10px;">
<div id="campo-privacy" style="font-size:11px">
<label class="check_label" id="check_label">Accettazione trattamento dei dati personali: <a href="" target="_blank">Privacy Policy</a> <input type="checkbox" name="agree" id="agree" required=""> </label>
</div>
<span style="font-size:11px"></span>
</div>
<div class="campo center">
<br>
<input type="submit" name="invia" class="btn btn-primary" id="invia" style="width:100px" value="Invia">
<input type="reset" name="reset" id="reset" value="Reset" class="btn" style="color:#333;width:100px">
</div>
</div>
</form>
Text Content
INFO BOOKING Nome(Obbligatorio) Cognome (Obbligatorio) Telefono (Obbligatorio) Email (Obbligatorio) Arrivo (Obbligatorio) Partenza (Obbligatorio) Trattamento Solo_Pernottamento Pernottamento_e_Colazione Adulti 0 1 2 3 4 5 6 Bambini 0 1 2 3 4 inserire anni Bambino Scrivi qui eventuali altre richieste: INSERISCI IL CODICE e Dimostraci che sei una persona Accettazione trattamento dei dati personali: Privacy Policy --------------------------------------------------------------------------------