{"id":168,"date":"2017-12-11T13:28:01","date_gmt":"2017-12-11T13:28:01","guid":{"rendered":"https:\/\/wp.farmaciasimas.com\/?page_id=168"},"modified":"2017-12-29T12:05:24","modified_gmt":"2017-12-29T12:05:24","slug":"formulario-informacion","status":"publish","type":"page","link":"https:\/\/wp.farmaciasimas.com\/index.php\/formulario-informacion\/","title":{"rendered":"Formulario Informaci\u00f3n"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f206-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/168#wpcf7-f206-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"206\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"4.9.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f206-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p>Si est\u00e1 interesado en formar parte de Farmacia I+, rellene el siguiente formulario y nos pondremos en contacto con usted a la mayor brevedad posible. \u00a1Gracias por su inter\u00e9s!<\/p>\n<p><label> Nombre del titular (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap 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\" \/><\/span> <\/label><br \/>\n<label> Nombre de la farmacia(requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-apellidos\"><input type=\"text\" name=\"your-apellidos\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Cif (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-cif\"><input type=\"text\" name=\"your-cif\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Direcci\u00f3n (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-direccion\"><input type=\"text\" name=\"your-direccion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Localidad (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-localidad\"><input type=\"text\" name=\"your-localidad\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Tel\u00e9fono (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-telefono\"><input type=\"text\" name=\"your-telefono\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Email (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"text\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Facturaci\u00f3n Anual(requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-facturacion\"><input type=\"text\" name=\"your-facturacion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> % venta libre (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-libre\"><input type=\"text\" name=\"your-libre\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> % venta receta (requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-receta\"><input type=\"text\" name=\"your-receta\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> N\u00famero de empleados(requerido)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-empleados\"><input type=\"text\" name=\"your-empleados\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Enviar\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-168","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/pages\/168","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/comments?post=168"}],"version-history":[{"count":3,"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/pages\/168\/revisions"}],"predecessor-version":[{"id":216,"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/pages\/168\/revisions\/216"}],"wp:attachment":[{"href":"https:\/\/wp.farmaciasimas.com\/index.php\/wp-json\/wp\/v2\/media?parent=168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}