Differences

This shows you the differences between two versions of the page.

--- en:requesttrial [2020/11/23 14:15] – onyxadmin
+++ en:requesttrial [2021/04/02 12:09] (current) – onyxadmin
@@ Line 1: / Line 1: @@
-~~NOTOC~~
+{{page>[contact]&[nofooter]}}
-====== Request Trial Download OnyxCeph³™ ======
-----
-<form>
-Action mail info@image-instruments.de
-Thanks "Request form was submitted. We will reply ASAP"
-Fieldset "Customer Data"
-textbox  "Practice Name"
-textbox  "Name"
-textbox  "First Name"
-textbox  "ZIP Code"
-textbox  "Address "
-textbox  "City"
-textbox  "Phone"
-email  "E-Mail"
-textbox  "Website"
-textbox  "Country"
-select "Category" "Trial Download"
-textarea "Text Message "!
-yesno "Accept License Agreement (EULA)?"
-textbox "Write result '83-56' here" /^27$/
-submit "Submit Query"
-</form>
-{{:link.png|}} [[licenseagreement|End User License Agreement (EULA)]]\\
-\\