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<input type="hidden" name="queried_id" value="78630"/>
			
			<div class="elementor-form-fields-wrapper elementor-labels-">
								<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d862511 elementor-col-100 elementor-field-required">
												<label for="form-field-field_d862511" class="elementor-field-label elementor-screen-only">
								prodotto							</label>
														<input size="1" type="text" name="form_fields[field_d862511]" id="form-field-field_d862511" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="HEADBAND MOVE LIGHT" required="required" aria-required="true">
											</div>
								<div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100">
												<label for="form-field-name" class="elementor-field-label elementor-screen-only">
								Nome e Cognome							</label>
														<input size="1" type="text" name="form_fields[name]" id="form-field-name" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Nome e Cognome">
											</div>
								<div class="elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_7999ba3 elementor-col-100">
												<label for="form-field-field_7999ba3" class="elementor-field-label elementor-screen-only">
								Telefono							</label>
								<input size="1" type="tel" name="form_fields[field_7999ba3]" id="form-field-field_7999ba3" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Telefono" pattern="[0-9()#&+*-=.]+" title="Sono accettati solo numeri e caratteri telefonici (#, -, *, ecc.).">

</div>
								<div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required">
												<label for="form-field-email" class="elementor-field-label elementor-screen-only">
								Email							</label>
														<input size="1" type="email" name="form_fields[email]" id="form-field-email" class="elementor-field elementor-size-sm  elementor-field-textual" placeholder="Email" required="required" aria-required="true">
											</div>
								<div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100 elementor-field-required">
												<label for="form-field-message" class="elementor-field-label elementor-screen-only">
								Richiedi informazioni							</label>
						<textarea class="elementor-field-textual elementor-field  elementor-size-sm" name="form_fields[message]" id="form-field-message" rows="4" placeholder="Richiedi informazioni" required="required" aria-required="true"></textarea>				</div>
								<div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons">
					<button type="submit" class="elementor-button elementor-size-sm">
						<span >
															<span class=" elementor-button-icon">
																										</span>
																						<span class="elementor-button-text">Richiedi informazioni</span>
													</span>
					</button>
				</div>
			</div>
		</form>
				</div>
				</div>
					</div>
		</div>
					</div>
		</section>
				</div>

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