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<div id="wf-form-container-273"></div><script> (function(){ var container = document.createElement("div"); container.className = "container"; container.style.maxWidth = "500px"; container.style.display="none"; var css = ["https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/4.0.0-beta.3/css/bootstrap.min.css", "https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.css", "https://use.fontawesome.com/releases/v5.0.13/css/all.css", "https://css.affiliatenetwork.link/manager/SBAdmin/css/form.css", "https://css.affiliatenetwork.link/manager/SBAdmin/css/lightbox.min.css" ]; css.forEach(function(url){ var link = document.createElement('link'); link.rel="stylesheet"; link.href=url; document.head.appendChild(link); }); var html = '<center><h3 class="title">COMPILA IL MODULO</h3></center>'; html += '<form method="post" accept-charset="utf-8" role="form" id="wf_form_80906" action="/manager/inventory/get_form/htf_bluebull_2x1/273?ref=9b7da66eb5bb&amp;small=1"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>'; html += '<input type="hidden" name="fingerprint" id="fingerprint" value="">'; html += '<input type="hidden" name="aff_sub1" value="STREAMING">'; html += '<input type="hidden" name="source_id" id="source_id" value="9b7da66eb5bb"><input type="hidden" name="city" value="-"><input type="hidden" name="zipcode" value="00000"><input type="hidden" name="notes" value=" "><div class="form-group"><label>Nome e Cognome</label><input type="text" name="name" class="form-control" placeholder="Inserisci Nome e Cognome" required="required"/></div><div class="form-group"><label>Telefono (Meglio Cellulare)</label><input type="text" name="phone" class="form-control" placeholder="Inserisci il tuo numero di telefono" required="required" value=""/></div><div class="form-group"><label>Indirizzo e n. civico</label><input type="text" name="address" class="form-control" placeholder="ES. Via Aldo moro, 130" required="required" value=""/></div><div class="form-row offer-selection" data-images=\'[]\' data-default-img=\'https://manager-uploads.s3.eu-central-1.amazonaws.com/upload/products/image/2891_76cec99537370e0e302c0304cc45f2d4_1700654386.png\'><div class="col-auto text-center d-flex align-items-center" data-toggle="lightbox"><img data-jslghtbx style="max-width:100%;max-height:80px;" src="https://manager-uploads.s3.eu-central-1.amazonaws.com/upload/products/image/2891_76cec99537370e0e302c0304cc45f2d4_1700654386.png"></div><div class="form-group col text-center"><span>Offerta attiva:</span><h5>2 Bluebull 59.99 €</h5><select name="quantity" class="d-none" required="required"><option value="2">2 Bluebull 59.99 €</option></select></div></div>'; html += '<center><div id="info-privacy"><small>Cliccando "Completa l\'acquisto" confermi di aver preso visione <a href="/landing/privacy.html" target="_blank">dell\'informativa sulla privacy</a>.</small></div><button id="submit-button" class="btn btn-lg btn-warning new-sbm-btn" type="submit">Completa l\'acquisto</button></center>'; 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