{"id":502,"date":"2024-05-17T14:33:59","date_gmt":"2024-05-17T12:33:59","guid":{"rendered":"https:\/\/drabpol.pl\/form\/?page_id=502"},"modified":"2024-05-17T14:34:31","modified_gmt":"2024-05-17T12:34:31","slug":"complaint","status":"publish","type":"page","link":"https:\/\/drabpol.pl\/form\/en\/complaint\/","title":{"rendered":"Complaint"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"502\" class=\"elementor elementor-502\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-986ef18 e-flex e-con-boxed e-con e-parent\" data-id=\"986ef18\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4ae6be6 elementor-widget elementor-widget-shortcode\" data-id=\"4ae6be6\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"jet-fb-form-block\" data-is-block=\"jet-forms\/form-block\"><style id=\"jet-form-builder-471-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/502\/?jet_form_builder_submit=submit&amp;method=reload\" method=\"POST\" data-form-id=\"471\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\"><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"3b8802b7e2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/form\/wp-json\/wp\/v2\/pages\/502\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"471\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/502\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"502\">\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default jet-form-builder-progress-pages--global\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Basic Data<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Defect Description<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Device Details<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"4\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">4<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">AC Details<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"5\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">5<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">AC Owner Details<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"6\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">6<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Delivery<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div><div class=\"jet-form-builder-page \" data-page=\"1\" data-page-offset=\"75\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">The submitter is: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field rozw\" required=\"required\" name=\"user_type\" data-field-name=\"user_type\" id=\"user_type\" data-jfb-sync=\"null\">\n\t\t<option value=\"\" selected=\"selected\">Choose...<\/option><option value=\"AC Owner\" >AC Owner<\/option><option value=\"CAMO\" >CAMO<\/option><option value=\"AC Caregiver\" >AC Caregiver<\/option><option value=\"PART 145 Workshop\" >PART 145 Workshop<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" data-value=\"[{&quot;id&quot;:8106,&quot;conditions&quot;:[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}],&quot;to_set&quot;:&quot;&quot;}]\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Name: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"first_name\" id=\"first_name\" type=\"text\" data-field-name=\"first_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Surname: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"last_name\" id=\"last_name\" type=\"text\" data-field-name=\"last_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Email: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"phone\" id=\"phone\" type=\"tel\" data-field-name=\"phone\" class=\"jet-form-builder__field text-field\" minlength=\"8\" maxlength=\"12\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Signs: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"SP_signs\" id=\"SP_signs\" type=\"text\" data-field-name=\"SP_signs\" class=\"jet-form-builder__field text-field znaki jet-form-builder__masked-field\" data-jfb-sync=\"null\" data-inputmask=\"&#039;mask&#039;: &#039;A{1,2} - A{3,4}&#039;\" data-inputmask-placeholder=\"_\" data-inputmask-clearmaskonlostfocus=\"false\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:0%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Fill the required fields<\/div>\t\t\t\t<button class=\"jet-form-builder__next-page goButton\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Whether the fault occurs on the ground or in flight: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field rozw\" required=\"required\" name=\"device_cond\" data-field-name=\"device_cond\" id=\"device_cond\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"On the ground\" >On the ground<\/option><option value=\"In flight\" >In flight<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Please fill this field&quot;}\" class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">When did the failure occur? Give details of the breakdown situation: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<textarea class=\"jet-form-builder__field textarea-field\" placeholder=\"e.g.: after starting the engine, after switching on the ignition, did the error occur for the first time (in the history of use)?\" required=\"required\" name=\"device_symptoms\" data-field-name=\"device_symptoms\" id=\"device_symptoms\" data-jfb-sync=\"null\"><\/textarea>\n\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Did this error occur for the first time?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"device_first\" data-field-name=\"device_first\" id=\"device_first\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Are Bulletins the cause of inquiry? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_bull\" data-field-name=\"device_bull\" id=\"device_bull\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;device_bull&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Service Bulletin Number<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"bull_no\" id=\"bull_no\" type=\"text\" data-field-name=\"bull_no\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Did any error or error code or code appear on the display? (On the screen or in the operator menu)?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"device_err\" data-field-name=\"device_err\" id=\"device_err\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;contain&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;device_err&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">What error has occurred?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"device_err_kind\" data-field-name=\"device_err_kind\" id=\"device_err_kind\" data-jfb-sync=\"null\"><\/textarea>\n\t<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Has the system been installed from another SP or installed on another AC? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_install\" data-field-name=\"device_install\" id=\"device_install\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"No\" >No<\/option><option value=\"Swapped with another\" >Swapped with another<\/option><option value=\"Installed on another AC\" >Installed on another AC<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Has it been confirmed that the AC supply for the device is correct? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_input\" data-field-name=\"device_input\" id=\"device_input\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Is the fault intermittent, does a pattern or sequence of events occur? Or does it always occur? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_defect\" data-field-name=\"device_defect\" id=\"device_defect\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Intermittent\" >Intermittent<\/option><option value=\"Pattern or sequence\" >Pattern or sequence<\/option><option value=\"Always\" >Always<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;not_empty&quot;,&quot;value&quot;:&quot;&quot;,&quot;field&quot;:&quot;device_defect&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Symptom: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<textarea class=\"jet-form-builder__field textarea-field\" required=\"required\" name=\"device_producer_copy\" data-field-name=\"device_producer_copy\" id=\"device_producer_copy\" data-jfb-sync=\"null\"><\/textarea>\n\t<\/div>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Has another device connected to this device been built on the AC, or has another activity been carried out that may affect the system? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_install_new\" data-field-name=\"device_install_new\" id=\"device_install_new\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;device_install_new&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Describe what was done:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"device_what_installed\" id=\"device_what_installed\" type=\"text\" data-field-name=\"device_what_installed\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Does the system have any visual damage? Has it been subjected to a hard landing or impact? (multiple choice field) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_visible[]\" value=\"Visual damage\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Visual damage<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_visible[]\" value=\"Hard landing\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Hard landing<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_visible[]\" value=\"Impact\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Impact<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_visible[]\" value=\"None\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>None<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Fill the required fields<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"1\">Previous<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Device manufacturer:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"device_producer\" id=\"device_producer\" type=\"text\" data-field-name=\"device_producer\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Device Type: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"device_type\" id=\"device_type\" type=\"text\" data-field-name=\"device_type\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">PN: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"device_pn\" id=\"device_pn\" type=\"text\" data-field-name=\"device_pn\" class=\"jet-form-builder__field text-field\" maxlength=\"20\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">SN: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"device_sn\" id=\"device_sn\" type=\"text\" data-field-name=\"device_sn\" class=\"jet-form-builder__field text-field\" maxlength=\"20\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Flying time: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"device_fl_time\" id=\"device_fl_time\" type=\"text\" data-field-name=\"device_fl_time\" class=\"jet-form-builder__field text-field\" maxlength=\"20\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Equipment acquisition time: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"administration_form\" data-field-name=\"administration_form\" id=\"administration_form\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"With AC from new\" >With AC from new<\/option><option value=\"Completed at AC by importer or other PART 145\" >Completed at AC by importer or other PART 145<\/option><option value=\"By personal purchase\" >By personal purchase<\/option><option value=\"By Drabpol\" >By Drabpol<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Has the product been registered on the manufacturer's website: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"administration_register\" data-field-name=\"administration_register\" id=\"administration_register\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Is it built in by the AC manufacturer?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"device_finst\" data-field-name=\"device_finst\" id=\"device_finst\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Software Version:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"soft_ver\" id=\"soft_ver\" type=\"text\" data-field-name=\"soft_ver\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;contain&quot;,&quot;value&quot;:&quot;No&quot;,&quot;field&quot;:&quot;device_finst&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Who built it in:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"device_who\" id=\"device_who\" type=\"text\" data-field-name=\"device_who\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">When was it built in:<\/div><\/div><input class=\"jet-form-builder__field date-field\" name=\"device_when\" type=\"date\" data-field-name=\"device_when\" id=\"device_when\" data-jfb-sync=\"null\" data-max=\"%CT::CurrentDate%\">\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Does the device have intact, whole seals: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"device_void\" data-field-name=\"device_void\" id=\"device_void\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><option value=\"No seals\" >No seals<\/option>\t<\/select>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Fill the required fields<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"2\">Previous<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"4\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<strong><p>AC Signs: \u00a0<span id=\"wynik\"><\/span><\/p><\/strong>\n\n\n\n<script>\n        function PokaZnaki() {\n            var tekst = document.querySelector(\".znaki\").value;\n            document.getElementById(\"wynik\").innerText = tekst;\n        }\n       document.querySelector('.goButton').addEventListener('click', PokaZnaki);\n<\/script>\n\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Producer\/Make: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"SP_producer\" id=\"SP_producer\" type=\"text\" data-field-name=\"SP_producer\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Type\/Model: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"SP_type\" id=\"SP_type\" type=\"text\" data-field-name=\"SP_type\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Series No: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"SP_seriesno\" id=\"SP_seriesno\" type=\"text\" data-field-name=\"SP_seriesno\" class=\"jet-form-builder__field text-field\" maxlength=\"25\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Fill the required fields<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"3\">Previous<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"5\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Owner - Name: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"owner\" id=\"owner\" type=\"text\" data-field-name=\"owner\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Owner - Address - Street: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"owner_street\" id=\"owner_street\" type=\"text\" data-field-name=\"owner_street\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Owner - Address - Postcode: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"owner_postcode\" id=\"owner_postcode\" type=\"text\" data-field-name=\"owner_postcode\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" data-inputmask=\"&#039;mask&#039;: &#039;99-999&#039;\" data-inputmask-placeholder=\"_\" data-inputmask-clearmaskonlostfocus=\"false\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Owner - Address - City: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"owner_city\" id=\"owner_city\" type=\"text\" data-field-name=\"owner_city\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">AC Owner - Address - Country: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"owner_country\" id=\"owner_country\" type=\"text\" data-field-name=\"owner_country\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Invoice: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"invoice\" data-field-name=\"invoice\" id=\"invoice\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose...<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;contain&quot;,&quot;value&quot;:&quot;Tak&quot;,&quot;field&quot;:&quot;invoice&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">TAX No: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"invoice_nip\" id=\"invoice_nip\" type=\"text\" data-field-name=\"invoice_nip\" class=\"jet-form-builder__field text-field\" minlength=\"9\" maxlength=\"12\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Should the invouce be made to a different company?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" name=\"invoice_same\" data-field-name=\"invoice_same\" id=\"invoice_same\" data-jfb-sync=\"null\">\n\t\t<option value=\"0\" >Choose..<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option>\t<\/select>\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__conditional \" data-jfb-conditional=\"[{&quot;operator&quot;:&quot;equal&quot;,&quot;value&quot;:&quot;Yes&quot;,&quot;field&quot;:&quot;invoice_same&quot;,&quot;use_preset&quot;:false}]\" data-jfb-func=\"show\">\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Company name: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"company_name\" id=\"company_name\" type=\"text\" data-field-name=\"company_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address - Street: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"invoice_adress\" id=\"invoice_adress\" type=\"text\" data-field-name=\"invoice_adress\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address - Postcode: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"invoice_postcode\" id=\"invoice_postcode\" type=\"text\" data-field-name=\"invoice_postcode\" class=\"jet-form-builder__field text-field jet-form-builder__masked-field\" data-jfb-sync=\"null\" data-inputmask=\"&#039;mask&#039;: &#039;99-999&#039;\" data-inputmask-placeholder=\"_\" data-inputmask-clearmaskonlostfocus=\"false\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address - city: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"invoice_city\" id=\"invoice_city\" type=\"text\" data-field-name=\"invoice_city\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address - Country: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"invoice_country\" id=\"invoice_country\" type=\"text\" data-field-name=\"invoice_country\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n\t\t\t\t\t<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Fill the required fields<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"4\">Previous<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Next<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"6\" data-page-offset=\"75\">\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Required document after repair\/replacement: <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_document[]\" value=\"EASA Form 1\" data-field-name=\"device_document\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>EASA Form 1<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_document[]\" value=\"EASA\/FAA Form 1 Dual Release\" data-field-name=\"device_document\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>EASA\/FAA Form 1 Dual Release<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_document[]\" value=\"CAA\/FAA Form 1 Dual Release\" data-field-name=\"device_document\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>CAA\/FAA Form 1 Dual Release<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"device_document[]\" value=\"No\" data-field-name=\"device_document\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>No<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/drabpol.pl\/form\/wp-content\/uploads\/2024\/05\/Drabtus-ok.png\" alt=\"\" class=\"wp-image-391\" srcset=\"https:\/\/drabpol.pl\/form\/wp-content\/uploads\/2024\/05\/Drabtus-ok.png 500w, https:\/\/drabpol.pl\/form\/wp-content\/uploads\/2024\/05\/Drabtus-ok-300x300.png 300w, https:\/\/drabpol.pl\/form\/wp-content\/uploads\/2024\/05\/Drabtus-ok-150x150.png 150w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\"\/><div  data-validation-type=\"inherit\" class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap has-prev\">\n<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"5\">Wstecz<\/button>\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Send<\/button>\n\t<\/div>\n\t\n<\/div>\n\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"471\"><\/div>\n<\/form>\n<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-042a1e0 elementor-widget elementor-widget-html\" data-id=\"042a1e0\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div id=\"response\"><\/div>\n<script src=\"https:\/\/code.jquery.com\/jquery-3.6.0.min.js\"><\/script>\n<script>\n    jQuery(document).ready(function($) {\n        $('.goButton').on('click', function() {\n            var userType = $('#user_type').val();\n            var firstName = $('#first_name').val();\n            var lastName = $('#last_name').val();\n            var email = $('#email').val();\n            var phone = $('#phone').val();\n            var specialSigns = $('#SP_signs').val();\n            var pageName = document.title;\n            \n            $.ajax({\n                url: ajax_object.ajax_url,\n                type: 'POST',\n                data: {\n                    action: 'save_form_data',\n                    user_type: userType,\n                    first_name: firstName,\n                    last_name: lastName,\n                    email: email,\n                    phone: phone,\n                    SP_signs: specialSigns,\n                    page_name: pageName,\n                },\n                success: function(response) {\n                    $('#response').html(response);\n                },\n                error: function(xhr, status, error) {\n                    console.error(xhr.responseText);\n                }\n            });\n        });\n    });\n<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-502","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/502","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/comments?post=502"}],"version-history":[{"count":4,"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/502\/revisions"}],"predecessor-version":[{"id":506,"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/502\/revisions\/506"}],"wp:attachment":[{"href":"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/media?parent=502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}