{"id":629,"date":"2025-03-17T09:54:23","date_gmt":"2025-03-17T14:54:23","guid":{"rendered":"https:\/\/logissystem.com\/fidelizacion\/?page_id=629"},"modified":"2025-03-17T10:50:18","modified_gmt":"2025-03-17T15:50:18","slug":"pantalla-registro","status":"publish","type":"page","link":"https:\/\/logissystem.com\/fidelizacion\/pantalla-registro\/","title":{"rendered":"Pantalla Registro"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"629\" class=\"elementor elementor-629\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25198ec e-grid e-con-boxed e-con e-parent\" data-id=\"25198ec\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-48a0c53 e-con-full e-flex e-con e-child\" data-id=\"48a0c53\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-7ac1a16 e-con-full e-flex e-con e-child\" data-id=\"7ac1a16\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-94b34a1 e-con-full e-grid e-con e-child\" data-id=\"94b34a1\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1af39c0 elementor-widget elementor-widget-image\" data-id=\"1af39c0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"163\" height=\"83\" src=\"https:\/\/logissystem.com\/fidelizacion\/wp-content\/uploads\/2025\/03\/LOGO-ALGHO.png\" class=\"attachment-large size-large wp-image-146\" alt=\"\" srcset=\"https:\/\/logissystem.com\/fidelizacion\/wp-content\/uploads\/2025\/03\/LOGO-ALGHO.png 163w, https:\/\/logissystem.com\/fidelizacion\/wp-content\/uploads\/2025\/03\/LOGO-ALGHO-64x33.png 64w\" sizes=\"(max-width: 163px) 100vw, 163px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33628ed hfe-nav-menu__align-center hfe-nav-menu__breakpoint-mobile hfe-submenu-icon-arrow hfe-submenu-animation-none hfe-link-redirect-child elementor-widget elementor-widget-navigation-menu\" data-id=\"33628ed\" data-element_type=\"widget\" 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data-widget_type=\"navigation-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"hfe-nav-menu hfe-layout-horizontal hfe-nav-menu-layout horizontal hfe-pointer__none\" data-layout=\"horizontal\" data-last-item=\"cta\">\n\t\t\t\t<div role=\"button\" class=\"hfe-nav-menu__toggle elementor-clickable\">\n\t\t\t\t\t<span class=\"screen-reader-text\">Men\u00fa<\/span>\n\t\t\t\t\t<div class=\"hfe-nav-menu-icon\">\n\t\t\t\t\t\t<svg aria-hidden=\"true\"  class=\"e-font-icon-svg e-fas-align-justify\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M432 416H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16A16 16 0 0 0 0 48v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16V48a16 16 0 0 0-16-16z\"><\/path><\/svg>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<nav class=\"hfe-nav-menu__layout-horizontal hfe-nav-menu__submenu-arrow\" data-toggle-icon=\"&lt;svg aria-hidden=&quot;true&quot; tabindex=&quot;0&quot; class=&quot;e-font-icon-svg e-fas-align-justify&quot; viewBox=&quot;0 0 448 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M432 416H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16a16 16 0 0 0-16 16v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16v-32a16 16 0 0 0-16-16zm0-128H16A16 16 0 0 0 0 48v32a16 16 0 0 0 16 16h416a16 16 0 0 0 16-16V48a16 16 0 0 0-16-16z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" data-close-icon=\"&lt;svg aria-hidden=&quot;true&quot; tabindex=&quot;0&quot; class=&quot;e-font-icon-svg e-far-window-close&quot; viewBox=&quot;0 0 512 512&quot; xmlns=&quot;http:\/\/www.w3.org\/2000\/svg&quot;&gt;&lt;path d=&quot;M464 32H48C21.5 32 0 53.5 0 80v352c0 26.5 21.5 48 48 48h416c26.5 0 48-21.5 48-48V80c0-26.5-21.5-48-48-48zm0 394c0 3.3-2.7 6-6 6H54c-3.3 0-6-2.7-6-6V86c0-3.3 2.7-6 6-6h404c3.3 0 6 2.7 6 6v340zM356.5 194.6L295.1 256l61.4 61.4c4.6 4.6 4.6 12.1 0 16.8l-22.3 22.3c-4.6 4.6-12.1 4.6-16.8 0L256 295.1l-61.4 61.4c-4.6 4.6-12.1 4.6-16.8 0l-22.3-22.3c-4.6-4.6-4.6-12.1 0-16.8l61.4-61.4-61.4-61.4c-4.6-4.6-4.6-12.1 0-16.8l22.3-22.3c4.6-4.6 12.1-4.6 16.8 0l61.4 61.4 61.4-61.4c4.6-4.6 12.1-4.6 16.8 0l22.3 22.3c4.7 4.6 4.7 12.1 0 16.8z&quot;&gt;&lt;\/path&gt;&lt;\/svg&gt;\" data-full-width=\"yes\">\n\t\t\t\t\t<ul id=\"menu-1-33628ed\" class=\"hfe-nav-menu\"><li id=\"menu-item-452\" class=\"menu-item menu-item-type-custom menu-item-object-custom parent hfe-creative-menu\"><a href=\"https:\/\/logissystem.com\/fidelizacion\/index\/\" class = \"hfe-menu-item\">VOLVER<\/a><\/li>\n<\/ul> \n\t\t\t\t<\/nav>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41a032a e-con-full e-flex e-con e-child\" data-id=\"41a032a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-6664b82 e-grid e-con-full e-con e-child\" data-id=\"6664b82\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5eee1fe elementor-widget__width-initial elementor-widget elementor-widget-shortcode\" data-id=\"5eee1fe\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-633 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-633\" data-uid=\"69d2995f73a6d\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-633\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-633 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"633\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"69d2995f73a6d\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69d2995f73a6d\" id=\"forminator-field-text-1_69d2995f73a6d-label\" class=\"forminator-label\">Nombre y Apellido (usuario) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Ejemplo: Julian L\u00f3pez\" id=\"forminator-field-text-1_69d2995f73a6d\" class=\"forminator-input forminator-name--field\" data-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69d2995f73a6d\" id=\"forminator-field-number-1_69d2995f73a6d-label\" class=\"forminator-label\">N\u00famero de c\u00e9dula <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"Ejemplo: 001-0000000-1\" id=\"forminator-field-number-1_69d2995f73a6d\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69d2995f73a6d\" id=\"forminator-field-phone-1_69d2995f73a6d-label\" class=\"forminator-label\">Tel\u00e9fono m\u00f3vil <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Ejemplo: +1 300 400 5000\" id=\"forminator-field-phone-1_69d2995f73a6d\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69d2995f73a6d\" id=\"forminator-field-text-3_69d2995f73a6d-label\" class=\"forminator-label\">Farmacia a la que corresponde <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Ejemplo: Farmacia Algho\" id=\"forminator-field-text-3_69d2995f73a6d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69d2995f73a6d\" id=\"forminator-field-text-2_69d2995f73a6d-label\" class=\"forminator-label\">RNC Farmacia <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Ejemplo: 111111111\" id=\"forminator-field-text-2_69d2995f73a6d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69d2995f73a6d\" id=\"forminator-field-email-1_69d2995f73a6d-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Ejemplo: john@doe.com\" id=\"forminator-field-email-1_69d2995f73a6d\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"password-1\" class=\"forminator-field-password forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-password-1_69d2995f73a6d\" id=\"forminator-field-password-1_69d2995f73a6d-label\" class=\"forminator-label\">Contrase\u00f1a <span class=\"forminator-required\">*<\/span><\/label><input name=\"password-1\" value=\"\" placeholder=\"Introduce una contrase\u00f1a\" id=\"forminator-field-password-1_69d2995f73a6d\" class=\"forminator-input forminator-name--field\" data-required=\"true\" type=\"password\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><select  id=\"forminator-form-633__field--select-1_69d2995f73a6d\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Ejemplo: Santo Domingo\" data-search=\"false\" data-search-placeholder=\"Ejemplo: Santo Domingo\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-633__field--select-1_69d2995f73a6d-label\"><option value=\"\"  >Ejemplo: Santo Domingo<\/option><option value=\"one\"  data-calculation=\"0\">Santo Domingo de Guzm\u00e1n<\/option><option value=\"two\"  data-calculation=\"0\">Santiago de los Caballeros<\/option><option value=\"Santo-Domingo-Este\"  data-calculation=\"0\">Santo Domingo Este<\/option><option value=\"San-Pedro-de-Macor\u00eds\"  data-calculation=\"0\">San Pedro de Macor\u00eds<\/option><option value=\"San-Francisco-de-Macor\u00eds\"  data-calculation=\"0\">San Francisco de Macor\u00eds<\/option><option value=\"La-Romana\"  data-calculation=\"0\">La Romana<\/option><option value=\"La-Vega\"  data-calculation=\"0\">La Vega<\/option><option value=\"San-Crist\u00f3bal\"  data-calculation=\"0\">San Crist\u00f3bal<\/option><option value=\"Puerto-Plata\"  data-calculation=\"0\">Puerto Plata<\/option><option value=\"Hig\u00fcey\"  data-calculation=\"0\">Hig\u00fcey<\/option><option value=\"Moca\"  data-calculation=\"0\">Moca<\/option><option value=\"Bonao\"  data-calculation=\"0\">Bonao<\/option><option value=\"Ban\u00ed\"  data-calculation=\"0\">Ban\u00ed<\/option><option value=\"San-Juan-de-la-Maguana\"  data-calculation=\"0\">San Juan de la Maguana<\/option><option value=\"Azua\"  data-calculation=\"0\">Azua<\/option><option value=\"Barahona\"  data-calculation=\"0\">Barahona<\/option><option value=\"San-Jos\u00e9-de-Ocoa\"  data-calculation=\"0\">San Jos\u00e9 de Ocoa<\/option><option value=\"Nagua\"  data-calculation=\"0\">Nagua<\/option><option value=\"Monte-Plata\"  data-calculation=\"0\">Monte Plata<\/option><option value=\"Dajab\u00f3n\"  data-calculation=\"0\">Dajab\u00f3n<\/option><option value=\"Saman\u00e1\"  data-calculation=\"0\">Saman\u00e1<\/option><option value=\"Hato-Mayor-del-Rey\"  data-calculation=\"0\">Hato Mayor del Rey<\/option><option value=\"El-Seibo\"  data-calculation=\"0\">El Seibo<\/option><option value=\"Cotui\"  data-calculation=\"0\">Cotui<\/option><option value=\"Salcedo\"  data-calculation=\"0\">Salcedo<\/option><option value=\"Villa-Altagracia\"  data-calculation=\"0\">Villa Altagracia<\/option><option value=\"Villa-Hermosa\"  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