Formulario de suscripción boletín CTI AUGM

<!-- Begin Mailchimp Signup Form --><!-- [et_pb_line_break_holder] --><link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css"><!-- [et_pb_line_break_holder] --><style type="text/css"><!-- [et_pb_line_break_holder] --> #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }<!-- [et_pb_line_break_holder] --> /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.<!-- [et_pb_line_break_holder] --> We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><style type="text/css"><!-- [et_pb_line_break_holder] --> #mc-embedded-subscribe-form input[type=checkbox]{display: inline; width: auto;margin-right: 10px;}<!-- [et_pb_line_break_holder] --> #mergeRow-gdpr {margin-top: 20px;}<!-- [et_pb_line_break_holder] --> #mergeRow-gdpr fieldset label {font-weight: normal;}<!-- [et_pb_line_break_holder] --> #mc-embedded-subscribe-form .mc_fieldset{border:none;min-height: 0px;padding-bottom:0px;}<!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><div id="mc_embed_signup"><!-- [et_pb_line_break_holder] --><form action="https://grupomontevideo.us18.list-manage.com/subscribe/post?u=46e9d167fb8ed8e3309a193f6&id=3bb4d04ff3" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate><!-- [et_pb_line_break_holder] --> <div id="mc_embed_signup_scroll"><!-- [et_pb_line_break_holder] --> <h2>Suscríbase a nuestro boletín</h2><!-- [et_pb_line_break_holder] --><div class="indicates-required"><span class="asterisk">*</span> indicates required</div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-EMAIL">Correo electrónico <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-LNAME">Nombre de pila <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="LNAME" class="required" id="mce-LNAME"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-APELLLIDOS">Apellido(s) <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="APELLLIDOS" class="required" id="mce-APELLLIDOS"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group size1of2"><!-- [et_pb_line_break_holder] --> <label for="mce-TELEFONO">Teléfono </label><!-- [et_pb_line_break_holder] --> <input type="text" name="TELEFONO" class="" value="" id="mce-TELEFONO"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-CODIGOPOST">Código postal </label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="CODIGOPOST" class="" id="mce-CODIGOPOST"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-ORGANIZACI">Organización / Institución de origen <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="ORGANIZACI" class="required" id="mce-ORGANIZACI"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group"><!-- [et_pb_line_break_holder] --> <label for="mce-TITULO">Título profesional <span class="asterisk">*</span><!-- [et_pb_line_break_holder] --></label><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="TITULO" class="required" id="mce-TITULO"><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div class="mc-field-group input-group"><!-- [et_pb_line_break_holder] --> <strong>Email Format </strong><!-- [et_pb_line_break_holder] --> <ul><li><input type="radio" value="html" name="EMAILTYPE" id="mce-EMAILTYPE-0"><label for="mce-EMAILTYPE-0">html</label></li><!-- [et_pb_line_break_holder] --><li><input type="radio" value="text" name="EMAILTYPE" id="mce-EMAILTYPE-1"><label for="mce-EMAILTYPE-1">text</label></li><!-- [et_pb_line_break_holder] --></ul><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><div id="mergeRow-gdpr" class="mergeRow gdpr-mergeRow content__gdprBlock mc-field-group"><!-- [et_pb_line_break_holder] --> <div class="content__gdpr"><!-- [et_pb_line_break_holder] --> <label>Autorizaciones</label><!-- [et_pb_line_break_holder] --> <p>Por favor, agradeceremos marque las opciones que estime pertinentes para contactarnos con usted.</p><!-- [et_pb_line_break_holder] --> <fieldset class="mc_fieldset gdprRequired mc-field-group" name="interestgroup_field"><!-- [et_pb_line_break_holder] --> <label class="checkbox subfield" for="gdpr_23905"><input type="checkbox" id="gdpr_23905" name="gdpr[23905]" value="Y" class="av-checkbox gdpr"><span>Correo electrónico masivo</span> </label><label class="checkbox subfield" for="gdpr_23909"><input type="checkbox" id="gdpr_23909" name="gdpr[23909]" value="Y" class="av-checkbox gdpr"><span>Correo electrónico directo</span> </label><label class="checkbox subfield" for="gdpr_23913"><input type="checkbox" id="gdpr_23913" name="gdpr[23913]" value="Y" class="av-checkbox gdpr"><span>Avisos en línea</span> </label><!-- [et_pb_line_break_holder] --> </fieldset><!-- [et_pb_line_break_holder] --> <p>Cuando desee dejar de recibir nuestras comunicaciones, puede contactarse con nosotros a través del correo newsletter.ctigaugm@upla.cl Mas informaciones a través del mismo correo.</p><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="content__gdprLegal"><!-- [et_pb_line_break_holder] --> <p>Usamos MailChimp como plataforma para generar este correo, en la que recopilaremos su información para incluirlo en la lista de envío de correos correspondiente.</p><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --> <div id="mce-responses" class="clear"><!-- [et_pb_line_break_holder] --> <div class="response" id="mce-error-response" style="display:none"></div><!-- [et_pb_line_break_holder] --> <div class="response" id="mce-success-response" style="display:none"></div><!-- [et_pb_line_break_holder] --> </div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups--><!-- [et_pb_line_break_holder] --> <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_46e9d167fb8ed8e3309a193f6_3bb4d04ff3" tabindex="-1" value=""></div><!-- [et_pb_line_break_holder] --> <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --></div><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!--End mc_embed_signup-->

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