{"id":764,"date":"2021-10-12T13:31:33","date_gmt":"2021-10-12T13:31:33","guid":{"rendered":"https:\/\/longgene.com.tr\/?page_id=764"},"modified":"2021-10-24T10:51:36","modified_gmt":"2021-10-24T10:51:36","slug":"contact-form-service","status":"publish","type":"page","link":"https:\/\/longgene.com.tr\/?page_id=764","title":{"rendered":"Contact Form (Service)"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f756-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F764#wpcf7-f756-o1\" method=\"post\" class=\"wpcf7-form init\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"756\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f756-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<h3>1. Instrument Details:<\/h3>\n<p>         <span class=\"wpcf7-form-control-wrap radio-200\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-200\" value=\"Q2000 Series\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Q2000 Series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-200\" value=\"Q1000 Series\" \/><span class=\"wpcf7-list-item-label\">Q1000 Series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-200\" value=\"Q160 Series\" \/><span class=\"wpcf7-list-item-label\">Q160 Series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-200\" value=\"A300\" \/><span class=\"wpcf7-list-item-label\">A300<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-200\" value=\"T20\" \/><span class=\"wpcf7-list-item-label\">T20<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-200\" value=\"T30\" \/><span class=\"wpcf7-list-item-label\">T30<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-200\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/span><\/span><\/span><br \/>\n                <label>Brand Name: <span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap marka\"><input type=\"text\" name=\"marka\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Serial Number:<span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap serino\"><input type=\"text\" name=\"serino\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Where did you purchase your instrument?: <span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap satici\"><input type=\"text\" name=\"satici\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Date of Purchase (or Invoice Number)<span>(*)<\/span>:<\/label><span class=\"wpcf7-form-control-wrap faturano\"><input type=\"text\" name=\"faturano\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Is the instrument still under warranty?:<span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap talep\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"talep\" value=\"YES\" \/><span class=\"wpcf7-list-item-label\">YES<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"talep\" value=\"NO\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">NO<\/span><\/label><\/span><\/span><\/span><\/p>\n<h3>2. Your Contact Details:<\/h3>\n<p>                <label>Country: <span>(*)<\/span><\/label> <span class=\"wpcf7-form-control-wrap ulke\"><input type=\"text\" name=\"ulke\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Company Name: <span>(*)<\/span><\/label> <span class=\"wpcf7-form-control-wrap sirket\"><input type=\"text\" name=\"sirket\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Address: <span>(*)<\/span><\/label> <span class=\"wpcf7-form-control-wrap adres\"><input type=\"text\" name=\"adres\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n                <label>Contact Person: <span>(*)<\/span><\/label> <span class=\"wpcf7-form-control-wrap kisi\"><input type=\"text\" name=\"kisi\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n\t\t<label >Tel: <span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap telefon\"><input type=\"tel\" name=\"telefon\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n\t\t<label >e-Mail: <span>(*)<\/span><\/label><span class=\"wpcf7-form-control-wrap email-732\"><input type=\"email\" name=\"email-732\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<h3>3. Problem Description:<\/h3>\n<p>\t\t<span class=\"wpcf7-form-control-wrap problem\"><textarea name=\"problem\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\n\t\t<label>Add File if it needs (Types:gif, png, jpg, jpeg, doc, docx, xls, xlsx, pdf):<\/label><span class=\"wpcf7-form-control-wrap file-108\"><input type=\"file\" name=\"file-108\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".gif,.png,.jpg,.jpeg,.doc,.docx,.xls,.xlsx,.pdf\" aria-invalid=\"false\" \/><\/span><\/p>\n<span class=\"wpcf7-form-control-wrap recaptcha\"><span data-sitekey=\"6Lds7nUcAAAAAPwbb4MI4_8RWX32Z9xvTxKvJV2h\" class=\"wpcf7-form-control g-recaptcha wpcf7-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6Lds7nUcAAAAAPwbb4MI4_8RWX32Z9xvTxKvJV2h\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n<div class=\"alignleft\"><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"alignright\"><label>(*) The field is required<\/label><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"136\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator alignfull is-style-wide\"\/>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":347,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/764"}],"collection":[{"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/longgene.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=764"}],"version-history":[{"count":7,"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/764\/revisions"}],"predecessor-version":[{"id":947,"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/pages\/764\/revisions\/947"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/longgene.com.tr\/index.php?rest_route=\/wp\/v2\/media\/347"}],"wp:attachment":[{"href":"https:\/\/longgene.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}