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elementor-section-height-default" data-id="bae9948" data-element_type="section" data-settings="{"stretch_section":"section-stretched","background_background":"classic"}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1f7e3ff" data-id="1f7e3ff" data-element_type="column" data-settings="{"background_background":"classic"}"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-3a749d3 elementor-widget-divider--view-line elementor-widget elementor-widget-divider" data-id="3a749d3" data-element_type="widget" data-widget_type="divider.default"> <div class="elementor-widget-container"> <div class="elementor-divider"> <span class="elementor-divider-separator"> </span> </div> </div> </div> <section class="elementor-section elementor-inner-section elementor-element elementor-element-5e4d2ef elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="5e4d2ef" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-370e6ea" data-id="370e6ea" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-8655f7d elementor-widget elementor-widget-heading" data-id="8655f7d" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">SOLICITUD DE REGISTRO PARA PROFESIONALES</h2> </div> </div> <div class="elementor-element elementor-element-9329ae4 elementor-widget elementor-widget-text-editor" data-id="9329ae4" data-element_type="widget" data-widget_type="text-editor.default"> <div class="elementor-widget-container"> <p><div id="swpm-form-5" class="swpm-form-builder-container"><form id="profesionales-5" class="swpm-form-builder swpm-form-5 left" method="post" enctype="multipart/form-data"> <input type="hidden" name="form_id" value="5" /><input type ="hidden" name="level_identifier" value="c81e728d9d4c2f636f067f89cc14862c" /><fieldset class="swpm-fieldset swpm-fieldset-1 fieldset " id="item-swpm-150"> <ul class="swpm-section swpm-section-1"><li class="swpm-item swpm-item-text " id="item-swpm-151"><label for="swpm-151" class="swpm-desc">Usuario <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-151" id="swpm-151" value="" class="swpm-text swpm-medium required nowhitespace " /></li><li class="swpm-item swpm-item-password " id="item-swpm-152"><label for="swpm-152" class="swpm-desc">Contraseña <span class="swpm-required-asterisk">*</span></label><div><input type="password" placeholder="Introduzca la contraseña" name="swpm-152" id="swpm-152" value="" class="swpm-text swpm-medium required " /></div><div><input type="password" placeholder="Repita la contraseña" name="swpm-152_re" id="swpm-152_re" value="" class="swpm-text swpm-medium required " /></div></li><li class="swpm-item swpm-item-text " id="item-swpm-153"><label for="swpm-153" class="swpm-desc">Oculto (no borrar) <span class="swpm-required-asterisk">*</span></label><input type="hidden" name="swpm-153" id="swpm-153" value="2" class="swpm-text swpm-medium required " /><div> Profesional</div></li><li class="swpm-item swpm-item-email " id="item-swpm-154"><label for="swpm-154" class="swpm-desc">Email <span class="swpm-required-asterisk">*</span></label><input type="email" name="swpm-154" id="swpm-154" value="" class="swpm-text swpm-medium required email " /></li><li class="swpm-item swpm-item-text " id="item-swpm-164"><label for="swpm-164" class="swpm-desc">Nombre <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-164" id="swpm-164" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-166"><label for="swpm-166" class="swpm-desc">Apellido <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-166" id="swpm-166" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-168"><label for="swpm-168" class="swpm-desc">Empresa </label><input type="text" name="swpm-168" id="swpm-168" value="" class="swpm-text swpm-medium " /></li><li class="swpm-item swpm-item-text " id="item-swpm-170"><label for="swpm-170" class="swpm-desc">DNI/CIF <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-170" id="swpm-170" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-172"><label for="swpm-172" class="swpm-desc">Teléfono <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-172" id="swpm-172" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-textarea " id="item-swpm-202"><label for="swpm-202" class="swpm-desc">Dirección <span class="swpm-required-asterisk">*</span></label><div><textarea name="swpm-202" id="swpm-202" class="swpm-textarea swpm-medium required "></textarea></div></li><li class="swpm-item swpm-item-text " id="item-swpm-176"><label for="swpm-176" class="swpm-desc">Ciudad/Localidad <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-176" id="swpm-176" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-178"><label for="swpm-178" class="swpm-desc">Provincia <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-178" id="swpm-178" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-180"><label for="swpm-180" class="swpm-desc">Código Postal <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-180" id="swpm-180" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-182"><label for="swpm-182" class="swpm-desc">País <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-182" id="swpm-182" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-text " id="item-swpm-184"><label for="swpm-184" class="swpm-desc">Nº Colegiado (sin*/*) </label><input type="text" name="swpm-184" id="swpm-184" value="" class="swpm-text swpm-medium " /></li><li class="swpm-item swpm-item-text " id="item-swpm-186"><label for="swpm-186" class="swpm-desc">Actividad profesional <span class="swpm-required-asterisk">*</span></label><input type="text" name="swpm-186" id="swpm-186" value="" class="swpm-text swpm-medium required " /></li><li class="swpm-item swpm-item-radio " id="item-swpm-188"><label class="swpm-desc">¿Es usted cliente de Equisalud? <span class="swpm-required-asterisk">*</span></label><div><div class="swpm-span"><input type="radio" name="swpm-188" id="swpm-188-0" value="Si" class="swpm-radio required " /><label for="swpm-188-0" class="swpm-choice">Si</label></div><div class="swpm-span"><input type="radio" name="swpm-188" id="swpm-188-1" value="No" class="swpm-radio required " /><label for="swpm-188-1" class="swpm-choice">No</label></div><div style="clear:both"></div></div></li><li class="swpm-item swpm-item-text " id="item-swpm-190"><label for="swpm-190" class="swpm-desc">Número de cliente </label><input type="text" name="swpm-190" id="swpm-190" value="" class="swpm-text swpm-medium " /></li><li class="swpm-item swpm-item-instructions " id="item-swpm-194"><label class="swpm-desc">Textos de privacidad </label>Al registrarse como usuario profesional tendrá la posibilidad de acceder a la documentación técnica y científica sobre nutrición y complementos alimenticios, así como a otras comunicaciones/informaciones que son exclusivas para usuarios profesionales, para su uso con fines de formación y desarrollo profesional. Es responsabilidad del usuario profesional contrastar y evaluar la información proporcionada en esta web, en cuanto a su uso y relevancia en su aplicación profesional.</li><li class="swpm-item swpm-item-checkbox " id="item-swpm-196"><label class="swpm-desc">Registro Profesional <span class="swpm-required-asterisk">*</span></label><div class="swpm-checkbox-required"><div class="swpm-span"><input type="hidden" name="swpm-196[0]" value="0"><input type="checkbox" name="swpm-196[0]" id="swpm-196-0" value="1" class="swpm-checkbox " /><label for="swpm-196-0" class="swpm-choice">Me registro como usuario profesional, no como consumidor final, entendiendo su significado y comprometiéndome a que la información facilitada como profesional no sea puesta a disposición del consumidor final.</label></div><div style="clear:both"></div></div></li><li class="swpm-item swpm-item-instructions " id="item-swpm-212"><label class="swpm-desc">Primera capa Privacidad </label><p>Sus datos serán tratados por EQUISALUD para gestionar su registro y acceso al sitio web, y en su caso, para enviar comunicaciones comerciales propias de EQUISALUD, y en el caso de que lo autorice, para comunicar sus datos a la Fundación Vivo Sano y a Natursanix con el fin de que le remitan sus comunicaciones comerciales. Podrá ejercer sus derechos de acceso, rectificación, supresión, oposición, limitación, portabilidad o revocar su consentimiento mediante correo postal a Polígono Areta, Calle Mutiloa Bidea H, 2ª, Huarte, Pamplona, 31620 Navarra o por correo electrónico a <a href="mailto:equisalud@equisalud.com">equisalud@equisalud.com</a> aportando DNI o documento equivalente, identificándose como usuario registrado del sitio web de EQUISALUD y concretando su solicitud.</p> <p>Para más información sobre el tratamiento de sus datos, consulte nuestra Política de Privacidad.</p></li><li class="swpm-item swpm-item-checkbox " id="item-swpm-210"><label class="swpm-desc">Comunicaciones Comerciales </label><div class=""><div class="swpm-span"><input type="hidden" name="swpm-210[0]" value="0"><input type="checkbox" name="swpm-210[0]" id="swpm-210-0" value="1" class="swpm-checkbox " /><label for="swpm-210-0" class="swpm-choice">No deseo recibir comunicaciones comerciales propias de EQUISALUD.</label></div><div style="clear:both"></div></div></li><li class="swpm-item swpm-item-checkbox " id="item-swpm-200"><label class="swpm-desc">Comunicacion de Datos </label><div class=""><div class="swpm-span"><input type="hidden" name="swpm-200[0]" value="0"><input type="checkbox" name="swpm-200[0]" id="swpm-200-0" value="1" class="swpm-checkbox " /><label for="swpm-200-0" class="swpm-choice">Deseo que mis datos sean comunicados a la Fundación Vivo Sano y a Natursanix para que me envíen comunicaciones comerciales. </label></div><div style="clear:both"></div></div></li></ul> </fieldset><fieldset class="swpm-fieldset swpm-verification" style="display:block"> <div class="swpm-legend"><h3>Verificación</h3></div> <ul class="swpm-section swpm-section-27"> <li class="swpm-item swpm-item-text" style="display:block"> <div align="center"> <div class="swpm-recaptcha-section" style="margin-bottom: 15px;"><style type="text/css">@media screen and (max-width: 375px) { 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elementor-top-column elementor-element elementor-element-3d528a5" data-id="3d528a5" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-228d1d1 elementor-widget elementor-widget-template" data-id="228d1d1" data-element_type="widget" data-widget_type="template.default"> <div class="elementor-widget-container"> <div class="elementor-template"> <div data-elementor-type="section" data-elementor-id="105983" class="elementor elementor-105983" data-elementor-settings="[]"> <section class="elementor-section elementor-top-section elementor-element elementor-element-0f904e3 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="0f904e3" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-47a907f" data-id="47a907f" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-ee614d4 elementor-search-form--skin-classic elementor-search-form--button-type-icon elementor-search-form--icon-search elementor-widget elementor-widget-search-form" data-id="ee614d4" data-element_type="widget" data-settings="{"skin":"classic"}" data-widget_type="search-form.default"> <div class="elementor-widget-container"> <form class="elementor-search-form" role="search" action="https://www.equisalud.com/es-es/" method="get"> <div class="elementor-search-form__container"> <input placeholder="BUSCAR" class="elementor-search-form__input" type="search" name="s" title="Buscar" value=""> <input type='hidden' name='lang' value='es-es' /> <button class="elementor-search-form__submit" type="submit" title="Buscar" aria-label="Buscar"> <i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Buscar</span> </button> </div> </form> </div> </div> <div class="elementor-element elementor-element-6419c19 elementor-widget elementor-widget-heading" data-id="6419c19" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">blog equisalud</h2> </div> </div> <div class="elementor-element elementor-element-99e0722 elementor-grid-eael-col-1 elementor-grid-tablet-eael-col-1 elementor-grid-mobile-eael-col-1 elementor-widget elementor-widget-eael-post-grid" data-id="99e0722" data-element_type="widget" data-settings="{"eael_post_grid_columns":"eael-col-1","eael_post_grid_columns_tablet":"eael-col-1","eael_post_grid_columns_mobile":"eael-col-1"}" data-widget_type="eael-post-grid.default"> <div class="elementor-widget-container"> <div id="eael-post-grid-99e0722" class="eael-post-grid-container"> <div class="eael-post-grid eael-post-appender eael-post-appender-99e0722 eael-post-grid-style-default" 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