headline

[Component name="jumodesign/general/txt_headline" id="f8848a1b-5833-4fda-904b-04e9ed2561d1:NC9qdW1vZGVzaWduL2dlbmVyYWwvdHh0X2hlYWRsaW5l"]

description

{{dsgvo_info}}

submit

{{btn_send}}

confirmation

{{response_success}}

cfPathEmail1

cfPathEmail2

key-value

true

{{jumo_customer}}

customer

text

true

[]

{{edit_userdata_mandatory}}

1

true

{{customer_number}}

customer_number

text

true

[]

{{edit_userdata_mandatory}}

1

true

{{contact_person}}

contact_person

text

false

[]

{{contact_person_placeholder}}

{{validation_required}}

1

true

{{persona}}

persona

select

true

[{"label":"{{persona_maintenance}}","value":"maintenance"},{"label":"{{persona_planning_junior}}","value":"planning_junior"},{"label":"{{persona_planning_senior}}","value":"planning_senior"},{"label":"{{persona_management}}","value":"management"},{"label":"{{persona_purchasing}}","value":"purchasing"},{"label":"{{persona_other}}","value":"other"}]

{{please_select}}

{{edit_userdata_mandatory}}

1

true

{{email}}

email

email

true

[]

{{email_placeholder}}

^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,}$

{{validation_required}}

1

true

{{phone}}

phone

text

false

[]

{{phone_placeholder}}

{{validation_required}}

1

true

{{part_number}}

partnumber

text

true

[]

{{edit_userdata_mandatory}}

1

true

{{approval}}

approval

text

false

[]

{{approval_placeholder}}

{{validation_required}}

1

true

{{calibration_year}}

calibration_year

select

true

[{"label":"2025","value":"2025"},{"label":"2024","value":"2024"},{"label":"2023","value":"2023"},{"label":"2022","value":"2022"},{"label":"2021","value":"2021"},{"label":"2020","value":"2020"},{"label":"2019","value":"2019"},{"label":"2018","value":"2018"},{"label":"2017","value":"2017"},{"label":"2016","value":"2016"}]

{{form_please_select}}

{{edit_userdata_mandatory}}

1

true

{{id}}

id_number

textarea

true

[]

{{seperate_comma_placeholder}}

{{edit_userdata_mandatory}}

1

true

{{execution_notes}}

execution

radio

true

[{"label":"{{execution_notes_V1}}","value":"Einen Eichschein/Bescheinigung für alle Paarnummern"},{"label":"{{execution_notes_V2}}","value":"Für jede Paarnummer einen einzelnen Eichschein/Bescheinigung"}]

{{validation_required}}

1

true

{{delivery_billing_address}}

headline_7245

headline

false

[]

1

true

{{company}}

company

text

false

[]

{{validation_required}}

1

true

{{name}}

name

text

true

[]

{{edit_userdata_mandatory}}

1

true

{{street}}

street

text

true

[]

{{validation_required}}

1

true

{{plz}}

plz

text

true

[]

{{validation_required}}

1

true

{{city}}

city

text

true

[]

{{validation_required}}

1

true

{{country}}

country

country-select

true

[]

{{please_select}}

{{fvalidation_required}}

1

true

{{message}}

notes

textarea

false

[]

{{validation_required}}

1

true

DSGVO_1

checkbox

true

[{"label":"{{dsgvo_1}}","value":"dsgvo_1"}]

{{validation_required}}

1

true

DSGVO_3

checkbox

true

[{"label":"{{dsgvo_3}}","value":"dsgvo_3"}]

{{validation_required}}

1

true