{"id":950,"date":"2025-06-10T22:27:07","date_gmt":"2025-06-10T22:27:07","guid":{"rendered":"https:\/\/diamond-dispensers.com\/?page_id=950"},"modified":"2025-06-11T22:00:02","modified_gmt":"2025-06-11T22:00:02","slug":"registrieren","status":"publish","type":"page","link":"https:\/\/diamond-dispensers.com\/de\/registrieren\/","title":{"rendered":"Registrierung"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"950\" class=\"elementor elementor-950\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46d70b5 e-con-full e-flex e-con e-parent\" data-id=\"46d70b5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6cb9d7c elementor-widget elementor-widget-image\" data-id=\"6cb9d7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" data-src=\"https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502.png\" data-srcset=\"https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502.png 500w, https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502-300x60.png 300w, https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502-18x4.png 18w\"   src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" class=\"attachment-large size-large wp-image-709 lazyload\" alt=\"\"  sizes=\"(max-width: 500px) 100vw, 500px\"  \/><noscript><img decoding=\"async\" width=\"500\" height=\"100\" src=\"https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502.png\" class=\"attachment-large size-large wp-image-709\" alt=\"\" srcset=\"https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502.png 500w, https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502-300x60.png 300w, https:\/\/diamond-dispensers.com\/wp-content\/uploads\/2025\/02\/logo-3502-18x4.png 18w\" sizes=\"(max-width: 500px) 100vw, 500px\"><\/noscript>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a395aec e-con-full e-flex e-con e-parent\" data-id=\"a395aec\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ee8e84 elementor-widget elementor-widget-wpforms\" data-id=\"2ee8e84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-elementor-widget-2ee8e84\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-2ee8e84 {\n\t\t\t\t--wpforms-field-border-color: #cccccc;\n--wpforms-field-border-color-spare: #cccccc;\n--wpforms-field-text-color: #8C8888;\n--wpforms-label-color: #bc7d3c;\n--wpforms-label-sublabel-color: #7f7f7f;\n--wpforms-label-error-color: #ff0000;\n--wpforms-button-border-style: solid;\n--wpforms-button-background-color: #dddddd;\n--wpforms-button-border-color: #cccccc;\n--wpforms-button-text-color: #666666;\n--wpforms-background-color: #121212;\n--wpforms-page-break-color: #dddddd;\n--wpforms-field-size-input-height: 31px;\n--wpforms-field-size-input-spacing: 10px;\n--wpforms-field-size-font-size: 14px;\n--wpforms-field-size-line-height: 17px;\n--wpforms-field-size-padding-h: 9px;\n--wpforms-field-size-checkbox-size: 14px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 0.75;\n--wpforms-label-size-font-size: 14px;\n--wpforms-label-size-line-height: 17px;\n--wpforms-label-size-sublabel-font-size: 13px;\n--wpforms-label-size-sublabel-line-height: 16px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-987\"><form id=\"wpforms-form-987\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"987\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/de\/wp-json\/wp\/v2\/pages\/950?wpforms_form_id=987\" data-token=\"cfdb1498bc314db5c8185a3908620381\" data-token-time=\"1792326874\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Diamond Dispensers Product Registration Form<\/div><\/div><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-987-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-987-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-987-field_1-error\" required><label for=\"wpforms-987-field_1\" class=\"wpforms-field-sublabel after\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-987-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-987-field_1-last-error\" required><label for=\"wpforms-987-field_1-last\" class=\"wpforms-field-sublabel after\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-987-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-987-field_2\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-987-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-987-field_2-error\" required><\/div><div id=\"wpforms-987-field_4-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-987-field_4\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][4][address1]\" data-autocomplete=\"1\" aria-errormessage=\"wpforms-987-field_4-error\" required><label for=\"wpforms-987-field_4\" class=\"wpforms-field-sublabel after\">Adresszeile\u00a01<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-987-field_4-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][4][city]\" aria-errormessage=\"wpforms-987-field_4-city-error\" required><label for=\"wpforms-987-field_4-city\" class=\"wpforms-field-sublabel after\">Stadt<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-987-field_4-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][4][state]\" aria-errormessage=\"wpforms-987-field_4-state-error\" required><label for=\"wpforms-987-field_4-state\" class=\"wpforms-field-sublabel after\">Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-987-field_4-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][4][postal]\" aria-errormessage=\"wpforms-987-field_4-postal-error\" required><label for=\"wpforms-987-field_4-postal\" class=\"wpforms-field-sublabel after\">Postleitzahl<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-987-field_4-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][4][country]\" aria-errormessage=\"wpforms-987-field_4-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- W\u00e4hle country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albanien<\/option><option value=\"DZ\" >Algerien<\/option><option value=\"AS\" >Amerikanisch-Samoa<\/option><option value=\"VI\" >Amerikanische Jungferninseln<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarktika<\/option><option value=\"AG\" >Antigua und Barbuda<\/option><option value=\"AR\" >Argentinien<\/option><option value=\"AM\" >Armenien<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AZ\" >Aserbaidschan<\/option><option value=\"AU\" >Australien<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesch<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgien<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivien (Plurinationaler Staat)<\/option><option value=\"BQ\" >Bonaire, Sint Eustatius und Saba<\/option><option value=\"BA\" >Bosnien und Herzegowina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvetinsel<\/option><option value=\"BR\" >Brasilien<\/option><option value=\"VG\" >Britische Jungferninseln<\/option><option value=\"IO\" >Britisches Territorium im Indischen Ozean<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgarien<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CK\" >Cookinseln<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DE\" >Deutschland<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominikanische Republik<\/option><option value=\"DJ\" >Dschibuti<\/option><option value=\"DK\" >D\u00e4nemark<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"CI\" >Elfenbeink\u00fcste<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estland<\/option><option value=\"SZ\" >Eswatini (K\u00f6nigreich)<\/option><option value=\"FK\" >Falklandinseln (Malwinen)<\/option><option value=\"FJ\" >Fidschi<\/option><option value=\"FI\" >Finnland<\/option><option value=\"FR\" >Frankreich<\/option><option value=\"GF\" >Franz\u00f6sisch-Guayana<\/option><option value=\"PF\" >Franz\u00f6sisch-Polynesien<\/option><option value=\"TF\" >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value=\"FO\" >F\u00e4r\u00f6er<\/option><option value=\"GA\" >Gabun<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GR\" >Griechenland<\/option><option value=\"GL\" >Gr\u00f6nland<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard- und McDonaldinseln<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hongkong<\/option><option value=\"IN\" >Indien<\/option><option value=\"ID\" >Indonesien<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (Islamische Republik)<\/option><option value=\"IE\" >Irland<\/option><option value=\"IS\" >Island<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italien<\/option><option value=\"JM\" >Jamaika<\/option><option value=\"JP\" >Japan<\/option><option value=\"YE\" >Jemen<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanien<\/option><option value=\"KY\" >Kaimaninseln<\/option><option value=\"KH\" >Kambodscha<\/option><option value=\"CM\" >Kamerun<\/option><option value=\"CA\" >Kanada<\/option><option value=\"KZ\" >Kasachstan<\/option><option value=\"QA\" >Katar<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirgisistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"CC\" >Kokosinseln (Keelinginseln)<\/option><option value=\"CO\" >Kolumbien<\/option><option value=\"KM\" >Komoren<\/option><option value=\"CD\" >Kongo (Demokratische Republik)<\/option><option value=\"CG\" >Kongo (Republik)<\/option><option value=\"KP\" >Korea (Demokratische Volksrepublik)<\/option><option value=\"KR\" >Korea (Republik)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"HR\" >Kroatien<\/option><option value=\"CU\" >Kuba<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LA\" >Laos (Demokratische Volksrepublik)<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettland<\/option><option value=\"LB\" >Libanon<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libyen<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litauen<\/option><option value=\"LU\" >Luxemburg<\/option><option value=\"MO\" >Macau<\/option><option value=\"MG\" >Madagaskar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Malediven<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marokko<\/option><option value=\"MH\" >Marshallinseln<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauretanien<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexiko<\/option><option value=\"FM\" >Mikronesien<\/option><option value=\"MD\" >Moldau (Republik)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolei<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mosambik<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NC\" >Neukaledonien<\/option><option value=\"NZ\" >Neuseeland<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NL\" >Niederlande<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"MK\" >Nordmazedonien (Republik)<\/option><option value=\"NF\" >Norfolkinsel<\/option><option value=\"NO\" >Norwegen<\/option><option value=\"MP\" >N\u00f6rdliche Marianen<\/option><option value=\"OM\" >Oman<\/option><option value=\"TL\" >Osttimor<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Pal\u00e4stina (Staat)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua-Neuguinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippinen<\/option><option value=\"PN\" >Pitcairninseln<\/option><option value=\"PL\" >Polen<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Rum\u00e4nien<\/option><option value=\"RU\" >Russland<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"MF\" >Saint Martin (franz\u00f6sischer Teil)<\/option><option value=\"BL\" >Saint-Barth\u00e9lemy<\/option><option value=\"PM\" >Saint-Pierre und Miquelon<\/option><option value=\"SB\" >Salomonen<\/option><option value=\"ZM\" >Sambia<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"SA\" >Saudi-Arabien<\/option><option value=\"SE\" >Schweden<\/option><option value=\"CH\" >Schweiz<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbien<\/option><option value=\"SC\" >Seychellen<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"ZW\" >Simbabwe<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SX\" >Sint Maarten<\/option><option value=\"SK\" >Slowakei<\/option><option value=\"SI\" >Slowenien<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ES\" >Spanien<\/option><option value=\"SJ\" >Spitzbergen und Jan Mayen<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SH\" >St. Helena, Ascension und Tristan da Cunha<\/option><option value=\"KN\" >St. Kitts und Nevis<\/option><option value=\"LC\" >St. Lucia<\/option><option value=\"VC\" >St. Vincent und die Grenadinen<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SY\" >Syrien (Arabische Republik)<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value=\"ZA\" >S\u00fcdafrika<\/option><option value=\"GS\" >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value=\"SS\" >S\u00fcdsudan<\/option><option value=\"TJ\" >Tadschikistan<\/option><option value=\"TW\" >Taiwan, Republik China<\/option><option value=\"TZ\" >Tansania (Vereinigte Republik)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad und Tobago<\/option><option value=\"TD\" >Tschad<\/option><option value=\"CZ\" >Tschechien<\/option><option value=\"TN\" >Tunesien<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks- und Caicosinseln<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkei<\/option><option value=\"US\" >USA<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"HU\" >Ungarn<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Usbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatikanstadt (Staat)<\/option><option value=\"VE\" >Venezuela (Bolivarische Republik)<\/option><option value=\"AE\" >Vereinigte Arabische Emirate<\/option><option value=\"GB\" >Vereinigtes K\u00f6nigreich von Gro\u00dfbritannien und Nordirland<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis und Futuna<\/option><option value=\"CX\" >Weihnachtsinsel<\/option><option value=\"EH\" >Westsahara<\/option><option value=\"CF\" >Zentralafrikanische Republik<\/option><option value=\"CY\" >Zypern<\/option><option value=\"EG\" >\u00c4gypten<\/option><option value=\"GQ\" >\u00c4quatorialguinea<\/option><option value=\"ET\" >\u00c4thiopien<\/option><option value=\"AX\" >\u00c5landinseln<\/option><option value=\"AT\" >\u00d6sterreich<\/option><\/select><label for=\"wpforms-987-field_4-country\" class=\"wpforms-field-sublabel after\">Land<\/label><\/div><\/div><\/fieldset><\/div>\t\t<div id=\"wpforms-987-field_3-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"3\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-987-field_3\" >Serial of E-mail<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-987-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-987-field_7-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"7\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-987-field_5-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-987-field_5\">Date of Purchase <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-987-field_5\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][5][date]\" aria-errormessage=\"wpforms-987-field_5-error\" required><a title=\"Datum leeren\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Datum leeren\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-987-field_6-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-987-field_6\">Place of Purchase <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-987-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required=\"required\"><option value=\"The Netherlands\"  class=\"choice-1 depth-1\"  >The Netherlands<\/option><option value=\"Sweden\"  class=\"choice-2 depth-1\"  >Sweden<\/option><option value=\"Norway\"  class=\"choice-3 depth-1\"  >Norway<\/option><option value=\"Switz\"  class=\"choice-4 depth-1\"  >Switz<\/option><option value=\"Spain\"  class=\"choice-5 depth-1\"  >Spain<\/option><option value=\"Finland\"  class=\"choice-6 depth-1\"  >Finland<\/option><option value=\"Letland\"  class=\"choice-7 depth-1\"  >Letland<\/option><option value=\"Estland\"  class=\"choice-8 depth-1\"  >Estland<\/option><option value=\"Italie\"  class=\"choice-9 depth-1\"  >Italie<\/option><option value=\"Different\"  class=\"choice-10 depth-1\"  >Different<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div 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