<form name="mailing" method="post" action="https://marketing.yaguar.com.ar/class/form.php" class="fmr_form" style="font-size: 0px;">
<input name="f" type="hidden" value="1024629932AZD">
<div class="fmr_form_row" style="display: block; margin-bottom: 6px; width: 561px;">
<div class="fmr_form_el" style="font-size: 14px;"><input name="nombre" type="text" class="fmr_text_input fmr_name_input" placeholder="Nombre..." style="height: 44px; line-height: 44px; box-sizing: border-box; padding: 0px 6px; font-size: 20px; border-radius: 17px; border-style: solid; border-width: 6px; width: 100%;"></div>
</div>
<div class="fmr_form_row" style="display: block; margin-bottom: 6px; width: 561px;">
<div class="fmr_form_el" style="font-size: 14px;"><input name="email" type="text" class="fmr_text_input fmr_email_input" placeholder="Email..." style="height: 44px; line-height: 44px; box-sizing: border-box; padding: 0px 6px; font-size: 20px; border-radius: 17px; border-style: solid; border-width: 6px; width: 100%;"></div>
</div>
<div class="fmr_form_row" style="display: block; margin-bottom: 6px; width: 561px;">
<div class="fmr_form_el" style="font-size: 14px;"><input name="pf_cuidad" class="fmr_text_input fmr_cf_input" type="text" placeholder="Cuidad..." style="height: 44px; line-height: 44px; box-sizing: border-box; padding: 0px 6px; font-size: 20px; border-radius: 17px; border-style: solid; border-width: 6px; width: 100%;"></div>
</div>
<div class="fmr_form_row" style="display: block; margin-bottom: 6px; width: 561px;">
<div class="fmr_form_el" style="font-size: 14px;"><input name="pf_celular" class="fmr_text_input fmr_cf_input" type="text" placeholder="Celular..." style="height: 44px; line-height: 44px; box-sizing: border-box; padding: 0px 6px; font-size: 20px; border-radius: 17px; border-style: solid; border-width: 6px; width: 100%;"></div>
</div>
<div class="fmr_form_button" style="display: block; margin-bottom: 6px; width: 561px;">
<input type="submit" name="Submit" value="Suscribirme!" class="fmr_submit_input" style="line-height: 44px; padding: 0px 26px; font-weight: bold; border: none; box-sizing: border-box; font-size: 20px; border-radius: 17px; width: 100%; height: 44px;">
</div>
</form>