{"id":1478,"date":"2022-12-20T20:33:54","date_gmt":"2022-12-20T20:33:54","guid":{"rendered":"https:\/\/web.drmlcluj.ro\/?page_id=1478"},"modified":"2022-12-20T20:33:54","modified_gmt":"2022-12-20T20:33:54","slug":"cerere-de-verificare-metrologica-etalonare-bistrita","status":"publish","type":"page","link":"https:\/\/www.drmlcluj.ro\/?page_id=1478","title":{"rendered":"CERERE DE VERIFICARE METROLOGIC\u0102 \/ ETALONARE BISTRITA"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-1459\" style=\"--awb-tooltip-text-color:#03a9f4;--awb-tooltip-background-color:#333333;\" data-form-id=\"1459\" data-config=\"{&quot;form_id&quot;:&quot;1459&quot;,&quot;form_post_id&quot;:&quot;1459&quot;,&quot;post_id&quot;:1478,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;https:\\\/\\\/WEB.DRMLCLUJ.RO&quot;,&quot;field_labels&quot;:{&quot;solicitant&quot;:&quot;Solicitant&quot;,&quot;adresa_sediu&quot;:&quot;Adresa sediu&quot;,&quot;adresa_pct_lucru_&quot;:&quot;Adresa pct. lucru &quot;,&quot;cui&quot;:&quot;CUI&quot;,&quot;nr_inreg_la_of_reg_comertului&quot;:&quot;Nr. inreg. la Of. Reg. Comer\\u0163ului&quot;,&quot;persoana_de_contact&quot;:&quot;Persoana de contact&quot;,&quot;telefon&quot;:&quot;Telefon&quot;,&quot;denumirea_mijlocului_de_masurare&quot;:&quot;Denumirea mijlocului de m\\u0103surare&quot;,&quot;tip&quot;:&quot;TIP&quot;,&quot;seria&quot;:&quot;Seria&quot;,&quot;an_de_fabricatie&quot;:&quot;An de fabricatie&quot;,&quot;lucrarea_solicitata&quot;:&quot;Lucrarea solicitat\\u0103&quot;,&quot;_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare&quot;:&quot; Etalonarea\\\/verificarea metrologic\\u0103 se efectueaz\\u0103 la locul de utilizare&quot;,&quot;clientul_asigura_transportul_etalonului_personalulu&quot;:&quot;Clientul asigur\\u0103 transportul etalonului\\\/ personalulu&quot;,&quot;verificare_metrologica&quot;:&quot;Verificare metrologic\\u0103&quot;,&quot;etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\\u0219i_25%_le&quot;:&quot;Etalonarea\\\/verificarea metrologic\\u0103 se efectueaz\\u0103 \\u00een regim de urgen\\u021ba (maxim 5 zile \\\/ tarif majorat cu 50% LT \\u0219i 25% LE)&quot;,&quot;alte_solicitari&quot;:&quot;Alte solicit\\u0103ri&quot;,&quot;gdpr&quot;:&quot;Am fost informat(\\u0103) cu privire la prevederile Regulamentului 679\\\/2016 (GDPR).&quot;,&quot;data&quot;:&quot;Data&quot;,&quot;e-mail&quot;:&quot;e-mail&quot;},&quot;field_logics&quot;:{&quot;solicitant&quot;:&quot;&quot;,&quot;adresa_sediu&quot;:&quot;&quot;,&quot;adresa_pct_lucru_&quot;:&quot;&quot;,&quot;cui&quot;:&quot;&quot;,&quot;nr_inreg_la_of_reg_comertului&quot;:&quot;&quot;,&quot;persoana_de_contact&quot;:&quot;&quot;,&quot;telefon&quot;:&quot;&quot;,&quot;denumirea_mijlocului_de_masurare&quot;:&quot;&quot;,&quot;tip&quot;:&quot;&quot;,&quot;seria&quot;:&quot;&quot;,&quot;an_de_fabricatie&quot;:&quot;&quot;,&quot;lucrarea_solicitata&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare&quot;:&quot;&quot;,&quot;clientul_asigura_transportul_etalonului_personalulu&quot;:&quot;&quot;,&quot;verificare_metrologica&quot;:&quot;&quot;,&quot;etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\\u0219i_25%_le&quot;:&quot;&quot;,&quot;alte_solicitari&quot;:&quot;&quot;,&quot;gdpr&quot;:&quot;&quot;,&quot;data&quot;:&quot;&quot;,&quot;e-mail&quot;:&quot;&quot;,&quot;notice_2&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;solicitant&quot;:&quot;text&quot;,&quot;adresa_sediu&quot;:&quot;text&quot;,&quot;adresa_pct_lucru_&quot;:&quot;text&quot;,&quot;cui&quot;:&quot;text&quot;,&quot;nr_inreg_la_of_reg_comertului&quot;:&quot;text&quot;,&quot;persoana_de_contact&quot;:&quot;text&quot;,&quot;telefon&quot;:&quot;phone_number&quot;,&quot;denumirea_mijlocului_de_masurare&quot;:&quot;text&quot;,&quot;tip&quot;:&quot;text&quot;,&quot;seria&quot;:&quot;text&quot;,&quot;an_de_fabricatie&quot;:&quot;select&quot;,&quot;lucrarea_solicitata&quot;:&quot;radio&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare&quot;:&quot;select&quot;,&quot;clientul_asigura_transportul_etalonului_personalulu&quot;:&quot;select&quot;,&quot;verificare_metrologica&quot;:&quot;radio&quot;,&quot;etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\\u0219i_25%_le&quot;:&quot;select&quot;,&quot;alte_solicitari&quot;:&quot;text&quot;,&quot;gdpr&quot;:&quot;checkbox&quot;,&quot;data&quot;:&quot;date&quot;,&quot;e-mail&quot;:&quot;email&quot;,&quot;recaptcha_1&quot;:&quot;recaptcha&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_2&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/www.drmlcluj.ro\/?page_id=1478\" method=\"post\" class=\"fusion-form fusion-form-1459\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-alert alert custom alert-custom fusion-alert-center awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-background-color:#ffffff;--awb-accent-color:#03a9f4;--awb-border-size:1px;--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><em>CERERE DE VERIFICARE METROLOGIC\u0102 \/ ETALONARE<\/em><\/span><\/div><button style=\"color:#03a9f4;border-color:#03a9f4;\" type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"solicitant\">Solicitant <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"solicitant\" id=\"solicitant\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Solicitant *\" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"35\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"adresa_sediu\">Adresa sediu <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"adresa_sediu\" id=\"adresa_sediu\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Adresa sediu *\" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"65\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"adresa_pct_lucru_\">Adresa pct. lucru <\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"adresa_pct_lucru_\" id=\"adresa_pct_lucru_\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Adresa pct. lucru  \" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"65\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_5 1_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:20%;--awb-margin-top-large:0px;--awb-spacing-right-large:9.6%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:9.6%;--awb-width-medium:20%;--awb-order-medium:0;--awb-spacing-right-medium:9.6%;--awb-spacing-left-medium:9.6%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"cui\">CUI <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"cui\" id=\"cui\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_3_5 3_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:60%;--awb-order-medium:0;--awb-spacing-right-medium:3.2%;--awb-spacing-left-medium:3.2%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"nr_inreg_la_of_reg_comertului\">Nr. inreg. la Of. Reg. Comer\u0163ului<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nr_inreg_la_of_reg_comertului\" id=\"nr_inreg_la_of_reg_comertului\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Nr. inreg. la Of. Reg. Comer\u0163ului \" data-holds-private-data=\"false\" minlength=\"10\" maxlength=\"15\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-4 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"persoana_de_contact\">Persoana de contact <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"persoana_de_contact\" id=\"persoana_de_contact\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Persoana de contact *\" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"35\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"telefon\">Telefon <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-square-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"telefon\" id=\"telefon\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"0770123456 *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-alert alert custom alert-custom fusion-alert-center awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-background-color:#ffffff;--awb-accent-color:#808080;--awb-border-size:1px;--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\">\u00cen\u00a0calitate\u00a0de\u00a0producator\/importator\/de\u0163in\u0103tor\/proprietar\/reparator\/modificator\u00a0v\u0103\u00a0solicit\u00a0urm\u0103toarele:<\/span><\/div><button style=\"color:#808080;border-color:#808080;\" type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-6 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"denumirea_mijlocului_de_masurare\">Denumirea mijlocului de m\u0103surare <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"denumirea_mijlocului_de_masurare\" id=\"denumirea_mijlocului_de_masurare\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Denumirea mijlocului de m\u0103surare *\" data-holds-private-data=\"false\" minlength=\"6\" maxlength=\"80\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"tip\">TIP<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"tip\" id=\"tip\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"seria\">Seria <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"seria\" id=\"seria\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Seria *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><label for=\"an_de_fabricatie\">An de fabricatie<\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"an_de_fabricatie\" name=\"an_de_fabricatie\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><option value=\"1979\" >1979<\/option><option value=\"1980\" >1980<\/option><option value=\"1981\" >1981<\/option><option value=\"1982\" >1982<\/option><option value=\"1983\" >1983<\/option><option value=\"1984\" >1984<\/option><option value=\"1985\" >1985<\/option><option value=\"1986\" >1986<\/option><option value=\"1987\" >1987<\/option><option value=\"1988\" >1988<\/option><option value=\"1989\" >1989<\/option><option value=\"1990\" >1990<\/option><option value=\"1991\" >1991<\/option><option value=\"1992\" >1992<\/option><option value=\"1993\" >1993<\/option><option value=\"1994\" >1994<\/option><option value=\"1995\" >1995<\/option><option value=\"1996\" >1996<\/option><option value=\"1997\" >1997<\/option><option value=\"1998\" >1998<\/option><option value=\"1999\" >1999<\/option><option value=\"2000\" >2000<\/option><option value=\"2001\" >2001<\/option><option value=\"2002\" >2002<\/option><option value=\"2003\" >2003<\/option><option value=\"2004\" >2004<\/option><option value=\"2005\" >2005<\/option><option value=\"2006\" >2006<\/option><option value=\"2007\" >2007<\/option><option value=\"2008\" >2008<\/option><option value=\"2009\" >2009<\/option><option value=\"2010\" >2010<\/option><option value=\"2011\" >2011<\/option><option value=\"2012\" >2012<\/option><option value=\"2013\" >2013<\/option><option value=\"2014\" >2014<\/option><option value=\"2015\" >2015<\/option><option value=\"2016\" >2016<\/option><option value=\"2017\" >2017<\/option><option value=\"2018\" >2018<\/option><option value=\"2019\" >2019<\/option><option value=\"2020\" >2020<\/option><option value=\"2021\" >2021<\/option><option value=\"2022\" >2022<\/option><option value=\"2023\" >2023<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Lucrarea solicitat\u0103 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-lucrarea_solicitata-1-0\" type=\"radio\" value=\"verificare\" name=\"lucrarea_solicitata\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-lucrarea_solicitata-1-0\">verificare<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-lucrarea_solicitata-1-1\" type=\"radio\" value=\"etalonare\" name=\"lucrarea_solicitata\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-lucrarea_solicitata-1-1\">etalonare<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-lucrarea_solicitata-1-2\" type=\"radio\" value=\"etalonare acreditat\u0103\" name=\"lucrarea_solicitata\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-lucrarea_solicitata-1-2\">etalonare acreditat\u0103<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><\/div><div id=\"Verificare metrologic\u0103\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-8 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Verificare metrologic\u0103<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><label for=\"_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare\"> Etalonarea\/verificarea metrologic\u0103 se efectueaz\u0103 la locul de utilizare <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare\" name=\"_etalonareaverificarea_metrologica_se_efectueaza_la_locul_de_utilizare\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"nu\" >nu<\/option><option value=\"da\" >da<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><label for=\"clientul_asigura_transportul_etalonului_personalulu\">Clientul asigur\u0103 transportul etalonului\/ personalulu <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"clientul_asigura_transportul_etalonului_personalulu\" name=\"clientul_asigura_transportul_etalonului_personalulu\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"nu\" >nu<\/option><option value=\"da\" >da<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-radio-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Verificare metrologic\u0103 <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-verificare_metrologica-2-0\" type=\"radio\" value=\"ini\u0163ial\u0103\" name=\"verificare_metrologica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-verificare_metrologica-2-0\">ini\u0163ial\u0103<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-verificare_metrologica-2-1\" type=\"radio\" value=\"periodic\u0103\" name=\"verificare_metrologica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-verificare_metrologica-2-1\">periodic\u0103<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-verificare_metrologica-2-2\" type=\"radio\" value=\"dup\u0103 montare\" name=\"verificare_metrologica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-verificare_metrologica-2-2\">dup\u0103 montare<\/label><\/div><div class=\"fusion-form-radio\"><input tabindex=\"\" id=\"radio-verificare_metrologica-2-3\" type=\"radio\" value=\"dup\u0103 reparare\" name=\"verificare_metrologica\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"radio-verificare_metrologica-2-3\">dup\u0103 reparare<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><label for=\"etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\u0219i_25%_le\">Etalonarea\/verificarea metrologic\u0103 se efectueaz\u0103 \u00een regim de urgen\u021ba (maxim 5 zile \/ tarif majorat cu 50% LT \u0219i 25% LE) <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\u0219i_25%_le\" name=\"etalonareaverificarea_metrologica_se_efectueaza_in_regim_de_urgen\u021ba_maxim_5_zile__tarif_majorat_cu_50%_lt_\u0219i_25%_le\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"nu\" >nu<\/option><option value=\"da\" >da<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"alte_solicitari\">Alte solicit\u0103ri<\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"alte_solicitari\" id=\"alte_solicitari\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Alte solicit\u0103ri \" data-holds-private-data=\"false\" minlength=\"0\" maxlength=\"120\"\/><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><span class=\"label\">Am fost informat(\u0103) cu privire la prevederile Regulamentului 679\/2016 (GDPR). <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/div><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-gdpr-1-0\" type=\"checkbox\" value=\"da\" name=\"gdpr[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-gdpr-1-0\">da<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><label for=\"data\">Data <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"data\" name=\"data\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"autocomplete=\"no\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div class=\"fusion-form-label-wrapper\"><label for=\"e-mail\">e-mail<\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"e-mail\" id=\"e-mail\" value=\"\"  class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-recaptcha-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\">\t\t\t\t<div class=\"form-creator-recaptcha\" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"fusion-form-recaptcha-wrapper\">\n\t\t\t\t\t<div\n\t\t\t\t\t\tid=\"g-recaptcha-id-form-1459\"\n\t\t\t\t\t\tclass=\"awb-recaptcha-v2 fusion-form-recaptcha-v2\"\n\t\t\t\t\t\tdata-theme=\"light\"\n\t\t\t\t\t\tdata-sitekey=\"6LdcvpMsAAAAAEPNJIy1yitkgwfedCRpAB8g3ivY\"\n\t\t\t\t\t\tdata-tabindex=\"\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"1459\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span  form-form-submit button-default\" data-form-number=\"1459\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Trimit<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_2\" id=\"fusion-notices-2\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. 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