{"id":6434,"date":"2022-11-02T12:44:36","date_gmt":"2022-11-02T11:44:36","guid":{"rendered":"https:\/\/blog.verdnatura.es\/registre-form\/"},"modified":"2023-04-24T23:53:55","modified_gmt":"2023-04-24T21:53:55","slug":"register-form","status":"publish","type":"page","link":"https:\/\/verdnatura.es\/ca\/register-form\/","title":{"rendered":"Registre Form"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:1.5%;--awb-padding-bottom:1%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:#1a1a1a;--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.2;\"><h3><span style=\"color: #1a1a1a;\">Formulari Alta de Clients<\/span><\/h3><\/h3><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:4%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1352px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-row\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-6447\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"6447\" data-config=\"{&quot;form_id&quot;:6447,&quot;form_post_id&quot;:6447,&quot;post_id&quot;:6434,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;redirect&quot;,&quot;redirect_url&quot;:&quot;https:\\\/\\\/verdnatura.es\\\/ca\\\/confirmacio-registre\\\/&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;como_nos_has_conocido&quot;:&quot;Com ens has conegut?&quot;,&quot;tipo_de_negocio&quot;:&quot;Tipus de negoci&quot;,&quot;nombre_negocio&quot;:&quot;Nom comercial&quot;,&quot;razon_social&quot;:&quot;Ra\\u00f3 social&quot;,&quot;nif_cif&quot;:&quot;NIF \\\/ CIF&quot;,&quot;recargo_equivalencia&quot;:&quot;Rec\\u00e0rrec d\\u2019equival\\u00e8ncia&quot;,&quot;cargar_copia&quot;:&quot;Carregar c\\u00f2pia Model 037 \\u00f3 037&quot;,&quot;direcci\\u00f3n&quot;:&quot;Adre\\u00e7a&quot;,&quot;direcci\\u00f3_detalles&quot;:&quot;Detalls&quot;,&quot;localidad&quot;:&quot;Localitat&quot;,&quot;codigo_postal&quot;:&quot;Codi Postal&quot;,&quot;provincia&quot;:&quot;Prov\\u00edncia&quot;,&quot;pais&quot;:&quot;Pa\\u00eds&quot;,&quot;movil&quot;:&quot;Tel\\u00e8fon m\\u00f2bil&quot;,&quot;telefono&quot;:&quot;Tel\\u00e8fon&quot;,&quot;email_address&quot;:&quot;Correu electr\\u00f2nic&quot;,&quot;nombre_persona_de_contacto&quot;:&quot;Nom de la persona de contacte&quot;,&quot;observaciones&quot;:&quot;Observacions&quot;,&quot;direcci\\u00f3n2&quot;:&quot;Adre\\u00e7a&quot;,&quot;direcci\\u00f3_detalles2&quot;:&quot;Detalls&quot;,&quot;localidad2&quot;:&quot;Localitat&quot;,&quot;codigo_postal2&quot;:&quot;Codi Postal&quot;,&quot;provincia2&quot;:&quot;Prov\\u00edncia&quot;,&quot;pais2&quot;:&quot;Pa\\u00eds&quot;,&quot;movil2&quot;:&quot;Tel\\u00e8fon m\\u00f2bil&quot;,&quot;telefono2&quot;:&quot;Tel\\u00e8fon&quot;,&quot;email_address2&quot;:&quot;Correu electr\\u00f2nic&quot;,&quot;nombre_persona_de_contacto2&quot;:&quot;Nom de la persona de contacte&quot;,&quot;observaciones2&quot;:&quot;Observacions&quot;,&quot;&quot;:&quot;&quot;},&quot;field_logics&quot;:{&quot;como_nos_has_conocido&quot;:&quot;&quot;,&quot;tipo_de_negocio&quot;:&quot;&quot;,&quot;nombre_negocio&quot;:&quot;&quot;,&quot;razon_social&quot;:&quot;&quot;,&quot;nif_cif&quot;:&quot;&quot;,&quot;recargo_equivalencia&quot;:&quot;&quot;,&quot;cargar_copia&quot;:&quot;&quot;,&quot;direcci\\u00f3n&quot;:&quot;&quot;,&quot;direcci\\u00f3_detalles&quot;:&quot;&quot;,&quot;localidad&quot;:&quot;&quot;,&quot;codigo_postal&quot;:&quot;&quot;,&quot;provincia&quot;:&quot;&quot;,&quot;pais&quot;:&quot;&quot;,&quot;movil&quot;:&quot;&quot;,&quot;telefono&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;nombre_persona_de_contacto&quot;:&quot;&quot;,&quot;observaciones&quot;:&quot;&quot;,&quot;direcci\\u00f3n2&quot;:&quot;&quot;,&quot;direcci\\u00f3_detalles2&quot;:&quot;&quot;,&quot;localidad2&quot;:&quot;&quot;,&quot;codigo_postal2&quot;:&quot;&quot;,&quot;provincia2&quot;:&quot;&quot;,&quot;pais2&quot;:&quot;&quot;,&quot;movil2&quot;:&quot;&quot;,&quot;telefono2&quot;:&quot;&quot;,&quot;email_address2&quot;:&quot;&quot;,&quot;nombre_persona_de_contacto2&quot;:&quot;&quot;,&quot;observaciones2&quot;:&quot;&quot;,&quot;&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;como_nos_has_conocido&quot;:&quot;select&quot;,&quot;tipo_de_negocio&quot;:&quot;select&quot;,&quot;nombre_negocio&quot;:&quot;text&quot;,&quot;razon_social&quot;:&quot;text&quot;,&quot;nif_cif&quot;:&quot;text&quot;,&quot;recargo_equivalencia&quot;:&quot;select&quot;,&quot;cargar_copia&quot;:&quot;upload&quot;,&quot;direcci\\u00f3n&quot;:&quot;text&quot;,&quot;direcci\\u00f3_detalles&quot;:&quot;text&quot;,&quot;localidad&quot;:&quot;text&quot;,&quot;codigo_postal&quot;:&quot;text&quot;,&quot;provincia&quot;:&quot;text&quot;,&quot;pais&quot;:&quot;text&quot;,&quot;movil&quot;:&quot;phone_number&quot;,&quot;telefono&quot;:&quot;phone_number&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;nombre_persona_de_contacto&quot;:&quot;text&quot;,&quot;observaciones&quot;:&quot;textarea&quot;,&quot;direcci\\u00f3n2&quot;:&quot;text&quot;,&quot;direcci\\u00f3_detalles2&quot;:&quot;text&quot;,&quot;localidad2&quot;:&quot;text&quot;,&quot;codigo_postal2&quot;:&quot;text&quot;,&quot;provincia2&quot;:&quot;text&quot;,&quot;pais2&quot;:&quot;text&quot;,&quot;movil2&quot;:&quot;phone_number&quot;,&quot;telefono2&quot;:&quot;phone_number&quot;,&quot;email_address2&quot;:&quot;email&quot;,&quot;nombre_persona_de_contacto2&quot;:&quot;text&quot;,&quot;observaciones2&quot;:&quot;textarea&quot;,&quot;&quot;:&quot;checkbox&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/verdnatura.es\/ca\/register-form\/\" method=\"post\" class=\"fusion-form fusion-form-6447\" enctype=\"multipart\/form-data\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-padding-top:1%;--awb-padding-bottom:2%;--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-five\" style=\"--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h5 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:var(--awb-typography1-line-height);\"><h5><span style=\"color: #1a1a1a;\">INFORMACI\u00d3 PR\u00c8VIA<\/span><\/h5><\/h5><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><label for=\"como_nos_has_conocido\">Com ens has conegut? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"como_nos_has_conocido\" name=\"como_nos_has_conocido\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>Elegir<\/option><option value=\"Cerca al web\" >Cerca al web<\/option><option value=\"Campanyes per e-mail\" >Campanyes per e-mail<\/option><option value=\"Cursos de formaci\u00f3\" >Cursos de formaci\u00f3<\/option><option value=\"Espionatge a un altre florista\" >Espionatge a un altre florista<\/option><option value=\"Fires internacionals\" >Fires internacionals<\/option><option value=\"Furgonetes de Verdnatura\" >Furgonetes de Verdnatura<\/option><option value=\"Iberflora\" >Iberflora<\/option><option value=\"Trucada telef\u00f2nica\" >Trucada telef\u00f2nica<\/option><option value=\"Altres\" >Altres<\/option><option value=\"Publicitat en revista\" >Publicitat en revista<\/option><option value=\"Recomanaci\u00f3 d\u2019un col\u00b7lega\" >Recomanaci\u00f3 d\u2019un col\u00b7lega<\/option><option value=\"Recomanaci\u00f3 d\u2019un prove\u00efdor\" >Recomanaci\u00f3 d\u2019un prove\u00efdor<\/option><option value=\"Xarxa Social Facebook\" >Xarxa Social Facebook<\/option><option value=\"Xarxa Social Instagram\" >Xarxa Social Instagram<\/option><option value=\"Xarxa Social Linkedin\" >Xarxa Social Linkedin<\/option><option value=\"Xarxa Social TikTok\" >Xarxa Social TikTok<\/option><option value=\"Xarxa Social Xiaohongshu\" >Xarxa Social Xiaohongshu<\/option><option value=\"Visita comercial\" >Visita comercial<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><label for=\"tipo_de_negocio\">Tipus de negoci <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"tipo_de_negocio\" name=\"tipo_de_negocio\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>Elegir<\/option><option value=\"Floristeria\" >Floristeria<\/option><option value=\"Decoraci\u00f3\" >Decoraci\u00f3<\/option><option value=\"Esdeveniments\" >Esdeveniments<\/option><option value=\"Funer\u00e0ria\" >Funer\u00e0ria<\/option><option value=\"Garden \/ Viver\" >Garden \/ Viver<\/option><option value=\"Jardineria\" >Jardineria<\/option><option value=\"Majorista\" >Majorista<\/option><option value=\"Centre de formaci\u00f3\" >Centre de formaci\u00f3<\/option><option value=\"Organisme oficial\" >Organisme oficial<\/option><option value=\"Altres\" >Altres<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-five\" style=\"--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h5 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:var(--awb-typography1-line-height);\"><h5><span style=\"color: #1a1a1a;\">DADES DEL SOL\u00b7LICITANT<\/span><\/h5><\/h5><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color4);border-top-width:1px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"nombre_negocio\">Nom comercial <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nombre_negocio\" id=\"nombre_negocio\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Introdueix el nom del negoci *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"razon_social\">Ra\u00f3 social <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-form-tooltip\"><i class=\"awb-icon-question-circle\"><\/i><span class=\"fusion-form-tooltip-content\">Es el nombre con el que registramos oficial y legalmente a una empresa. <\/span><\/div><\/div><input type=\"text\" autocomplete=\"off\" name=\"razon_social\" id=\"razon_social\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Introdueix el nom oficial de l\u2019empresa *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"nif_cif\">NIF \/ CIF <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nif_cif\" id=\"nif_cif\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><label for=\"recargo_equivalencia\">Rec\u00e0rrec d\u2019equival\u00e8ncia<\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"recargo_equivalencia\" name=\"recargo_equivalencia\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>Elegir<\/option><option value=\"S\u00ed\" >S\u00ed<\/option><option value=\"No\" >No<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"--awb-preview-thumb-width:115px;\" data-form-id=\"6447\"><label for=\"cargar_copia\">Carregar c\u00f2pia Model 037 \u00f3 037<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-upload fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"cargar_copia\" name=\"cargar_copia\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Fes click o arrossega el document \" data-size=\"2\" data-single-add-remove=\"no\" data-min-upload-files=\"0\" data-max-upload-files=\"0\" data-uploads-preview=\"filenames\"\/><div class=\"fusion-form-upload-field\"  data-holds-private-data=\"false\"><span class=\"awb-upload-placeholder\" data-default=\"Fes click o arrossega el document\">Fes click o arrossega el document<\/span><div class=\"awb-uploads-preview\"><div class=\"awb-preview-thumbs\"><\/div><\/div><\/div><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-five\" style=\"--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h5 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:var(--awb-typography1-line-height);\"><h5><span style=\"color: #1a1a1a;\">ADRE\u00c7A DE FACTURACI\u00d3<\/span><\/h5><\/h5><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color4);border-top-width:1px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"direcci\u00f3n\">Adre\u00e7a <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"direcci\u00f3n\" id=\"direcci\u00f3n\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Nom del carrer, n\u00famero, porta... *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"direcci\u00f3_detalles\">Detalls<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"direcci\u00f3_detalles\" id=\"direcci\u00f3_detalles\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Si necessites fer algun aclariment \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"localidad\">Localitat <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"localidad\" id=\"localidad\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"codigo_postal\">Codi Postal <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"codigo_postal\" id=\"codigo_postal\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"provincia\">Prov\u00edncia <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"provincia\" id=\"provincia\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"pais\">Pa\u00eds <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"pais\" id=\"pais\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"movil\">Tel\u00e8fon m\u00f2bil <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"movil\" id=\"movil\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-8 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefono\">Tel\u00e8fon<\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"telefono\" id=\"telefono\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Correu electr\u00f2nic <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"nombre_persona_de_contacto\">Nom de la persona de contacte <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nombre_persona_de_contacto\" id=\"nombre_persona_de_contacto\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><label for=\"observaciones\">Observacions<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"observaciones\" name=\"observaciones\" class=\"fusion-form-input\" placeholder=\"Indica aqu\u00ed si vols deixar alguna nota o aclariment. \" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-five\" style=\"--awb-margin-top-small:20px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h5 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:20;--minFontSize:20;line-height:var(--awb-typography1-line-height);\"><h5><span style=\"color: #1a1a1a;\">ADRE\u00c7A D'ENVIAMENT (NOM\u00c9S SI \u00c9S DIFERENTE A LA DE FACTURACI\u00d3)<\/span><\/h5><\/h5><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;border-color:var(--awb-color4);border-top-width:1px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-7 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"direcci\u00f3n2\">Adre\u00e7a<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"direcci\u00f3n2\" id=\"direcci\u00f3n2\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Nom del carrer, n\u00famero, porta... \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"direcci\u00f3_detalles2\">Detalls<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"direcci\u00f3_detalles2\" id=\"direcci\u00f3_detalles2\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Si necessites fer algun aclariment \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-9 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"localidad2\">Localitat<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"localidad2\" id=\"localidad2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-10 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"codigo_postal2\">Codi Postal<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"codigo_postal2\" id=\"codigo_postal2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-11 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"provincia2\">Prov\u00edncia<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"provincia2\" id=\"provincia2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-12 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"pais2\">Pa\u00eds<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"pais2\" id=\"pais2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-22 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:calc( 100% + 22px ) !important;max-width:calc( 100% + 22px ) !important;margin-left: calc(-22px \/ 2 );margin-right: calc(-22px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-13 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"movil2\">Tel\u00e8fon m\u00f2bil<\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"movil2\" id=\"movil2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-14 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefono2\">Tel\u00e8fon<\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"telefono2\" id=\"telefono2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-23 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address2\">Correu electr\u00f2nic<\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_address2\" id=\"email_address2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-24 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:11px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:11px;--awb-width-medium:50%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:11px;--awb-spacing-left-medium:11px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:11px;--awb-spacing-left-small:11px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div class=\"fusion-form-label-wrapper\"><label for=\"nombre_persona_de_contacto2\">Nom de la persona de contacte<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nombre_persona_de_contacto2\" id=\"nombre_persona_de_contacto2\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><label for=\"observaciones2\">Observacions<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"observaciones2\" name=\"observaciones2\" class=\"fusion-form-input\" placeholder=\"Indica aqu\u00ed si vols deixar alguna nota o aclariment. \" data-holds-private-data=\"false\"><\/textarea><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:2%;--awb-padding-bottom:5%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-25 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:;--awb-flex-shrink-medium:;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:;--awb-flex-shrink-small:;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox--1-0\" type=\"checkbox\" value=\"He llegit i accepto la pol\u00edtica de privacitat.\" name=\"[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox--1-0\">He llegit i accepto la pol\u00edtica de privacitat.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t<div\n\t\t\t\t\t\tid=\"g-recaptcha-id-form-6447\"\n\t\t\t\t\t\tclass=\"awb-recaptcha-v2 fusion-form-recaptcha-v2\"\n\t\t\t\t\t\tdata-theme=\"light\"\n\t\t\t\t\t\tdata-sitekey=\"6Ldb5g4TAAAAABYt8q30opgfR2osFHJmB4sZ_mXV\"\n\t\t\t\t\t\tdata-tabindex=\"\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"6447\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-2 fusion-button-default-span  button-default form-form-submit\" style=\"--awb-margin-bottom:3%;\" data-form-number=\"6447\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Enviar<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Ja tenim les teues dades!\nLa teua sol\u00b7licitud ha sigut enviada i ha entrat en fase de validaci\u00f3. Quan siga acceptada (24-48h) un dels nostres comercials et contactar\u00e0 per a informar-te sobre el proc\u00e9s de compra i facilitar-te les teues dades d'acc\u00e9s.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Alguna cosa ha fallat. Per favor, intente-ho m\u00e9s tard.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-6434","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Registre Form - Verdnatura<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/verdnatura.es\/ca\/register-form\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Registre Form - 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