{"id":71,"date":"2020-06-27T23:37:57","date_gmt":"2020-06-27T23:37:57","guid":{"rendered":"https:\/\/grupodrosur.com\/?page_id=71"},"modified":"2020-11-18T20:54:18","modified_gmt":"2020-11-18T20:54:18","slug":"ingresar","status":"publish","type":"page","link":"https:\/\/grupodrosur.com\/index.php\/ingresar\/","title":{"rendered":"Registrate"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; next_background_color=&#8221;#e8e1ed&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;3.22&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(255,255,255,0)&#8221; background_color_gradient_end=&#8221;rgba(1,77,183,0.9)&#8221; background_color_gradient_type=&#8221;radial&#8221; background_color_gradient_direction_radial=&#8221;top right&#8221; background_color_gradient_start_position=&#8221;20%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_image=&#8221;https:\/\/grupodrosur.com\/wp-content\/uploads\/2020\/06\/pharmacy-24.jpg&#8221; custom_padding=&#8221;25px|0px|53px|0px|false|false&#8221; custom_padding_tablet=&#8221;50px||50px||true&#8221; custom_padding_phone=&#8221;|||&#8221; bottom_divider_style=&#8221;asymmetric&#8221; bottom_divider_height=&#8221;50px&#8221; bottom_divider_flip=&#8221;horizontal&#8221; bottom_divider_height_tablet=&#8221;90px&#8221; bottom_divider_height_phone=&#8221;80px&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_width_px=&#8221;1280px&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.4.8&#8243; text_font=&#8221;Montserrat||||||||&#8221; text_text_color=&#8221;rgba(255,255,255,0.7)&#8221; text_font_size=&#8221;20px&#8221; text_line_height=&#8221;1.8em&#8221; header_font=&#8221;Montserrat|700|||||||&#8221; header_font_size=&#8221;44px&#8221; header_line_height=&#8221;1.4em&#8221; header_6_font=&#8221;Montserrat|600||on|||||&#8221; header_6_text_color=&#8221;rgba(255,255,255,0.7)&#8221; header_6_font_size=&#8221;16px&#8221; header_6_letter_spacing=&#8221;2px&#8221; header_6_line_height=&#8221;1.5em&#8221; background_layout=&#8221;dark&#8221; max_width=&#8221;780px&#8221; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;15px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;28px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221;]<\/p>\n<h1>Reg\u00edstrate<\/h1>\n<p>Solo a un paso de convertirte en cliente premium<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Services&#8221; _builder_version=&#8221;4.4.8&#8243; background_color=&#8221;#e8e1ed&#8221; background_enable_image=&#8221;off&#8221; custom_padding=&#8221;54px|0px|0|0px|false|false&#8221;][et_pb_row _builder_version=&#8221;4.4.8&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.4.8&#8243;][et_pb_text _builder_version=&#8221;4.4.8&#8243; text_font=&#8221;|700|||||||&#8221; text_font_size=&#8221;28px&#8221; text_orientation=&#8221;center&#8221;]<\/p>\n<p>Datos de la Empresa<\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.4.8&#8243; hover_enabled=&#8221;0&#8243;]<\/p>\n<form id=\"form-preclient\" ><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\t<\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->   \t\t <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->       <input id=\"business_name\" class=\"preclient\" style=\"width: 100%;padding: 12px 20px;border:none\" required type=\"text\" placeholder=\"Raz\u00f3n Social\" \/> <!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"col-4 col-xs-12 col-sm-12 col-md-12 col-xl-2 col-lg-2\" ><!-- [et_pb_line_break_holder] -->\t\t\t\t <\/p>\n<div class=\" my-3\"><!-- [et_pb_line_break_holder] -->      <select id=\"deno\" class=\"preclient\" style=\"width: 100%;\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><option value=\"J\">J<\/option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><option value=\"V\">V<\/option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><option value=\"G\">G<\/option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><option value=\"O\">O<\/option><!-- [et_pb_line_break_holder] --><option value=\"E\">E<\/option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->      <\/select><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"col-8 col-xs-12 col-sm-12 col-md-12 col-xl-4 col-lg-4\"><!-- [et_pb_line_break_holder] -->       <\/p>\n<div class=\" my-3\"><!-- [et_pb_line_break_holder] -->     <input id=\"rif\" class=\"preclient\" class=\"preclient\" style=\"width: 100%;padding: 12px 20px;border:none\" required=\"required\" type=\"text\" placeholder=\"RIF\" \/><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-6 col-xs-6 col-sm-6 col-md-6 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->  <label>Agente de Retenci\u00f3n<\/label><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"radio\"><!-- [et_pb_line_break_holder] -->  \t<label><input id=\"si\" name=\"agentret\" type=\"radio\" value=\"true\" \/>SI<\/label><!-- [et_pb_line_break_holder] -->\t<\/div>\n<p><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"radio\"><!-- [et_pb_line_break_holder] -->  \t<label><input id=\"no\" checked=\"checked\" name=\"agentret\" type=\"radio\" value=\"false\" \/>NO<\/label><!-- [et_pb_line_break_holder] -->\t<\/div>\n<p> <!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-6 col-xs-6 col-sm-6 col-md-6 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->  <label>Tipo de Empresa<\/label><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"radio\"><!-- [et_pb_line_break_holder] -->  \t<label><input id=\"farmacia\" checked=\"checked\" name=\"tipoempresa\" type=\"radio\" value=\"1\" \/>Farmacia<\/label><!-- [et_pb_line_break_holder] -->\t<\/div>\n<p><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"radio\"><!-- [et_pb_line_break_holder] -->  \t<label><input id=\"drogueria\"  name=\"tipoempresa\" type=\"radio\" value=\"2\" \/>Droguer\u00eda<\/label><!-- [et_pb_line_break_holder] -->\t<\/div>\n<p> <!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] --> <input id=\"email\" class=\"preclient\" style=\"width: 100%;padding: 12px 20px;border:none\" required type=\"email\" placeholder=\"Email\" \/><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6 \"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] --> <input id=\"telephone\" class=\"preclient\" style=\"width: 100%;padding: 12px 20px;border:none\" required type=\"text\" placeholder=\"Tel\u00e9fono\" \/><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-12 col-lg-12\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->    <!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] --> <textarea id=\"address\" class=\"preclient\" style=\"width: 100%;padding: 12px 20px;\" cols=\"1\" rows=\"1\" placeholder=\"Direcci\u00f3n\"><\/textarea><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->    <select id=\"state_id\"  required=\"\" class=\"preclient\" style=\"width: 100%;\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\t\t<\/select><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->   <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] --><select id=\"city_id\"  required=\"\" class=\"preclient\" style=\"width: 100%;\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/select><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p>[\/et_pb_code][et_pb_text _builder_version=&#8221;4.4.8&#8243; text_font=&#8221;|700|||||||&#8221; text_font_size=&#8221;27px&#8221; text_orientation=&#8221;center&#8221;]<\/p>\n<p>Datos del Representante<\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.4.8&#8243; hover_enabled=&#8221;0&#8243;]<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-3 col-lg-3\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->     <input id=\"nombre\" class=\"preclient\" style=\"width: 100%; border: none;padding: 12px 20px;\" required=\"\" type=\"text\" placeholder=\"Nombres\" \/> <!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-6 col-xl-3 col-lg-3\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] --> <input id=\"apellido\" class=\"preclient\" style=\"width: 100%; border: none;padding: 12px 20px;\" required type=\"text\" placeholder=\"Apellidos\" \/> <!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"col-4 col-xs-12 col-sm-12 col-md-12 col-xl-2 col-lg-2\" ><!-- [et_pb_line_break_holder] -->\t\t\t\t <\/p>\n<div class=\" my-3\"><!-- [et_pb_line_break_holder] -->      <select id=\"deno1\" class=\"preclient\" style=\"width: 100%;\"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><option value=\"V\">V<\/option><!-- [et_pb_line_break_holder] --><option value=\"E\">E<\/option><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->      <\/select><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-8 col-xs-9 col-sm-9 col-md-9 col-xl-4 col-lg-4\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->    <input id=\"cedula\" class=\"preclient\" style=\"width: 100%; border: none;padding: 12px 20px;\" required=\"required\" type=\"text\" placeholder=\"C\u00e9dula\" \/><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6\"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->     <input id=\"correo\" class=\"preclient\" style=\"border:none;padding: 12px 20px;\" required=\"\" type=\"email\" placeholder=\"Email\" \/><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-6 col-lg-6 \"><!-- [et_pb_line_break_holder] -->  <\/p>\n<div class=\"my-3\"><!-- [et_pb_line_break_holder] -->    <input id=\"telefono\" class=\"preclient \" style=\"border:none;width:100%;padding: 12px 20px;\" required=\"\" type=\"text\" placeholder=\"Tel\u00e9fono\" \/><!-- [et_pb_line_break_holder] -->  <\/div>\n<p> <!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row \"><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"col-12 col-xs-12 col-sm-12 col-md-12 col-xl-3 col-lg-3\"><!-- [et_pb_line_break_holder] --> <button class=\"boton_personalizado \" type=\"submit\" id=\"submit-test-form\" value=\"Submit\"><\/p>\n<div style=\"display:none;\" id=\"imgs\"><!-- [et_pb_line_break_holder] -->   <img src=\"https:\/\/grupodrosur.com\/wp-content\/uploads\/2020\/09\/Cargando.gif\" alt=\"loading\" width=\"40px\"  height=\"40px\"\/><!-- [et_pb_line_break_holder] -->   <\/div>\n<p>Enviar<\/button><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/p>\n<div class=\"row field-wrapper \"><!-- [et_pb_line_break_holder] -->    <\/p>\n<div id=\"google_recaptcha\" style=\"margin-left:14px\"><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/form>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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