Differences

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--- en:requesttrial [2021/02/22 07:31] – onyxadmin
+++ en:requesttrial [2021/04/02 12:09] (current) – onyxadmin
@@ Line 1: / Line 1: @@
-~~NOTOC~~
+{{page>[contact]&[nofooter]}}
-====== Request Trial Download OnyxCeph³™ ======
-{{:download_32.png|}}
-----
-<form>
-Action mail info@image-instruments.de
-Thanks "Request form was submitted. We will reply ASAP"
-Fieldset "Customer Data"
-textbox  "Company/Practice Name"
-textbox  "Customer ID"!
-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|Quick Reference Guide Aligner 3D (ID required)|Quick Reference Guide V.T.O.3D (ID required)"
-textarea "Text Message "!
-yesno "Accept License Agreement (EULA)?"
-textbox "Write result here: 83-56=" /^27$/
-</form>
-{{:link.png|}} [[licenseagreement|End User License Agreement (EULA)]]\\
-\\