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@afanjul
Last active March 21, 2017 18:24
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Formulario Registro Palbin
<form class="landing-registration-form-inner form-inline" inline="1" id="landing-registration-form" action="https://www.palbin.com/register/expressRegistration" method="post">
<fieldset>
<div class="form-inputs">
<div class="row-fluid control-group">
<input class="span12 account-shop-name" data-placement="left" placeholder="Nombre de la Tienda" name="Account[shop_name]" id="Account_shop_name" type="text" maxlength="255"> <span class="help-block error" id="Account_shop_name_em_" style="display: none"></span> </div>
<div class="row-fluid control-group input-append input-prepend subdomain init-hidden">
<div class="input-prepend input-append"><span class="add-on">http://</span>
<input class="span6 subdomain-input account-id" data-placement="left" placeholder="Subdominio" name="Account[accountID]" id="Account_accountID" type="text" maxlength="45"><span class="add-on">palbin.com</span></div> <span class="help-block error" id="Account_accountID_em_" style="display: none"></span> </div>
<hr class="form-separator">
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Nombre Completo (con Apellidos)" name="User[firstname]" id="User_firstname" type="text"> <span class="help-block error" id="User_firstname_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Teléfono de Contacto" name="UserInfo[telephone]" id="UserInfo_telephone" type="text" maxlength="32"> <span class="help-block error" id="UserInfo_telephone_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Correo Electrónico" name="User[email]" id="User_email" type="text" maxlength="96"> <span class="help-block error" id="User_email_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Contraseña" name="User[password]" id="User_password" type="password" maxlength="128"> <span class="help-block error" id="User_password_em_" style="display: none"></span> </div>
</div>
<div class="control-group">
<label class="checkbox" for="User_newsletter">
<input id="ytUser_newsletter" type="hidden" value="0" name="User[newsletter]">
<input checked="checked" name="User[newsletter]" id="User_newsletter" value="1" type="checkbox">
Enviarme actualizaciones importantes por correo<span class="help-block error" id="User_newsletter_em_" style="display: none"></span></label>
</div>
<div class="control-group">
<input class="input-xlarge" data-placement="left" type="checkbox" value="1" name="Account[acceptConditions]" id="Account_acceptConditions"> Acepto los <a target="_blank" href="https://www.palbin.com/es/affiliateTos?id=645">Términos de Servicio</a> y la <a target="_blank" href="https://www.palbin.com/es/affiliatePrivacy?id=645">Política de Privacidad</a> <span class="help-block error" id="Account_acceptConditions_em_" style="display: none"></span> </div>
<div class="init-hidden registration-variables">
<input class="planType" type="hidden" value="1" name="planType" id="planType">
<input class="planProfileId" type="hidden" value="2" name="planProfileId" id="planProfileId">
<input class="planTemporality" type="hidden" value="1" name="planTemporality" id="planTemporality">
<input type="hidden" value="affiliateLanding-abanca" name="registerType" id="registerType">
<input type="hidden" value="ABANCA" name="AccountInfo[comercial_code]" id="AccountInfo_comercial_code">
</div>
</div>
<div class="form-buttons center">
<p>
<button class="tc landing-registration-form-button btn btn-success btn-large" form="landing-registration-form" type="submit" name="yt0"><i class="icon-ok icon-white"></i> Crear Tienda</button>
</p>
<div class="landing-registration-form-login">
Ya eres usuario?
<a target="_blank" href="https://admin.palbin.com">Login</a> </div>
</div>
</fieldset>
</form>
<form class="landing-registration-form-inner form-inline" inline="1" id="landing-registration-form" action="https://www.palbin.com/register/expressRegistration" method="post">
<fieldset>
<div class="form-inputs">
<div class="row-fluid control-group">
<input class="span12 account-shop-name" data-placement="left" placeholder="Nombre de la Tienda" name="Account[shop_name]" id="Account_shop_name" type="text" maxlength="255"> <span class="help-block error" id="Account_shop_name_em_" style="display: none"></span> </div>
<div class="row-fluid control-group input-append input-prepend subdomain init-hidden">
<div class="input-prepend input-append"><span class="add-on">http://</span>
<input class="span6 subdomain-input account-id" data-placement="left" placeholder="Subdominio" name="Account[accountID]" id="Account_accountID" type="text" maxlength="45"><span class="add-on">palbin.com</span></div> <span class="help-block error" id="Account_accountID_em_" style="display: none"></span> </div>
<hr class="form-separator">
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Nombre Completo (con Apellidos)" name="User[firstname]" id="User_firstname" type="text"> <span class="help-block error" id="User_firstname_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Teléfono de Contacto" name="UserInfo[telephone]" id="UserInfo_telephone" type="text" maxlength="32"> <span class="help-block error" id="UserInfo_telephone_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Correo Electrónico" name="User[email]" id="User_email" type="text" maxlength="96"> <span class="help-block error" id="User_email_em_" style="display: none"></span> </div>
</div>
<div class="row-fluid">
<div class="span12 control-group">
<input class="span12" data-placement="left" placeholder="Contraseña" name="User[password]" id="User_password" type="password" maxlength="128"> <span class="help-block error" id="User_password_em_" style="display: none"></span> </div>
</div>
<div class="control-group">
<label class="checkbox" for="User_newsletter">
<input id="ytUser_newsletter" type="hidden" value="0" name="User[newsletter]">
<input checked="checked" name="User[newsletter]" id="User_newsletter" value="1" type="checkbox">
Enviarme actualizaciones importantes por correo<span class="help-block error" id="User_newsletter_em_" style="display: none"></span></label>
</div>
<div class="control-group">
<input class="input-xlarge" data-placement="left" type="checkbox" value="1" name="Account[acceptConditions]" id="Account_acceptConditions"> Acepto los <a target="_blank" href="https://www.palbin.com/es/affiliateTos?id=689">Términos de Servicio</a> y la <a target="_blank" href="https://www.palbin.com/es/affiliatePrivacy?id=689">Política de Privacidad</a> <span class="help-block error" id="Account_acceptConditions_em_" style="display: none"></span> </div>
<div class="init-hidden registration-variables">
<input class="planType" type="hidden" value="1" name="planType" id="planType">
<input class="planProfileId" type="hidden" value="2" name="planProfileId" id="planProfileId">
<input class="planTemporality" type="hidden" value="1" name="planTemporality" id="planTemporality">
<input type="hidden" value="affiliateLanding-redgiga" name="registerType" id="registerType">
<input type="hidden" value="RedGiga" name="AccountInfo[comercial_code]" id="AccountInfo_comercial_code"> </div>
</div>
<div class="form-buttons center">
<p>
<button class="tc landing-registration-form-button btn btn-success btn-large" form="landing-registration-form" type="submit" name="yt0"><i class="icon-ok icon-white"></i> Crear Tienda</button>
</p>
<div class="landing-registration-form-login">
Ya eres usuario?
<a target="_blank" href="https://admin.palbin.com">Login</a> </div>
</div>
</fieldset>
</form>
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