{"id":15096,"date":"2026-04-23T08:47:15","date_gmt":"2026-04-23T08:47:15","guid":{"rendered":"https:\/\/www.powerjacks.com\/?page_id=15096"},"modified":"2026-05-05T15:45:43","modified_gmt":"2026-05-05T15:45:43","slug":"analyseformular-fur-elektrische-linearantriebeen","status":"publish","type":"page","link":"https:\/\/www.powerjacks.com\/de\/unterstuetzen-sie\/formulare-zur-anwendungsanalyse\/analyseformular-fur-elektrische-linearantriebeen\/","title":{"rendered":"Antragsformular f\u00fcr den 48-Stunden-Reparaturservice"},"content":{"rendered":"\n<div class=\"wp-block-cover\" style=\"min-height:200px;aspect-ratio:unset;\"><img decoding=\"async\" width=\"768\" height=\"1024\" class=\"wp-block-cover__image-background wp-image-2634 size-large\" alt=\"\" src=\"https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-768x1024.jpg.webp\" data-object-fit=\"cover\" srcset=\"https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-768x1024.jpg.webp 768w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-225x300.jpg.webp 225w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-1152x1536.jpg.webp 1152w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-scaled.jpg.webp 1536w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-54x72.jpg.webp 54w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-131x175.jpg.webp 131w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-122x162.jpg.webp 122w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-60x80.jpg.webp 60w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-548x731.jpg.webp 548w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-49x65.jpg.webp 49w, https:\/\/www.powerjacks.com\/wp-content\/smush-webp\/2025\/06\/Downloads-Videos-600x800.jpg.webp 600w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim wp-block-cover__gradient-background has-background-gradient has-light-green-gradient-background\"><\/span><div class=\"wp-block-cover__inner-container has-global-padding is-layout-constrained wp-container-core-cover-is-layout-346627ba wp-block-cover-is-layout-constrained\"><h1 class=\"has-text-align-center wp-block-post-title\">Antragsformular f\u00fcr den 48-Stunden-Reparaturservice<\/h1><\/div><\/div>\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--80);padding-bottom:var(--wp--preset--spacing--70)\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-size:clamp(18.959px, 1.185rem + ((1vw - 3.2px) * 0.926), 30px);\">Antragsformular f\u00fcr den 48-Stunden-Reparaturservice<\/h2>\n<\/div>\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-756a0721 wp-block-group-is-layout-constrained\" style=\"padding-bottom:var(--wp--preset--spacing--120)\"><div class='fluentform ff-inherit-theme-style fluentform_wrapper_17  ff_guten_block ff_guten_block-17'><form data-form_id=\"17\" id=\"fluentform_17\" class=\"frm-fluent-form fluent_form_17 ff-el-form-top ff_form_instance_17_1 ff-form-loading ff-form-has-steps ff_has_v3_recptcha ffs_inherit_theme\" data-form_instance=\"ff_form_instance_17_1\" method=\"POST\" data-recptcha_key=\"6LeVlmUsAAAAAGgCIRBQ8NE2izmGyaujIV4M6_nx\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">48 Hour Repair Service Application Form<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"243\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><input type='hidden' name='__fluent_form_embded_post_id' value='15096' \/><input type=\"hidden\" id=\"_fluentform_17_fluentformnonce\" name=\"_fluentform_17_fluentformnonce\" value=\"524c487c90\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/de\/wp-json\/wp\/v2\/pages\/15096\" \/><div class='ff-step-container' data-name=\"step_start-17_6\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Start<\/span><\/li><li><span>General info<\/span><\/li><li><span>Product<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-17_6\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-17_1\" ><h2>Contact Information<\/h2><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_17_subject' id='label_ff_17_subject' aria-label=\"Company Name\">Company Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"subject\" class=\"ff-el-form-control\" placeholder=\"Company Details\" data-name=\"subject\" id=\"ff_17_subject\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_17_input_text' id='label_ff_17_input_text' aria-label=\"Contact Name\">Contact Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Contact Name\" data-name=\"input_text\" id=\"ff_17_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_17_email' id='label_ff_17_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_17_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_17_phone' id='label_ff_17_phone' aria-label=\"Telephone\">Telephone<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Telephone\" data-name=\"phone\" id=\"ff_17_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_17_address_1_address_line_1_' id='label_ff_17_address_1_address_line_1_' aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_17_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_17_address_1_city_' id='label_ff_17_address_1_city_' aria-label=\"City\/Town\">City\/Town<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_17_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_2\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_17_address_2_state_' id='label_ff_17_address_2_state_' aria-label=\"County \/ State\">County \/ State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_2[state]\" id=\"ff_17_address_2_state_\" class=\"ff-el-form-control\" placeholder=\"County \/ State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_17_address_2_zip_' id='label_ff_17_address_2_zip_' aria-label=\"Postcode \/ Zip\">Postcode \/ Zip<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_2[zip]\" id=\"ff_17_address_2_zip_\" class=\"ff-el-form-control\" placeholder=\"Postcode \/ Zip\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_17_country-list' id='label_ff_17_country-list' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><select name=\"country-list\" id=\"ff_17_country-list\" class=\"ff-el-form-control\" placeholder=\"Country\" data-name=\"country-list\" aria-invalid='false' aria-required=true><option value=''>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='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<\/option><option value='BQ' >Bonaire, St. 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<\/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='CD' >Demokratische Republik Kongo (Kinshasa)<\/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<\/option><option value='FK' >Falklandinseln<\/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' >Georgien<\/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<\/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='XK' >Kosovo<\/option><option value='HR' >Kroatien<\/option><option value='CU' >Kuba<\/option><option value='KW' >Kuwait<\/option><option value='LA' >Laos<\/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' >Macao, China<\/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<\/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' >Nord-Mazedonien<\/option><option value='KP' >Nordkorea<\/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='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Pal\u00e4stinensische Autonomiegebiete<\/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' >Pitcairn<\/option><option value='PL' >Polen<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='CG' >Republik Kongo (Brazzaville)<\/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='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='ST' >Sao Tome und Principe<\/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='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='BL' >St. Barth\u00e9lemy<\/option><option value='SH' >St. Helena<\/option><option value='KN' >St. Kitts und Nevis<\/option><option value='LC' >St. Lucia<\/option><option value='MF' >St. Martin (Frankreich)<\/option><option value='SX' >St. Martin (niederl\u00e4ndischer Teil)<\/option><option value='VC' >St. Vincent und die Grenadinen<\/option><option value='SD' >Sudan<\/option><option value='SR' >Surinam<\/option><option value='SY' >Syrien<\/option><option value='ZA' >S\u00fcdafrika<\/option><option value='GS' >S\u00fcdgeorgien\/Sandwichinseln<\/option><option value='KR' >S\u00fcdkorea<\/option><option value='SS' >S\u00fcdsudan<\/option><option value='TJ' >Tadschikistan<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tansania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/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\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='HU' >Ungarn<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Usbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatikanstadt<\/option><option value='VE' >Venezuela<\/option><option value='AE' >Vereinigte Arabische Emirate<\/option><option value='UM' >Vereinigte Staaten (US) Minor Outlying Islands<\/option><option value='US' >Vereinigte Staaten von Amerika (USA)<\/option><option value='GB' selected>Vereinigtes K\u00f6nigreich<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis und Futuna<\/option><option value='CX' >Weihnachtsinsel<\/option><option value='BY' >Wei\u00dfrussland<\/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><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button style='float: left;'  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary' aria-label='Previous'>Previous<\/button><button style='float: right;'  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary' aria-label='Continue'>Continue<\/button><\/div><\/div><div style='display: none;' class=\"buttonNext fluentform-step\" data-name=\"form_step-17_2\" ><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-17_3\" ><h3>Product Information<\/h3><\/div>        <div data-type=\"repeater_field\" data-name=\"repeater_field\" class=\"ff-el-group ff-el-repeater js-repeater\" data-root_name=\"repeater_field\"  >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='Product' for=''>Product<\/label><\/div>            <div class='ff-el-input--content'>\n                <table role=\"table\" aria-label=\"Repeater Field\" data-max_repeat=\"\" data-root_name=\"repeater_field\" class=\"ff_repeater_table ff_flexible_table\">\n                    <thead>\n                    <tr>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Product Part Number' for=''>Product Part Number<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Serial Number on Nameplate (1 per product batch)' for=''>Serial Number on Nameplate (1 per product batch)<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Original Sales Order\/ Original Purchase Order (if known)' for=''>Original Sales Order\/ Original Purchase Order (if known)<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Quantity of Units on Site' for=''>Quantity of Units on Site<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Quantity of Units for Repair at any one time' for=''>Quantity of Units for Repair at any one time<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Additional Notes' for=''>Additional Notes<\/label><\/div><\/th>\n                                                <th><\/th>\n                    <\/tr>\n                    <\/thead>\n                    <tbody>\n                    <tr>\n                                                    <td data-label=\"Product Part Number\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" aria-label=\"repeater level 1 and field Product Part Number\" name=\"repeater_field[0][]\" id=\"ff_17_repeater_field_0\" data-repeater_index=\"0\" data-type=\"repeater_item\" data-name=\"repeater_field_0_0\" data-error_index=\"repeater_field[0]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Serial Number on Nameplate (1 per product batch)\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" aria-label=\"repeater level 1 and field Serial Number on Nameplate (1 per product batch)\" name=\"repeater_field[0][]\" id=\"ff_17_repeater_field_1\" data-repeater_index=\"1\" data-type=\"repeater_item\" data-name=\"repeater_field_1_0\" data-error_index=\"repeater_field[1]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Original Sales Order\/ Original Purchase Order (if known)\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" aria-label=\"repeater level 1 and field Original Sales Order\/ Original Purchase Order (if known)\" name=\"repeater_field[0][]\" 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