{"id":69,"date":"2024-02-13T08:17:26","date_gmt":"2024-02-13T07:17:26","guid":{"rendered":"http:\/\/magierski.net\/form\/?page_id=69"},"modified":"2024-06-14T15:28:57","modified_gmt":"2024-06-14T13:28:57","slug":"rma","status":"publish","type":"page","link":"https:\/\/drabpol.pl\/form\/rma\/","title":{"rendered":"Naprawa gwarancyjna &#8211; Zg\u0142oszenie reklamacji produktowej"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"69\" class=\"elementor elementor-69\" 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-117-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/drabpol.pl\/form\/wp-json\/wp\/v2\/pages\/69\/?jet_form_builder_submit=submit&amp;method=reload\" method=\"POST\" data-form-id=\"117\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\"><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"6f4255ac74\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/form\/wp-json\/wp\/v2\/pages\/69\" \/>\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=\"117\">\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\/69\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"69\">\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\">Dane podstawowe<\/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\">Opis Usterki<\/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\">Dane Urz\u0105dzenia<\/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\">Dane Samolotu<\/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\">Dane W\u0142asciciela SP<\/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\">Wysy\u0142ka<\/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\">Zg\u0142aszaj\u0105cy jest: <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\">Wybierz...<\/option><option value=\"W\u0142a\u015bciciel SP\" >W\u0142a\u015bciciel SP<\/option><option value=\"CAMO\" >CAMO<\/option><option value=\"Opiekun SP\" >Opiekun SP<\/option><option value=\"Warsztat PART 145\" >Warsztat PART 145<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"inherit\" 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\">Imi\u0119: <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=\"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\">Nazwisko: <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=\"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\">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=\"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\">Telefon <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=\"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\">Znaki SP: <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;SP-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}}\">Wype\u0142nij wymagane pola<\/div>\t\t\t\t<button class=\"jet-form-builder__next-page goButton\" type=\"button\">Dalej<\/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\">Czy usterka wyst\u0119puje na ziemi czy w czasie lotu: <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\" >Wybierz...<\/option><option value=\"Na ziemi\" >Na ziemi<\/option><option value=\"W locie\" >W locie<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  data-validation-type=\"advanced\" data-validation-messages=\"{&quot;empty&quot;:&quot;Prosz\u0119 wype\u0142ni\u0107 to pole&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\">Kiedy wyst\u0105pi\u0142a usterka? Podaj szczeg\u00f3\u0142y sytuacji zwi\u0105zanej z awari\u0105: <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=\"np.: po uruchomieniu silnika, po w\u0142\u0105czeniu stacyjki, czy b\u0142\u0105d wyst\u0105pi\u0142 poraz pierwszy (w historii u\u017cywania)?\" 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\">Czy ten b\u0142\u0105d wyst\u0105pi\u0142 po raz pierwszy?:<\/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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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\">Czy powodem zg\u0142oszenia jest wykonanie biuletyn\u00f3w? <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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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;Tak&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\">Numer biuletynu<\/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\">Czy na wy\u015bwietlaczu  pojawi\u0142 si\u0119 jaki\u015b b\u0142\u0105d lub kod b\u0142\u0119du lub kod? (Na ekranie lub w menu operatora)?:<\/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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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;Tak&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\">Jaki pojawi\u0142 si\u0119 b\u0142\u0105d?<\/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\">Czy system zosta\u0142 zainstalowany z innego SP lub zainstalowany na innym SP? <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\" >Wybierz...<\/option><option value=\"Nie\" >Nie<\/option><option value=\"Zamieniony z innym\" >Zamieniony z innym<\/option><option value=\"Instalowany na innym SP\" >Instalowany na innym SP<\/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\">Czy potwierdzono, \u017ce zasilanie SP dla urz\u0105dzenia jest poprawne? <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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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\">Czy usterka ma charakter przerywany, czy wyst\u0119puje wzorzec lub sekwencja zdarze\u0144? Czy te\u017c wyst\u0119puje zawsze?: <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\" >Wybierz...<\/option><option value=\"Przerywany\" >Przerywany<\/option><option value=\"Wzorzec lub sekwencja\" >Wzorzec lub sekwencja<\/option><option value=\"Zawsze\" >Zawsze<\/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=\"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\">Objaw: <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\">Czy na SP zabudowano inne urz\u0105dzenie po\u0142\u0105czone z tym urz\u0105dzeniem, lub wykonano inn\u0105 czynno\u015b\u0107, kt\u00f3ra mo\u017ce mie\u0107 wp\u0142yw na 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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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;Tak&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\">Opisz co wykonano:<\/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\">Czy system ma jakie\u015b uszkodzenia wizualne? Czy by\u0142 nara\u017cony na twarde l\u0105dowanie lub uderzenie? (pole wielokrotnego wyboru) <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=\"Uszkodzenia wizualne\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Uszkodzenia wizualne<\/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=\"Twarde l\u0105dowanie\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Twarde l\u0105dowanie<\/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=\"Uderzenie\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Uderzenie<\/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=\"Brak\" data-field-name=\"device_visible\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Brak<\/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}}\">Wype\u0142nij wymagane pola<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"1\">Wstecz<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Dalej<\/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=\"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\">Producent urz\u0105dzenia:<\/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=\"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\">Typ Urz\u0105dzenia: <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=\"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\">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=\"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\">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=\"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\">Nalot urz\u0105dzenia: <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\">Forma nabycia Urz\u0105dzenia: <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\" >Wybierz...<\/option><option value=\"Wraz z SP od nowo\u015bci\" >Wraz z SP od nowo\u015bci<\/option><option value=\"Uzupe\u0142nione w SP przez importera lub inny PART 145\" >Uzupe\u0142nione w SP przez importera lub inny PART 145<\/option><option value=\"Przez zakup osobisty\" >Przez zakup osobisty<\/option><option value=\"Przez Drabpol\" >Przez 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\">Czy produkt zosta\u0142 zarejestrowany na stronie producenta: <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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Wersja Software<\/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  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\">Czy jest to zabudowa przez producenta SP?:<\/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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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;Nie&quot;,&quot;field&quot;:&quot;device_finst&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\">Kto Zabudowa\u0142<\/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=\"inherit\" 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\">Kiedy zabudowana:<\/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\">Czy urz\u0105dzenie ma nienaruszone, ca\u0142e plomby: <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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/option><option value=\"Nie posiada plomb\" >Nie posiada plomb<\/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}}\">Wype\u0142nij wymagane pola<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"2\">Wstecz<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Dalej<\/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>Znaki SP: \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=\"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\">Producent\/Marka: <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=\"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\">Typ SP\/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=\"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\">Nr seryjny: <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}}\">Wype\u0142nij wymagane pola<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"3\">Wstecz<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Dalej<\/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=\"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\">W\u0142a\u015bciciel SP - Nazwa: <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=\"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\">W\u0142a\u015bciciel SP - Adres - Ulica: <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=\"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\">W\u0142a\u015bciciel SP - Adres - Kod Pocztowy: <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=\"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\">W\u0142a\u015bciciel SP - Adres - Miasto: <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=\"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\">Faktura: <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\" >Wybierz...<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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=\"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\">NIP: <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\">Inne dane do faktury<\/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\" >Wybierz..<\/option><option value=\"Tak\" >Tak<\/option><option value=\"Nie\" >Nie<\/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;Tak&quot;,&quot;field&quot;:&quot;invoice_same&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\">Nazwa firmy: <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=\"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\">Adres - Ulica: <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=\"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\">Adres - Kod Pocztowy: <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=\"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\">Adres - Miasto: <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<\/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}}\">Wype\u0142nij wymagane pola<\/div>\t<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"4\">Wstecz<\/button>\t\t\t<button class=\"jet-form-builder__next-page\" type=\"button\">Dalej<\/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 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