1. System Generated Field Panel
2. Author Entered Field Panel
3. Form Title Panel
4. End-user Entered Field Panel
5. Thank You and Error Message Panel
6. Hidden Panel

• System Generated Field Panel
• Author Entered Field Panel
• Form Title Panel
• End-user Entered Field Panel
• Thank You and Error Message Panel
• Hidden Panel

System Generated Field Panel 

Form Submission Source

*isSync

MCID

Quote Result / information

Campaign_MCID

 Author Entered Field Panel

Author Input Panel - Required fields

ProListadoPublico

Campaign Term / Key Phrase

Campaign Content

Analytics Source

Analytics Medium

Analytics Medium Website Campaign

*Region

LATAM APAC LATAM EMEA NORTH AMERICA

*Country

Chile Bangladesh Australia Hongkong United Kingdom Turkey Kuwait Bahrain Egypt Jordan Greece Oman Lebanon Romania Bulgaria France Poland Portugal Spain UAE Italy Russia Portugal Argentina Columbia Brazil USA Chile

Validacion del afiliado

*Type of Form Integration

*Type of Form Integration siteComponent slider contactCardForm

*Type Of Form

*Type Of Form Contactform Inquiry Grievance

Form Title  Panel

End-user Entered Field Panel

*Todos los datos son obligatorios

Nombre Completo

RUT

Email

Número de Teléfono

ENVIAR

Thank You/Error Panel Configuration

Message Option Same page-fadeout Same page-fixed New page

Settings for same page thank you/error message

Message Delay

Ha ocurrido un error

Por favor intente nuevamente. Gracias!

Ya hemos ingresado tu solicitud.

Settings for separate page thank you/error message

Error Page Text

Thank You Page Text

Page Target Same Tab New Tab

Hidden Panel

Name of Template