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Form analysis
2 forms found in the DOM

Name: enq — POST

<form method="post" name="enq">
  <div class="row">
    <div class="form-group col-lg-6">
      <input required="required" placeholder="Enter Name *" id="first-name" class="form-control" name="name" type="text">
    </div>
    <div class="form-group col-lg-6">
      <input required="required" placeholder="Enter Email *" id="email" class="form-control" name="email" type="email">
    </div>
    <div class="form-group col-lg-12">
      <input placeholder="Enter Subject" id="subject" class="form-control" name="subject" type="subject">
    </div>
    <div class="form-group col-lg-12">
      <textarea required="required" placeholder="Message *" id="description" class="form-control" name="message" rows="3"></textarea>
    </div>
    <div class="col-lg-12">
      <button type="submit" title="Submit Your Message!" class="btn btn-default btn-radius" id="submitButton" name="submit" value="Submit">Submit</button>
    </div>
    <div class="col-lg-12">
      <div id="alert-msg" class="alert-msg text-center"></div>
    </div>
  </div>
</form>

<form>
  <div class="outline_input">
    <input type="text" required="" placeholder="Enter Email Address">
  </div>
  <button type="submit" title="Subscribe" class="btn btn-submit" name="submit" value="Submit">
    <span class="ion-android-send"></span>
  </button>
</form>

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SEGURANTA

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SEGURANTA

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SEGURO PARA FLOTILLA DE AUTOS


ACERCA DE NOSOTROS

Somos especialistas en beneficios para empleados Desde PyMes hasta grandes
empresas Gastos Médicos Colectivo, Vida Grupo, Accidentes personales, Autos
Flotilla Paquete empresarial

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GASTOS MÉDICOS COLECTIVO

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GASTOS MÉDICOS COLECTIVO

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VIDA GRUPO

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VIDA GRUPO

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ACCIDENTES PERSONALES

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ACCIDENTES PERSONALES

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AUTOS FLOTILLA

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AUTOS FLOTILLA

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PAQUETE EMPRESARIAL

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PAQUETE EMPRESARIAL

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