{"id":1256752,"date":"2020-06-19T14:36:17","date_gmt":"2020-06-19T18:36:17","guid":{"rendered":"https:\/\/bauer-built-tire-service.local\/retail-solicite-una-cotizacion\/"},"modified":"2023-04-07T10:37:46","modified_gmt":"2023-04-07T14:37:46","slug":"retail-solicite-una-cotizacion","status":"publish","type":"page","link":"https:\/\/www.bauerbuilt.com\/es\/retail-solicite-una-cotizacion\/","title":{"rendered":"Retail &#8211; Solicite una cotizaci\u00f3n"},"content":{"rendered":"\n\n\n<p class=\"intro advgb-dyn-f0f8e91e\">Obtenga precios r\u00e1pidos y sencillos para neum\u00e1ticos de venta al p\u00fablico rellenando el siguiente formulario. Podemos proporcionarle marcas de neum\u00e1ticos, modelos y opciones de precios para ayudarle a encontrar los neum\u00e1ticos adecuados para su veh\u00edculo, estilo de vida y presupuesto.<\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' ><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/es\/wp-json\/wp\/v2\/pages\/1256752' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_7_24\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_7_24' class='gfield_label gform-field-label' for='input_7_24'><span class='gform-field-label__text'>Instagram<\/span><\/label><div class='ginput_container'><input name='input_24' id='input_7_24' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_7_24'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><\/div><div id=\"field_7_22\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"95445ef6\" data-field-span=\"12\"><h4 class=\"col-1\" style=\"padding-top: 50px;\">Informaci\u00f3n del veh\u00edculo<\/h4><\/div><div id=\"field_7_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"839a843b\" data-field-span=\"12\"><label id='gfield_label_7_1' class='gfield_label gform-field-label' for='input_7_1'><span class='gform-field-label__text'>A\u00f1o<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_7_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8e64254e\" data-field-span=\"12\"><label id='gfield_label_7_3' class='gfield_label gform-field-label' for='input_7_3'><span class='gform-field-label__text'>Hacer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_7_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"f42be6f2\" data-field-span=\"12\"><label id='gfield_label_7_4' class='gfield_label gform-field-label' for='input_7_4'><span class='gform-field-label__text'>Modelo<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_7_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c9caf668\" data-field-span=\"12\"><label id='gfield_label_7_5' class='gfield_label gform-field-label' for='input_7_5'><span class='gform-field-label__text'>Recortar<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_7_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b6cf156a\" data-field-span=\"12\"><label id='gfield_label_7_6' class='gfield_label gform-field-label' for='input_7_6'><span class='gform-field-label__text'>Marca preferida<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_7_6' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar marca<\/option><option value='BFGoodrich' >BFGoodrich<\/option><option value='Bridgestone' >Bridgestone<\/option><option value='Firestone' >Firestone<\/option><option value='H\u00e9rcules' >H\u00e9rcules<\/option><option value='Kumho' >Kumho<\/option><option value='Michelin' >Michelin<\/option><option value='Uniroyal' >Uniroyal<\/option><\/select><\/div><\/div><div id=\"field_7_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"65642282\" data-field-span=\"12\"><label id='gfield_label_7_7' class='gfield_label gform-field-label' for='input_7_7'><span class='gform-field-label__text'>Dibujo de la banda de rodadura (si se conoce)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_7_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"631416c4\" data-field-span=\"12\"><label id='gfield_label_7_8' class='gfield_label gform-field-label' for='input_7_8'><span class='gform-field-label__text'>Tama\u00f1o (si se conoce)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_7_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"53ab723a\" data-field-span=\"12\"><label id='gfield_label_7_9' class='gfield_label gform-field-label' for='input_7_9'><span class='gform-field-label__text'>Seleccione una ubicaci\u00f3n construida de Bauer<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_7_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccionar ubicaci\u00f3n<\/option><option value='Blue Earth, MN \u2013 425 North Grove Street, MN 56013' >Blue Earth, MN \u2013 425 North Grove Street, MN 56013<\/option><option value='Cadillac, MI - 7296 S US 131, MI 49601' >Cadillac, MI &#8211; 7296 S US 131, MI 49601<\/option><option value='Carroll, IA \u2013 1227 West US Hwy 30, IA 51401' >Carroll, IA \u2013 1227 West US Hwy 30, IA 51401<\/option><option value='Durand, WI \u2013 300 West Prospect Street, WI 54736' >Durand, WI \u2013 300 West Prospect Street, WI 54736<\/option><option value='Eau Claire, WI \u2013 3014 Mall Drive, WI 54701' >Eau Claire, WI \u2013 3014 Mall Drive, WI 54701<\/option><option value='Elk Grove Village, IL - 750 Arthur Avenue, IL 60007' >Elk Grove Village, IL &#8211; 750 Arthur Avenue, IL 60007<\/option><option value='Gaylord, MI - 1260 Oeste M-32, MI 49735' >Gaylord, MI &#8211; 1260 Oeste M-32, MI 49735<\/option><option value='Grand Rapids, MI - 1640 Olson Street, MI 49503' >Grand Rapids, MI &#8211; 1640 Olson Street, MI 49503<\/option><option value='Jackson, MI - 1608 Cooper Street, MI 49202' >Jackson, MI &#8211; 1608 Cooper Street, MI 49202<\/option><option value='Kalkaska, MI - 122 S. Cedar Street, MI 49646' >Kalkaska, MI &#8211; 122 S. Cedar Street, MI 49646<\/option><option value='Lansing, MI - 1313 S. Waverly Road, MI 48917' >Lansing, MI &#8211; 1313 S. Waverly Road, MI 48917<\/option><option value='Leroy, MN \u2013 510 West Main Street, MN 55951' >Leroy, MN \u2013 510 West Main Street, MN 55951<\/option><option value='Lexington, NE \u2013 2810 Heartland Drive, NE 68850' >Lexington, NE \u2013 2810 Heartland Drive, NE 68850<\/option><option value='Madison, WI - 3314 Dairy Drive, WI 53716' >Madison, WI &#8211; 3314 Dairy Drive, WI 53716<\/option><option value='Manitowoc, WI \u2013 1501 S 41st Street, WI 54220' >Manitowoc, WI \u2013 1501 S 41st Street, WI 54220<\/option><option value='Mason City, IA \u2013 11228 265th Street, IA 50401' >Mason City, IA \u2013 11228 265th Street, IA 50401<\/option><option value='Mattawan, MI - 24069 W. McGillen Avenue, MI 49071' >Mattawan, MI &#8211; 24069 W. McGillen Avenue, MI 49071<\/option><option value='Mount Pleasant, MI - 704 E Pickard Street, MI 48858' >Mount Pleasant, MI &#8211; 704 E Pickard Street, MI 48858<\/option><option value='Muskegon, MI - 1281 E. Laketon Avenue, MI 49442' >Muskegon, MI &#8211; 1281 E. Laketon Avenue, MI 49442<\/option><option value='Preston, MN \u2013 1400 Energy Drive, MN 55965' >Preston, MN \u2013 1400 Energy Drive, MN 55965<\/option><option value='Saginaw, MI - 3685 E. Washington Road, MI 48601' >Saginaw, MI &#8211; 3685 E. Washington Road, MI 48601<\/option><option value='Saginaw, MI - 3100 Freeway Lane, MI 48601' >Saginaw, MI &#8211; 3100 Freeway Lane, MI 48601<\/option><option value='Beloit Sur, IL - 4829 Prairie Hill Road, IL 61080' >Beloit Sur, IL &#8211; 4829 Prairie Hill Road, IL 61080<\/option><option value='Holanda Meridional, IL - 555 E. 162nd Street, IL 60473' >Holanda Meridional, IL &#8211; 555 E. 162nd Street, IL 60473<\/option><option value='Waterloo, IA \u2013 2086 Howard Avenue, IA 50702' >Waterloo, IA \u2013 2086 Howard Avenue, IA 50702<\/option><option value='West Burlington, IA \u2013 1207 South Broadway Street, IA 52655' >West Burlington, IA \u2013 1207 South Broadway Street, IA 52655<\/option><option value='Zeeland, MI - 3254 Production Ct., MI 49464' >Zeeland, MI &#8211; 3254 Production Ct., MI 49464<\/option><\/select><\/div><\/div><div id=\"field_7_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4301a3b2\" data-field-span=\"12\"><label id='gfield_label_7_10' class='gfield_label gform-field-label' for='input_7_10'><span class='gform-field-label__text'>N\u00famero de neum\u00e1ticos<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_7_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Seleccione el n\u00famero de neum\u00e1ticos<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/div><\/div><div id=\"field_7_11\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3030dc5c\" data-field-span=\"12\"><h4 class=\"col-1\" style=\"padding-top: 50px;\">Cu\u00e9ntanos sobre ti<\/h4><\/div><div id=\"field_7_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"251dd880\" data-field-span=\"12\"><label id='gfield_label_7_12' class='gfield_label gform-field-label' for='input_7_12'><span class='gform-field-label__text'>Nombre<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_7_12' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"bc4fe297\" data-field-span=\"12\"><label id='gfield_label_7_13' class='gfield_label gform-field-label' for='input_7_13'><span class='gform-field-label__text'>Apellido<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_7_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_14\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"748f4314\" data-field-span=\"12\"><label id='gfield_label_7_14' class='gfield_label gform-field-label' for='input_7_14'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_7_14' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_7_15\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"989a2403\" data-field-span=\"12\"><label id='gfield_label_7_15' class='gfield_label gform-field-label' for='input_7_15'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_7_15' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_7_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1dbbaa64\" data-field-span=\"12\"><label id='gfield_label_7_16' class='gfield_label gform-field-label' for='input_7_16'><span class='gform-field-label__text'>Direcci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_7_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4aedd89c\" data-field-span=\"12\"><label id='gfield_label_7_17' class='gfield_label gform-field-label' for='input_7_17'><span class='gform-field-label__text'>Ciudad<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_7_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3bc66fde\" data-field-span=\"12\"><label id='gfield_label_7_18' class='gfield_label gform-field-label' for='input_7_18'><span class='gform-field-label__text'>Estado<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_7_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='Distrito de Columbia' >Distrito de Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawai' >Hawai<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Luisiana' >Luisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Misisipi' >Misisipi<\/option><option value='Misuri' >Misuri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='Nuevo Hampshire' >Nuevo Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='Nuevo M\u00e9xico' >Nuevo M\u00e9xico<\/option><option value='Nueva York' >Nueva York<\/option><option value='Carolina del Norte' >Carolina del Norte<\/option><option value='Dakota del Norte' >Dakota del Norte<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oreg\u00f3n' >Oreg\u00f3n<\/option><option value='Pensilvania' >Pensilvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='Carolina del Sur' >Carolina del Sur<\/option><option value='Dakota del Sur' >Dakota del Sur<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='Virginia Occidental' >Virginia Occidental<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><\/select><\/div><\/div><div id=\"field_7_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"561ccbb1\" data-field-span=\"12\"><label id='gfield_label_7_19' class='gfield_label gform-field-label' for='input_7_19'><span class='gform-field-label__text'>.ZIP<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_7_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_7_20\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b6dac2cf\" data-field-span=\"12\"><label id='gfield_label_7_20' class='gfield_label gform-field-label' for='input_7_20'><span class='gform-field-label__text'>Comentarios<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_7_20' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_7_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"cb3a6f43\" data-field-span=\"12\"><legend id='gfield_label_7_21' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Seleccione cualquier servicio adicional que necesite<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_21'><div class='gchoice gchoice_7_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Eje, junta CV, reparaci\u00f3n del eje de transmisi\u00f3n'  id='choice_7_21_1'    aria-labelledby=\"label_7_21_1 gfield_label_7_21\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_1' id='label_7_21_1' class='gform-field-label gform-field-label--type-inline'>Eje, junta CV, reparaci\u00f3n del eje de transmisi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Correas y mangueras'  id='choice_7_21_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_2' id='label_7_21_2' class='gform-field-label gform-field-label--type-inline'>Correas y mangueras<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Reparaci\u00f3n de frenos'  id='choice_7_21_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_3' id='label_7_21_3' class='gform-field-label gform-field-label--type-inline'>Reparaci\u00f3n de frenos<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Reparaci\u00f3n del sistema de refrigeraci\u00f3n'  id='choice_7_21_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_4' id='label_7_21_4' class='gform-field-label gform-field-label--type-inline'>Reparaci\u00f3n del sistema de refrigeraci\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='Diagn\u00f3stico y rendimiento del motor'  id='choice_7_21_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_5' id='label_7_21_5' class='gform-field-label gform-field-label--type-inline'>Diagn\u00f3stico y rendimiento del motor<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.6' type='checkbox'  value='Reparaci\u00f3n del sistema de escape'  id='choice_7_21_6'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_6' id='label_7_21_6' class='gform-field-label gform-field-label--type-inline'>Reparaci\u00f3n del sistema de escape<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.7' type='checkbox'  value='Cambio de lubricante, aceite y filtro'  id='choice_7_21_7'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_7' id='label_7_21_7' class='gform-field-label gform-field-label--type-inline'>Cambio de lubricante, aceite y filtro<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.8' type='checkbox'  value='Mantenimiento preventivo'  id='choice_7_21_8'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_8' id='label_7_21_8' class='gform-field-label gform-field-label--type-inline'>Mantenimiento preventivo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.9' type='checkbox'  value='Arranque, carga y bater\u00edas'  id='choice_7_21_9'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_9' id='label_7_21_9' class='gform-field-label gform-field-label--type-inline'>Arranque, carga y bater\u00edas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.11' type='checkbox'  value='Sistema de direcci\u00f3n y suspensi\u00f3n'  id='choice_7_21_11'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_11' id='label_7_21_11' class='gform-field-label gform-field-label--type-inline'>Sistema de direcci\u00f3n y suspensi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.12' type='checkbox'  value='Sistema de monitoreo de presi\u00f3n de neum\u00e1ticos (TPMS)'  id='choice_7_21_12'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_12' id='label_7_21_12' class='gform-field-label gform-field-label--type-inline'>Sistema de monitoreo de presi\u00f3n de neum\u00e1ticos (TPMS)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.13' type='checkbox'  value='Servicios de neum\u00e1ticos'  id='choice_7_21_13'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_13' id='label_7_21_13' class='gform-field-label gform-field-label--type-inline'>Servicios de neum\u00e1ticos<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_7_21_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.14' type='checkbox'  value='Alineaci\u00f3n de ruedas'  id='choice_7_21_14'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_7_21_14' id='label_7_21_14' class='gform-field-label gform-field-label--type-inline'>Alineaci\u00f3n de ruedas<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_7_23\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below 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