{"id":144,"date":"2022-10-18T09:29:49","date_gmt":"2022-10-18T07:29:49","guid":{"rendered":"https:\/\/relaks-swiecie.eu\/?page_id=144"},"modified":"2022-10-18T12:33:36","modified_gmt":"2022-10-18T10:33:36","slug":"zgloszenie-stanu-licznika-wody","status":"publish","type":"page","link":"https:\/\/relaks-swiecie.eu\/?page_id=144","title":{"rendered":"Zg\u0142oszenie stanu licznika wody"},"content":{"rendered":"\r\n        \r\n\r\n                <form class=\"wpuf-form-add weforms-60  wpuf-style\" action=\"\" method=\"post\"   id=\"\">\r\n\r\n            <ul class=\"wpuf-form form-label-above\">\r\n\r\n                        <li class=\"wpuf-el imi__i_nazwisko field-size-medium\" data-label=\"Imi\u0119 i Nazwisko\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"imi__i_nazwisko_60\">Imi\u0119 i Nazwisko <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_imi__i_nazwisko_60\"\r\n                    id=\"imi__i_nazwisko_60\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"imi__i_nazwisko\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    data-style=\"wpuf-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                        <span class=\"wpuf-help\">Wpisz Imi\u0119 i Nazwisko (pole wymagane)<\/span>\r\n                    <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el numer_dzia_ki field-size-small\" data-label=\"Numer dzia\u0142ki\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"numer_dzia_ki_60\">Numer dzia\u0142ki <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_numer_dzia_ki_60\"\r\n                    id=\"numer_dzia_ki_60\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"numer_dzia_ki\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"3\"\r\n                    data-style=\"wpuf-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                        <span class=\"wpuf-help\">Wpisz numer dzia\u0142ki (pole wymagane)<\/span>\r\n                    <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el adres_email field-size-medium\" data-label=\"Adres Email\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"adres_email_60\">Adres Email <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"adres_email_60\"\r\n                    type=\"email\"\r\n                    class=\"email  wpuf_adres_email_60\"\r\n                    data-duplicate=\"\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"email\"\r\n                    data-style=\"wpuf-style\"\r\n                    name=\"adres_email\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    autocomplete=\"email\"\r\n                \/>\r\n                        <span class=\"wpuf-help\">Wpisz adres email celem otrzymania potwierdzenia zg\u0142oszenia (pole wymagane)<\/span>\r\n                    <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el numer_telefonu field-size-medium\" data-label=\"Numer telefonu\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"numer_telefonu_60\">Numer telefonu<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_numer_telefonu_60\"\r\n                    id=\"numer_telefonu_60\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"no\"\r\n                    data-type=\"text\" name=\"numer_telefonu\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    data-style=\"wpuf-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                        <span class=\"wpuf-help\">(pole opcjonalne)<\/span>\r\n                    <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el data_odczytu_licznika field-size-medium\" data-label=\"Data odczytu licznika\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"data_odczytu_licznika_0\">Data odczytu licznika <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"wpuf-date-data_odczytu_licznika\"\r\n                    type=\"text\"\r\n                                        class=\"datepicker  wpuf_data_odczytu_licznika_60\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\"\r\n                    data-style=\"wpuf-style\"\r\n                    name=\"data_odczytu_licznika\"\r\n                    placeholder=\"dd\/mm\/yy\"\r\n                    value=\"\"\r\n                    size=\"30\"\r\n                \/>\r\n                        <span class=\"wpuf-help\">Wybierz dat\u0119 odczytu licznika (pole wymagane)<\/span>\r\n          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class=\"wpuf-help\">Podaj aktualny stan licznika (pole wymagane)<\/span>\r\n                    <\/div>\r\n                    <\/li>\r\n         <li class=\"wpuf-el recaptcha\" data-label=\"\">\r\n\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"recaptcha_0\"><\/label>\r\n        <\/div>\r\n        \r\n                <div class=\"wpuf-fields  wpuf_recaptcha_60\">\r\n                    <script>\r\n                        function weformsRecaptchaCallback(token) {\r\n                            jQuery('[name=\"g-recaptcha-response\"]').val(token);\r\n                            jQuery('.weforms_submit_btn').attr('disabled',false).show();\r\n                            jQuery('.weforms_submit_btn_recaptcha').hide();\r\n                        }\r\n\r\n                        jQuery(document).ready( function($) {\r\n                            $('.weforms_submit_btn').attr('disabled',true);\r\n                        });\r\n                    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type=\"hidden\" name=\"action\" value=\"weforms_frontend_submit\">\r\n\r\n                            <input type=\"hidden\" name=\"weforms-front-report\" value=\"no\">\r\n            \r\n            \r\n                            <input type=\"submit\" class=\"weforms_submit_btn wpuf_submit_60\" name=\"submit\" value=\"Wy\u015blij\" \/>\r\n                    <\/li>\r\n                <\/ul>\r\n\r\n        <\/form>\r\n                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