{"id":45,"date":"2022-05-24T16:35:40","date_gmt":"2022-05-24T14:35:40","guid":{"rendered":"https:\/\/zarzadzanie.smarthost.pl\/komis\/?page_id=45"},"modified":"2022-05-24T16:35:40","modified_gmt":"2022-05-24T14:35:40","slug":"formularz-zgloszeniowy","status":"publish","type":"page","link":"https:\/\/zegarmistrz.pl\/komis\/formularz-zgloszeniowy\/","title":{"rendered":"Formularz zg\u0142oszeniowy"},"content":{"rendered":"<section class=\"kc-elm kc-css-193377 kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-455068 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\">\n<div class=\"kc-elm kc-css-18295 kc-title-wrap \">\n\n\t<h3 class=\"kc_title kreska-top\">Formularz zg\u0142oszeniowy<\/h3>\n<\/div>\n<div class=\"kc-elm kc-css-5320\" style=\"height: 20px; clear: both; width:100%;\"><\/div><div class=\"kc-contact-form7 kc-elm kc-css-380577\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f9-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/komis\/wp-json\/wp\/v2\/pages\/45#wpcf7-f9-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"9\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f9-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<h4>1. Dane kontaktowe\n<\/h4>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Imi\u0119 i nazwisko\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"imie\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"imie\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Miejscowo\u015b\u0107\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"miejscowosc\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Telefon\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Adres e-mail\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4>2. Parametry zegarka\n<\/h4>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Marka\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"marka\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"marka\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Model\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"model\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"model\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Nr referencyjny\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nr-ref\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nr-ref\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Nr seryjny\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nr-ser\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nr-ser\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Oczekiwana cena\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cena\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cena\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"col-md-6\">\n\t\t<p><label><\/label>\n\t\t<\/p>\n\t\t<div>\n\t\t\t<p>Rok produkcji\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rok\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rok\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><label><\/label>\n<\/p>\n<div>\n\t<p>Opis stanu zegarka\n\t<\/p>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"opis\"><textarea cols=\"120\" rows=\"5\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"opis\"><\/textarea><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zdjecia\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"zdjecia\" data-type=\"jpg|jpeg|png|gif|bmp|zip\" data-limit=\"10000000\" data-id=\"9\" data-version=\"free version 1.3.6.4\" accept=\".jpg, .jpeg, .png, .gif, .bmp, .zip\" \/><\/span>\n<\/p>\n<p><label><\/label>\n<\/p>\n<div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda1\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda1\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych w celu odpowiedzi na zapytanie przez P.P.H.U. Walldi Bronis\u0142aw Komasa. O\u015bwiadczam, \u017ce zosta\u0142em poinformowany, \u017ce wyra\u017cenie zgody jest dobrowolne, jednak konieczne do otrzymania odpowiedzi oraz \u017ce zgoda mo\u017ce by\u0107 w ka\u017cdym czasie odwo\u0142ana poprzez wys\u0142anie takiej informacji na adres serwis@zegarmistrz.pl<br><br>Administratorem danych osobowych jest P.P.H.U. Walldi Bronis\u0142aw Komasa z siedzib\u0105 w Poznaniu, ul. 28 czerwca 1956r 174, 61-507, Pozna\u0144, adres email serwis@zegarmistrz.pl.<\/span><\/label><\/span><\/span><\/span><br \/>\n<label><\/label>\n\t<\/p>\n\t<div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda2\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"zgoda2\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">O\u015bwiadczam, \u017ce\u00a0zapozna\u0142em\/am si\u0119 z\u00a0regulaminem i\u00a0akceptuj\u0119\u00a0wszystkie zawarte w nim warunki<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div class=\"right\">\n\t\t\t<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit kc_button\" type=\"submit\" value=\"Wy\u015blij\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/pages\/45"}],"collection":[{"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/comments?post=45"}],"version-history":[{"count":2,"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/pages\/45\/revisions"}],"predecessor-version":[{"id":47,"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/pages\/45\/revisions\/47"}],"wp:attachment":[{"href":"https:\/\/zegarmistrz.pl\/komis\/wp-json\/wp\/v2\/media?parent=45"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}