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<!doctype html><html><head><meta charset="UTF-8"><title>Ticketea - Formulario de suscripcion</title><link rel="stylesheet" href="assets/vendor/bootstrap-3.3.6/css/bootstrap.min.css"><link rel="stylesheet" href="assets/vendor/bootstrap-3.3.6/css/bootstrap-theme.min.css"><link rel="stylesheet" href="assets/css/custom.css"><link rel="stylesheet" href=""><script src="assets/js/ticketea.forms.js"></script><script src="assets/vendor/bootstrap-3.3.6/js/bootstrap.min.js"></script><script src="assets/js/blockUI.js"></script><script type="text/javascript">$.blockUI.defaults.message = '<h3 style="color:#fff;">Procesando...</h3>';
$.blockUI.defaults.overlayCSS.opacity = 0.5;</script></head><body id="ticketea-application-form-body"><div class="panel panel-default"><div class="panel-heading">Formulario de registro</div><div class="panel-body"><form id="ticketea-application-form" method="post" onsubmit="return!1;"><div class="form-group" id="group_sector_id"><label for="">Sector</label></div><div class="form-group" id="group_datos_alumno_nombre"><input autocomplete="off" type="text" class="form-control" name="datos_alumno_nombre" id="datos_alumno_nombre" placeholder="Nombre y Apellido" required></div><div class="form-group" id="group_datos_alumno_ci"><input autocomplete="off" type="number" class="form-control" name="datos_alumno_ci" id="datos_alumno_ci" placeholder="Nro de Cedula (Sin punto, coma ni espacio)" required></div><div class="form-group" id="group_datos_alumno_telefono"><input autocomplete="off" type="text" class="form-control" name="datos_alumno_telefono" id="datos_alumno_telefono" placeholder="Celular/Linea Baja" required></div><div class="form-group" id="group_datos_alumno_email"><input autocomplete="off" type="email" class="form-control" name="datos_alumno_email" id="datos_alumno_email" placeholder="Correo Electronico (Verificar que este correcto para el envio de los accesos al evento)" required></div><hr><label class="disclaimer-text"><input type="checkbox" name="application_disclaimer" id="application_disclaimer" value="1">&nbsp;Una vez registrado, podes abonar online con tarjetas de credito o en efectivo en todos nuestros puntos de venta. Para pagos a través de Giros o transferencias, contáctanos al WhatsApp 0985 154 713. Se enviara el código para el acceso al evento al mail proporcionado en el registro dentro de las 24 a 48 hs posterior al pago. Para consultas, contáctanos al WhatsApp 0985 154 713.</label><hr><br><button type="submit" class="btn btn-success"><i class="glyphicon glyphicon-ok"></i>&nbsp;Enviar</button><input type="hidden" name="token" id="token" value="9UWmBcQwr8f4Onf/wywiZg=="><input type="hidden" name="request_id" id="request_id" value=""><!--<div style="margin:10px; text-align: center;">Aboná tu inscripción en cualquier punto de pago de &nbsp;<strong>Ticketea</strong></div>--></form><link rel="stylesheet" href="assets/css/sweet-alert.css"><script type="text/javascript" src="assets/js/sweet-alert.js"></script><script type="text/javascript" src="assets/js/iframeResizer.min.js"></script><script type="text/javascript" src="assets/js/iframeResizer.contentWindow.min.js"></script><script type="text/javascript" src="forms.min.js"></script></div></div></body></html>