fococapacitacion.com Open in urlscan Pro
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Submitted URL:
https://lt.mydplr.com/8091f49753d0aededaa4d535b4a2b963-8bb912cabe351e3bc917bd1fbdaecf68
Effective URL:
http://fococapacitacion.com/web2021/inscripcion/
Submission: On November 28 via api (November 28th 2023, 6:20:07 pm UTC) from IN — Scanned from DE

Form analysis
1 forms found in the DOM

POST /web2021/inscripcion/#wpcf7-f1186-p1187-o1

<form action="/web2021/inscripcion/#wpcf7-f1186-p1187-o1" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="1186">
    <input type="hidden" name="_wpcf7_version" value="5.6.4">
    <input type="hidden" name="_wpcf7_locale" value="en_US">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f1186-p1187-o1">
    <input type="hidden" name="_wpcf7_container_post" value="1187">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
    <input type="hidden" name="_wpcf7cf_hidden_group_fields"
      value="[&quot;your2-name&quot;,&quot;your2-lastname&quot;,&quot;your2-email&quot;,&quot;your2-cel&quot;,&quot;your2-position&quot;,&quot;your3-name&quot;,&quot;your3-lastname&quot;,&quot;your3-email&quot;,&quot;your3-cel&quot;,&quot;your3-position&quot;,&quot;your4-name&quot;,&quot;your4-lastname&quot;,&quot;your4-email&quot;,&quot;your4-cel&quot;,&quot;your4-position&quot;]">
    <input type="hidden" name="_wpcf7cf_hidden_groups"
      value="[&quot;asistente2-fields&quot;,&quot;asistente3-fields&quot;,&quot;asistente4-fields&quot;,&quot;detalle-pago-cheque&quot;,&quot;detalle-pago-banco&quot;,&quot;detalle-pago-tarjeta&quot;]">
    <input type="hidden" name="_wpcf7cf_visible_groups" value="[&quot;asistente1-fields&quot;]">
    <input type="hidden" name="_wpcf7cf_repeaters" value="[]">
    <input type="hidden" name="_wpcf7cf_steps" value="{}">
    <input type="hidden" name="_wpcf7cf_options"
      value="{&quot;form_id&quot;:1186,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;asistente2-fields&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;1&quot;}]},{&quot;then_field&quot;:&quot;asistente3-fields&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;1&quot;},{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;2&quot;}]},{&quot;then_field&quot;:&quot;asistente4-fields&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;1&quot;},{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;2&quot;},{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;3&quot;}]},{&quot;then_field&quot;:&quot;asistente1-fields&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;q-asistentes&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;0&quot;}]},{&quot;then_field&quot;:&quot;detalle-pago-cheque&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pago-forma&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Cheque&quot;}]},{&quot;then_field&quot;:&quot;detalle-pago-banco&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pago-forma&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Dep\u00f3sito&quot;}]},{&quot;then_field&quot;:&quot;detalle-pago-banco&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pago-forma&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Transferencia&quot;}]},{&quot;then_field&quot;:&quot;detalle-pago-tarjeta&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pago-forma&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Tarjeta de Cr\u00e9dito&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}">
    <input type="hidden" name="_wpcf7_recaptcha_response"
      value="03AFcWeA4drjodks25_LMM5BhevHnyStR599k5Uvv7Ju-bX7ya-jtSk7GhcBU0VO2AXGbAKRqGRJxycvZcVu_AebN3um0NwKD8dLPOy5gT0I3MDU0L5xqyHEu0Uv4rahPDR0YkhT2p3ft5gZAZAbm_c2wP9KtlECWJpzqI-yh7y-fG_Ou0tInF-2-7Ic61BxdvkTbN_A2HXgbLJFpWOZCnkWbNnKXQTULbiJhwGONx-a4orWRQt_gtV8coHmFquirqMuNKABpB8kJ24L3pxNANwtlQQ4a0nq6VI6RqZII46agaMrfAwmpcwgyErVC0aJTYdJeisOiebteB8d3_1hsayia3RCe60ChibW0c42R4pk-zGkBEdzNq7AIH9K7AglTiC1rNz9OwxnauSUtoj_4wh19ADKgzqL2hITm7yrOLQJW0_pGmLwWjBmmjjRnw7AzFs2FhiDn6G4eWbpWLf12E4X4oYeCKjFemp2C8vmHcOkxCM4WBuxV7QLpgpWfKe0wNTLlGfgPPNbdME682fBZOqSIfB6CSAS_Wa-pXQMSTBGFJe5OCgxWsKRsksHJjcUSB65kU9x2phar2">
  </div>
  <p><span class="wpcf7-form-control-wrap" data-name="curso-titulo"><input type="text" name="curso-titulo" value="" size="40" class="wpcf7-form-control wpcf7-text" id="titinscripcion" readonly="readonly" aria-invalid="false"></span> </p>
  <input type="hidden" name="your-subject" value="Inscripción" class="wpcf7-form-control wpcf7-hidden"><br>
  <fieldset>
    <legend>Persona Responsable</legend>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-name"><input type="text" name="your-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Nombre"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-lastname"><input type="text" name="your-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Apellido"></span><br>
    </div><br>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-email"><input type="email" name="your-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true"
          aria-invalid="false" placeholder="Email"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-cel"><input type="tel" name="your-cel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
          aria-invalid="false" placeholder="Celular"></span><br>
    </div><br>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-company"><input type="text" name="your-company" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Empresa"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="your-position"><input type="text" name="your-position" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Cargo"></span><br>
    </div>
  </fieldset>
  <fieldset>
    <legend>Datos del Curso</legend>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="curso-titulo"><input type="text" name="curso-titulo" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Curso"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="curso-fecha"><input type="date" name="curso-fecha" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" min="2021-08-08" max="2025-08-04"
          aria-required="true" aria-invalid="false"></span><br>
    </div>
    <div style="float:left; margin:20px 0 0 0; min-width:100%;">Cantidad de Asistentes: <span class="wpcf7-form-control-wrap" data-name="q-asistentes"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input
                type="radio" name="q-asistentes" value="1" checked="checked"><span class="wpcf7-list-item-label">1</span></label></span><span class="wpcf7-list-item"><label><input type="radio" name="q-asistentes" value="2"><span
                class="wpcf7-list-item-label">2</span></label></span><span class="wpcf7-list-item"><label><input type="radio" name="q-asistentes" value="3"><span class="wpcf7-list-item-label">3</span></label></span><span
            class="wpcf7-list-item last"><label><input type="radio" name="q-asistentes" value="4"><span class="wpcf7-list-item-label">4</span></label></span></span></span></div>
  </fieldset>
  <div data-id="asistente1-fields" data-orig_data_id="asistente1-fields" data-class="wpcf7cf_group" style="height: auto; display: block;" class="">
    <fieldset>
      <legend>Asistente 1</legend>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your1-name"><input type="text" name="your1-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Nombre"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your1-lastname"><input type="text" name="your1-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Apellido"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your1-email"><input type="email" name="your1-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
            aria-required="true" aria-invalid="false" placeholder="Email"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your1-cel"><input type="tel" name="your1-cel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
            aria-invalid="false" placeholder="Celular"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your1-position"><input type="text" name="your1-position" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Cargo"></span><br>
      </div><br>
      <div class="percent-one-half column-last">
        <p></p>
        <p></p>
      </div>
    </fieldset>
  </div>
  <div data-id="asistente2-fields" data-orig_data_id="asistente2-fields" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
    <fieldset>
      <legend>Asistente 2</legend>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your2-name"><input type="text" name="your2-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Nombre"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your2-lastname"><input type="text" name="your2-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Apellido"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your2-email"><input type="email" name="your2-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
            aria-required="true" aria-invalid="false" placeholder="Email"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your2-cel"><input type="tel" name="your2-cel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
            aria-invalid="false" placeholder="Celular"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your2-position"><input type="text" name="your2-position" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Cargo"></span><br>
      </div><br>
      <div class="percent-one-half column-last">
        <p></p>
        <p></p>
      </div>
    </fieldset>
  </div>
  <div data-id="asistente3-fields" data-orig_data_id="asistente3-fields" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
    <fieldset>
      <legend>Asistente 3</legend>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your3-name"><input type="text" name="your3-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Nombre"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your3-lastname"><input type="text" name="your3-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Apellido"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your3-email"><input type="email" name="your3-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
            aria-required="true" aria-invalid="false" placeholder="Email"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your3-cel"><input type="tel" name="your3-cel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
            aria-invalid="false" placeholder="Celular"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your3-position"><input type="text" name="your3-position" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Cargo"></span><br>
      </div><br>
      <div class="percent-one-half column-last">
        <p></p>
        <p></p>
      </div>
    </fieldset>
  </div>
  <div data-id="asistente4-fields" data-orig_data_id="asistente4-fields" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
    <fieldset>
      <legend>Asistente 4</legend>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your4-name"><input type="text" name="your4-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Nombre"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your4-lastname"><input type="text" name="your4-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Apellido"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your4-email"><input type="email" name="your4-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email"
            aria-required="true" aria-invalid="false" placeholder="Email"></span><br>
      </div><br>
      <div class="percent-one-half column-last"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your4-cel"><input type="tel" name="your4-cel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
            aria-invalid="false" placeholder="Celular"></span><br>
      </div><br>
      <div class="percent-one-half"> <br>
        <span class="wpcf7-form-control-wrap" data-name="your4-position"><input type="text" name="your4-position" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
            placeholder="Cargo"></span><br>
      </div><br>
      <div class="percent-one-half column-last">
        <p></p>
        <p></p>
      </div>
    </fieldset>
  </div>
  <fieldset>
    <legend>Datos de Facturación</legend>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="emp-cuit"><input type="text" name="emp-cuit" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="CUIT"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="emp-razon"><input type="text" name="emp-razon" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Razón Social"></span><br>
    </div>
  </fieldset>
  <fieldset>
    <legend>Forma de Pago</legend>
    <div class="percent-one-half">
      <p></p>
      <div style="float:left; margin:20px 0 0 0; min-width:100%;"> <span class="wpcf7-form-control-wrap" data-name="pago-forma"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><label><input type="radio"
                  name="pago-forma" value="Efectivo"><span class="wpcf7-list-item-label">Efectivo</span></label></span><span class="wpcf7-list-item"><label><input type="radio" name="pago-forma" value="Cheque"><span
                  class="wpcf7-list-item-label">Cheque</span></label></span><span class="wpcf7-list-item"><label><input type="radio" name="pago-forma" value="Depósito"><span class="wpcf7-list-item-label">Depósito</span></label></span><span
              class="wpcf7-list-item"><label><input type="radio" name="pago-forma" value="Transferencia"><span class="wpcf7-list-item-label">Transferencia</span></label></span><span class="wpcf7-list-item last"><label><input type="radio"
                  name="pago-forma" value="Tarjeta de Crédito"><span class="wpcf7-list-item-label">Tarjeta de Crédito</span></label></span></span></span></div>
      <p></p>
    </div><br>
    <div class="percent-one-half column-last"> <br> Fecha en que realizará el pago:<br>
      <span class="wpcf7-form-control-wrap" data-name="pago-fecha"><input type="date" name="pago-fecha" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" min="2021-08-08" max="2025-08-04"
          aria-required="true" aria-invalid="false"></span><br>
    </div>
    <div data-id="detalle-pago-cheque" data-orig_data_id="detalle-pago-cheque" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
      <div style="float:left; padding:10px; margin:10px 0 0 0; min-width:100%; border:1px dotted #79141b">
        <figure class="wpb_wrapper vc_figure">
          <div class="vc_single_image-wrapper   vc_box_border_grey"><img decoding="async" class="vc_single_image-img " src="http://fococapacitacion.com/web2021/wp-content/uploads/logo_cheque.png" width="88" height="28" alt="logo_cheque"
              title="logo_cheque"></div>
        </figure>
        <p><b>Cheque: A la orden de Foco Consultores S.R.L.</b>
        </p>
      </div>
    </div>
    <div data-id="detalle-pago-banco" data-orig_data_id="detalle-pago-banco" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
      <div style="float:left; padding:10px; margin:10px 0 0 0; min-width:100%; border:1px dotted #79141b">
        <figure class="wpb_wrapper vc_figure">
          <div class="vc_single_image-wrapper   vc_box_border_grey"><img decoding="async" class="vc_single_image-img " src="http://fococapacitacion.com/web2021/wp-content/uploads/logo_hsbc_white.png" width="88" height="28" alt="HSBC" title="HSBC">
          </div>
        </figure>
        <p><b>Banco HSBC Cta.Cte.: 3173250634<br><br>
CBU: 1500068800031732506346</b>
        </p>
      </div>
    </div>
    <div data-id="detalle-pago-tarjeta" data-orig_data_id="detalle-pago-tarjeta" data-class="wpcf7cf_group" style="height: auto;" class="wpcf7cf-hidden">
      <div style="float:left; padding:10px; margin:10px 0 0 0; min-width:100%; border:1px dotted #79141b">
        <figure class="wpb_wrapper vc_figure">
          <div class="vc_single_image-wrapper   vc_box_border_grey"><img decoding="async" class="vc_single_image-img " src="http://fococapacitacion.com/web2021/wp-content/uploads/logo_credit_card.png" width="88" height="28" alt="logo_credit_card"
              title="logo_credit_card"></div>
        </figure>
        <p><b>Tarjeta de Crédito: No válido para descuentos y Promociones</b>
        </p>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <legend>Contacto Administrativo</legend>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="admin-name"><input type="text" name="admin-name" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Nombre"></span><br>
    </div><br>
    <div class="percent-one-half column-last"> <br>
      <span class="wpcf7-form-control-wrap" data-name="admin-lastname"><input type="text" name="admin-lastname" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"
          placeholder="Apellido"></span><br>
    </div><br>
    <div class="percent-one-half"> <br>
      <span class="wpcf7-form-control-wrap" data-name="admin-email"><input type="email" name="admin-email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true"
          aria-invalid="false" placeholder="Email"></span><br>
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    <div class="percent-one-half column-last"> <br>
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          aria-invalid="false" placeholder="Celular"></span><br>
    </div>
  </fieldset>
  <fieldset>
    <legend>Comentarios Adicionales</legend>
    <p><span class="wpcf7-form-control-wrap" data-name="your-message"><textarea name="your-message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false" placeholder="Mensaje"></textarea></span>
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  <p><input type="submit" value="Inscribir" class="wpcf7-form-control has-spinner wpcf7-submit button black"><span class="wpcf7-spinner"></span></p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

Text Content

 * HOME
 * EMPRESA
 * SERVICIOS
 * PRENSA
 * CONTACTO
 * AGENDA
 * INSCRIPCIÓN




INSCRIPCIÓN


RESERVE SU LUGAR






Persona Responsable























Datos del Curso







Cantidad de Asistentes: 1234
Asistente 1























Asistente 2























Asistente 3























Asistente 4























Datos de Facturación







Forma de Pago

EfectivoChequeDepósitoTransferenciaTarjeta de Crédito





Fecha en que realizará el pago:



Cheque: A la orden de Foco Consultores S.R.L.

Banco HSBC Cta.Cte.: 3173250634

CBU: 1500068800031732506346

Tarjeta de Crédito: No válido para descuentos y Promociones

Contacto Administrativo















Comentarios Adicionales








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