{"id":24048,"date":"2024-04-23T09:14:13","date_gmt":"2024-04-23T07:14:13","guid":{"rendered":"https:\/\/nbbcontrols.com\/?page_id=24048"},"modified":"2024-06-17T10:23:23","modified_gmt":"2024-06-17T08:23:23","slug":"service-contact-form","status":"publish","type":"page","link":"https:\/\/nbbcontrols.com\/en\/service-contact-form\/","title":{"rendered":"Contact form &#8211; Service request EN"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload rahmen-unten\" style=\"--awb-border-sizes-top:1px;--awb-border-sizes-bottom:1px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:#bc1212;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:25px;--awb-padding-bottom:25px;--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" data-bg=\"https:\/\/nbbcontrols.com\/wp-content\/uploads\/2019\/01\/planar_b2-cad-nbb_funkfernsteuerungen.png\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height shadow\" style=\"--awb-padding-top:25px;--awb-padding-right:4%;--awb-padding-left:4%;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-color:#9d1913;--awb-border-top:1px;--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-margin-bottom:50px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:50;line-height:1.4;\"><p style=\"text-align: center;\">Service request<\/p><\/h1><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_5 1_5 fusion-one-fifth fusion-column-first\" style=\"--awb-bg-size:cover;width:20%;width:calc(20% - ( ( 4% + 4% ) * 0.2 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_3_5 3_5 fusion-three-fifth\" style=\"--awb-bg-size:cover;width:60%;width:calc(60% - ( ( 4% + 4% ) * 0.6 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><script>\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<\/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_13' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Service contact form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_13'  action='\/en\/wp-json\/wp\/v2\/pages\/24048' data-formid='13' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_13_25\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"5de132ba\" data-field-span=\"12\"><legend id='gfield_label_13_25' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Company<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_13_25'>\n                            \n                            <span id='input_13_25_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_25.3' id='input_13_25_3' value=''   aria-required='true'     aria-labelledby=\"input_13_25_3_label gfield_label_13_25\"\/>\n                                                    <label for='input_13_25_3' id='input_13_25_3_label' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n                                                <\/span>\n                            \n                            \n                            \n                        <\/div><\/fieldset><fieldset id=\"field_13_3\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dc29dd90\" data-field-span=\"12\"><legend id='gfield_label_13_3' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Contact person<\/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_13_3'>\n                            \n                            <span id='input_13_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_13_3_3' value=''   aria-required='false'     aria-labelledby=\"input_13_3_3_label gfield_label_13_3\"\/>\n                                                    <label for='input_13_3_3' id='input_13_3_3_label' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_13_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_13_3_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_13_3_6' id='input_13_3_6_label' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_13_4\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"678d845b\" data-field-span=\"6\"><label id='gfield_label_13_4' class='gfield_label gform-field-label' for='input_13_4'><span class='gform-field-label__text'>E-Mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_13_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_13_5\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"678d845b\" data-field-span=\"6\"><label id='gfield_label_13_5' class='gfield_label gform-field-label' for='input_13_5'><span class='gform-field-label__text'>Phone number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_13_5' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_13_7\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"5b16dc25\" data-field-span=\"12\"><label id='gfield_label_13_7' class='gfield_label gform-field-label' for='input_13_7'><span class='gform-field-label__text'>Customer number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_13_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_9\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"adbf28f9\" data-field-span=\"6\"><label id='gfield_label_13_9' class='gfield_label gform-field-label' for='input_13_9'><span class='gform-field-label__text'>Order or invoice number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_13_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_8\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"adbf28f9\" data-field-span=\"6\"><label id='gfield_label_13_8' class='gfield_label gform-field-label' for='input_13_8'><span class='gform-field-label__text'>Serial number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_13_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"2695d95f\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_13_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"ad7d33f9\" data-field-span=\"12\"><legend id='gfield_label_13_10' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of defect<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_10'>\n\t\t\t<div class='gchoice gchoice_13_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Mechanical'  id='choice_13_10_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_13_10_0 gfield_label_13_10\"   \/>\n\t\t\t\t\t<label for='choice_13_10_0' id='label_13_10_0' class='gform-field-label gform-field-label--type-inline'>Mechanical<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Electric'  id='choice_13_10_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_10_1' id='label_13_10_1' class='gform-field-label gform-field-label--type-inline'>Electric<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Optical'  id='choice_13_10_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_10_2' id='label_13_10_2' class='gform-field-label gform-field-label--type-inline'>Optical<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Packaging'  id='choice_13_10_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_10_3' id='label_13_10_3' class='gform-field-label gform-field-label--type-inline'>Packaging<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='gf_other_choice'  id='choice_13_10_4' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_10_4' id='label_13_10_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_13_10_other' class='gchoice_other_control' name='input_10_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_11\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"f4e05120\" data-field-span=\"12\"><label id='gfield_label_13_11' class='gfield_label gform-field-label' for='input_13_11'><span class='gform-field-label__text'>Date of fault detection<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd.mm.yyyy'\n\t\t\t\t\tid='input_13_11'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy_dot datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_11'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99.99.9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_13_11' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_13_11' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_13_11' aria-label='Date of fault detection: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_13_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"0a4841f7\" data-field-span=\"12\"><legend id='gfield_label_13_12' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>The defect is<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_12'>\n\t\t\t<div class='gchoice gchoice_13_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Permanent'  id='choice_13_12_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_13_12_0 gfield_label_13_12\"   \/>\n\t\t\t\t\t<label for='choice_13_12_0' id='label_13_12_0' class='gform-field-label gform-field-label--type-inline'>Permanent<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='In phases'  id='choice_13_12_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_12_1' id='label_13_12_1' class='gform-field-label gform-field-label--type-inline'>In phases<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='gf_other_choice'  id='choice_13_12_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_12_2' id='label_13_12_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_13_12_other' class='gchoice_other_control' name='input_12_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_13\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"90c0782e\" data-field-span=\"12\"><label id='gfield_label_13_13' class='gfield_label gform-field-label' for='input_13_13'><span class='gform-field-label__text'>Description of the error<\/span><\/label><div class='gfield_description' id='gfield_description_13_13'>Additional information such as information about the environment in which the error occurred,\ne.g: Time until the fault occurred, indoor\/outdoor area, temperature, humidity, vibrations\/shocks, possible sources of radio interference<\/div><div class='ginput_container ginput_container_text'><input name='input_13' id='input_13_13' type='text' value='' class='large'  aria-describedby=\"gfield_description_13_13\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_13_14\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"454a98ec\" data-field-span=\"12\"><label id='gfield_label_13_14' class='gfield_label gform-field-label' for='input_13_14'><span class='gform-field-label__text'>Description of the application<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_13_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_13_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"627e7f06\" data-field-span=\"12\"><legend id='gfield_label_13_16' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Occurrence of the fault<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_13_16'>\n\t\t\t<div class='gchoice gchoice_13_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='after thorough inspection'  id='choice_13_16_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_13_16_0 gfield_label_13_16\"   \/>\n\t\t\t\t\t<label for='choice_13_16_0' id='label_13_16_0' class='gform-field-label gform-field-label--type-inline'>after thorough inspection<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='during first use'  id='choice_13_16_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_16_1' id='label_13_16_1' class='gform-field-label gform-field-label--type-inline'>during first use<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_16_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='after some operating time'  id='choice_13_16_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_16_2' id='label_13_16_2' class='gform-field-label gform-field-label--type-inline'>after some operating time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_13_16_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='gf_other_choice'  id='choice_13_16_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_13_16_3' id='label_13_16_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_13_16_other' class='gchoice_other_control' name='input_16_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_13_18\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3665b1d3\" data-field-span=\"12\"><label id='gfield_label_13_18' class='gfield_label gform-field-label' for='input_13_18'><span class='gform-field-label__text'>How many parts are demonstrably defective?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_13_18' class='large gfield_select'     aria-invalid=\"false\" ><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='mehr als 5' >mehr als 5<\/option><\/select><\/div><\/div><div id=\"field_13_23\" class=\"gfield gfield--type-frcaptcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"5b1a8faa\" data-field-span=\"12\"><label id='gfield_label_13_23' class='gfield_label gform-field-label' for='input_13_23'><span class='gform-field-label__text'>Verification<\/span><\/label><div class='ginput_container ginput_container_frcaptcha'><div class=\"frc-captcha \" data-sitekey=\"FCMR60ALUT0L1AML\" data-lang=\"en\" ><\/div>\n\t\t<noscript>You need to enable Javascript for the anti-spam check.<\/noscript><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_13' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Send<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_13' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_13' id='gform_theme_13' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_13' id='gform_style_settings_13' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_13' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='13' \/>\n            \n            <input type='hidden' class='gform_hidden' 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