{"id":349,"date":"2023-04-25T23:09:01","date_gmt":"2023-04-25T21:09:01","guid":{"rendered":"https:\/\/geo-radymno.pl\/?page_id=349"},"modified":"2025-01-28T13:13:26","modified_gmt":"2025-01-28T12:13:26","slug":"formularz-kontaktowy-i-zapytaj-o-oferte","status":"publish","type":"page","link":"https:\/\/geo-radymno.pl\/index.php\/formularz-kontaktowy-i-zapytaj-o-oferte\/","title":{"rendered":"Formularz kontaktowy i zapytaj o ofert\u0119"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row height=&#8221;small&#8221; css=&#8221;.vc_custom_1738066387747{padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_row_inner css=&#8221;.vc_custom_1738065845947{background-color: #CACACA !important;}&#8221;][vc_column_inner text_color=&#8221;#ffffff&#8221;][vc_wp_custommenu title=&#8221;GEO&#8221; nav_menu=&#8221;3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=&#8221;.vc_custom_1571648668959{background-color: #ff5e00 !important;}&#8221;][vc_column_inner text_color=&#8221;#ffffff&#8221;][vc_wp_custommenu nav_menu=&#8221;5&#8243; title=&#8221;Stacja Paliw GEO&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1738066405121{padding-top: 70px !important;padding-right: 70px !important;padding-bottom: 70px !important;padding-left: 70px !important;}&#8221;][vc_column_text]<div class=\"forminator-ui forminator-custom-form forminator-custom-form-358 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-358\" data-uid=\"6a6506ad47624\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-358\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-358 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"358\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a6506ad47624\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">1. Dane Zamawiaj\u0105cego<\/h2><h3 class=\"forminator-subtitle\">Interesanta<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_6a6506ad47624\" id=\"forminator-field-first-name-1_6a6506ad47624-label\" class=\"forminator-label\">Imi\u0119 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"Imi\u0119\" id=\"forminator-field-first-name-1_6a6506ad47624\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_6a6506ad47624\" id=\"forminator-field-last-name-1_6a6506ad47624-label\" class=\"forminator-label\">Nazwisko <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"Nazwisko\" id=\"forminator-field-last-name-1_6a6506ad47624\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a6506ad47624\" id=\"forminator-field-name-2_6a6506ad47624-label\" class=\"forminator-label\">Nazwa<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Nazwa Firmy\" id=\"forminator-field-name-2_6a6506ad47624\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a6506ad47624\" id=\"forminator-field-address-1-street_address_6a6506ad47624-label\" class=\"forminator-label\">Ulica<\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Na przyk\u0142ad: Kwiatowa 12\" id=\"forminator-field-address-1-street_address_6a6506ad47624\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a6506ad47624\" id=\"forminator-field-address-1-city_6a6506ad47624-label\" class=\"forminator-label\">Miejscowo\u015b\u0107<\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Na przyk\u0142ad: Warszawa\" id=\"forminator-field-address-1-city_6a6506ad47624\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a6506ad47624\" id=\"forminator-field-address-1-zip_6a6506ad47624-label\" class=\"forminator-label\">NIP<\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"NIP\" id=\"forminator-field-address-1-zip_6a6506ad47624\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a6506ad47624\" id=\"forminator-field-phone-1_6a6506ad47624-label\" class=\"forminator-label\">Numer telefonu <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Przyk\u0142ad. +48 100 200 300\" id=\"forminator-field-phone-1_6a6506ad47624\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-validation=\"1\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a6506ad47624\" id=\"forminator-field-email-1_6a6506ad47624-label\" class=\"forminator-label\">Adres e-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Na przyk\u0142ad: jan@kowalski.com\" id=\"forminator-field-email-1_6a6506ad47624\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">2. Przedmiot zam\u00f3wienia<\/h2><h3 class=\"forminator-subtitle\">2.1 Zakres<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a6506ad47624\" id=\"forminator-field-text-1_6a6506ad47624-label\" class=\"forminator-label\">D\u0142ugo\u015b\u0107 przewiertu (przewidywana), jego \u015brednica oraz przeznaczenie.<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"np. 50m \u03a650 \u2013 wodoci\u0105g\" id=\"forminator-field-text-1_6a6506ad47624\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a6506ad47624\" id=\"forminator-field-name-3_6a6506ad47624-label\" class=\"forminator-label\">Lokalizacja przewiertu<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"Lokalizacja przewiertu\" id=\"forminator-field-name-3_6a6506ad47624\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a6506ad47624\" id=\"forminator-field-date-1-picker_6a6506ad47624-label\" class=\"forminator-label\">Proponowana data realizacji<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Wybierz dat\u0119\" id=\"forminator-field-date-1-picker_6a6506ad47624\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">2.2 Za\u0142\u0105czniki<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a6506ad47624\" id=\"forminator-field-upload-1_6a6506ad47624-label\" class=\"forminator-label\">Mapka z zaznaczonym uzbrojeniem terenu oraz przebiegiem przewiertu<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a6506ad47624\" aria-describedby=\"forminator-field-upload-1_6a6506ad47624-description\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a6506ad47624\" class=\"forminator-input-file\" accept=\".webp,.woff2,.woff,.jpg,.jpeg,.jpe,.png,.bmp,.pdf\"><button id=\"forminator-field-upload-1_6a6506ad47624_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a6506ad47624\">Wybierz plik<\/button><span data-empty-text=\"Nie wybrano \u017cadnego pliku\">Nie wybrano \u017cadnego pliku<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Usu\u0144 przes\u0142any plik<\/span><\/button><\/div><span id=\"forminator-field-upload-1_6a6506ad47624-description\" class=\"forminator-description\">jpeg, png, pdf<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6a6506ad47624\" id=\"forminator-field-upload-2_6a6506ad47624-label\" class=\"forminator-label\">Zdj\u0119cie z terenu<\/label><div class=\"forminator-file-upload \" data-element=\"upload-2_6a6506ad47624\" aria-describedby=\"forminator-field-upload-2_6a6506ad47624-description\"><input type=\"file\" name=\"upload-2\" id=\"forminator-field-upload-2_6a6506ad47624\" class=\"forminator-input-file\" accept=\".webp,.woff2,.woff,.jpg,.jpeg,.jpe,.png,.bmp,.pdf\"><button id=\"forminator-field-upload-2_6a6506ad47624_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-2_6a6506ad47624\">Wybierz plik<\/button><span data-empty-text=\"Nie wybrano \u017cadnego pliku\">Nie wybrano \u017cadnego pliku<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Usu\u0144 przes\u0142any plik<\/span><\/button><\/div><span id=\"forminator-field-upload-2_6a6506ad47624-description\" class=\"forminator-description\">jpeg, png, pdf<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">2.3 Materia\u0142 do przewiertu<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-6a6506ad47624-label\"><label id=\"forminator-field-checkbox-1-1-6a6506ad47624-label\" for=\"forminator-field-checkbox-1-1-6a6506ad47624\" class=\"forminator-checkbox\" title=\"po stronie Zamawiajacego\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"po stronie Zamawiajacego\" id=\"forminator-field-checkbox-1-1-6a6506ad47624\" aria-labelledby=\"forminator-field-checkbox-1-1-6a6506ad47624-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">po stronie Zamawiajacego<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a6506ad47624-label\" for=\"forminator-field-checkbox-1-2-6a6506ad47624\" class=\"forminator-checkbox\" title=\"po stronie Wykonawcy\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"po stronie Wykonawcy\" id=\"forminator-field-checkbox-1-2-6a6506ad47624\" aria-labelledby=\"forminator-field-checkbox-1-2-6a6506ad47624-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">po stronie Wykonawcy<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a6506ad47624\" id=\"forminator-field-textarea-1_6a6506ad47624-label\" class=\"forminator-label\">Dodatkowe adnotacje<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a6506ad47624\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" maxlength=\"180\" ><\/textarea><span id=\"forminator-field-textarea-1_6a6506ad47624-description\" class=\"forminator-description\"><span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Wy\u015blij formularz<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"61a5f0300d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/349\" \/><input type=\"hidden\" name=\"form_id\" value=\"358\"><input type=\"hidden\" name=\"page_id\" value=\"349\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/geo-radymno.pl\/index.php\/formularz-kontaktowy-i-zapytaj-o-oferte\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row height=&#8221;small&#8221; css=&#8221;.vc_custom_1738066387747{padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_row_inner css=&#8221;.vc_custom_1738065845947{background-color: #CACACA !important;}&#8221;][vc_column_inner text_color=&#8221;#ffffff&#8221;][vc_wp_custommenu title=&#8221;GEO&#8221; nav_menu=&#8221;3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=&#8221;.vc_custom_1571648668959{background-color: #ff5e00 !important;}&#8221;][vc_column_inner text_color=&#8221;#ffffff&#8221;][vc_wp_custommenu nav_menu=&#8221;5&#8243; title=&#8221;Stacja Paliw GEO&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1738066405121{padding-top: 70px !important;padding-right: 70px !important;padding-bottom: 70px !important;padding-left: 70px !important;}&#8221;][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-349","page","type-page","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/pages\/349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/comments?post=349"}],"version-history":[{"count":14,"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/pages\/349\/revisions"}],"predecessor-version":[{"id":619,"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/pages\/349\/revisions\/619"}],"wp:attachment":[{"href":"https:\/\/geo-radymno.pl\/index.php\/wp-json\/wp\/v2\/media?parent=349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}