{"id":9603,"date":"2026-01-23T13:26:47","date_gmt":"2026-01-23T12:26:47","guid":{"rendered":"https:\/\/diplomat-dental.com\/?page_id=9603"},"modified":"2026-03-10T07:52:49","modified_gmt":"2026-03-10T06:52:49","slug":"rejestracja-produktu","status":"publish","type":"page","link":"https:\/\/diplomat-dental.com\/pl\/rejestracja-produktu\/","title":{"rendered":"Rejestracja produktu"},"content":{"rendered":"<section id=\"\" class=\"text-form\">\n\t<div class=\"container\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"text\">\n\t\t\t\t<h1>Zarejestruj produkt Diplomat Dental.<\/h1>\n<p>Jeste\u015b nowym u\u017cytkownikiem produktu Diplomat Dental Solutions? Gratulacje! Z pewno\u015bci\u0105 b\u0119dziesz zadowolony! Nadszed\u0142 czas na rejestracj\u0119 produktu, kt\u00f3ra pozwoli Ci uzyska\u0107 certyfikat produktu i przed\u0142u\u017cy\u0107 gwarancj\u0119.<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"form\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_47' ><div id='gf_47' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_47' id='gform_47'  action='\/pl\/wp-json\/wp\/v2\/pages\/9603#gf_47' data-formid='47' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\"> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"232\" \/>\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_47' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_47_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_26'>Produkt<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_47_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Wybierz<\/option><option value='Model One 100' >Model One 100<\/option><option value='Model One 200' >Model One 200<\/option><option value='Model Pro 500' >Model Pro 500<\/option><option value='Model Pro 600' >Model Pro 600<\/option><option value='Model Pro 700' >Model Pro 700<\/option><option value='Model Pro 800' >Model Pro 800<\/option><option value='DA &amp; DC Classic Line' >DA &amp; DC Classic Line<\/option><option value='Model Pro stand-alone chair' >Model Pro stand-alone chair<\/option><option value='Cart DL210' >Cart DL210<\/option><option value='Densim Microscope' >Densim Microscope<\/option><option value='Inny' >Inny<\/option><\/select><\/div><\/div><div id=\"field_47_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_6'>Numer seryjny (*znajduje si\u0119 na etykiecie produktu pod stolikiem lekarza)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_47_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_47_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Data instalacji (*Gwarancja obowi\u0105zuje od tej daty lub od 91. dnia po opuszczeniu fabryki, w zale\u017cno\u015bci od tego, co nast\u0105pi wcze\u015bniej)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div id='input_47_22' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_47_22_2_container'><label for='input_47_22_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Dzie\u0144<\/label><select name='input_22[]' id='input_47_22_2'   aria-required='true'  ><option value=''>Dzie\u0144<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_47_22_1_container'><label for='input_47_22_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Miesi\u0105c<\/label><select name='input_22[]' id='input_47_22_1'   aria-required='true'  ><option value=''>Miesi\u0105c<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_47_22_3_container'><label for='input_47_22_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Rok<\/label><select name='input_22[]' id='input_47_22_3'   aria-required='true'  ><option value=''>Rok<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_47_8\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Imi\u0119 i nazwisko w\u0142a\u015bciciela praktyki stomatologicznej<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_47_8'>\n                            \n                            <span id='input_47_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_47_8_3' class='gform-field-label gform-field-label--type-sub '>&nbsp<\/label>\n                                                    <input type='text' name='input_8.3' id='input_47_8_3' value=''   aria-required='true'   placeholder='Imi\u0119'  \/>\n                                                <\/span>\n                            \n                            <span id='input_47_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_47_8_6' class='gform-field-label gform-field-label--type-sub '>&nbsp<\/label>\n                                                            <input type='text' name='input_8.6' id='input_47_8_6' value=''   aria-required='true'   placeholder='Nazwisko'  \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_47_9\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_9'>E-mail w\u0142a\u015bciciela praktyki<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_9' id='input_47_9' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_47_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_10'>Nazwa firmy instaluj\u0105cej produkt<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_47_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_47_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_11'>Imi\u0119 i nazwisko osoby, kt\u00f3ra zrealizowa\u0142a instalacj\u0119.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_47_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_47_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_27'>Ile lat gwarancji zosta\u0142o zam\u00f3wione?<\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_47_27' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Wybierz<\/option><option value='2 lata' >2 lata<\/option><option value='3 lata' >3 lata<\/option><option value='4 lata' >4 lata<\/option><option value='5 lat' >5 lat<\/option><\/select><\/div><\/div><div id=\"field_47_43\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Procedura instalacji produktu<\/h3><\/div><fieldset id=\"field_47_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Sprawdzenie zgodno\u015bci z list\u0105 pakowania i dostawy.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_29'><div class='gchoice gchoice_47_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='TAK'  id='choice_47_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_29_1' id='label_47_29_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='NIE'  id='choice_47_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_29_2' id='label_47_29_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Zakotwiczenie produktu lub instalacja za pomoc\u0105 podstawy monta\u017cowej.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_30'><div class='gchoice gchoice_47_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='TAK, je\u017celi unit zosta\u0142 zamocowany do pod\u0142o\u017cna'  id='choice_47_30_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_30_1' id='label_47_30_1' class='gform-field-label gform-field-label--type-inline'>TAK, je\u017celi unit zosta\u0142 zamocowany do pod\u0142o\u017cna<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_30_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.2' type='checkbox'  value='NIE, je\u017celi unit zosta\u0142 zamocowany do metalowej p\u0142yty monta\u017cowej'  id='choice_47_30_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_30_2' id='label_47_30_2' class='gform-field-label gform-field-label--type-inline'>NIE, je\u017celi unit zosta\u0142 zamocowany do metalowej p\u0142yty monta\u017cowej<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pod\u0142\u0105czenie do sieci elektrycznej.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_31'><div class='gchoice gchoice_47_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='TAK'  id='choice_47_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_31_1' id='label_47_31_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='NIE'  id='choice_47_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_31_2' id='label_47_31_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pod\u0142\u0105czenie element\u00f3w:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_32'><div class='gchoice gchoice_47_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='rami\u0119 stolika'  id='choice_47_32_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_32_1' id='label_47_32_1' class='gform-field-label gform-field-label--type-inline'>rami\u0119 stolika<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='rami\u0119 o\u015bwietlenia'  id='choice_47_32_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_32_2' id='label_47_32_2' class='gform-field-label gform-field-label--type-inline'>rami\u0119 o\u015bwietlenia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_32_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.3' type='checkbox'  value='blok spluwaczki'  id='choice_47_32_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_32_3' id='label_47_32_3' class='gform-field-label gform-field-label--type-inline'>blok spluwaczki<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_32_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.4' type='checkbox'  value='kontroler no\u017cny'  id='choice_47_32_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_32_4' id='label_47_32_4' class='gform-field-label gform-field-label--type-inline'>kontroler no\u017cny<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_32_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.5' type='checkbox'  value='fotel'  id='choice_47_32_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_32_5' id='label_47_32_5' class='gform-field-label gform-field-label--type-inline'>fotel<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Monta\u017c akcesori\u00f3w.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_33'><div class='gchoice gchoice_47_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='TAK'  id='choice_47_33_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_33_1' id='label_47_33_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='NIE'  id='choice_47_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_33_2' id='label_47_33_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Poziomowanie poszczeg\u00f3lnych cz\u0119\u015bci unitu stomatologicznego.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_34'><div class='gchoice gchoice_47_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='TAK'  id='choice_47_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_34_1' id='label_47_34_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='NIE'  id='choice_47_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_34_2' id='label_47_34_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Precyzyjna regulacja ci\u015bnienia narz\u0119dzi.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_35'><div class='gchoice gchoice_47_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='TAK'  id='choice_47_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_35_1' id='label_47_35_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='NIE'  id='choice_47_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_35_2' id='label_47_35_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Kontrola funkcji unitu stomatologicznego i fotela.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_36'><div class='gchoice gchoice_47_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='TAK'  id='choice_47_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_36_1' id='label_47_36_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='NIE'  id='choice_47_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_36_2' id='label_47_36_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_37\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Przekazanie produktu i przeszkolenie dentysty oraz personelu w zakresie obs\u0142ugi i konserwacji zgodnie z instrukcj\u0105 obs\u0142ugi.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_37'><div class='gchoice gchoice_47_37_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.1' type='checkbox'  value='TAK'  id='choice_47_37_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_37_1' id='label_47_37_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_37_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_37.2' type='checkbox'  value='NIE'  id='choice_47_37_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_37_2' id='label_47_37_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_38\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Produkt pod\u0142\u0105czony do napi\u0119cia okre\u015blonego przez producenta.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_38'><div class='gchoice gchoice_47_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='TAK'  id='choice_47_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_38_1' id='label_47_38_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='NIE'  id='choice_47_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_38_2' id='label_47_38_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_39\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Za\u0142\u0105czony raport z audytu elektrycznego przed instalacj\u0105 urz\u0105dzenia.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_39'><div class='gchoice gchoice_47_39_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.1' type='checkbox'  value='TAK'  id='choice_47_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_39_1' id='label_47_39_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_39_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_39.2' type='checkbox'  value='NIE'  id='choice_47_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_39_2' id='label_47_39_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Przeprowadzona dezynfekcja instalacji wodnej jednostki .<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_40'><div class='gchoice gchoice_47_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='TAK'  id='choice_47_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_40_1' id='label_47_40_1' class='gform-field-label gform-field-label--type-inline'>TAK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_47_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='NIE'  id='choice_47_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_40_2' id='label_47_40_2' class='gform-field-label gform-field-label--type-inline'>NIE<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_47_28\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Autoryzacja RODO: Potwierdzam rejestracj\u0119 mojego produktu i akceptuj\u0119, \u017ce moje dane kontaktowe mog\u0105 by\u0107 wykorzystywane do cel\u00f3w komunikacyjnych i marketingowych. Uwaga! Jeden formularz dotyczy jednego produktu. Prosimy o przes\u0142anie tego formularza dla ka\u017cdego produktu zainstalowanego w gabinecie.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(wymagane)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_47_28'><div class='gchoice gchoice_47_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Zgadzam si\u0119'  id='choice_47_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_47_28_1' id='label_47_28_1' class='gform-field-label gform-field-label--type-inline'>Zgadzam si\u0119<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_47_44\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_47_44'>CAPTCHA<\/label><div class='gfield_description' id='gfield_description_47_44'>Formularz jest chroniony przed spamem i automatycznymi zg\u0142oszeniami.<\/div><div id='input_47_44' class='ginput_container ginput_recaptcha' data-sitekey='6Lf6jbspAAAAAKlQFvx5O4KnXaagik83N_NHqajk'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_47' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Zarejestruj produkt'  >Zarejestruj produkt<\/button> <input type='hidden' name='gform_ajax' value='form_id=47&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=408ff39a246427768d81ebfb9460b80b' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_47' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_47' id='gform_theme_47' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_47' id='gform_style_settings_47' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_47' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='47' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='gUakFfj+qQjZY1Xm3fJkRuOfOJasOvQ5erSuKwQmuTvOopdoCpbD8+0Bdp4MzbdOazKdNgtCvqApPncf4An03SB6WwE9KOyNsb5QRdet5N\/Ft4I=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_47' 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