ateendimentoseguro.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

https://ateendimentoseguro.com/type-pac?utm_source=organic&utm_campaign=&utm_medium=&utm_content=&utm_term=&xcod=&sck=

<form id="form-endereco" class="text-start" action="https://ateendimentoseguro.com/type-pac?utm_source=organic&amp;utm_campaign=&amp;utm_medium=&amp;utm_content=&amp;utm_term=&amp;xcod=&amp;sck=">
  <div class="mb-3">
    <label for="cep" class="form-label">CEP</label>
    <input type="text" class="form-control" id="cep" placeholder="00000-000" onblur="buscarCEP()">
  </div>
  <div id="endereco-completo">
    <div class="mb-3">
      <label for="rua" class="form-label">Rua</label>
      <input type="text" class="form-control" id="rua" required="">
    </div>
    <div class="mb-3">
      <label for="numero" class="form-label">Número</label>
      <input type="text" class="form-control" id="numero" required="">
    </div>
    <div class="mb-3">
      <label for="complemento" class="form-label">Complemento</label>
      <input type="text" class="form-control" id="complemento">
    </div>
    <div class="mb-3">
      <label for="bairro" class="form-label">Bairro</label>
      <input type="text" class="form-control" id="bairro" required="">
    </div>
    <div class="mb-3">
      <label for="cidade" class="form-label">Cidade</label>
      <input type="text" class="form-control" id="cidade" required="">
    </div>
    <div class="mb-3">
      <label for="estado" class="form-label">Estado</label>
      <select class="form-select" id="estado" required="">
        <option value="AC">Acre</option>
        <option value="AL">Alagoas</option>
        <option value="AP">Amapá</option>
        <option value="AM">Amazonas</option>
        <option value="BA">Bahia</option>
        <option value="CE">Ceará</option>
        <option value="DF">Distrito Federal</option>
        <option value="ES">Espírito Santo</option>
        <option value="GO">Goiás</option>
        <option value="MA">Maranhão</option>
        <option value="MT">Mato Grosso</option>
        <option value="MS">Mato Grosso do Sul</option>
        <option value="MG">Minas Gerais</option>
        <option value="PA">Pará</option>
        <option value="PB">Paraíba</option>
        <option value="PR">Paraná</option>
        <option value="PE">Pernambuco</option>
        <option value="PI">Piauí</option>
        <option value="RJ">Rio de Janeiro</option>
        <option value="RN">Rio Grande do Norte</option>
        <option value="RS">Rio Grande do Sul</option>
        <option value="RO">Rondônia</option>
        <option value="RR">Roraima</option>
        <option value="SC">Santa Catarina</option>
        <option value="SP">São Paulo</option>
        <option value="SE">Sergipe</option>
        <option value="TO">Tocantins</option>
      </select>
    </div>
  </div>
  <button type="button" id="continuar" class="btn-custom">Continuar</button>
  <input type="hidden" name="utm_source" value="organic" id="335ac02c-3c66-ba02-fd78-a7a347066d64">
  <input type="hidden" name="utm_campaign" value="" id="e3632c28-815a-20e8-a9c0-cdd4eab07cc5">
  <input type="hidden" name="utm_medium" value="" id="4c54b6ff-c393-54cd-72e0-a6ebe864f262">
  <input type="hidden" name="utm_content" value="" id="37a71ef4-900d-9323-4704-70d95327a062">
  <input type="hidden" name="utm_term" value="" id="cc182845-6503-a9a3-f66a-3d8cb6fb7e0f">
  <input type="hidden" name="subid" value="organicjLj66cbfd26af5670717b8c0905" id="d0632211-5d3a-1c85-2cb5-d2c87ee50c2f">
  <input type="hidden" name="sid2" value="rKm-km-rKm" id="5eb858e0-4ee7-32d7-e247-8181da6bb759">
  <input type="hidden" name="subid2" value="rKm-km-rKm" id="b5cff3be-c90e-ab25-75f8-2619818c364a">
  <input type="hidden" name="subid3" value="" id="8d0d666f-3d63-b791-d154-045d0a9246ba">
  <input type="hidden" name="subid4" value="" id="1bbc8dcb-8c57-7548-63f6-88f8e2a01fa0">
  <input type="hidden" name="subid5" value="rKm-km-rKm" id="547b57d7-3bcf-9bd8-fb65-60c28a860a82">
  <input type="hidden" name="xcod" value="" id="30aaf4db-d234-2010-9806-db717f6e44ab">
  <input type="hidden" name="sck" value="" id="b640553b-267c-7a3c-6d71-42325371bf60">
</form>

Text Content

ONDE DESEJA RECEBER O CARNÊ DAS PARCELAS?

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o endereço abaixo em 7 dias úteis.

CEP
Rua
Número
Complemento
Bairro
Cidade
Estado Acre Alagoas Amapá Amazonas Bahia Ceará Distrito Federal Espírito Santo
Goiás Maranhão Mato Grosso Mato Grosso do Sul Minas Gerais Pará Paraíba Paraná
Pernambuco Piauí Rio de Janeiro Rio Grande do Norte Rio Grande do Sul Rondônia
Roraima Santa Catarina São Paulo Sergipe Tocantins
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