{"id":6,"date":"2017-07-30T10:24:42","date_gmt":"2017-07-30T10:24:42","guid":{"rendered":"https:\/\/uslugi-rozwojowe.pl\/?page_id=6"},"modified":"2020-03-18T09:10:37","modified_gmt":"2020-03-18T09:10:37","slug":"formularz","status":"publish","type":"page","link":"https:\/\/uslugi-rozwojowe.pl\/","title":{"rendered":"Formularz"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6\" class=\"elementor elementor-6 elementor-bc-flex-widget\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2d7228f7 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"2d7228f7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-255f2f02\" data-id=\"255f2f02\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42508e4e elementor-widget elementor-widget-text-editor\" data-id=\"42508e4e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><div><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"https:\/\/uslugi-rozwojowe.pl\/wp-content\/themes\/hestia-child\/wordpress_data.php\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<\/div>\n<p><br><br><br><\/p>\n<div style=\"float:left; width:50%\">\n<fieldset>\n<legend>DANE IDENTYFIKACYJNE PRZEDSI\u0118BIORSTWA <\/legend>\n<p><label>NAZWA PRZEDSI\u0118BIORSTWA (wymagane)<br \/>\n<span class=\"wpcf7-form-control-wrap nazwa_przed\"><input type=\"text\" name=\"nazwa_przed\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>NIP: (wymagane)<br \/>\n<span class=\"wpcf7-form-control-wrap nip\"><input type=\"text\" name=\"nip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>REGON<br \/>\n<span class=\"wpcf7-form-control-wrap regon\"><input type=\"text\" name=\"regon\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>KRS (je\u017celi dotyczy)<br \/>\n<span class=\"wpcf7-form-control-wrap krs\"><input type=\"text\" name=\"krs\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>OPIS PKD<br \/>\n<span class=\"wpcf7-form-control-wrap pkd\"><input type=\"text\" name=\"pkd\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><br \/>\n<\/fieldset>\n<fieldset>\n<legend>WIELKO\u015a\u0106 I RODZAJ PRZEDSI\u0118BIORSTWA<\/legend>\n<p><span class=\"wpcf7-form-control-wrap wiekosc_przedsiebiorstwa\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"wiekosc_przedsiebiorstwa\" value=\"mikro\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">mikro<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"wiekosc_przedsiebiorstwa\" value=\"ma\u0142e\" \/><span class=\"wpcf7-list-item-label\">ma\u0142e<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"wiekosc_przedsiebiorstwa\" value=\"\u015brednie\" \/><span class=\"wpcf7-list-item-label\">\u015brednie<\/span><\/span><\/span><\/span>\n<\/p><\/fieldset>\n<fieldset>\n<legend>RODZAJ PRZEDSI\u0118BIORSTWA<\/legend>\n<p><span class=\"wpcf7-form-control-wrap rodzaj_przedsiebiorstwa\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"rodzaj_przedsiebiorstwa\" value=\"niezale\u017cne (samodzielne)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">niezale\u017cne (samodzielne)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"rodzaj_przedsiebiorstwa\" value=\"partnerskie\" \/><span class=\"wpcf7-list-item-label\">partnerskie<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"rodzaj_przedsiebiorstwa\" value=\"zwi\u0105zane (powi\u0105zane)\" \/><span class=\"wpcf7-list-item-label\">zwi\u0105zane (powi\u0105zane)<\/span><\/span><\/span><\/span>\n<\/p><\/fieldset>\n<\/div>\n<div style=\"float:right; width:50%\">\n<fieldset>\n<legend>DANE TELEADRESOWE PRZEDSI\u0118BIORSTWA<\/legend>\n<p><span style=\"font-size:12px;\"> (lub Oddzia\u0142u na terenie woj. Dolno\u015bl\u0105skiego je\u015bli Centrala jest zlokalizowana w innym wojew\u00f3dztwie) <\/span><br \/>\n<label>WOJEW\u00d3DZTWO<br \/>\n<span class=\"wpcf7-form-control-wrap wojewodztwo\"><select name=\"wojewodztwo\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"dolno\u015bl\u0105skie\">dolno\u015bl\u0105skie<\/option><\/select><\/span><br \/>\n<\/label><\/p>\n<p><label>GMINA<br \/>\n<span class=\"wpcf7-form-control-wrap gmina\"><input type=\"text\" name=\"gmina\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>POWIAT<br \/>\n<span class=\"wpcf7-form-control-wrap powiat\"><select name=\"powiat\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"g\u0142ogowski\">g\u0142ogowski<\/option><option value=\"g\u00f3rowski\">g\u00f3rowski<\/option><option value=\"legnicki\">legnicki<\/option><option value=\"lubi\u0144ski\">lubi\u0144ski<\/option><option value=\"polkowicki\">polkowicki<\/option><option value=\"m. Legnica\">m. Legnica<\/option><option value=\"boles\u0142awiecki\">boles\u0142awiecki<\/option><option value=\"jaworski\">jaworski<\/option><option value=\"jeleniog\u00f3rski\">jeleniog\u00f3rski<\/option><option value=\"kamiennog\u00f3rski\">kamiennog\u00f3rski<\/option><option value=\"luba\u0144ski\">luba\u0144ski<\/option><option value=\"lw\u00f3wecki\">lw\u00f3wecki<\/option><option value=\"zgorzelecki\">zgorzelecki<\/option><option value=\"z\u0142otoryjski\">z\u0142otoryjski<\/option><option value=\"m. Jelenia G\u00f3ra\">m. Jelenia G\u00f3ra<\/option><option value=\"dzier\u017coniowski\">dzier\u017coniowski<\/option><option value=\"k\u0142odzki\">k\u0142odzki<\/option><option value=\"\u015bwidnicki\">\u015bwidnicki<\/option><option value=\"wa\u0142brzyski\">wa\u0142brzyski<\/option><option value=\"z\u0105bkowicki\">z\u0105bkowicki<\/option><option value=\"m. Wa\u0142brzych\">m. Wa\u0142brzych<\/option><option value=\"milicki\">milicki<\/option><option value=\"ole\u015bnicki\">ole\u015bnicki<\/option><option value=\"o\u0142awski\">o\u0142awski<\/option><option value=\"strzeli\u0144ski\">strzeli\u0144ski<\/option><option value=\"\u015bredzki\">\u015bredzki<\/option><option value=\"trzebnicki\">trzebnicki<\/option><option value=\"wo\u0142owski\">wo\u0142owski<\/option><option value=\"wroc\u0142awski\">wroc\u0142awski<\/option><option value=\"m. Wroc\u0142aw\">m. Wroc\u0142aw<\/option><\/select><\/span><br \/>\n<\/label><\/p>\n<p><label>MIEJSCOWO\u015a\u0106<br \/>\n<span class=\"wpcf7-form-control-wrap miejscowosc\"><input type=\"text\" name=\"miejscowosc\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>KOD POCZTOWY<br \/>\n<span class=\"wpcf7-form-control-wrap kod_pocztowy\"><input type=\"text\" name=\"kod_pocztowy\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>ULICA<br \/>\n<span class=\"wpcf7-form-control-wrap ulica\"><input type=\"text\" name=\"ulica\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>NR BUDYNKU<br \/>\n<span class=\"wpcf7-form-control-wrap nr_budynku\"><input type=\"text\" name=\"nr_budynku\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>NR LOKALU<br \/>\n<span class=\"wpcf7-form-control-wrap nr_lokalu\"><input type=\"text\" name=\"nr_lokalu\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>SUBREGION<br \/>\n<span class=\"wpcf7-form-control-wrap subregion\"><select name=\"subregion\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">&#8212;<\/option><option value=\"LEGNICKO-G\u0141OGOWSKI\">LEGNICKO-G\u0141OGOWSKI<\/option><option value=\"JELENIOG\u00d3RSKI\">JELENIOG\u00d3RSKI<\/option><option value=\"WA\u0141BRZYSKI\">WA\u0141BRZYSKI<\/option><option value=\"WROC\u0141AWSKI\">WROC\u0141AWSKI<\/option><\/select><\/span><br \/>\n<\/label><\/p>\n<p><label>OSOBA KONTAKTOWA (wymagane)<br \/>\n<span class=\"wpcf7-form-control-wrap osoba_kontaktowa\"><input type=\"text\" name=\"osoba_kontaktowa\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n<\/label><\/p>\n<p><label>TELEFON<br \/>\n<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<\/label><\/p>\n<p><label>ADRES E-MAIL (wymagane)<br \/>\n<span class=\"wpcf7-form-control-wrap email\"><input type=\"email\" name=\"email\" 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><br \/>\n<\/label><\/p>\n<div class=\"wpcf7-form-control-wrap\"><div data-sitekey=\"6LcVVC8UAAAAAJFN_8Yd2Tc-TngOJ55xgjMP7sNl\" class=\"wpcf7-form-control g-recaptcha wpcf7-recaptcha\" id=\"recaptcha\"><\/div>\n<noscript>\n\t<div style=\"width: 302px; height: 422px;\">\n\t\t<div style=\"width: 302px; height: 422px; position: relative;\">\n\t\t\t<div style=\"width: 302px; height: 422px; position: absolute;\">\n\t\t\t\t<iframe src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LcVVC8UAAAAAJFN_8Yd2Tc-TngOJ55xgjMP7sNl\" frameborder=\"0\" scrolling=\"no\" style=\"width: 302px; height:422px; border-style: none;\">\n\t\t\t\t<\/iframe>\n\t\t\t<\/div>\n\t\t\t<div style=\"width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;\">\n\t\t\t\t<textarea id=\"g-recaptcha-response\" name=\"g-recaptcha-response\" class=\"g-recaptcha-response\" style=\"width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;\">\n\t\t\t\t<\/textarea>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/noscript>\n<\/div>\n<p><br><br \/>\n<input type=\"submit\" value=\"Wy\u015blij\" class=\"wpcf7-form-control wpcf7-submit\" id=\"formularz-kontaktowy\" \/><br \/>\n<\/fieldset>\n<\/div>\n<div style=\"clear:both;\"><\/div>\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=\"119\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/pages\/6"}],"collection":[{"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/comments?post=6"}],"version-history":[{"count":30,"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":91,"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/pages\/6\/revisions\/91"}],"wp:attachment":[{"href":"https:\/\/uslugi-rozwojowe.pl\/index.php\/wp-json\/wp\/v2\/media?parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}