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class=\"field-float\">\n\u003Cdiv class=\"field-wrap field-dealername  field-float-25\">    [text* dealer-name     placeholder \"Dealer *\"]\u003C\u002Fdiv>\n[group all clear_on_hide]\n\u003Cdiv class=\"field-wrap field-dealeremail field-float-75\">    [text* dealer-email    placeholder \"Dealer email*\"]\u003C\u002Fdiv>\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text* customer-name   placeholder \"Customername \u002F Company *\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text* customer-email  placeholder \"Customer email*\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text  customer-street placeholder \"Street, No\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerzip   field-float-25\">  [text  customer-zip    placeholder \"Zip-Code\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customercity  field-float-75\">  [text  customer-city   placeholder \"City\"]\u003C\u002Fdiv>\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003Cbr>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text* customer-cloud   placeholder \"Shortname for HERDEcloud *\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text* customer-Cloudemail  placeholder \"HERDEcloud email*\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">                                    [text* customer-SZRID  placeholder \"SZRID*\"]\u003C\u002Fdiv>\n\n\u003Cdiv class=\"field-float\">\u003Cbr>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customercoun field-float-20\">  Country \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customercoun field-float-80\">  [select* land include_blank \"Czech Republic\" ]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  Product \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-80\">  [select* Programm include_blank \"HERDEplus\" \"HERDEplus Consultant\" \"HERDEplus Vet\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\n[group Technik clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  N° Interface\u003Cbr>\u003Cspan class=\"notice\">(multiple choice)\u003C\u002Fspan>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [number* no_Interface min:0 max:10 placeholder \"2\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-50\">  [select interface multiple \"AFI Crystal\" \"AFI Collar\" \"AFI Fullexpert\" \"Boumatic 2050\" \"Boumatic 2060 (BMI)\" \"Boumatic Smartdairy\" \"CattleData\" \"CowConnect\" \"CowManager\" \"Delaval Alpro6\u002F7\" \"Delaval Delpro\" \"Dairymaster Milkmanager\" \"Dairymaster MooMonitor\" \"GEA DP5\" \"GEA C21\" \"Lely\" \"Impulsa\" \"SCR Heatime Pro+\" \"SCR Sensehub\" \"smaXtec\" \"Velos VC5\" \"NEDAP\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n\n[group Landwirt clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  N° Dairy Cows\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [select* Milch \"0\" \"35\" \"50\" \"75\" \"100\" \"150\" \"200\" \"250\" \"300\" \"400\" \"500\" \"600\" \"800\" \"1000\" \"1500\" \"2000\" \"2500\" \"3000\" \"3500\" \"4000\" \"5000\" \"6000\" \"7000\" \"8000\" \"9000\" \"10000\" \"11000\" \"12000\" \"13000\" \"14000\" \"15000\" \"16000\" \"17000\" \"18000\" \"19000\" \"20000\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-10\">          \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  N° Heads\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [select* Mast \"0\" \"35\" \"50\" \"75\" \"100\" \"150\" \"200\" \"250\" \"300\" \"400\" \"500\" \"600\" \"800\" \"1000\" \"1500\" \"2000\" \"2500\" \"3000\" \"3500\" \"4000\" \"5000\" \"6000\" \"7000\" \"8000\" \"9000\" \"10000\" \"11000\" \"12000\" \"13000\" \"14000\" \"15000\" \"16000\" \"17000\" \"18000\" \"19000\" \"20000\"]\u003C\u002Fdiv>\n\n\n[group Module_milch clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  \u003Cspan class=\"notice\">Dairy modules (multiple choice)\u003C\u002Fspan>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [select* milkmodule multiple \"\" \"none\" \"Embryo transfer\" \"Multi-Database\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[group Module_null clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  \u003Cspan style=\"color: #ffffff;\">Dairy modules (multiple choice)\u003C\u002Fspan>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [select* module multiple \"\" \"none\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[group Module_mast clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  \u003Cspan class=\"notice\">Beef modules (multiple choice)\u003C\u002Fspan>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-25\">  [select* beefmodule multiple \"\" \"none\" \"Cow-Calf-Production\" \"Multi-Database\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[\u002Fgroup]\n\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\n[group Berater clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  N° clients\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-80\">  [number* no_clientsB min:1 max:1000 placeholder \"1\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[group Tierarzt clear_on_hide]\n\u003Cdiv class=\"field-wrap field-customerprod field-float-20\">  N° clients\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-customerprod field-float-80\">  [number* no_clientsT min:1 max:1000 placeholder \"1\"]\u003C\u002Fdiv>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[group cz clear_on_hide]\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-payment field-float-80\">  Total yearly payment in EURO \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-total   field-float-20\">  [number* Total_cz min:0 max:20000 \"\"] \u003C\u002Fdiv>\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-Subsc field-float-80\">  Scheduled installation date \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-date  field-float-20\">  [date* date_i_cz min:2022-02-01 max:2030-12-31] \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-Subsc field-float-80\">  Subscription date\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-date  field-float-20\">  [date* date_s_cz min:2022-02-01 max:2030-12-31] \u003C\u002Fdiv>\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-payment field-float-50\">  Invoice to [select* Empfcz \"SanoHolding\"]\u003C\u002Fdiv>\n[\u002Fgroup]\n\n[group cn clear_on_hide]\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-payment field-float-80\">  Total yearly payment in EURO \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-total   field-float-20\">  [number* Total_cn min:0 max:20000 \"\"] \u003C\u002Fdiv>\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-Subsc field-float-80\">  Scheduled installation date \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-date  field-float-20\">  [date* date_i_cn min:2022-02-01 max:2030-12-31] \u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-Subsc field-float-80\">  Subscription date\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-date  field-float-20\">  [date* date_s_cn min:2022-02-01 max:2030-12-31] \u003C\u002Fdiv>\n\u003Cdiv>\u003C\u002Fdiv>\n\u003Cdiv class=\"field-wrap field-payment field-float-50\">  Invoice to [select* Empfcn \"Kingpeng Husbandary\"]\u003C\u002Fdiv>\n[\u002Fgroup]\n\n\u003Cdiv class=\"field-wrap field-acceptance\">\u003Clabel class=\"field-label\">\u003Ch8>\u003Cspan style=\"color: #ff0000;\"> \u003C\u002Fh8>\u003Cspan class=\"required\">\u003C\u002Fspan>\u003C\u002Flabel>\u003Cspan class=\"notice\"> \u003C\u002Fspan>\n\u003Cdiv class=\"field-float\">\u003C\u002Fdiv>\n\n\u003Cdiv>[acceptance agb] The   \u003Ca href=\"\u002Fagb\u002F\" target=\"_blank\">  GTC \u003C\u002Fa>   are hereby accepted. [\u002Facceptance]\u003C\u002Fdiv>\n\u003Cdiv>[acceptance gdpr]  By ordering, you agree that we may contact you via email and that you have read our \u003Ca href=\"\u002Fdatenschutz\u002F\" target=\"_blank\"> privacy policy  \u003C\u002Fa>. You can revoke your consent to the use of your data at any time. 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