visa.fiservuruguay.com
Open in
urlscan Pro
18.228.102.6
Public Scan
URL:
https://visa.fiservuruguay.com/mob
Submission: On February 28 via api from US — Scanned from US
Submission: On February 28 via api from US — Scanned from US
Form analysis
1 forms found in the DOMPOST //destinab.ly/variant/formConvert/v/105589
<form action="//destinab.ly/variant/formConvert/v/105589" method="post">
<div class="form-item" style="margin: 0px 0px 10px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Nombre fantasía del comercio:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory" type="text" name="nombre_fantasía_del_comercio:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Nombre de contacto:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory" type="text" name="nombre_de_contacto:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">RUT:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory field_only_numbers" type="text" name="rut:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Número de Comercio:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory field_only_numbers" type="text" name="número_de_comercio:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Domicilio:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory" type="text" name="domicilio:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Localidad:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory" type="text" name="localidad:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Celular o Teléfono de contacto:</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory field_only_numbers" type="text" name="celular_o_teléfono_de_contacto:"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 10px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-title" style="display: block; width: auto; font-family: Arial; color: rgb(112, 112, 112); font-style: normal; font-weight: normal; font-size: 14px;">Email</div>
<div class="form-item-contents" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input
class="floating-frame-main-contents-middlenav-item-left-contents-value field_obligatory field_email" type="text" name="email"
style="padding: 10px; box-sizing: content-box; width: 238px; font-family: Arial; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); font-style: normal; font-weight: normal; font-size: 14px; border: 1px solid rgb(156, 156, 156); outline: 0px; border-radius: 0px;">
</div>
</div>
<div class="form-item" style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px;">
<div class="form-item-contents" data-title-hidden="aviso_de_privacidad" style="color: rgb(66, 130, 227); display: block; width: auto; font-family: Arial; font-style: normal; font-weight: normal; font-size: 12px;"><input class="field_obligatory"
type="checkbox" name="aviso_de_privacidad[]" value="He leído y acepto el Aviso de Privacidad"> He leído y acepto el Aviso de Privacidad<br></div>
</div><input name="querystring" value="" type="hidden">
</form>
Text Content
fiserv.com.uy Empezá a procesar tus ventas con Visa a través de Fiserv Completá el formulario y un representante se pondrá en contacto con vos. Nombre fantasía del comercio: Nombre de contacto: RUT: Número de Comercio: Domicilio: Localidad: Celular o Teléfono de contacto: Email He leído y acepto el Aviso de Privacidad ENVIAR ENVIAR ENVIAR Llamanos al 0800-1244 de lunes a sábado de 8 a 20 hs.