{"id":5064,"date":"2021-09-02T09:46:09","date_gmt":"2021-09-02T07:46:09","guid":{"rendered":"https:\/\/me-international.de\/?page_id=5064"},"modified":"2022-08-22T10:10:34","modified_gmt":"2022-08-22T08:10:34","slug":"biojector-order-form","status":"publish","type":"page","link":"https:\/\/me-international.de\/en\/products\/vaccination-equipment\/biojector\/biojector-order-form\/","title":{"rendered":"BioJector Order Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5064\" class=\"elementor elementor-5064\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7a3330b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a3330b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0c0a003\" data-id=\"0c0a003\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d63f574 elementor-widget elementor-widget-heading\" data-id=\"d63f574\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">BioJector Order Form<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f889f4 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"7f889f4\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Biojectorformular_EN\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"5064\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"7f889f4\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"ME International\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_93a1e2a elementor-col-50\">\n\t\t\t\t\t<div class=\"boldtit\">Invoice Address:<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_ed13576 elementor-col-50\">\n\t\t\t\t\t<div class=\"boldtit\">Delivery to (if different):<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-named elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-named\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[named]\" id=\"form-field-named\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-company elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-company\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCompany name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[company]\" id=\"form-field-company\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-companyd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-companyd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCompany name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[companyd]\" id=\"form-field-companyd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Company name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-address elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-address\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[address]\" id=\"form-field-address\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-addressd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-addressd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[addressd]\" id=\"form-field-addressd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-zip elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zip\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\/Zip\/Postal Code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[zip]\" id=\"form-field-zip\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\/Zip\/Postal Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-zipd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-zipd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\/Zip\/Postal Code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[zipd]\" id=\"form-field-zipd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\/Zip\/Postal Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-state elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-state\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tState\/Province\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[state]\" id=\"form-field-state\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"State\/Province\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-stated elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-stated\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tState\/Province\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[stated]\" id=\"form-field-stated\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"State\/Province\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-country elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-country\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCountry\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[country]\" id=\"form-field-country\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Country\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-countryd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-countryd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCountry\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[countryd]\" id=\"form-field-countryd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Country\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-phone elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-phone\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContact Phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[phone]\" id=\"form-field-phone\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Contact Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-phoned elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-phoned\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContact Phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[phoned]\" id=\"form-field-phoned\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Contact Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-tax elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tax\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTax ID\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[tax]\" id=\"form-field-tax\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tax ID\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_c966880 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c966880\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t1. Number of devices\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_c966880]\" id=\"form-field-field_c966880\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_3b45d67 elementor-col-70\">\n\t\t\t\t\t<div class=\"uni\">units<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-age elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-age\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t2. Age of chicks\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Day Old\" id=\"form-field-age-0\" name=\"form_fields[age][]\"> <label for=\"form-field-age-0\">Day Old<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"10 Day Old\" id=\"form-field-age-1\" name=\"form_fields[age][]\"> <label for=\"form-field-age-1\">10 Day Old<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Both\" id=\"form-field-age-2\" name=\"form_fields[age][]\"> <label for=\"form-field-age-2\">Both<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-oilbased elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-oilbased\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t3. Are you using oil-based vaccine?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-oilbased-0\" name=\"form_fields[oilbased][]\"> <label for=\"form-field-oilbased-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-oilbased-1\" name=\"form_fields[oilbased][]\"> <label for=\"form-field-oilbased-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Possible\" id=\"form-field-oilbased-2\" name=\"form_fields[oilbased][]\"> <label for=\"form-field-oilbased-2\">Possible<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_358b4b9 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_358b4b9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t4. Number of syringes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"One Syringe \" id=\"form-field-field_358b4b9-0\" name=\"form_fields[field_358b4b9][]\"> <label for=\"form-field-field_358b4b9-0\">One Syringe<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Two Syringes\" id=\"form-field-field_358b4b9-1\" name=\"form_fields[field_358b4b9][]\"> <label for=\"form-field-field_358b4b9-1\">Two Syringes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_357da34 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_357da34\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t5. Counter\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_357da34-0\" name=\"form_fields[field_357da34][]\"> <label for=\"form-field-field_357da34-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_357da34-1\" name=\"form_fields[field_357da34][]\"> <label for=\"form-field-field_357da34-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d5e30da elementor-col-100\">\n\t\t\t\t\t<div class=\"forinf\">(For your information: 2 syringes means two different\n and separate vaccines are coming together in only one penetration)<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-syringe elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-syringe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t6. Syringe Size\/s\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,1\" id=\"form-field-syringe-0\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-0\">0,1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,2\" id=\"form-field-syringe-1\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-1\">0,2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,25\" id=\"form-field-syringe-2\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-2\">0,25<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,3\" id=\"form-field-syringe-3\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-3\">0,3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,4\" id=\"form-field-syringe-4\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-4\">0,4<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"0,5\" id=\"form-field-syringe-5\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-5\">0,5<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"other\" id=\"form-field-syringe-6\" name=\"form_fields[syringe][]\"> <label for=\"form-field-syringe-6\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-other elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[other]\" id=\"form-field-other\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"other\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_bcd8525 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bcd8525\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t7. Own Company logo\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_bcd8525-0\" name=\"form_fields[field_bcd8525][]\"> <label for=\"form-field-field_bcd8525-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_bcd8525-1\" name=\"form_fields[field_bcd8525][]\"> <label for=\"form-field-field_bcd8525-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_1925eed elementor-col-100\">\n\t\t\t\t\t<div class=\"ifyes\">(If yes, Please send us your logo by e-mail; vector graphic)<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c4da0cc elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c4da0cc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t8. Vaccine holder\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Spiral Bottle Hold (For 1 vaccine in bottles)\" id=\"form-field-field_c4da0cc-0\" name=\"form_fields[field_c4da0cc][]\"> <label for=\"form-field-field_c4da0cc-0\">Spiral Bottle Hold (For 1 vaccine in bottles)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Gibbet (For 1 vaccine in bags)\" id=\"form-field-field_c4da0cc-1\" name=\"form_fields[field_c4da0cc][]\"> <label for=\"form-field-field_c4da0cc-1\">Gibbet (For 1 vaccine in bags)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Combined Holder (For 2 vaccines ( Bottle &amp; bag))\" id=\"form-field-field_c4da0cc-2\" name=\"form_fields[field_c4da0cc][]\"> <label for=\"form-field-field_c4da0cc-2\">Combined Holder (For 2 vaccines ( Bottle & bag))<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2-Gibbet (For 2 vaccines (2 bags))\" id=\"form-field-field_c4da0cc-3\" name=\"form_fields[field_c4da0cc][]\"> <label for=\"form-field-field_c4da0cc-3\">2-Gibbet (For 2 vaccines (2 bags))<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"2-Spiral Holder (For 2 vaccines in bottles)\" id=\"form-field-field_c4da0cc-4\" name=\"form_fields[field_c4da0cc][]\"> <label for=\"form-field-field_c4da0cc-4\">2-Spiral Holder (For 2 vaccines in bottles)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-vacequi elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vacequi\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t9. Vacination Equipment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Vendet Spikes With roller clamp, sterile\" id=\"form-field-vacequi-0\" name=\"form_fields[vacequi][]\"> <label for=\"form-field-vacequi-0\">Vendet Spikes With roller clamp, sterile<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Needles for single use; 100 pcs.\/box\" id=\"form-field-vacequi-1\" name=\"form_fields[vacequi][]\"> <label for=\"form-field-vacequi-1\">Needles for single use; 100 pcs.\/box<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vacamount1 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vacamount1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tamount\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vacamount1]\" id=\"form-field-vacamount1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-needc elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-needc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNeedles\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"20 G x 3\/4\" id=\"form-field-needc-0\" name=\"form_fields[needc]\"> <label for=\"form-field-needc-0\">20 G x 3\/4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vacamount2 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vacamount2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tamount\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vacamount2]\" id=\"form-field-vacamount2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-desize elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-desize\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDesired size\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Desired size\" id=\"form-field-desize-0\" name=\"form_fields[desize]\"> <label for=\"form-field-desize-0\">Desired size<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vacamount3 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vacamount3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tamount\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vacamount3]\" id=\"form-field-vacamount3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-vacamount4 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-vacamount4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tamount\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[vacamount4]\" id=\"form-field-vacamount4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_eef9954 elementor-col-100\">\n\t\t\t\t\t<div class=\"further\">10. Further equipment \/ parts<\/div>\n<div class=\"furthern\">(Please note: each device will be delivered with a accessories KIT and needles foc.)<\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_388b140 elementor-col-20\">\n\t\t\t\t\tNumber\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d47ed00 elementor-col-30\">\n\t\t\t\t\tPart No.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_d3d47de elementor-col-50\">\n\t\t\t\t\tDescription\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_44337ec elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_44337ec\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_44337ec]\" id=\"form-field-field_44337ec\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d0e2ba8 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d0e2ba8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01p\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d0e2ba8]\" id=\"form-field-field_d0e2ba8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d025588 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d025588\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01d\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d025588]\" id=\"form-field-field_d025588\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c8c1399 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c8c1399\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t02\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c8c1399]\" id=\"form-field-field_c8c1399\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e61b932 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e61b932\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t02p\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e61b932]\" id=\"form-field-field_e61b932\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_bc8e914 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bc8e914\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t02d\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_bc8e914]\" id=\"form-field-field_bc8e914\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f82d274 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f82d274\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f82d274]\" id=\"form-field-field_f82d274\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8ebac72 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8ebac72\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01p\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8ebac72]\" id=\"form-field-field_8ebac72\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_182d34d elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_182d34d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t01d\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_182d34d]\" id=\"form-field-field_182d34d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-Mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-Mail\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_6ebfa1f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6ebfa1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t11. Notes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_6ebfa1f]\" id=\"form-field-field_6ebfa1f\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>BioJector Order Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-5064","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - 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