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| Original file line number | Diff line number | Diff line change |
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| @@ -0,0 +1,222 @@ | ||
| <!DOCTYPE html> | ||
| <html lang="es"> | ||
| <head> | ||
| <meta charset="UTF-8"> | ||
| <meta name="viewport" content="width=device-width, initial-scale=1.0"> | ||
| <title>Envío de formulario por WhatsApp</title> | ||
| <!--<link href="https://fonts.googleapis.com/css2?family=Montserrat:wght@400;600&display=swap" rel="stylesheet"> | ||
| <link href="fontawesome-free-6.5.2-web/css/all.min.css" rel="stylesheet">--> | ||
| <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.4.1/jquery.min.js" charset="utf-8"></script> | ||
| <!-- <link rel="stylesheet" href="style.css"> --> | ||
| <style>*{ | ||
| margin: 0; | ||
| padding: 0; | ||
| text-decoration: none; | ||
| font-family: "Montserrat", sans-serif; | ||
| } | ||
|
|
||
| body{ | ||
| min-height: 100vh; | ||
| background-image: linear-gradient(120deg, #3498db, #8e44ad); | ||
| } | ||
|
|
||
| .formulario{ | ||
| width: 360px; | ||
| background: #f1f1f1; | ||
| height: 400px; | ||
| padding: 80px 40px; | ||
| border-radius: 10px; | ||
| position: absolute; | ||
| left: 50%; | ||
| top: 50%; | ||
| transform: translate(-50%, -50%); | ||
| box-shadow: 2px 2px 10px 5px rgba(0, 0, 0, 0.2); | ||
| } | ||
|
|
||
| .formulario h1{ | ||
| text-align: center; | ||
| margin-bottom: 60px; | ||
| color: #333; | ||
| font-weight: 600; | ||
| } | ||
| /* | ||
| .box-input{ | ||
| border-bottom: 2px solid #adadad; | ||
| position: relative; | ||
| margin: 30px 0; | ||
| } | ||
|
|
||
| .box-input input{ | ||
| font-size: 16px; | ||
| color: #333; | ||
| border: none; | ||
| width: 100%; | ||
| outline: none; | ||
| background: none; | ||
| padding: 0 5px; | ||
| height: 40px; | ||
| } | ||
|
|
||
| .box-input span::before{ | ||
| content: attr(data-placeholder); | ||
| position: absolute; | ||
| top: 50%; | ||
| left: 5px; | ||
| color: #adadad; | ||
| transform: translateY(-50%); | ||
| z-index: -1; | ||
| transition: .5s; | ||
| } | ||
|
|
||
| .box-input span::after{ | ||
| content: ''; | ||
| position: absolute; | ||
| width: 0%; | ||
| height: 2px; | ||
| background: linear-gradient(120deg, #3498db, #8e44ad); | ||
| transition: .5s; | ||
| }*/ | ||
|
|
||
| .focus + span::before{ | ||
| top: -5px; | ||
| } | ||
|
|
||
| .focus + span::after{ | ||
| width: 100%; | ||
| } | ||
|
|
||
| .boton{ | ||
| display: block; | ||
| width: 100%; | ||
| height: 50px; | ||
| background-color: #48bb78; | ||
| border: solid 2px #48bb78; | ||
| color: #fff; | ||
| border-radius: 5px; | ||
| font-weight: 600; | ||
| font-size: 18px; | ||
| box-shadow: 2px 2px 5px 2px rgba(0, 0, 0, 0.1); | ||
| } | ||
|
|
||
| .boton:hover{ | ||
| background-color: #2F855A; | ||
| border: solid 2px #2F855A; | ||
| transition: .5s; | ||
| }</style> | ||
| </head> | ||
| <body> | ||
|
|
||
| <form id="form" class="formulario"> | ||
| <h1>Envío de formulario por WhatsApp</h1> | ||
| <div class="box-input"> | ||
| <input name="nombres" id="nombres" type="text" required> | ||
| <span data-placeholder="Escriba su Nombre"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="apellidos" id="apellidos" type="text" required> | ||
| <span data-placeholder="Escriba sus Apellidos"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
|
|
||
|
|
||
| <select id="tipo_documento" name="tipo_documento" class="form-select option-selected" aria-label="Default select example" required="required" style="width: 100%; max-width: 700px;"> | ||
| <option selected disabled value="" class="requerido" style="color: red;"></option> | ||
| <option value="RC" {{option.selected(color === "RC")}}>RC - Registro Civil </option> | ||
| <option value="CC" {{option.selected(color === "CC")}}>CC - Cédula Ciudadanía</option> | ||
| <option value="CE" {{option.selected(color === "CE")}}>CE - Cédula Extranjera</option> | ||
| <option value="PPT" {{option.selected(color === "PPT")}}>PPT - Permiso Por Protección Temporal</option> | ||
| <option value="TI" {{option.selected(color === "TI")}}>TI - Tarjeta Identidad</option> | ||
| <option value="ADS" {{option.selected(color === "ADS")}}>ADS - Adulto Sin Identificación</option> | ||
| </select> | ||
| <span data-placeholder="Defina su tipo de documento"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="documento" id="documento" type="text" required> | ||
| <span data-placeholder="Escriba su numero documento"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="direccion" id="direccion" type="text" required> | ||
| <span data-placeholder="Escriba su direccion"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="telefono" id="telefono" type="text" required> | ||
| <span data-placeholder="Escriba su numero telefono"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="email" id="email" type="email" required> | ||
| <span data-placeholder="Escriba su Correo Electrónico"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="asunto" id="asunto" type="text" required> | ||
| <span data-placeholder="Escriba su asunto"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="message" id="message" type="text" required> | ||
| <span data-placeholder="Escriba su mensaje"></span> | ||
| </div> | ||
| <div class="box-input"> | ||
| <input name="acepta_terminos" id="acepta_terminos" type="checkbox" required> | ||
| <span data-placeholder="Acepte Terminos"></span> | ||
| </div> | ||
| <button id="button" type="submit" class="boton"><i class="fab fa-whatsapp"></i> Enviar WhatsApp</button> | ||
| </form> | ||
|
|
||
| <!--<script type="text/javascript"> | ||
| $(".box-input input").on("focus", function(){ | ||
| $(this).addClass("focus"); | ||
| }); | ||
| $(".box-input input").on("blur", function(){ | ||
| if($(this).val() == ""){ | ||
| $(this).removeClass("focus"); | ||
| } | ||
| }); | ||
| </script>--> | ||
|
|
||
| <!--<script src="https://kit.fontawesome.com/a076d05399.js"></script> | ||
| <script src="whatsapp.js"></script> --> | ||
| <script>function isMobile() { | ||
| if (sessionStorage.desktop) | ||
| return false; | ||
| else if (localStorage.mobile) | ||
| return true; | ||
| var mobile = ['iphone', 'ipad', 'android', 'blackberry', 'nokia', 'opera mini', 'windows mobile', 'windows phone', 'iemobile']; | ||
| for (var i in mobile) | ||
| if (navigator.userAgent.toLowerCase().indexOf(mobile[i].toLowerCase()) > 0) return true; | ||
| return false; | ||
| } | ||
|
|
||
| const formulario = document.querySelector('#form'); | ||
| const buttonSubmit = document.querySelector('#button'); | ||
| const urlDesktop = 'https://web.whatsapp.com/'; | ||
| const urlMobile = 'whatsapp://'; | ||
| const telefon = '573144781637'; | ||
|
|
||
| formulario.addEventListener('submit', (event) => { | ||
| event.preventDefault() | ||
| buttonSubmit.innerHTML = '<i class="fas fa-circle-notch fa-spin"></i>' | ||
| buttonSubmit.disabled = true | ||
| setTimeout(() => { | ||
| let nombres = document.querySelector('#nombres').value | ||
| let apellidos = document.querySelector('#apellidos').value | ||
| let tipo_documento = document.querySelector('#tipo_documento').value | ||
| let documento = document.querySelector('#documento').value | ||
| let direccion = document.querySelector('#direccion').value | ||
| let telefono = document.querySelector('#telefono').value | ||
| let email = document.querySelector('#email').value | ||
| let asunto = document.querySelector('#asunto').value | ||
| let message = document.querySelector('#message').value | ||
| let acepta_terminos = document.querySelector('#acepta_terminos').value | ||
| let mensaje = 'send?phone=' + telefon + '&text=*Mensaje enviado desde www.clinicaflaviorestrepo.com*%0ANombres Usuario:%0A' + nombres + '%0A*Apellidos Usuario:*%0A' + apellidos + '%0A*Tipo Documento Usuario:*%0A' + tipo_documento + '%0A*Numero Documento Usuario:*%0A' + documento + '%0A*Dirección:*%0A' + direccion + '%0A*Teléfono Usuario:*%0A' + telefono + '%0A*Correo Electrónico Usuario:%0A' + email + '%0A*Asunto Usuario:%0A' + asunto + '%0A*Mensaje Usuario:%0A' + message + '%0A*Usuario Acepto Términos:%0A' + acepta_terminos +'' | ||
| if(isMobile()) { | ||
| window.open(urlMobile + mensaje, '_blank') | ||
| }else{ | ||
| window.open(urlDesktop + mensaje, '_blank') | ||
| } | ||
| buttonSubmit.innerHTML = '<i class="fab fa-whatsapp"></i> Enviar WhatsApp' | ||
| buttonSubmit.disabled = false | ||
| }); | ||
| });</script> | ||
| </body> | ||
| </html> |
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