www.pbspartner.pl Open in urlscan Pro
94.152.13.53  Public Scan

URL: https://www.pbspartner.pl/
Submission: On April 10 via manual from PL — Scanned from PL

Form analysis 1 forms found in the DOM

Name: cf1POST #

<form name="cf1" id="cf1" method="post" action="#">
  <div class="cf-form-wrap cf-col-16 " style="background-color:none">
    <div class="cf-response"></div>
    <div class="cf-fields">
      <div class="cf-control-group " data-key="1" data-name="name" data-label="Imię" data-type="text" data-required="">
        <div class="cf-control-label">
          <label class="cf-label" for="form1_name"> Imię <span class="cf-required-label">*</span>
          </label>
        </div>
        <div class="cf-control-input">
          <input type="text" name="cf[name]" id="form1_name" required="" placeholder="Imię" class="cf-input cf-input-shadow-0  ">
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      <div class="cf-control-group " data-key="0" data-name="email" data-label="E-mail" data-type="email" data-required="">
        <div class="cf-control-label">
          <label class="cf-label" for="form1_email"> E-mail <span class="cf-required-label">*</span>
          </label>
        </div>
        <div class="cf-control-input">
          <input type="email" name="cf[email]" id="form1_email" required="" placeholder="Wpisz swój adres e-mail" class="cf-input cf-input-shadow-0  ">
        </div>
      </div>
      <div class="cf-control-group " data-key="4" data-name="departments" data-label="Lokalizacja" data-type="dropdown" data-required="">
        <div class="cf-control-label">
          <label class="cf-label" for="form1_departments"> Lokalizacja <span class="cf-required-label">*</span>
          </label>
        </div>
        <div class="cf-control-input">
          <div class="cf-select ">
            <select name="cf[departments]" id="form1_departments" required="" class="cf-input cf-input-shadow-0  ">
              <option value="partner@pbspartner.pl" data-calc-value="partner@pbspartner.pl"> Sanok </option>
              <option value="partner@pbspartner.pl" data-calc-value="partner@pbspartner.pl"> Lesko </option>
              <option value="partner@pbspartner.pl" data-calc-value="partner@pbspartner.pl"> Przemyśl </option>
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        <div class="cf-control-label">
          <label class="cf-label" for="form1_textarea_3"> Wiadomość <span class="cf-required-label">*</span>
          </label>
        </div>
        <div class="cf-control-input">
          <textarea name="cf[textarea_3]" id="form1_textarea_3" required="" placeholder="" class="cf-input cf-input-shadow-0  " rows="3"></textarea>
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        <div class="cf-control-input">
          <div class="cf-checkbox-group">
            <input type="checkbox" name="cf[termsofservice_5]" id="form1_termsofservice_5" required="" value="1" class="cf-input cf-input-shadow-0  ">
            <label class="cf-label" for="form1_termsofservice_5"> Zapoznałem się z <a href="https://pbspartner.pl/index.php/2-uncategorised/29-polityka-prywatnosci" target="_blank" rel="noopener noreferrer">polityką prywatności</a>
            </label>
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      <div class="cf-control-group " data-key="6" data-name="termsofservice_6" data-label="rodo" data-type="termsofservice" data-required="">
        <div class="cf-control-input">
          <div class="cf-checkbox-group">
            <input type="checkbox" name="cf[termsofservice_6]" id="form1_termsofservice_6" required="" value="1" class="cf-input cf-input-shadow-0  ">
            <label class="cf-label" for="form1_termsofservice_6"> Wyrażam zgodę na przetwarzanie moich dancyh osobowych zgodnie z
              <a href="https://pbspartner.pl/index.php/2-uncategorised/35-rodo" target="_blank" rel="noopener noreferrer">zasadami RODO</a>
            </label>
          </div>
        </div>
      </div>
      <div class="cf-control-group " data-key="2" data-name="submit_2" data-type="submit">
        <div class="cf-control-input">
          <div class="cf-text-left">
            <button type="submit" class="cf-btn cf-btn-style-flat cf-btn-shadow-0  " style="border-radius:30px;padding:11px 15px;color:#ffffff;font-size:14px;background-color:#ec650a">
              <span class="cf-btn-text">Wyślij</span>
              <span class="cf-spinner-container">
                <span class="cf-spinner">
                  <span class="bounce1"></span>
                  <span class="bounce2"></span>
                  <span class="bounce3"></span>
                </span>
              </span>
            </button>
          </div>
        </div>
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    </div>
  </div>
  <input type="hidden" name="cf[form_id]" value="1">
  <input type="hidden" name="86f794b942a65e0477725e9a89a65ea2" value="1">
  <div class="cf-field-hp">
    <label for="cf-field-66168bf603bfd" class="cf-label">Website</label>
    <input type="text" name="cf[hnpt]" id="cf-field-66168bf603bfd" autocomplete="off" class="cf-input">
  </div>
</form>

Text Content

 * Oferta
   * Ubezpieczenia
   * Pożyczki
 * Placówki
 * Praca i kariera
 * O firmie
 * Współpraca

 * Oferta
    * Ubezpieczenia
    * Pożyczki

 * Placówki
 * Praca i kariera
 * O firmie
 * Współpraca

  ZADZWOŃ 13 463 11 00




PBS Partner
Finanse i Ubezpieczenia Sp. z o.o.
ul. 3 Maja 10, 38-500 Sanok
Sąd Rejonowy w Rzeszowie, XII Wydział Gospodarczy KRS
KRS 00009140088, NIP 6871974292, REGON 389554961
tel. 13 46 31 100



 * Rodo

 * Polityka prywatności


FORMULARZ KONTAKTOWY

Imię *

E-mail *

Lokalizacja *
Sanok Lesko Przemyśl
Wiadomość *

Zapoznałem się z polityką prywatności
Wyrażam zgodę na przetwarzanie moich dancyh osobowych zgodnie z zasadami RODO
Wyślij
Website