{"id":7969,"date":"2018-12-17T09:00:13","date_gmt":"2018-12-17T17:00:13","guid":{"rendered":"http:\/\/pmtest.passy-muir.com\/?page_id=7969"},"modified":"2018-12-19T08:26:11","modified_gmt":"2018-12-19T16:26:11","slug":"education-materials-request","status":"publish","type":"page","link":"http:\/\/142.11.238.239\/es\/education-materials-request\/","title":{"rendered":"SOLICITUD DE MATERIALES EDUCATIVOS"},"content":{"rendered":"<div class=\"l3-header-con no-banner\">\n<div class=\"l3-header-text\">\n\t\t\t\tSOLICITUD DE MATERIALES EDUCATIVOS\n                         <\/div>\n<\/p><\/div>\n<div style=\"clear:both\"><\/div>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-7721\"><form id=\"wpforms-form-7721\" class=\"wpforms-validate wpforms-form\" data-formid=\"7721\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/7969\" data-token=\"58a18fb68fe656a893735e292e7e39d3\" data-trp-original-action=\"\/es\/wp-json\/wp\/v2\/pages\/7969\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-7721-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_0\">Nombre completo <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-7721-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-7721-field_0\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7721-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-7721-field_0-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/div><div id=\"wpforms-7721-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_3\">T\u00edtulo<\/label><input type=\"text\" id=\"wpforms-7721-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/div><div id=\"wpforms-7721-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_4\">Disciplina<\/label><input type=\"text\" id=\"wpforms-7721-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-7721-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_5\">Departamento<\/label><input type=\"text\" id=\"wpforms-7721-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" ><\/div><div id=\"wpforms-7721-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_6\">Instalaci\u00f3n<\/label><input type=\"text\" id=\"wpforms-7721-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-7721-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_1\">Correo electr\u00f3nico <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7721-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7721-field_7-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_7\">Tipo de direcci\u00f3n<\/label><ul id=\"wpforms-7721-field_7\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_7_1\" name=\"wpforms[fields][7]\" value=\"Work\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_7_1\">Trabajo<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_7_2\" name=\"wpforms[fields][7]\" value=\"Home\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_7_2\">Hogar<\/label><\/li><\/ul><\/div><div id=\"wpforms-7721-field_8-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_8\">Direcci\u00f3n<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-7721-field_8\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][8][address1]\" ><label for=\"wpforms-7721-field_8\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-7721-field_8-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][8][address2]\" ><label for=\"wpforms-7721-field_8-address2\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-7721-field_8-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][8][city]\" ><label for=\"wpforms-7721-field_8-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-7721-field_8-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][8][state]\" ><label for=\"wpforms-7721-field_8-state\" class=\"wpforms-field-sublabel after\">Estado \/ Provincia \/ Regi\u00f3n<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-7721-field_8-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][8][postal]\" ><label for=\"wpforms-7721-field_8-postal\" class=\"wpforms-field-sublabel after\">C\u00f3digo postal<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-7721-field_8-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][8][country]\" ><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-7721-field_8-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/div><div id=\"wpforms-7721-field_9-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_9\">Tel\u00e9fono <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-7721-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-7721-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_10\">Tipo de n\u00famero de tel\u00e9fono<\/label><ul id=\"wpforms-7721-field_10\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_10_1\" name=\"wpforms[fields][10]\" value=\"Work\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_10_1\">Trabajo<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_10_2\" name=\"wpforms[fields][10]\" value=\"Personal\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_10_2\">Personal<\/label><\/li><\/ul><\/div><div id=\"wpforms-7721-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_12\">Tipo de correo electr\u00f3nico<\/label><ul id=\"wpforms-7721-field_12\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_12_1\" name=\"wpforms[fields][12]\" value=\"Work\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_12_1\">Trabajo<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_12_2\" name=\"wpforms[fields][12]\" value=\"Personal\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_12_2\">Personal<\/label><\/li><\/ul><\/div><div id=\"wpforms-7721-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_13\">M\u00e9todo de contacto preferido <\/label><input type=\"text\" id=\"wpforms-7721-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-7721-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_14\">Por favor, seleccione los materiales gratuitos que le\ninteresan.<\/label><ul id=\"wpforms-7721-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_1\" name=\"wpforms[fields][14]\" value=\"Research (Bibliography)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_1\">Research (Bibliography)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_8\" name=\"wpforms[fields][14]\" value=\"Research (Pediatric Bibliography)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_8\">Research (Pediatric Bibliography)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_2\" name=\"wpforms[fields][14]\" value=\"Patient Education Handout Sample\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_2\">Ejemplo de folleto educativo del paciente<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_3\" name=\"wpforms[fields][14]\" value=\"Newsletter (Talk Muir)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_3\">Newsletter (Talk Muir)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_7\" name=\"wpforms[fields][14]\" value=\"Clinical Journal (Aerodigestive Health)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_7\">Clinical Journal (Aerodigestive Health)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_4\" name=\"wpforms[fields][14]\" value=\"Instruction Booklet (PMV 005\/007\/2000\/2001)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_4\">Instruction Booklet (PMV 005\/007\/2000\/2001)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_5\" name=\"wpforms[fields][14]\" value=\"Instruction Booklet PMV 2020\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_5\">Instruction Booklet PMV 2020<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_14_6\" name=\"wpforms[fields][14]\" value=\"Instruction Booklet PMA 2000-02 Adaptor\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_14_6\">Folleto de instrucciones Adaptador PMA 2000-02<\/label><\/li><\/ul><\/div><div id=\"wpforms-7721-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_16\">\u00bfEst\u00e1 interesado en materiales internacionales?<\/label><ul id=\"wpforms-7721-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_16_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-7721-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-7721-field_16_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-7721-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_18\">Preferencia de idioma<\/label><input type=\"text\" id=\"wpforms-7721-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-7721-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-7721-field_2\">\u00bfTiene comentarios o preguntas?<\/label><textarea id=\"wpforms-7721-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-7721-field-hp\" class=\"wpforms-field-label\">Nombre<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-7721-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7721\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"7\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7721\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"SOLICITUD DE MATERIALES EDUCATIVOS","protected":false},"author":7,"featured_media":6752,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yst_prominent_words":[836,832,2332,1400,2169,2328,2322,2327,1394,2173,2059,1395,2324,2329,2326,2330,2325,1401,2323,2331],"_links":{"self":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages\/7969"}],"collection":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/comments?post=7969"}],"version-history":[{"count":0,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/pages\/7969\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/media\/6752"}],"wp:attachment":[{"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/media?parent=7969"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"http:\/\/142.11.238.239\/es\/wp-json\/wp\/v2\/yst_prominent_words?post=7969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}