<div class="modal-wrapper">
<div class="error_container" style="display: none">
<ul></ul>
</div>
<form action="/" method="post" id="cf_form" style="display: block;">
<div id="cf-1">
<div class="cf-header" style="display: block;">
<div class="row" style="display: block;">
<h4>Fill out the email contact</h4>
</div>
<div id="cf_errors" class="error alert fields alert-danger" style="display:none;text-align: left;">
Error. Please review the fields. You have to fill all of them.
</div>
<div id="cf_success" class="success alert alert-success" style="display:none;">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
<div class="cf-body" style="display: block;">
<div class="row" style="display: block;">
<div class="form-group col-xs-12 col-md-12">
<input type="email" name="email" id="cf_email" placeholder="EMail"/>
</div>
<div class="form-group col-xs-12 col-md-12">
<textarea class="form-comtrol" id="cf_message" placeholder="Message"></textarea>
</div>
</div>
<div class="form-group">
<input type="checkbox" class="form-control" name="terms" id="cf_terms" value="1"/>
<label class="checkbox-label" for="privacy_policy">To respond to your requests, we need to store and process the information provided, including personal data. Please check the box to give your consent. CELO uses the information you have sent us to contact you and offer you the best experience through content, product information and services. You can unsubscribe from these communications at any time. For more information, please check our <a href='https://www.celofasteners.com/en/content/156-privacy-celo' target='_blank'></a></label>
</div>
</div>
<div class="cf-footer" style="display: block;">
<div class="row">
<div class="col-xs-12 form-submit-btn-wrapper" style="text-align: center">
<span class="btn btn-primary form-submit-btn" onclick="ajax_contact_form_validation_step1();">Ok</span>
</div>
</div>
</div>
</div>
<div id="cf-2" style="display:none">
<div class="cf-header" style="display: block;">
<div class="row" style="display: block;">
<h4>We need a few extra information to attend you properly ...</h4>
</div>
<div id="cf2_errors" class="error alert fields alert-danger" style="display:none;text-align: left;">
Error. Please review the fields. You have to fill all of them.
</div>
<div id="cf2_success" class="success alert alert-success" style="display:none;">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
<div class="cf-body" style="display: block;">
<div class="row">
<div class="form-group col-xs-12 col-md-6">
<input type="text" readonly="readonly" disabled name="cf_email_2" id="cf_email_2" value=""/>
</div>
<div class="form-group col-xs-12 col-md-6">
<input required type="text" name="cf_company" id="cf_company" placeholder="Company"/>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-6">
<input type="text" name="cf_first_name" id="cf_first_name" placeholder="First Name"/>
</div>
<div class="form-group col-xs-12 col-md-6">
<input type="text" name="cf_last_name" id="cf_last_name" placeholder="Last Name"/>
</div>
</div>
<div class="row">
<div class="form-group phone-form-group col-xs-12 col-md-6">
<input required type="text" name="cf_phone" id="cf_phone"/>
<span id="valid-msg" class="phone-msg phone-validation hide">✓ Valid</span>
<span id="error-msg" class="phone-msg phone-validation hide"></span>
</div>
<div class="form-group col-xs-12 col-sm-6">
<select id="cf_country" name="" required="required">
<option disabled="disabled" selected="selected" value="0">Country</option>
<option value="231">Afganistán</option>
<option value="230">Albania</option>
<option value="1">Alemania</option>
<option value="40">Andorra</option>
<option value="41">Angola</option>
<option value="42">Anguila</option>
<option value="232">Antártida</option>
<option value="43">Antigua y Barbuda</option>
<option value="157">Antillas Neerlandesas</option>
<option value="188">Arabia Saudita</option>
<option value="38">Argelia</option>
<option value="44">Argentina</option>
<option value="45">Armenia</option>
<option value="46">Aruba</option>
<option value="24">Australia</option>
<option value="2">Austria</option>
<option value="47">Azerbaiyán</option>
<option value="48">Bahamas</option>
<option value="49">Bahrein</option>
<option value="50">Bangladesh</option>
<option value="51">Barbados</option>
<option value="52">Belarús</option>
<option value="3">Bélgica</option>
<option value="53">Belice</option>
<option value="54">Benin</option>
<option value="55">Bermudas</option>
<option value="56">Bhután</option>
<option value="61">Birmania (Myanmar)</option>
<option value="34">Bolivia</option>
<option value="233">Bosnia y Herzegovina</option>
<option value="57">Botswana</option>
<option value="58">Brasil</option>
<option value="235">British Indian Ocean Territory</option>
<option value="59">Brunei</option>
<option value="236">Bulgaria</option>
<option value="60">Burkina Faso</option>
<option value="62">Burundi</option>
<option value="65">Cabo Verde</option>
<option value="237">Caimán, Islas</option>
<option value="63">Camboya</option>
<option value="64">Camerún</option>
<option value="4">Canadá</option>
<option value="67">Chad</option>
<option value="68">Chile</option>
<option value="5">China</option>
<option value="76">Chipre</option>
<option value="107">Ciudad del Vaticano</option>
<option value="239">Cocos (Keeling), Islas</option>
<option value="69">Colombia</option>
<option value="70">Comoras</option>
<option value="71">Congo, Rep. Dem.</option>
<option value="72">Congo, República</option>
<option value="240">Cook, Islas</option>
<option value="28">Corea del Sur</option>
<option value="32">Costa de Marfil</option>
<option value="73">Costa Rica</option>
<option value="74">Croacia</option>
<option value="75">Cuba</option>
<option value="20">Dinamarca</option>
<option value="77">Djibouti</option>
<option value="78">Dominica</option>
<option value="81">Ecuador</option>
<option value="21">EE.UU.</option>
<option value="82">Egipto</option>
<option value="83">El Salvador</option>
<option value="217">Emiratos ÿrabes Unidos</option>
<option value="85">Eritrea</option>
<option value="37">Eslovaquia</option>
<option value="193">Eslovenia</option>
<option selected="selected" value="6">España</option>
<option value="86">Estonia</option>
<option value="87">Etiopía</option>
<option value="90">Fiji</option>
<option value="172">Filipinas</option>
<option value="7">Finlandia</option>
<option value="241">Francés Guayana</option>
<option value="8">Francia</option>
<option value="91">Gabón</option>
<option value="92">Gambia</option>
<option value="93">Georgia</option>
<option value="196">Georgia del Sur e Islas Sandwich del Sur</option>
<option value="94">Ghana</option>
<option value="97">Gibraltar</option>
<option value="95">Granada</option>
<option value="9">Grecia</option>
<option value="96">Groenlandia</option>
<option value="98">Guadalupe</option>
<option value="99">Guam</option>
<option value="100">Guatemala</option>
<option value="101">Guernsey</option>
<option value="102">Guinea</option>
<option value="84">Guinea Ecuatorial</option>
<option value="103">Guinea-Bissau</option>
<option value="104">Guyana</option>
<option value="105">Haití</option>
<option value="108">Honduras</option>
<option value="22">Hong Kong</option>
<option value="143">Hungría</option>
<option value="110">India</option>
<option value="111">Indonesia</option>
<option value="112">Irán</option>
<option value="113">Iraq</option>
<option value="26">Irlanda</option>
<option value="234">Isla Bouvet</option>
<option value="109">Islandia</option>
<option value="244">Islas Åland</option>
<option value="89">Islas Feroe</option>
<option value="106">Islas Heard y McDonald Islas</option>
<option value="88">Islas Malvinas</option>
<option value="163">Islas Marianas del Norte</option>
<option value="213">Islas Turcas y Caicos</option>
<option value="223">Islas Vírgenes (Británicas)</option>
<option value="224">Islas Vírgenes (EE.UU.)</option>
<option value="29">Israel</option>
<option value="10">Italia</option>
<option value="115">Jamaica</option>
<option value="11">Japón</option>
<option value="116">Jersey</option>
<option value="117">Jordania</option>
<option value="118">Kazajstán</option>
<option value="119">Kenya</option>
<option value="123">Kirguistán</option>
<option value="120">Kiribati</option>
<option value="121">KOREA, DEM. República de</option>
<option value="122">Kuwait</option>
<option value="124">Laos</option>
<option value="127">Lesotho</option>
<option value="125">Letonia</option>
<option value="126">Líbano</option>
<option value="128">Liberia</option>
<option value="129">Libia</option>
<option value="130">Liechtenstein</option>
<option value="131">Lituania</option>
<option value="12">Luxemburgo</option>
<option value="132">Macao</option>
<option value="133">Macedonia</option>
<option value="134">Madagascar</option>
<option value="136">Malasia</option>
<option value="135">Malawi</option>
<option value="137">Maldivas</option>
<option value="138">Malí</option>
<option value="139">Malta</option>
<option value="114">Man, Isla</option>
<option value="152">Marruecos</option>
<option value="140">Marshall, Islas</option>
<option value="141">Martinica</option>
<option value="35">Mauricio</option>
<option value="142">Mauritania</option>
<option value="144">Mayotte</option>
<option value="145">México</option>
<option value="146">Micronesia</option>
<option value="147">Moldavia</option>
<option value="148">Mónaco</option>
<option value="149">Mongolia</option>
<option value="150">Montenegro</option>
<option value="151">Montserrat</option>
<option value="153">Mozambique</option>
<option value="154">Namibia</option>
<option value="155">Nauru</option>
<option value="238">Navidad, Isla de</option>
<option value="156">Nepal</option>
<option value="159">Nicaragua</option>
<option value="160">Níger</option>
<option value="31">Nigeria</option>
<option value="161">Niue</option>
<option value="162">Norfolk Island</option>
<option value="23">Noruega</option>
<option value="158">Nueva Caledonia</option>
<option value="27">Nueva Zelanda</option>
<option value="164">Omán</option>
<option value="13">Países Bajos</option>
<option value="165">Pakistán</option>
<option value="166">Palau</option>
<option value="168">Panamá</option>
<option value="169">Papua Nueva Guinea</option>
<option value="170">Paraguay</option>
<option value="171">Perú</option>
<option value="173">Pitcairn</option>
<option value="242">Polinesia francés</option>
<option value="14">Polonia</option>
<option value="15">Portugal</option>
<option value="174">Puerto Rico</option>
<option value="175">Qatar</option>
<option value="17">Reino Unido</option>
<option value="66">República Centroafricana</option>
<option value="16">República Checa</option>
<option value="79">República Dominicana</option>
<option value="176">Reunión, Isla de la</option>
<option value="36">Rumania</option>
<option value="177">Rusia, Federación de</option>
<option value="178">Rwanda</option>
<option value="226">Sáhara Occidental</option>
<option value="180">Saint Kitts y Nevis</option>
<option value="182">Saint Martin</option>
<option value="194">Salomón, Islas</option>
<option value="185">Samoa</option>
<option value="39">Samoa Americana</option>
<option value="179">San Bartolomé</option>
<option value="186">San Marino</option>
<option value="183">San Pedro y Miquelón</option>
<option value="184">San Vicente y las Granadinas</option>
<option value="181">Santa Lucía</option>
<option value="187">Santo Tomé y Príncipe</option>
<option value="189">Senegal</option>
<option value="190">Serbia</option>
<option value="191">Seychelles</option>
<option value="192">Sierra Leona</option>
<option value="25">Singapur</option>
<option value="202">Siria</option>
<option value="195">Somalia</option>
<option value="197">Sri Lanka</option>
<option value="30">Sudáfrica</option>
<option value="198">Sudán</option>
<option value="18">Suecia</option>
<option value="19">Suiza</option>
<option value="199">Suriname</option>
<option value="200">Svalbard y Jan Mayen</option>
<option value="201">Swazilandia</option>
<option value="206">Tailandia</option>
<option value="203">Taiwán</option>
<option value="205">Tanzania</option>
<option value="204">Tayikistán</option>
<option value="243">Territorios del sur francés</option>
<option value="167">Territorios Palestinos</option>
<option value="80">Timor Oriental</option>
<option value="33">Togo</option>
<option value="207">Tokelau</option>
<option value="208">Tonga</option>
<option value="209">Trinidad y Tobago</option>
<option value="210">Túnez</option>
<option value="212">Turkmenistán</option>
<option value="211">Turquía</option>
<option value="214">Tuvalu</option>
<option value="216">Ucrania</option>
<option value="215">Uganda</option>
<option value="218">Uruguay</option>
<option value="219">Uzbekistán</option>
<option value="220">Vanuatu</option>
<option value="221">Venezuela</option>
<option value="222">Vietnam</option>
<option value="225">Wallis y Futuna</option>
<option value="227">Yemen</option>
<option value="228">Zambia</option>
<option value="229">Zimbabwe</option>
<option value="99999">Other country</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12">
<textarea disabled class="form-comtrol" id="cf_message_2" placeholder="Message"></textarea>
</div>
</div>
</div>
<div class="cf-footer" style="display: block;">
<div class="row">
<div class="col-xs-12 form-submit-btn-wrapper" style="text-align: center">
<span class="btn btn-primary form-submit-btn" onclick="ajax_contact_form_validation_step2();">Submit</span>
</div>
</div>
</div>
</div>
<div id="cf-3" style="display:none">
<div class="cf-header" style="display: block;">
<div id="cf3_success" class="success alert alert-success" style="">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
</div>
</form>
</div>
<script>
var frontcontroller_url = 'https://preprod.celofasteners.com/es/ensamblaje-led-driver-iluminacion';
var cf_contact_form_title = '$Contact Form';
var cf_quotation_form_title = '$Quotation request';
</script>
es
