{"id":19400,"date":"2020-08-11T12:09:42","date_gmt":"2020-08-11T12:09:42","guid":{"rendered":"https:\/\/www.farmec.ro\/compania\/?page_id=19400"},"modified":"2026-09-03T09:11:17","modified_gmt":"2026-09-03T09:11:17","slug":"verificare-form","status":"publish","type":"page","link":"https:\/\/www.farmec.ro\/compania\/verificare-form\/","title":{"rendered":"Verificare form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f47955-o1\" lang=\"ro-RO\" dir=\"ltr\" data-wpcf7-id=\"47955\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/compania\/wp-json\/wp\/v2\/pages\/19400#wpcf7-f47955-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formular de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"47955\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ro_RO\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f47955-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<span class=\"farmec-hp\" aria-hidden=\"true\"><label>Las\u0103 gol<input type=\"text\" name=\"farmec_site\" value=\"\" tabindex=\"-1\" autocomplete=\"off\"><\/label><\/span><p><strong>Formular pentru v\u00e2nzarea produselor Farmec pe plan intern (Retail)<\/strong><br \/>\nFormularul se completeaz\u0103 doar de persoane juridice.\n<\/p>\n<div class=\"farmec-cf7-2col\">\n\t<p><label>Nume companie *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"companie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"companie\" \/><\/span><\/label><br \/>\n<label>CUI *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cui\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cui\" \/><\/span><\/label><br \/>\n<label>Localitate *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"localitate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"localitate\" \/><\/span><\/label><br \/>\n<label>Jude\u021b *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"judet\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"judet\"><option value=\"\">- Te rog alege o op\u021biune -<\/option><option value=\"Alba\">Alba<\/option><option value=\"Arad\">Arad<\/option><option value=\"Arges\">Arges<\/option><option value=\"Bacau\">Bacau<\/option><option value=\"Bihor\">Bihor<\/option><option value=\"Bistrita-Nasaud\">Bistrita-Nasaud<\/option><option value=\"Botosani\">Botosani<\/option><option value=\"Braila\">Braila<\/option><option value=\"Brasov\">Brasov<\/option><option value=\"Bucuresti - Sector 1\">Bucuresti - Sector 1<\/option><option value=\"Bucuresti - Sector 2\">Bucuresti - Sector 2<\/option><option value=\"Bucuresti - Sector 3\">Bucuresti - Sector 3<\/option><option value=\"Bucuresti - Sector 4\">Bucuresti - Sector 4<\/option><option value=\"Bucuresti - Sector 5\">Bucuresti - Sector 5<\/option><option value=\"Bucuresti - Sector 6\">Bucuresti - Sector 6<\/option><option value=\"Bucuresti - SAI\">Bucuresti - SAI<\/option><option value=\"Buzau\">Buzau<\/option><option value=\"Calarasi\">Calarasi<\/option><option value=\"Caras-Severin\">Caras-Severin<\/option><option value=\"Cluj\">Cluj<\/option><option value=\"Constanta\">Constanta<\/option><option value=\"Covasna\">Covasna<\/option><option value=\"Dambovita\">Dambovita<\/option><option value=\"Dolj\">Dolj<\/option><option value=\"Galati\">Galati<\/option><option value=\"Giurgiu\">Giurgiu<\/option><option value=\"Gorj\">Gorj<\/option><option value=\"Harghita\">Harghita<\/option><option value=\"Hunedoara\">Hunedoara<\/option><option value=\"Ialomita\">Ialomita<\/option><option value=\"Iasi\">Iasi<\/option><option value=\"Ilfov\">Ilfov<\/option><option value=\"Maramures\">Maramures<\/option><option value=\"Mehedinti\">Mehedinti<\/option><option value=\"Mures\">Mures<\/option><option value=\"Neamt\">Neamt<\/option><option value=\"Olt\">Olt<\/option><option value=\"Prahova\">Prahova<\/option><option value=\"Salaj\">Salaj<\/option><option value=\"Satu Mare\">Satu Mare<\/option><option value=\"Sibiu\">Sibiu<\/option><option value=\"Suceava\">Suceava<\/option><option value=\"Teleorman\">Teleorman<\/option><option value=\"Timis\">Timis<\/option><option value=\"Tulcea\">Tulcea<\/option><option value=\"Valcea\">Valcea<\/option><option value=\"Vaslui\">Vaslui<\/option><option value=\"Vrancea\">Vrancea<\/option><\/select><\/span><\/label><br \/>\n<label>Persoan\u0103 de contact *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"persoana_contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"persoana_contact\" \/><\/span><\/label><br \/>\n<label>Func\u021bie *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"functie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"functie\" \/><\/span><\/label><br \/>\n<label>Telefon *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span><\/label><br \/>\n<label>E-mail *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span><\/label><br \/>\n<label>Nume magazin (punct de v\u00e2nzare) *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"magazin\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"magazin\" \/><\/span><\/label><br \/>\n<label>Punct de v\u00e2nzare *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"punct_vanzare\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"punct_vanzare\"><option value=\"\">- Te rog alege o op\u021biune -<\/option><option value=\"Farmacie\">Farmacie<\/option><option value=\"Magazin alimentar\">Magazin alimentar<\/option><option value=\"Minimarket\">Minimarket<\/option><option value=\"Magazin cosmetic\">Magazin cosmetic<\/option><option value=\"Cabinet cosmetic\">Cabinet cosmetic<\/option><option value=\"Alta varianta\">Alta varianta<\/option><\/select><\/span><\/label>\n\t<\/p>\n<\/div>\n<p><label>Adres\u0103 punct de v\u00e2nzare<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresa_punct\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresa_punct\" \/><\/span><\/label><br \/>\n<label>Alte informa\u021bii relevante<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"alte_informatii\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"alte_informatii\"><\/textarea><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acord\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acord\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Sunt de acord \u015fi am luat la cuno\u015ftin\u0163\u0103 <a href=\"https:\/\/www.farmec.ro\/page\/termeni-si-conditii\" target=\"_blank\" rel=\"noopener\">Termenii \u015fi condi\u0163iile<\/a> site-ului \u015fi <a href=\"https:\/\/www.farmec.ro\/page\/politica-de-confidentialitate\" target=\"_blank\" rel=\"noopener\">Politica de confiden\u0163ialitate<\/a><\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<div class=\"farmec-turnstile\"><div class=\"cf-turnstile\" data-sitekey=\"0x4AAAAAAEnECAWC1rgFLPEU\" data-language=\"ro\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Trimite\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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