• %{'_CONTACT_DETAILS'|lang}%
  • %{$POST|field:'first_name':'_FIRST_NAME':'text':'maxlength=256':$VALID}% %{$POST|field:'second_name':'_SECOND_NAME':'text':'maxlength=256':$VALID}% %{$POST|field:'email':'_EMAIL':'text':'maxlength=256':$VALID}% %{$POST|field:'phone':'_PHONE':'text':'maxlength=100':$VALID}%
  • %{'_CLIENT_DETAILS'|lang}%
  • %{$POST|field:'street':'_STREET':'text':'maxlength=256':$VALID}% %{$POST|field:'nr':'_HOUSE_NUMBER':'text':'style=width:150px;&maxlength=20':$VALID}% %{$POST|field:'city':'_CITY':'text':'maxlength=256':$VALID}% %{$POST|field:'postal_code':'_POSTAL_CODE':'text':'style=width:150px;&maxlength=256':$VALID}%
  •   %{'_IF_ANOTHER_ADDRESS'|lang}%
  •  
    %{$POST|field:'street_s':'_STREET_S':'text':'maxlength=256':$VALID}% %{$POST|field:'nr_s':'_HOUSE_NUMBER_S':'text':'style=width:150px;&maxlength=20':$VALID}% %{$POST|field:'city_s':'_CITY_S':'text':'maxlength=256':$VALID}% %{$POST|field:'postal_code_s':'_POSTAL_CODE_S':'text':'style=width:150px;&maxlength=100':$VALID}%
  •   %{'_IF_SHOP_INVOICE'|lang}%
  •  
    %{$POST|field:'company_name':'_COMPANY_NAME':'text':'maxlength=256':$VALID}% %{$POST|field:'company_nip':'_COMPANY_NIP':'text':'style=width:150px;&maxlength=20':$VALID}% %{$POST|field:'company_street':'_STREET':'text':'maxlength=256':$VALID}% %{$POST|field:'company_nr':'_HOUSE_NUMBER':'text':'style=width:150px;&maxlength=20':$VALID}% %{$POST|field:'company_city':'_CITY':'text':'maxlength=256':$VALID}% %{$POST|field:'company_postal_code':'_POSTAL_CODE':'text':'style=width:150px;&maxlength=100':$VALID}%


  • %{$VALID.agreement|check_required}%

    %{'_ACCEPT_AGREEMENT'|lang}%

  •