<style><!-- [et_pb_line_break_holder] -->#contactoKabla{ display:none; }<!-- [et_pb_line_break_holder] -->#form .mr-5{ margin-right: 10px;}<!-- [et_pb_line_break_holder] -->#form .mb-5{ margin-bottom:10px;}<!-- [et_pb_line_break_holder] -->#form input {<!-- [et_pb_line_break_holder] --> width: 48%;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border-width: 0;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;<!-- [et_pb_line_break_holder] --> -webkit-appearance: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#form button{ <!-- [et_pb_line_break_holder] --> cursor:pointer;<!-- [et_pb_line_break_holder] --> color: #000000 !important;<!-- [et_pb_line_break_holder] --> padding: .5em 1em;<!-- [et_pb_line_break_holder] --> border-width: 1px!important;<!-- [et_pb_line_break_holder] --> border-color: #ff8000;<!-- [et_pb_line_break_holder] --> border-radius: 0px;<!-- [et_pb_line_break_holder] --> font-size: 16px;<!-- [et_pb_line_break_holder] --> float: right;<!-- [et_pb_line_break_holder] --> font-weight: 300!important;<!-- [et_pb_line_break_holder] --> background-color: initial;<!-- [et_pb_line_break_holder] --> transition: all .2s;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#form button:hover{<!-- [et_pb_line_break_holder] --> padding: .5em 2em .5em .7em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#form button:hover:after{<!-- [et_pb_line_break_holder] --> opacity:1;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#form button:after{<!-- [et_pb_line_break_holder] --> position: absolute;<!-- [et_pb_line_break_holder] --> margin-left: 9px;<!-- [et_pb_line_break_holder] --> opacity: 0;<!-- [et_pb_line_break_holder] --> text-shadow: none;<!-- [et_pb_line_break_holder] --> font-size: 23px;<!-- [et_pb_line_break_holder] --> font-weight: 400;<!-- [et_pb_line_break_holder] --> font-style: normal;<!-- [et_pb_line_break_holder] --> font-variant: none;<!-- [et_pb_line_break_holder] --> line-height: 1em;<!-- [et_pb_line_break_holder] --> text-transform: none;<!-- [et_pb_line_break_holder] --> content: ">";<!-- [et_pb_line_break_holder] --> -webkit-transition: all .2s;<!-- [et_pb_line_break_holder] --> -moz-transition: all .2s;<!-- [et_pb_line_break_holder] --> transition: all .2s;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#form textarea{<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> margin:11px 0;<!-- [et_pb_line_break_holder] --> padding: 16px;<!-- [et_pb_line_break_holder] --> border-width: 0;<!-- [et_pb_line_break_holder] --> -webkit-border-radius: 0;<!-- [et_pb_line_break_holder] --> -moz-border-radius: 0;<!-- [et_pb_line_break_holder] --> border-radius: 0;<!-- [et_pb_line_break_holder] --> color: #999;<!-- [et_pb_line_break_holder] --> background-color: #eee;<!-- [et_pb_line_break_holder] --> font-size: 14px;<!-- [et_pb_line_break_holder] --> -webkit-appearance: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->@media (max-width: 575px) {<!-- [et_pb_line_break_holder] --> #form input { margin-right: 0px !important; margin-bottom: 10px !important; width: 100% !important;}<!-- [et_pb_line_break_holder] --> #form textarea { margin: 0px !important; }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads3903910000001528001 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatory3903910000001528001()' accept-charset='UTF-8' id='form'><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><input type='text' style='display:none;' name='xnQsjsdp' value='cde74fc901373651a9f8caa2f9d06aea1919247f6115531bbb1394a7ade5ffba'></input> <!-- [et_pb_line_break_holder] --> <input type='hidden' name='zc_gad' id='zc_gad' value=''></input> <!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='xmIwtLD' value='a4cbd2d145cf4ccdf72d875723b1b99ef31d66378a298b2e53023d10230006ce'></input> <!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='></input><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' name='returnURL' value='https://consumer.kabla.mx/gracias/' > </input><!-- If GCLID is enabled in Zoho CRM Integration, click details of AdWords Ads will be pushed to Zoho CRM --><!-- [et_pb_line_break_holder] --> <input type='text' style='display:none;' id='ldeskuid' name='ldeskuid'></input><!-- [et_pb_line_break_holder] --><input type='text' style='display:none;' id='LDTuvid' name='LDTuvid'></input><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!--Name--><!-- [et_pb_line_break_holder] --><input class="mr-5 mb-5" type="text" maxlength="255" name="First Name" fieldType=7 placeholder="*Nombre" required=""/><!-- [et_pb_line_break_holder] --><input type="text" maxlength="255" name="Last Name" fieldType=7 placeholder="Apellidos" required=""/><br/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!--Phone--><!-- [et_pb_line_break_holder] --><input class="mr-5 mb-5" type="text" compname="PhoneNumber" name="Phone" phoneFormat="1" isCountryCodeEnabled=false maxlength="20" value="" fieldType=11 id="international_PhoneNumber_countrycode" placeholder="Teléfono" required="" /><!-- [et_pb_line_break_holder] --><!--Email--><!-- [et_pb_line_break_holder] --><input type="text" maxlength="255" name="Email" value="" fieldType=9 placeholder="Dirección de correo electrónico" required=""/><!-- [et_pb_line_break_holder] --><!--Single Line--><!-- [et_pb_line_break_holder] --><input class="mr-5" type="text" name="City" value="" fieldType=1 maxlength="255" placeholder="*Ciudad" required="" /><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!--Multi Line--><!-- [et_pb_line_break_holder] --><textarea name="Description" maxlength="65535" rows="4" cols="50" placeholder="Mensaje"></textarea><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!--Single Line--><!-- [et_pb_line_break_holder] --><input class="mr-5" type='text' maxlength='10' name='enterdigest' placeholder="Ingresa el captcha" required=""/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><img id='imgid' src='https://crm.zoho.com/crm/CaptchaServlet?formId=a4cbd2d145cf4ccdf72d875723b1b99ef31d66378a298b2e53023d10230006ce&grpid=cde74fc901373651a9f8caa2f9d06aea1919247f6115531bbb1394a7ade5ffba' style="vertical-align: middle;height: 50px;"><!-- [et_pb_line_break_holder] --><a href='javascript:;' onclick='reloadImg()'>Recargar</a><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><br/><!-- [et_pb_line_break_holder] --><br/><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><div style="display: none";><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='Lead Status'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option selected value='No contactado'>No contactado</option><!-- [et_pb_line_break_holder] --> <option value='Contactado'>Contactado</option><!-- [et_pb_line_break_holder] --> <option value='Precalifcado'>Precalifcado</option><!-- [et_pb_line_break_holder] --> <option value='Calificado'>Calificado</option><!-- [et_pb_line_break_holder] --> <option value='Cita Agendada'>Cita Agendada</option><!-- [et_pb_line_break_holder] --> <option value='Cita Confirmada'>Cita Confirmada</option><!-- [et_pb_line_break_holder] --> <option value='Posible cliente perdido'>Posible cliente perdido</option><!-- [et_pb_line_break_holder] --> <option value='Intento de contacto 1'>Intento de contacto 1</option><!-- [et_pb_line_break_holder] --> <option value='Intento de contacto 2'>Intento de contacto 2</option><!-- [et_pb_line_break_holder] --> <option value='Intento de contacto 3'>Intento de contacto 3</option><!-- [et_pb_line_break_holder] --> <option value='Intento de contacto 4'>Intento de contacto 4</option><!-- [et_pb_line_break_holder] --> <option value='Contactar en Futuro'>Contactar en Futuro</option><!-- [et_pb_line_break_holder] --> <option value='Basura'>Basura</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='Lead Source'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option selected value='Adwords'>Adwords</option><!-- [et_pb_line_break_holder] --> <option value='Llamada'>Llamada</option><!-- [et_pb_line_break_holder] --> <option value='Excliente'>Excliente</option><!-- [et_pb_line_break_holder] --> <option value='Facebook'>Facebook</option><!-- [et_pb_line_break_holder] --> <option value='Partners'>Partners</option><!-- [et_pb_line_break_holder] --> <option value='Prospección'>Prospección</option><!-- [et_pb_line_break_holder] --> <option value='Referido'>Referido</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <select style='width:250px;' name='LEADCF3'><!-- [et_pb_line_break_holder] --> <option value='-None-'>-None-</option><!-- [et_pb_line_break_holder] --> <option value='Alcoholimetría'>Alcoholimetría</option><!-- [et_pb_line_break_holder] --> <option selected value='Consumer'>Consumer</option><!-- [et_pb_line_break_holder] --> <option value='EclipseA1C'>EclipseA1C</option><!-- [et_pb_line_break_holder] --> <option value='Electrolitos'>Electrolitos</option><!-- [et_pb_line_break_holder] --> <option value='Elisa'>Elisa</option><!-- [et_pb_line_break_holder] --> <option value='Enfermedades Infecciosas (gastricas)'>Enfermedades Infecciosas (gastricas)</option><!-- [et_pb_line_break_holder] --> <option value='Enfermedades Infecciosas (respiratorias)'>Enfermedades Infecciosas (respiratorias)</option><!-- [et_pb_line_break_holder] --> <option value='Enfermedades Infecciosas (serología)'>Enfermedades Infecciosas (serología)</option><!-- [et_pb_line_break_holder] --> <option value='Equipos de Gabinete'>Equipos de Gabinete</option><!-- [et_pb_line_break_holder] --> <option value='Equipos Portátiles'>Equipos Portátiles</option><!-- [et_pb_line_break_holder] --> <option value='Fertilidad'>Fertilidad</option><!-- [et_pb_line_break_holder] --> <option value='Fluorescencia'>Fluorescencia</option><!-- [et_pb_line_break_holder] --> <option value='Gasometría'>Gasometría</option><!-- [et_pb_line_break_holder] --> <option value='HDA'>HDA</option><!-- [et_pb_line_break_holder] --> <option value='Hematología'>Hematología</option><!-- [et_pb_line_break_holder] --> <option value='Humasis'>Humasis</option><!-- [et_pb_line_break_holder] --> <option value='Labware'>Labware</option><!-- [et_pb_line_break_holder] --> <option value='Marcadores Cardiacos'>Marcadores Cardiacos</option><!-- [et_pb_line_break_holder] --> <option value='Marcadores Tumorales'>Marcadores Tumorales</option><!-- [et_pb_line_break_holder] --> <option value='Nefelometría'>Nefelometría</option><!-- [et_pb_line_break_holder] --> <option value='Otros Productos'>Otros Productos</option><!-- [et_pb_line_break_holder] --> <option value='Point of Care'>Point of Care</option><!-- [et_pb_line_break_holder] --> <option value='Prueba de alcohol'>Prueba de alcohol</option><!-- [et_pb_line_break_holder] --> <option value='Prueba de drogas'>Prueba de drogas</option><!-- [et_pb_line_break_holder] --> <option value='Pruebas rápidas'>Pruebas rápidas</option><!-- [et_pb_line_break_holder] --> <option value='Química Sanguínea'>Química Sanguínea</option><!-- [et_pb_line_break_holder] --> <option value='Prueba Chikungunya'>Prueba Chikungunya</option><!-- [et_pb_line_break_holder] --> <option value='Quimiluminiscencia'>Quimiluminiscencia</option><!-- [et_pb_line_break_holder] --> <option value='Ramp'>Ramp</option><!-- [et_pb_line_break_holder] --> <option value='Refacciones'>Refacciones</option><!-- [et_pb_line_break_holder] --> <option value='RT-PCR'>RT-PCR</option><!-- [et_pb_line_break_holder] --> <option value='Uroanálisis'>Uroanálisis</option><!-- [et_pb_line_break_holder] --> <option value='Veterinaria'>Veterinaria</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><button type="submit">Enviar</button><!-- [et_pb_line_break_holder] --><script><!-- [et_pb_line_break_holder] --> var mndFileds=new Array('Last Name');<!-- [et_pb_line_break_holder] --> var fldLangVal=new Array('Apellidos'); <!-- [et_pb_line_break_holder] --> var name='';<!-- [et_pb_line_break_holder] --> var email='';<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> function reloadImg() {<!-- [et_pb_line_break_holder] --> if(document.getElementById('imgid').src.indexOf('&d') !== -1 ) {<!-- [et_pb_line_break_holder] --> document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();<!-- [et_pb_line_break_holder] --> } else {<!-- [et_pb_line_break_holder] --> document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime();<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> function checkMandatory3903910000001528001() {<!-- [et_pb_line_break_holder] --> for(i=0;i<mndFileds.length;i++) {<!-- [et_pb_line_break_holder] --> var fieldObj=document.forms['WebToLeads3903910000001528001'][mndFileds[i]];<!-- [et_pb_line_break_holder] --> if(fieldObj) {<!-- [et_pb_line_break_holder] --> if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) {<!-- [et_pb_line_break_holder] --> if(fieldObj.type =='file')<!-- [et_pb_line_break_holder] --> { <!-- [et_pb_line_break_holder] --> alert('Seleccione un archivo para cargar.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus(); <!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' no puede estar vacío.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } else if(fieldObj.nodeName=='SELECT') {<!-- [et_pb_line_break_holder] --> if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') {<!-- [et_pb_line_break_holder] --> alert(fldLangVal[i] +' no puede ser nulo.'); <!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } else if(fieldObj.type =='checkbox'){<!-- [et_pb_line_break_holder] --> if(fieldObj.checked == false){<!-- [et_pb_line_break_holder] --> alert('Please accept '+fldLangVal[i]);<!-- [et_pb_line_break_holder] --> fieldObj.focus();<!-- [et_pb_line_break_holder] --> return false;<!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> } <!-- [et_pb_line_break_holder] --> try {<!-- [et_pb_line_break_holder] --> if(fieldObj.name == 'Last Name') {<!-- [et_pb_line_break_holder] --> name = fieldObj.value;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> } catch (e) {}<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> document.getElementById('formsubmit').disabled=true;<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> var url = new URL(window.location.href);<!-- [et_pb_line_break_holder] --> var source = url.searchParams.get('fuente'); <!-- [et_pb_line_break_holder] --> if(source) {<!-- [et_pb_line_break_holder] --> jQuery('select[name="Lead Source"]').val(source); <!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --></script><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><!-- Do not remove this code. --> <!-- [et_pb_line_break_holder] --><iframe name='captchaFrame' style='display:none;'></iframe>