1. System Generated Field Panel
2. Author Entered Field Panel
3. Form Title Panel
4. End-user Entered Field Panel
5. Thank You and Error Message Panel
6. Hidden Panel

• System Generated Field Panel
• Author Entered Field Panel
• Form Title Panel
• End-user Entered Field Panel
• Thank You and Error Message Panel
• Hidden Panel

System Generated Panel 

Market Region ASIA APAC EMEA LATAM

This is a Required field for GLU to process this request:

*Nation / Country Bangladesh Australia Hongkong United Kingdom Turkey Kuwait Bahrain Egypt Jordan Greece Oman Lebanon Romania Bulgaria France Poland Portugal Spain UAE Italy Russia Portugal Argentina Columbia Brazil

LeadAssociatedSourceDesc

PublishedDate

Domain

LanguageValue

 Author Input Panel

Author Input Panel - Required fields

*Type of Form Integration siteComponent slider contactCardForm

*Type Of Form Contactform Inquiry Grievance

*Request Type

Lead

Case

*Xmlformname

Date field format

Select the date format used in the form (if date field is used) yyyy/mm/dd mm/dd/yyyy dd/mm/yyyy yyyy-mm-dd mm-dd-yyyy dd-mm-yyyy

Author Input Panel - Optional fields

Analytics Medium

Email

WebSite

Form Title  Panel

Contáctanos

User Input Panel

*campo obligatorio

Nombre*

Apellido*

Teléfono*

Comentarios

He leído y acepto la política de privacidad.

Enviar

Ver política de privacidad

Thank You/Error Panel Configuration

Message Option Same page-fadeout Same page-fixed New page

Option One/Two Configuration

Message Delay

Error

Ha ocurrido un error al enviar el su solicitud. Por favor, vuelva a intentarlo pasados unos minutos.

Gracias

¡Gracias por contactar con MetLife! Tu mensaje se ha enviado correctamente. Muy pronto nos pondremos en contacto contigo para darte respuesta.

Option Three Configuration

Error Page

Thank You Page

Page Target Same Tab New Tab

Hidden Panel