{"id":9961,"date":"2023-10-25T16:48:46","date_gmt":"2023-10-25T14:48:46","guid":{"rendered":"https:\/\/www.geicogroup.com\/registro\/"},"modified":"2025-10-29T08:47:59","modified_gmt":"2025-10-29T07:47:59","slug":"registro","status":"publish","type":"page","link":"https:\/\/www.geicogroup.com\/en\/acceso-socios\/registro\/","title":{"rendered":"Registro"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9961\" class=\"elementor elementor-9961 elementor-331\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f61c937 e-con-full e-flex e-con e-parent\" data-id=\"f61c937\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-38656c5 e-con-full e-flex e-con e-child\" data-id=\"38656c5\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-b217ebb e-flex e-con-boxed e-con e-child\" data-id=\"b217ebb\" 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\t\t<div class=\"elementor-element elementor-element-69537f6 elementor-widget elementor-widget-heading\" data-id=\"69537f6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00danete a Geico<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\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-fbcc7ae e-con-full e-flex e-con e-child\" data-id=\"fbcc7ae\" data-element_type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3110b8e e-con-full e-flex e-con e-parent\" data-id=\"3110b8e\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0dae3ee e-con-full e-flex e-con e-child\" data-id=\"0dae3ee\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-3eab417 e-flex e-con-boxed e-con e-child\" data-id=\"3eab417\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f4ab30 elementor-widget elementor-widget-html\" data-id=\"6f4ab30\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"w-100 d-flex flex-wrap\">\n    \n    <div class=\"informacion d-flex flex-column p-5\">\n        <span style=\"font-family: 'Poppins'; font-size: 24px; font-weight: 600; line-height: 46px;\">Hazte Miembro<\/span>\n        <p class=\"mt-3\">\n            Para solicitar tu membres\u00eda a GEICO, por favor cumplimenta este formulario. Te confirmaremos la resoluci\u00f3n a la mayor brevedad.\n        <\/p>\n        <p>\n            Si tienes alguna cuesti\u00f3n al respecto, no dudes en escribirnos a <a class=\"enlace_mail\" href=\"mailto:secretar\u00eda@grupogeico.org\">secretar\u00eda@grupogeico.org<\/a>\n        <\/p>\n    <\/div>\n\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\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-4c0c903 e-con-full e-flex e-con e-child\" data-id=\"4c0c903\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3975d3b elementor-widget elementor-widget-html\" data-id=\"3975d3b\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <!-- FORMULARIO DE REGISTRO -->\n        <form enctype=\"multipart\/form-data\" method=\"post\" id=\"wppb-register-user\" class=\"wppb-user-forms wppb-register-user wppb-user-logged-out\" action=\"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages\/9961\">\n\t\t\t\n            <div class=\"wppb-msf-spinner-container\"><span class=\"icon-wppb-msf-spinner wppb-msf-spin\"><\/span><\/div><ul><li class=\"wppb-msf-step\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-default-name-heading pbpl-class\" id=\"wppb-form-element-1\"><h4>Investigador<\/h4><span class=\"wppb-description-delimiter \"><\/span><\/li><li class=\"wppb-form-field wppb-input-hidden pbpl-class\" id=\"wppb-form-element-36\"><!--\n\t\t\t\t<label for=\"firma\">firma<\/label>-->\n\t\t\t\t<input class=\"extra_field_hidden_input\" name=\"firma\" maxlength=\"70\" type=\"hidden\" id=\"firma\" value=\"\" \/>\n\t\t\t\t<!--<span class=\"wppb-description-delimiter\"><\/span>--><\/li><li class=\"wppb-form-field wppb-default-username pbpl-class\" id=\"wppb-form-element-2\">\n\t\t\t<label for=\"username\">Username<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_username \" name=\"username\" maxlength=\"70\" type=\"text\" id=\"username\" value=\"\"  placeholder = \"Username*\"\/><\/li><li class=\"wppb-form-field wppb-default-first-name pbpl-class\" id=\"wppb-form-element-43\">\n\t\t\t<label for=\"first_name\">Nombre<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_firstname \" name=\"first_name\" maxlength=\"70\" type=\"text\" id=\"first_name\" value=\"\" placeholder = \"Nombre*\" \/><\/li><li class=\"wppb-form-field wppb-default-last-name pbpl-class\" id=\"wppb-form-element-4\">\n\t\t\t<label for=\"last_name\">Apellidos<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_lastname \" name=\"last_name\" maxlength=\"70\" type=\"text\" id=\"last_name\" value=\"\" placeholder = \"Apellidos*\"\/><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-14\">\n\t\t\t\t<label for=\"custom_field_cargo\">Cargo actual<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_cargo\" maxlength=\"250\" type=\"text\" id=\"custom_field_cargo\" value=\"\" placeholder = \"Cargo actual*\"\/><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-15\">\n\t\t\t\t<label for=\"custom_field_especialidad\">Especialidad<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_especialidad\" maxlength=\"250\" type=\"text\" id=\"custom_field_especialidad\" value=\"\" placeholder = \"Especialidad*\"\/><\/li><\/ul><\/li><li class=\"wppb-msf-step\" style=\"display: none;\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-default-about-yourself-heading pbpl-class\" id=\"wppb-form-element-37\"><h4>Investigador<\/h4><span class=\"wppb-description-delimiter \"><\/span><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-16\">\n\t\t\t\t<label for=\"custom_field_hospital\">Hospital<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_hospital\" maxlength=\"250\" type=\"text\" id=\"custom_field_hospital\" value=\"\" placeholder = \"Hospital*\"\/><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-20\">\n\t\t\t\t<label for=\"custom_field_direccion\">Direcci\u00f3n<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_direccion\" maxlength=\"250\" type=\"text\" id=\"custom_field_direccion\" value=\"\" placeholder = \"Direcci\u00f3n*\"\/><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-19\">\n\t\t\t\t<label for=\"custom_field_telefonosCInvestigador\">Telefonos de Contacto<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_telefonosCInvestigador\" maxlength=\"250\" type=\"text\" id=\"custom_field_telefonosCInvestigador\" value=\"\" placeholder = \"Telefonos de Contacto*\"\/><\/li><li class=\"wppb-form-field wppb-default-e-mail pbpl-class\" id=\"wppb-form-element-8\">\n\t\t\t<label for=\"email\">E-mail<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_email \" name=\"email\" maxlength=\"70\" type=\"email\" id=\"email\" value=\"\" placeholder = \"E-mail*\"  \/><\/li><li class=\"wppb-form-field wppb-default-password pbpl-class\" id=\"wppb-form-element-12\">\n\t\t\t<label for=\"passw1\">Contrase\u00f1a<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input \" name=\"passw1\" maxlength=\"70\" type=\"password\" id=\"passw1\" value=\"12345678\" autocomplete=\"off\" placeholder = \"Contrase\u00f1a*\"\/><span class=\"wppb-description-delimiter\">Minimum length of 8 characters. <br>The password must have a minimum strength of Strong<\/span><span id=\"pass-strength-result\">Strength indicator<\/span>\n        <input type=\"hidden\" value=\"\" name=\"wppb_password_strength\" id=\"wppb_password_strength\"\/><\/li><li class=\"wppb-form-field wppb-datepicker pbpl-class\" id=\"wppb-form-element-44\">\n\t\t\t\t<label for=\"custom_field_fechaNacimiento\">Fecha de nacimiento<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input name=\"custom_field_fechaNacimiento\" class=\"custom_field_datepicker \" id=\"custom_field_fechaNacimiento\" type=\"text\" value=\"\" data-dateformat=\"dd\/mm\/yy\" placeholder = \"Fecha de nacimiento*\"\/>\n\t\t\t\t<span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-phone pbpl-class\" id=\"wppb-form-element-17\">\n\t\t\t\t<label for=\"custom_field_movilInvestigador\">M\u00f3vil<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input data-phone-format=\"{&quot;phone_data&quot;:[&quot;#&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;]}\" class=\"extra_field_phone \" name=\"custom_field_movilInvestigador\" maxlength=\"70\" type=\"text\" id=\"custom_field_movilInvestigador\" value=\"\" placeholder = \"M\u00f3vil*\"\/><span class=\"wppb-description-delimiter\">Required phone number format: ###-##-##-##<br><\/span><\/li><\/ul><\/li><li class=\"wppb-msf-step\" style=\"display: none;\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-default-contact-info-heading pbpl-class\" id=\"wppb-form-element-21\"><h4>Data Manager<\/h4><span class=\"wppb-description-delimiter \"><\/span><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-22\">\n\t\t\t\t<label for=\"custom_field_nombreManager\">Nombre<\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_nombreManager\" maxlength=\"250\" type=\"text\" id=\"custom_field_nombreManager\" value=\"\" placeholder = \"Nombre\"\/><\/li><li class=\"wppb-form-field wppb-input pbpl-class\" id=\"wppb-form-element-23\">\n\t\t\t\t<label for=\"custom_field_telefonosCManager\">Telefonos de Contacto<\/label>\n\t\t\t\t<input class=\"extra_field_input\" name=\"custom_field_telefonosCManager\" maxlength=\"250\" type=\"text\" id=\"custom_field_telefonosCManager\" value=\"\" placeholder = \"Telefonos de Contacto\"\/><\/li><li class=\"wppb-form-field wppb-email pbpl-class\" id=\"wppb-form-element-18\">\n\t\t\t\t<label for=\"custom_field_emailManager\">E-MAIL<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_emailManager\" maxlength=\"70\" type=\"email\" id=\"custom_field_emailManager\" value=\"\" placeholder = \"E-MAIL\"\/><\/li><li class=\"wppb-form-field wppb-phone pbpl-class\" id=\"wppb-form-element-24\">\n\t\t\t\t<label for=\"custom_field_movilManager\">M\u00f3vil<\/label>\n\t\t\t\t<input data-phone-format=\"{&quot;phone_data&quot;:[&quot;#&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;,&quot;-&quot;,&quot;#&quot;,&quot;#&quot;]}\" class=\"extra_field_phone \" name=\"custom_field_movilManager\" maxlength=\"70\" type=\"text\" id=\"custom_field_movilManager\" value=\"\" placeholder = \"M\u00f3vil\"\/><span class=\"wppb-description-delimiter\">Required phone number format: ###-##-##-##<br><\/span><\/li><\/ul><\/li><li class=\"wppb-msf-step\" style=\"display: none;\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-25\">\n\t\t\t\t<label for=\"custom_field_nCamasHospital\">N\u00ba de camas del Hospital<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_nCamasHospital\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_nCamasHospital\" value=\"0\" placeholder = \"N\u00ba de camas del Hospital\"\/><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-26\">\n\t\t\t\t<label for=\"custom_field_nCancerOvarioHospital\">N\u00ba de C\u00e1ncer de Ovario que ven al a\u00f1o en su hospital<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_nCancerOvarioHospital\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_nCancerOvarioHospital\" value=\"0\" placeholder = \"N\u00ba de C\u00e1ncer de Ovario que ven al a\u00f1o en su hospital\"\/><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-27\">\n\t\t\t\t<label for=\"custom_field_nCancerEndometrioHospital\">N\u00ba de C\u00e1ncer de Endometrio que ven al a\u00f1o en su hospital<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_nCancerEndometrioHospital\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_nCancerEndometrioHospital\" value=\"0\" placeholder = \"N\u00ba de C\u00e1ncer de Endometrio que ven al a\u00f1o en su hospital\"\/><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-28\">\n\t\t\t\t<label for=\"custom_field_nCancerCervixHospital\">N\u00ba de C\u00e1ncer de C\u00e9rvix que ven al a\u00f1o en su hospital<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_nCancerCervixHospital\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_nCancerCervixHospital\" value=\"0\" placeholder = \"N\u00ba de C\u00e1ncer de C\u00e9rvix que ven al a\u00f1o en su hospital\"\/><\/li><\/ul><\/li><li class=\"wppb-msf-step\" style=\"display: none;\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-radio pbpl-class\" id=\"wppb-form-element-31\">\n\t\t\t\t<label for=\"custom_field_radioterapiaHospital\">Radioterapia en el hospital<\/label><ul class=\"wppb-radios\"><li><input value=\"Si\" class=\"custom_field_radio \" id=\"si_31\" name=\"custom_field_radioterapiaHospital\" type=\"radio\"   \/><label for=\"si_31\" class=\"wppb-rc-value\">Si<\/label><\/li><li><input value=\"No\" class=\"custom_field_radio \" id=\"no_31\" name=\"custom_field_radioterapiaHospital\" type=\"radio\"   \/><label for=\"no_31\" class=\"wppb-rc-value\">No<\/label><\/li><\/ul><\/li><li class=\"wppb-form-field wppb-radio pbpl-class\" id=\"wppb-form-element-30\">\n\t\t\t\t<label for=\"custom_field_ensayosOncologia\">Monitores en oncolog\u00eda de ensayos<\/label><ul class=\"wppb-radios\"><li><input value=\"Si\" class=\"custom_field_radio \" id=\"si_30\" name=\"custom_field_ensayosOncologia\" type=\"radio\"   \/><label for=\"si_30\" class=\"wppb-rc-value\">Si<\/label><\/li><li><input value=\"No\" class=\"custom_field_radio \" id=\"no_30\" name=\"custom_field_ensayosOncologia\" type=\"radio\"   \/><label for=\"no_30\" class=\"wppb-rc-value\">No<\/label><\/li><\/ul><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-29\">\n\t\t\t\t<label for=\"custom_field_cuantosEnsayosOncologia\">\u00bfCu\u00e1ntos?<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_cuantosEnsayosOncologia\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_cuantosEnsayosOncologia\" value=\"\" placeholder = \"\u00bfCu\u00e1ntos?\"\/><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-32\">\n\t\t\t\t<label for=\"custom_field_nEnsayosClinicos\">N\u00famero de ensayos cl\u00ednicos en que participan<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_nEnsayosClinicos\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_nEnsayosClinicos\" value=\"0\" placeholder = \"N\u00famero de ensayos cl\u00ednicos en que participan\"\/><\/li><li class=\"wppb-form-field wppb-number pbpl-class\" id=\"wppb-form-element-33\">\n\t\t\t\t<label for=\"custom_field_ceic\">CEIC del hospital (Periodicidad de las reuniones)<\/label>\n\t\t\t\t<input class=\"extra_field_number \" name=\"custom_field_ceic\" maxlength=\"70\" step=\"any\" type=\"number\" min=\"0\" max=\"\" id=\"custom_field_ceic\" value=\"0\" placeholder = \"CEIC del hospital (Periodicidad de las reuniones)\"\/><\/li><\/ul><\/li><li class=\"wppb-msf-step\" style=\"display: none;\"><ul style=\"margin: 0;\"><li class=\"wppb-form-field wppb-html pbpl-class\" id=\"wppb-form-element-38\">\n\t\t\t\t<label>Texto Informacion<\/label>\n\t\t\t\t<span class=\"custom_field_html \" ><\/span><span class=\"wppb-description-delimiter\"><section class=\"texto_informativo\">\nCon el presente documento, solicito la adhesi\u00f3n como miembro del GEICO, a fin de participar en los futuros ensayos cl\u00ednicos y reuniones promovidas por el mismo.\n<\/section><\/span><\/li><li class=\"wppb-form-field wppb-datepicker pbpl-class\" id=\"wppb-form-element-40\">\n\t\t\t\t<label for=\"custom_field_fecha_firma\">Lo que firmo en<\/label>\n\t\t\t\t<input name=\"custom_field_fecha_firma\" class=\"custom_field_datepicker \" id=\"custom_field_fecha_firma\" type=\"text\" value=\"\" data-dateformat=\"dd\/mm\/yy\" placeholder = \"Lo que firmo en\"\/>\n\t\t\t\t<span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-checkbox-terms-and-conditions pbpl-class\" id=\"wppb-form-element-34\">\n\t\t\t\t<label for=\"custom_field_aceptoNormas\">\n\t\t\t\t<input value=\"agree\" name=\"custom_field_aceptoNormas\" id=\"custom_field_aceptoNormas\" type=\"checkbox\" class=\"custom_field_toa\"   \/>Adem\u00e1s, acepto las normas internas reflejadas en los Estatutos del GEICO<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label><span class=\"agree_to_terms\"><\/span><\/li><li class=\"wppb-form-field wppb-html pbpl-class\" id=\"wppb-form-element-39\">\n\t\t\t\t<label>Firma<\/label>\n\t\t\t\t<span class=\"custom_field_html \" ><div id=\"canvas_firma\" class=\"form-group \">\n\n<a id=\"clear_canvas\">\n<svg  xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" width=\"16\"><path d=\"M463.5 224H472c13.3 0 24-10.7 24-24V72c0-9.7-5.8-18.5-14.8-22.2s-19.3-1.7-26.2 5.2L413.4 96.6c-87.6-86.5-228.7-86.2-315.8 1c-87.5 87.5-87.5 229.3 0 316.8s229.3 87.5 316.8 0c12.5-12.5 12.5-32.8 0-45.3s-32.8-12.5-45.3 0c-62.5 62.5-163.8 62.5-226.3 0s-62.5-163.8 0-226.3c62.2-62.2 162.7-62.5 225.3-1L327 183c-6.9 6.9-8.9 17.2-5.2 26.2s12.5 14.8 22.2 14.8H463.5z\"\/><\/svg>\n<\/a>\n                    <canvas id=\"signature\"><\/canvas>\n                    \n                <\/div><\/span><\/li><li class=\"wppb-form-field wppb-checkbox-terms-and-conditions pbpl-class\" id=\"wppb-form-element-42\">\n\t\t\t\t<label for=\"custom_field_politicas\">\n\t\t\t\t<input value=\"agree\" name=\"custom_field_politicas\" id=\"custom_field_politicas\" type=\"checkbox\" class=\"custom_field_toa\"   \/>He le\u00eddo y acepto la <a href=\"https:\/\/www.geicogroup.com\/politica-privacidad\/\" target=\"_blank\">pol\u00edtica de privacidad<\/a><span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label><span class=\"agree_to_terms\"><\/span><\/li><li class=\"wppb-form-field wppb-recaptcha pbpl-class\" id=\"wppb-form-element-41\"><div id=\"wppb-recaptcha-element-pb_register1\" class=\"wppb-recaptcha-element wppb-invisible-recaptcha\"><\/div><\/li><\/ul><\/li>\n        <li class=\"wppb-msf-step-commands d-flex flex-wrap justify-content-end\" style=\"\/*width: 465px;*\/ width: 90%;\">\n            <input type=\"button\" class=\"wppb-msf-button wppb-msf-prev d-none\" style=\"float: left; padding: 8px 15px;\" value=\"Previous\" disabled>\n            <input type=\"button\" class=\"wppb-msf-button wppb-msf-next d-none\" style=\"float: right; padding: 8px 15px;\" value=\"Next\">\n            <button id=\"prev_page\" type=\"button\" class=\"wppb-msf-button wppb-msf-prev me-2 d-none\" onclick=\"show_next()\" style=\"width: 47px; height: 46px; flex-shrink: 0; background-color: #6BA7BD; border-radius: 8px; padding: 0 !important;\">\n                <svg width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M9 18.0001C9.0073 17.2109 9.32527 16.4565 9.885 15.9001L16.32 9.45011C16.601 9.17073 16.9812 9.01392 17.3775 9.01392C17.7738 9.01392 18.154 9.17073 18.435 9.45011C18.5756 9.58955 18.6872 9.75545 18.7633 9.93824C18.8395 10.121 18.8787 10.3171 18.8787 10.5151C18.8787 10.7131 18.8395 10.9092 18.7633 11.092C18.6872 11.2748 18.5756 11.4407 18.435 11.5801L13.5 16.5001H28.5C28.8978 16.5001 29.2794 16.6581 29.5607 16.9394C29.842 17.2207 30 17.6023 30 18.0001C30 18.3979 29.842 18.7795 29.5607 19.0608C29.2794 19.3421 28.8978 19.5001 28.5 19.5001H13.5L18.435 24.4351C18.7175 24.7156 18.8769 25.0968 18.8783 25.4948C18.8797 25.8928 18.723 26.2752 18.4425 26.5576C18.162 26.8401 17.7808 26.9995 17.3828 27.0009C16.9848 27.0023 16.6025 26.8456 16.32 26.5651L9.885 20.1151C9.32162 19.5551 9.00335 18.7945 9 18.0001Z\" fill=\"white\"\/>\n                <\/svg> \n            <\/button>\n            <button id=\"next_page\" type=\"button\" class=\"wppb-msf-button wppb-msf-next\" onclick=\"show_prev()\" style=\"width: 47px; height: 46px; flex-shrink: 0; background-color: #983251; border-radius: 8px; padding: 0 !important;\">\n                <svg width=\"36\" height=\"36\" viewBox=\"0 0 36 36\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path d=\"M27 18C26.9927 18.7892 26.6747 19.5437 26.115 20.1L19.68 26.55C19.399 26.8294 19.0188 26.9862 18.6225 26.9862C18.2262 26.9862 17.846 26.8294 17.565 26.55C17.4244 26.4106 17.3128 26.2447 17.2367 26.0619C17.1605 25.8791 17.1213 25.683 17.1213 25.485C17.1213 25.287 17.1605 25.0909 17.2367 24.9082C17.3128 24.7254 17.4244 24.5595 17.565 24.42L22.5 19.5H7.5C7.10218 19.5 6.72064 19.342 6.43934 19.0607C6.15804 18.7794 6 18.3978 6 18C6 17.6022 6.15804 17.2207 6.43934 16.9394C6.72064 16.6581 7.10218 16.5 7.5 16.5H22.5L17.565 11.565C17.2825 11.2845 17.1231 10.9034 17.1217 10.5053C17.1203 10.1073 17.277 9.72497 17.5575 9.44252C17.838 9.16006 18.2192 9.00059 18.6172 8.99918C19.0152 8.99777 19.3975 9.15455 19.68 9.43502L26.115 15.885C26.6784 16.445 26.9967 17.2057 27 18Z\" fill=\"white\"\/>\n                <\/svg> \n            <\/button>\n            <button id=\"boton_registrar\" class=\"d-none text-light\" type=\"button\" style=\"width: 219px; height: 46px; background-color: #983251; border-radius: 8px;\">\n                Enviar\n            <\/button>\n            <span id=\"wppb-msf-pagination\"><\/span>\n        <\/li><\/ul><ul style=\"display: none;\"><input id=\"send_credentials_via_email\" type=\"hidden\" name=\"send_credentials_via_email\" value=\"sending\"\/><\/ul>\t\t\t<p class=\"form-submit\" style=\"display: none;\" data-wppb-msf=\"yes\" >\n\t\t\t\t                                <!-- Boton registro -->\n                <!--<input type=\"hidden\" name=\"firma2\" id=\"firma2\" class=\"extra_field_hidden_input\">-->\n\t\t\t\t<input name=\"register\" type=\"submit\" id=\"register\" class=\"d-none submit button\" value=\"Register\" \/>\n                <input name=\"redirect_to\" type=\"hidden\" value=\"\" \/>\n                \t\t\t\t<input name=\"action\" type=\"hidden\" id=\"action\" value=\"register\" \/>\n\t\t\t\t<input name=\"form_name\" type=\"hidden\" id=\"form_name\" value=\"unspecified\" \/>\n\t\t\t\t<input name=\"form_id\" type=\"hidden\" id=\"form_id\" value=\"\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"wppb_referer_url\" value=\"\"\/>\t\t\t<\/p><!-- .form-submit -->\n\t\t\t<input type=\"hidden\" id=\"register_unspecified_nonce_field\" name=\"register_unspecified_nonce_field\" value=\"ebd0083de6\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/9961\" \/>\t\t<\/form>\n\t\t\n    <div id=\"fechaFirma\" class=\"form-group datepicker\" data-mdb-datepicker-init data-mdb-input-init data-mdb-toggle-button=\"true\" style=\"visibility: hidden;\">\n    <input type=\"text\" id=\"fechaFirma_input\" name=\"fechaFirma_input\" data-mdb-toggle=\"datepicker\" class=\"form-control\">\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u00danete a Geico Hazte Miembro Para solicitar tu membres\u00eda a GEICO, por favor cumplimenta este formulario. Te confirmaremos la resoluci\u00f3n a la mayor brevedad. Si tienes alguna cuesti\u00f3n al respecto, no dudes en escribirnos a secretar\u00eda@grupogeico.org<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9964,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-profesional.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-9961","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages\/9961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/comments?post=9961"}],"version-history":[{"count":1,"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages\/9961\/revisions"}],"predecessor-version":[{"id":9962,"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages\/9961\/revisions\/9962"}],"up":[{"embeddable":true,"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/pages\/9964"}],"wp:attachment":[{"href":"https:\/\/www.geicogroup.com\/en\/wp-json\/wp\/v2\/media?parent=9961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}