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    Error in google file Users ALBERTO Documents GSBS GENERAL TREKWEB Contact

    Asked by Polson on December 26, 2012 at 10:14 AM

    <script src="https://static-interlogyllc.netdna-ssl.com/min/g=jotform?3.1.1194" type="text/javascript"></script>

    <script type="text/javascript">

       JotForm.init(function(){

          $('input_1').hint('ex: myname@example.com');

          JotForm.initCaptcha('input_9');

       });

    </script>

    <link target="_blank" href="https://static-interlogyllc.netdna-ssl.com/min/g=formCss?3.1.1194" rel="nofollow noopener" rel="stylesheet" type="text/css" />

    <link type="text/css" rel="stylesheet" target="_blank" href="https://jotformeu.com/css/styles/big.css?3.1.1194" rel="nofollow noopener" />

    <style type="text/css">

        .form-label{

            width:150px !important;

        }

        .form-label-left{

            width:150px !important;

        }

        .form-line{

            padding-top:12px;

            padding-bottom:12px;

        }

        .form-label-right{

            width:150px !important;

        }

        .form-all{

            width:510px;

            background:#FFFFFF;

            color:#555555 !important;

            font-family:'Verdana';

            font-size:18px;

        }

        .form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{

            color:#555555;

        }

     

    </style>

     

    <link type="text/css" rel="stylesheet" target="_blank" href="https://jotformeu.com/css/styles/buttons/form-submit-button-simple_green_apple.css?3.1.1194" rel="nofollow noopener"/>

    <form class="jotform-form" action="https://submit.jotformeu.com/submit/23413540214339/" method="post" name="form_23413540214339" id="23413540214339" accept-charset="utf-8">

      <input type="hidden" name="formID" value="23413540214339" />

      <div class="form-all">

        <ul class="form-section">

          <li class="form-line" id="id_1">

            <label class="form-label-left" id="label_1" for="input_1">

              E-mail<span class="form-required">*</span>

            </label>

            <div id="cid_1" class="form-input">

              <input type="email" class="form-textbox validate[required, Email]" id="input_1" name="q1_email1" size="30" />

            </div>

          </li>

          <li class="form-line" id="id_3">

            <label class="form-label-left" id="label_3" for="input_3">

              Nombre<span class="form-required">*</span>

            </label>

            <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_nombre[first]" id="first_3" />

                <label class="form-sub-label" for="first_3" id="sublabel_first"> Nombre </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_nombre[last]" id="last_3" />

                <label class="form-sub-label" for="last_3" id="sublabel_last"> Apellidos </label></span>

            </div>

          </li>

          <li class="form-line" id="id_4">

            <label class="form-label-left" id="label_4" for="input_4"> Teléfono </label>

            <div id="cid_4" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q4_telefono[area]" id="input_4_area" size="3">

                -

                <label class="form-sub-label" for="input_4_area" id="sublabel_area"> Cod Area </label></span><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q4_telefono[phone]" id="input_4_phone" size="8">

                <label class="form-sub-label" for="input_4_phone" id="sublabel_phone"> Número de Teléfono </label></span>

            </div>

          </li>

          <li class="form-line" id="id_7">

            <label class="form-label-left" id="label_7" for="input_7"> Pais </label>

            <div id="cid_7" class="form-input">

              <input type="text" class="form-textbox" id="input_7" name="q7_pais" size="20" />

            </div>

          </li>

          <li class="form-line" id="id_9">

            <label class="form-label-left" id="label_9" for="input_9">

              Introduzca el código tal como se muestra<span class="form-required">*</span>

            </label>

            <div id="cid_9" class="form-input">

              <div class="form-captcha">

                <label for="input_9"> <img alt="Captcha - Reload if it's not displayed" id="input_9_captcha" class="form-captcha-image" style="background:url(https://jotformeu.com/images/loader-big.gif) no-repeat center;" src="https://jotformeu.com/images/blank.gif" width="150" height="41" /> </label>

                <div style="white-space:nowrap;">

                  <input type="text" id="input_9" class="form-textbox validate[required]" name="captcha" style="width:130px;" />

                  <img src="https://jotformeu.com/images/reload.png" alt="Reload" align="absmiddle" style="cursor:pointer" onclick="JotForm.reloadCaptcha('input_9');" />

                  <input type="hidden" name="captcha_id" id="input_9_captcha_id" value="0" />

                </div>

              </div>

            </div>

          </li>

          <li class="form-line" id="id_8">

            <div id="cid_8" class="form-input-wide">

              <div style="margin-left:156px" class="form-buttons-wrapper">

                <button id="input_8" type="submit" class="form-submit-button form-submit-button-simple_green_apple">

                  Send

                </button>

                &nbsp;

                <button id="input_reset_8" type="reset" class="form-submit-reset form-submit-button-simple_green_apple">

                  Clear Form

                </button>

              </div>

            </div>

          </li>

          <li style="display:none">

            Should be Empty:

            <input type="text" name="website" value="" />

          </li>

        </ul>

      </div>

      <input type="hidden" id="simple_spc" name="simple_spc" value="23413540214339" />

      <script type="text/javascript">

      document.getElementById("si" + "mple" + "_spc").value = "23413540214339-23413540214339";

      </script>

    </form>

    Page URL:
    www.greenseabiosystem.com

  • Profile Image
    JotForm Support

    Answered by EduardoMendez on December 26, 2012 at 11:02 AM

    Hi there, 

    Can you please further explain the situation?

    We'll be glad to assist you!