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<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
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<div class="container">
<div class="principal row">
<form action='//maunabarcelona.activehosted.com/proc.php' method='post' id='_form_195' accept-charset='utf-8' enctype='multipart/form-data'>
<input type='hidden' name='f' value='195'>
<input type='hidden' name='s' value=''>
<input type='hidden' name='c' value='0'>
<input type='hidden' name='m' value='0'>
<input type='hidden' name='act' value='sub'>
<input type='hidden' name='nlbox[]' value='14'>
<div class='_form'>
<div class='formwrapper'>
<div class=" col-xs-12 col-sm-6 col-md-6">
<div id='_field639'>
<div id='compile639' class='_field _type_input'>
<div class='_label '>
Nombre:
</div>
<div class='_option'>
<input type='text' name='fullname' >
</div>
</div>
</div>
<div id='_field657'>
<div id='compile657' class='_field _type_input'>
<div class='_label '>
Apellidos:
</div>
<div class='_option'>
<input type='text' name='field[4]' value=''>
</div>
</div>
</div>
<div id='_field640'>
<div id='compile640' class='_field _type_input'>
<div class='_label '>
Email: *
</div>
<div class='_option'>
<input type='email' name='email' >
</div>
</div>
</div>
<div id='_field661'>
<div id='compile661' class='_field _type_dropdown'>
<div class='_label '>
Tipo de Negocio
</div>
<div class='_option'>
<select name='field[8]'>
<option value='Elige' >
Elige
</option>
<option value='Tienda / Shop' >
Tienda / Shop
</option>
<option value='Mayorista / Wholesale' >
Mayorista / Wholesale
</option>
<option value='Feria / Markets' >
Feria / Markets
</option>
</select>
</div>
</div>
</div>
</div>
<div id='_field656'>
<div id='compile656' class='_field _type_input'>
<div class='_label '>
Teléfono:
</div>
<div class='_option'>
<input type='text' name='phone' >
</div>
</div>
</div>
<div class=" col-xs-12 col-sm-6 col-md-6">
<div id='_field786'>
<div id='compile786' class='_field _type_dropdown'>
<div class='_label '>
País:
</div>
<div class='_option'>
<select name='field[10]'>
<option value='Afghanistan' >
Afghanistan
</option>
<option value='Albania' >
Albania
</option>
<option value='Algeria' >
Algeria
</option>
<option value='American Samoa' >
American Samoa
</option>
<option value='Andorra' >
Andorra
</option>
<option value='Angola' >
Angola
</option>
<option value='Anguilla' >
Anguilla
</option>
<option value='Antarctica' >
Antarctica
</option>
<option value='Antigua and Barbuda' >
Antigua and Barbuda
</option>
<option value='Argentina' >
Argentina
</option>
<option value='Armenia' >
Armenia
</option>
<option value='Aruba' >
Aruba
</option>
<option value='Australia' >
Australia
</option>
<option value='Austria' >
Austria
</option>
<option value='Azerbaijan' >
Azerbaijan
</option>
<option value='Bahamas' >
Bahamas
</option>
<option value='Bahrain' >
Bahrain
</option>
<option value='Bangladesh' >
Bangladesh
</option>
<option value='Barbados' >
Barbados
</option>
<option value='Belarus' >
Belarus
</option>
<option value='Belgium' >
Belgium
</option>
<option value='Belize' >
Belize
</option>
<option value='Benin' >
Benin
</option>
<option value='Bermuda' >
Bermuda
</option>
<option value='Bhutan' >
Bhutan
</option>
<option value='Bolivia' >
Bolivia
</option>
<option value='Bosnia and Herzegovina' >
Bosnia and Herzegovina
</option>
<option value='Botswana' >
Botswana
</option>
<option value='Bouvet Island' >
Bouvet Island
</option>
<option value='Brazil' >
Brazil
</option>
<option value='British Indian Ocean Territory' >
British Indian Ocean Territory
</option>
<option value='Brunei Darussalam' >
Brunei Darussalam
</option>
<option value='Bulgaria' >
Bulgaria
</option>
<option value='Burkina Faso' >
Burkina Faso
</option>
<option value='Burundi' >
Burundi
</option>
<option value='Cambodia' >
Cambodia
</option>
<option value='Cameroon' >
Cameroon
</option>
<option value='Canada' >
Canada
</option>
<option value='Cape Verde' >
Cape Verde
</option>
<option value='Cayman Islands' >
Cayman Islands
</option>
<option value='Central African Republic' >
Central African Republic
</option>
<option value='Chad' >
Chad
</option>
<option value='Chile' >
Chile
</option>
<option value='China' >
China
</option>
<option value='Christmas Island' >
Christmas Island
</option>
<option value='Cocos (Keeling) Islands' >
Cocos (Keeling) Islands
</option>
<option value='Colombia' >
Colombia
</option>
<option value='Comoros' >
Comoros
</option>
<option value='Congo' >
Congo
</option>
<option value='Congo, the Democratic Republic of the' >
Congo, the Democratic Republic of the
</option>
<option value='Cook Islands' >
Cook Islands
</option>
<option value='Costa Rica' >
Costa Rica
</option>
<option value='Cote D' >
Cote D
</option>
<option value='Croatia' >
Croatia
</option>
<option value='Cuba' >
Cuba
</option>
<option value='Cyprus' >
Cyprus
</option>
<option value='Czech Republic' >
Czech Republic
</option>
<option value='Denmark' >
Denmark
</option>
<option value='Djibouti' >
Djibouti
</option>
<option value='Dominica' >
Dominica
</option>
<option value='Dominican Republic' >
Dominican Republic
</option>
<option value='Ecuador' >
Ecuador
</option>
<option value='Egypt' >
Egypt
</option>
<option value='El Salvador' >
El Salvador
</option>
<option value='Equatorial Guinea' >
Equatorial Guinea
</option>
<option value='Eritrea' >
Eritrea
</option>
<option value='Estonia' >
Estonia
</option>
<option value='Ethiopia' >
Ethiopia
</option>
<option value='Falkland Islands (Malvinas)' >
Falkland Islands (Malvinas)
</option>
<option value='Faroe Islands' >
Faroe Islands
</option>
<option value='Fiji' >
Fiji
</option>
<option value='Finland' >
Finland
</option>
<option value='France' >
France
</option>
<option value='French Guiana' >
French Guiana
</option>
<option value='French Polynesia' >
French Polynesia
</option>
<option value='French Southern Territories' >
French Southern Territories
</option>
<option value='Gabon' >
Gabon
</option>
<option value='Gambia' >
Gambia
</option>
<option value='Georgia' >
Georgia
</option>
<option value='Germany' >
Germany
</option>
<option value='Ghana' >
Ghana
</option>
<option value='Gibraltar' >
Gibraltar
</option>
<option value='Greece' >
Greece
</option>
<option value='Greenland' >
Greenland
</option>
<option value='Grenada' >
Grenada
</option>
<option value='Guadeloupe' >
Guadeloupe
</option>
<option value='Guam' >
Guam
</option>
<option value='Guatemala' >
Guatemala
</option>
<option value='Guinea' >
Guinea
</option>
<option value='Guinea-Bissau' >
Guinea-Bissau
</option>
<option value='Guyana' >
Guyana
</option>
<option value='Haiti' >
Haiti
</option>
<option value='Heard Island and Mcdonald Islands' >
Heard Island and Mcdonald Islands
</option>
<option value='Holy See (Vatican City State)' >
Holy See (Vatican City State)
</option>
<option value='Honduras' >
Honduras
</option>
<option value='Hong Kong' >
Hong Kong
</option>
<option value='Hungary' >
Hungary
</option>
<option value='Iceland' >
Iceland
</option>
<option value='India' >
India
</option>
<option value='Indonesia' >
Indonesia
</option>
<option value='Iran, Islamic Republic of' >
Iran, Islamic Republic of
</option>
<option value='Iraq' >
Iraq
</option>
<option value='Ireland' >
Ireland
</option>
<option value='Israel' >
Israel
</option>
<option value='Italy' >
Italy
</option>
<option value='Jamaica' >
Jamaica
</option>
<option value='Japan' >
Japan
</option>
<option value='Jordan' >
Jordan
</option>
<option value='Kazakhstan' >
Kazakhstan
</option>
<option value='Kenya' >
Kenya
</option>
<option value='Kiribati' >
Kiribati
</option>
<option value='Korea, Democratic People' >
Korea, Democratic People
</option>
<option value='Korea, Republic of' >
Korea, Republic of
</option>
<option value='Kuwait' >
Kuwait
</option>
<option value='Kyrgyzstan' >
Kyrgyzstan
</option>
<option value='Lao People' >
Lao People
</option>
<option value='Latvia' >
Latvia
</option>
<option value='Lebanon' >
Lebanon
</option>
<option value='Lesotho' >
Lesotho
</option>
<option value='Liberia' >
Liberia
</option>
<option value='Libyan Arab Jamahiriya' >
Libyan Arab Jamahiriya
</option>
<option value='Liechtenstein' >
Liechtenstein
</option>
<option value='Lithuania' >
Lithuania
</option>
<option value='Luxembourg' >
Luxembourg
</option>
<option value='Macao' >
Macao
</option>
<option value='Macedonia, the Former Yugoslav Republic of' >
Macedonia, the Former Yugoslav Republic of
</option>
<option value='Madagascar' >
Madagascar
</option>
<option value='Malawi' >
Malawi
</option>
<option value='Malaysia' >
Malaysia
</option>
<option value='Maldives' >
Maldives
</option>
<option value='Mali' >
Mali
</option>
<option value='Malta' >
Malta
</option>
<option value='Marshall Islands' >
Marshall Islands
</option>
<option value='Martinique' >
Martinique
</option>
<option value='Mauritania' >
Mauritania
</option>
<option value='Mauritius' >
Mauritius
</option>
<option value='Mayotte' >
Mayotte
</option>
<option value='Mexico' >
Mexico
</option>
<option value='Micronesia, Federated States of' >
Micronesia, Federated States of
</option>
<option value='Moldova, Republic of' >
Moldova, Republic of
</option>
<option value='Monaco' >
Monaco
</option>
<option value='Mongolia' >
Mongolia
</option>
<option value='Montserrat' >
Montserrat
</option>
<option value='Morocco' >
Morocco
</option>
<option value='Mozambique' >
Mozambique
</option>
<option value='Myanmar' >
Myanmar
</option>
<option value='Namibia' >
Namibia
</option>
<option value='Nauru' >
Nauru
</option>
<option value='Nepal' >
Nepal
</option>
<option value='Netherlands' >
Netherlands
</option>
<option value='Netherlands Antilles' >
Netherlands Antilles
</option>
<option value='New Caledonia' >
New Caledonia
</option>
<option value='New Zealand' >
New Zealand
</option>
<option value='Nicaragua' >
Nicaragua
</option>
<option value='Niger' >
Niger
</option>
<option value='Nigeria' >
Nigeria
</option>
<option value='Niue' >
Niue
</option>
<option value='Norfolk Island' >
Norfolk Island
</option>
<option value='Northern Mariana Islands' >
Northern Mariana Islands
</option>
<option value='Norway' >
Norway
</option>
<option value='Oman' >
Oman
</option>
<option value='Pakistan' >
Pakistan
</option>
<option value='Palau' >
Palau
</option>
<option value='Palestinian Territory, Occupied' >
Palestinian Territory, Occupied
</option>
<option value='Panama' >
Panama
</option>
<option value='Papua New Guinea' >
Papua New Guinea
</option>
<option value='Paraguay' >
Paraguay
</option>
<option value='Peru' >
Peru
</option>
<option value='Philippines' >
Philippines
</option>
<option value='Pitcairn' >
Pitcairn
</option>
<option value='Poland' >
Poland
</option>
<option value='Portugal' >
Portugal
</option>
<option value='Puerto Rico' >
Puerto Rico
</option>
<option value='Qatar' >
Qatar
</option>
<option value='Reunion' >
Reunion
</option>
<option value='Romania' >
Romania
</option>
<option value='Russian Federation' >
Russian Federation
</option>
<option value='Rwanda' >
Rwanda
</option>
<option value='Saint Helena' >
Saint Helena
</option>
<option value='Saint Kitts and Nevis' >
Saint Kitts and Nevis
</option>
<option value='Saint Lucia' >
Saint Lucia
</option>
<option value='Saint Pierre and Miquelon' >
Saint Pierre and Miquelon
</option>
<option value='Saint Vincent and the Grenadines' >
Saint Vincent and the Grenadines
</option>
<option value='Samoa' >
Samoa
</option>
<option value='San Marino' >
San Marino
</option>
<option value='Sao Tome and Principe' >
Sao Tome and Principe
</option>
<option value='Saudi Arabia' >
Saudi Arabia
</option>
<option value='Senegal' >
Senegal
</option>
<option value='Serbia and Montenegro' >
Serbia and Montenegro
</option>
<option value='Seychelles' >
Seychelles
</option>
<option value='Sierra Leone' >
Sierra Leone
</option>
<option value='Singapore' >
Singapore
</option>
<option value='Slovakia' >
Slovakia
</option>
<option value='Slovenia' >
Slovenia
</option>
<option value='Solomon Islands' >
Solomon Islands
</option>
<option value='Somalia' >
Somalia
</option>
<option value='South Africa' >
South Africa
</option>
<option value='South Georgia and the South Sandwich Islands' >
South Georgia and the South Sandwich Islands
</option>
<option value='Spain' >
Spain
</option>
<option value='Sri Lanka' >
Sri Lanka
</option>
<option value='Sudan' >
Sudan
</option>
<option value='Suriname' >
Suriname
</option>
<option value='Svalbard and Jan Mayen' >
Svalbard and Jan Mayen
</option>
<option value='Swaziland' >
Swaziland
</option>
<option value='Sweden' >
Sweden
</option>
<option value='Switzerland' >
Switzerland
</option>
<option value='Syrian Arab Republic' >
Syrian Arab Republic
</option>
<option value='Taiwan, Province of China' >
Taiwan, Province of China
</option>
<option value='Tajikistan' >
Tajikistan
</option>
<option value='Tanzania, United Republic of' >
Tanzania, United Republic of
</option>
<option value='Thailand' >
Thailand
</option>
<option value='Timor-Leste' >
Timor-Leste
</option>
<option value='Togo' >
Togo
</option>
<option value='Tokelau' >
Tokelau
</option>
<option value='Tonga' >
Tonga
</option>
<option value='Trinidad and Tobago' >
Trinidad and Tobago
</option>
<option value='Tunisia' >
Tunisia
</option>
<option value='Turkey' >
Turkey
</option>
<option value='Turkmenistan' >
Turkmenistan
</option>
<option value='Turks and Caicos Islands' >
Turks and Caicos Islands
</option>
<option value='Tuvalu' >
Tuvalu
</option>
<option value='Uganda' >
Uganda
</option>
<option value='Ukraine' >
Ukraine
</option>
<option value='United Arab Emirates' >
United Arab Emirates
</option>
<option value='United Kingdom' >
United Kingdom
</option>
<option value='United States' >
United States
</option>
<option value='United States Minor Outlying Islands' >
United States Minor Outlying Islands
</option>
<option value='Uruguay' >
Uruguay
</option>
<option value='Uzbekistan' >
Uzbekistan
</option>
<option value='Vanuatu' >
Vanuatu
</option>
<option value='Venezuela' >
Venezuela
</option>
<option value='Viet Nam' >
Viet Nam
</option>
<option value='Virgin Islands, British' >
Virgin Islands, British
</option>
<option value='Virgin Islands, U.s.' >
Virgin Islands, U.s.
</option>
<option value='Wallis and Futuna' >
Wallis and Futuna
</option>
<option value='Western Sahara' >
Western Sahara
</option>
<option value='Yemen' >
Yemen
</option>
<option value='Zambia' >
Zambia
</option>
<option value='Zimbabwe' >
Zimbabwe
</option>
</select>
</div>
</div>
</div>
<div id='_field662'>
</div>
<div id='_field659'>
<div id='compile659' class='_field _type_input'>
<div class='_label '>
Localidad:
</div>
<div class='_option'>
<input type='text' name='field[6]' value=''>
</div>
</div>
</div>
<div id='_field660'>
<div id='compile660' class='_field _type_input'>
<div class='_label '>
Web:
</div>
<div class='_option'>
<input type='text' name='field[7]' value=''>
</div>
</div>
</div>
<div id='_field641'>
<div id='compile641' class='_field _type_input'>
<div class='_option'>
<input type='submit' value="DESCARGAR">
</div>
</div>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
._form {
position:relative;
background:#fff;
width:400px;/*F*/
padding:0!important;
text-align:left;
}
._form em {
color:#9a9a9a;
}
._form a {
margin-left:3px;
}
._form ._field,
._form ._field ._label,
._form ._type_radio,
._form ._type_checkbox,
._form ._type_captcha,
._form ._field table {
background:none;
}
._form ._field {
position:relative;
width:100%;
cursor:move;
font-style:normal;
margin:1.2em 0;
padding:0;
overflow:hidden;
}
._form ._field input[type="text"] {
width:100%;
padding:8px;
font-size:16px;
border:1px solid #b6b6b6;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
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._form ._field ._label {
display:block;
margin:0 0 0.5em;
padding:0!important;
font-size:15px;
}
._form ._field ._option input[type="checkbox"],
._form ._field ._option input[type="radio"] {
position:relative;
width:13px;
height:13px;
margin:-4px 0 0 1px;
cursor:pointer;
vertical-align:middle;
}
._form ._field ._option input[type="submit"],
._form ._field ._option input[type="button"] {
margin:0;
cursor:pointer;
height:35px;
width:100%;
font-size:15px;
}
._form ._field ._option select {
display:block;
margin:0;
padding:0;
width:100%;
font-size:15px;
border:1px solid #b6b6b6;
}
._form ._type_radio ._option,
._form ._type_checkbox ._option {
font-size:13px;
font-weight:normal;
line-height:1.8;
}
._form ._type_date ._option input[type="text"] {
float:left;
width:100%;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
margin-left:30%;
}
._form ._type_date ._option input[type="button"] {
width:37px;
height:36px;
margin-left:5px;
padding:20px;
background:url(https://maunabarcelona.activehosted.com/admin/css/../images/icon_calendar.gif) no-repeat 0 0;
border:none;
outline:none;
text-indent:-9999px;
}
._form ._type_captcha img {
float:left;
margin:0 6px 0 0;
width:70px;
height:33px;
border:1px solid #b6b6b6;
}
._form ._type_captcha input[type="text"] {
margin:-14px 0 0 0!important;
width:25%;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field table {
width:100%!important;
}
._form ._field table tbody tr td {
width:50%!important;
font-size:15px;
}
._form {
width:265px;/*F*/
background:#fff;
color:#2c2c2c;
font-weight:normal;
}
._form #notice {
margin:10px 0 0 -3px!important;
padding:0;
color:#acacac;
font-size:11px;
font-family:helvetica,arial,sans-serif;
}
._form #notice a:link, ._form #notice a:visited {
color:#acacac;
text-decoration:underline;
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position:relative;
width:100%;
cursor:default;
font-style:normal;
margin:0 0 16px;
padding:0;
overflow:hidden;
}
._form ._field input[type="text"],
._form ._field input[type="email"] {
width:100%;
padding:4px;
font-size:14px;
background:#fafafa;
border:1px solid #c7c7c7;
border-top:1px solid #b6b6b6;
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border-radius:3px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field ._label {
margin:0 0 4px;
color:#2c2c2c;
font-size:13px;
font-family:helvetica,arial,sans-serif;
font-weight:700;
}
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margin:0;
padding:0;
color:#2c2c2c;
font-size:13px;
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font-weight:normal;
line-height:20px;
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width:100%;
font-style:normal;
font-size:16px!important;
line-height:20px;
color:#005698;
margin:0 0 5px!important;
padding:0 0 10px!important;
overflow:hidden;
border-bottom:1px solid #e0e0e0;
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._form ._type_input ._option textarea{
width:97%!important;
background:#fafafa;
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._form ._type_input ._option input[type="submit"],
._form ._type_input ._option input[type="button"] {
width:auto;
margin:10px 0 0!important;
padding:2px 15px!important;
cursor:pointer;
font-family:verdana,arial,sans-serif;
font-weight:700;
font-size:12px;
color:#3f3f3f;
background:#f7f7f7 url(https://maunabarcelona.activehosted.com/admin/templates/form-themes/compact-basic/images/btn_bg.gif) repeat-x 0 0;
border:1px solid #999999;
border-bottom:1px solid #888888;
text-align:center;
}
._form ._type_input ._option input[type="submit"]:hover,
._form ._type_input ._option input[type="button"]:hover {
border:1px solid #afafaf;
border-bottom:1px solid #a5a5a5;
background:#f7f7f7;
color:#525252;
}
._form ._type_date ._option input[type="text"] {
float:left;
width:100px;
}
._form ._type_radio ._option label {
display:inline;
font-size:14px;
font-weight:normal;
line-height:18px;
}
._form ._type_radio ._option label input[type="radio"] {
position:relative;
width:13px;
height:13px;
margin:-4px 0 0 1px;
cursor:pointer;
vertical-align:middle;
line-height:20px;
}
._form ._type_date ._option input[type="button"] {
width:24px;
height:24px;
margin:2px 0 0 5px;
padding:0;
background:url(https://maunabarcelona.activehosted.com/admin/templates/form-themes/compact-basic/images/icon_calendar.gif) no-repeat 0 0;
border:none;
outline:none;
text-indent:-9999px;
}
._form ._field ._option select {
display:block;
margin:0;
padding:0;
width:auto;
font-size:14px;
border:1px solid #b6b6b6;
}
._form ._type_captcha img {
float:left;
width:42px;
height:24px;
margin:0 6px 0 0;
border:1px solid #b6b6b6;
}
._form ._type_captcha input[type="text"] {
float:left;
margin:0!important;
width:40%;
font-size:14px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field table {
margin:0;
padding:0;
border-collapse:collapse;
width:100%!important;
table-layout:fixed;
margin-bottom:18px;
font-size:13px!important;
border-collapse:collapse;
border-spacing:0;
}
._form ._field table td {
padding:0 10px 0 0!important;
line-height:18px;
text-align:left;
font-size:13px!important;
color:#606060;
}
._form ._type_input ._option table tbody#_forward_rcpt input {margin:0 0 4px 0; width:96%!important;}
._form ._type_input ._option table tbody#_forward_rcpt img.image_addrcpt {cursor:pointer;}
.form_errors{
text-align:center;
font-size:15px;
margin:10px;
color:#900;
font-family:Arial, Helvetica, sans-serif;
font-weight:bold;
margin-bottom:20px;
}