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Professione*
Indicare se specializzato in ortodonzia*
Dichiaro di aver letto e compreso l'informativa di cui all’art 13 D.lgs. 196/2003 e ex artt. 13-14 Reg.to UE 2016/679 e autorizzo il trattamento dei miei dati personali.*
Dichiaro inoltre di prestare il mio consenso al trattamento dei miei dati personali per ricevere materiale informativo e promozionale e per rimanere aggiornato sulle ultime novità.*
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" + ""; pc_confirmation.style.display = 'block'; var mp = document.querySelector('input[name="mp"]'); mp.value = '0'; } else { form.querySelector('._form-content').style.display = 'inline'; pc_confirmation.style.display = 'none'; } var hideButton = document.getElementById('hideButton'); // Add event listener to the button hideButton.addEventListener('click', function() { var submitButton = document.querySelector('#_form_195_submit'); submitButton.disabled = false; submitButton.classList.remove('processing'); var mp = document.querySelector('input[name="mp"]'); mp.value = '1'; window.location.href = window.location.href; }); const vgoAlias = typeof visitorGlobalObjectAlias === 'undefined' ? 'vgo' : visitorGlobalObjectAlias; var visitorObject = window[vgoAlias]; if (email && typeof visitorObject !== 'undefined') { visitorObject('setEmail', email); visitorObject('update'); } else if (typeof(trackcmp_url) != 'undefined' && trackcmp_url) { // Site tracking URL to use after inline form submission. _load_script(trackcmp_url); } if (typeof window._form_callback !== 'undefined') window._form_callback(id); }; window._load_script = function(url, callback, isSubmit) { var head = document.querySelector('head'), script = document.createElement('script'), r = false; var submitButton = document.querySelector('#_form_195_submit'); script.charset = 'utf-8'; script.src = url; if (callback) { script.onload = script.onreadystatechange = function() { if (!r && (!this.readyState || this.readyState == 'complete')) { r = true; callback(); } }; } script.onerror = function() { if (isSubmit) { if (script.src.length > 10000) { _show_error("195", "Invio non riuscito. Accorcia le risposte e riprova."); } else { _show_error("195", "Invio non riuscito. Riprova."); } submitButton.disabled = false; submitButton.classList.remove('processing'); } } head.appendChild(script); }; (function() { if (window.location.search.search("excludeform") !== -1) return false; var getCookie = function(name) { var match = document.cookie.match(new RegExp('(^|; )' + name + '=([^;]+)')); return match ? match[2] : null; } var setCookie = function(name, value) { var now = new Date(); var time = now.getTime(); var expireTime = time + 1000 * 60 * 60 * 24 * 365; now.setTime(expireTime); document.cookie = name + '=' + value + '; expires=' + now + ';path=/; Secure; SameSite=Lax;'; } var addEvent = function(element, event, func) { if (element.addEventListener) { element.addEventListener(event, func); } else { var oldFunc = element['on' + event]; element['on' + event] = function() { oldFunc.apply(this, arguments); func.apply(this, arguments); }; } } var _removed = false; var form_to_submit = document.getElementById('_form_195_'); var allInputs = form_to_submit.querySelectorAll('input, select, textarea'), tooltips = [], submitted = false; var getUrlParam = function(name) { if (name.toLowerCase() !== 'email') { var params = new URLSearchParams(window.location.search); return params.get(name) || false; } // email is a special case because a plus is valid in the email address var qString = window.location.search; if (!qString) { return false; } var parameters = qString.substr(1).split('&'); for (var i = 0; i ')); } } else if (elem.tagName == 'SELECT') { var selected = true; if (elem.multiple) { selected = false; for (var i = 0; i 31 && (charCode 57) && charCode !== 8) { e.preventDefault(); } }); }; var showPhoneInputError = function(inputId) { var errorMessage = document.getElementById("error-msg-" + inputId); var input = document.getElementById(inputId); errorMessage.classList.add("phone-error"); errorMessage.classList.remove("phone-error-hidden"); input.classList.add("phone-input-error"); }; window['recaptcha_callback'] = function() { // Get all recaptchas in the DOM (there may be more than one form on the page). var recaptchas = document.getElementsByClassName("g-recaptcha"); for (var i in recaptchas) { // Set the recaptcha element ID, so the recaptcha can be applied to each element. var recaptcha_id = "recaptcha_" + i; recaptchas[i].id = recaptcha_id; var el = document.getElementById(recaptcha_id); if (el != null) { var sitekey = el.getAttribute("data-sitekey"); var stoken = el.getAttribute("data-stoken"); grecaptcha.render(recaptcha_id, {"sitekey":sitekey,"stoken":stoken}); } } }; _load_script( "https://www.google.com/recaptcha/api.js?onload=recaptcha_callback&render=explicit" ); var _form_serialize = function(form){if(!form||form.nodeName!=="FORM"){return }var i,j,q=[];for(i=0;i { if (key !== 'hideButton') { formData.append(key, value); } //formData.append(key, value); }); let request = { headers: { "Accept": "application/json" }, body: formData, method: "POST" }; let pageUrlParams = new URLSearchParams(window.location.search); if (pageUrlParams.has('t')) { request.headers.Authorization = 'Bearer ' + pageUrlParams.get('t'); } const response = await fetch('https://yenco.activehosted.com/proc.php?jsonp=true', request); return response.json(); } if (formSupportsPost) { submitForm().then((data) => { eval(data.js); }); } else { _load_script('https://yenco.activehosted.com/proc.php?' + serialized + '&jsonp=true', null, true); } } return false; }; addEvent(form_to_submit, 'submit', form_submit); })();