Differences

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

--- en:requesttrial [2021/03/15 08:48] – 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|}}
-----
-Please note that Intl. and Federal law restricts the software to be provided on the order of a physician.
-<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)"
-yesno "Accept License Agreement (EULA)?"
-yesno "Accept General Terms (GTC)?"
-textarea "Text Message "!
-textbox "Write result here: 88-12=" /^76$/
-</form>
-{{:link.png|}} [[licenseagreement|End User License Agreement (EULA)]]\\
-{{:link.png|}} [[sbt|General Terms and Conditions of Business (GTC)]]\\
-\\