{"id":2708,"date":"2023-02-08T12:03:18","date_gmt":"2023-02-08T03:03:18","guid":{"rendered":"https:\/\/www.urawa.co.jp\/en\/?page_id=2708"},"modified":"2023-02-15T17:18:12","modified_gmt":"2023-02-15T08:18:12","slug":"product-registration-form","status":"publish","type":"page","link":"https:\/\/www.urawa.co.jp\/en\/product-registration\/product-registration-form\/","title":{"rendered":"form: Product Registration (URAWA Product Users)"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f2710-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2708#wpcf7-f2710-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2710\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2710-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Company\/Salon Name (*)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-company\"><input type=\"text\" name=\"your-company\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Your Name  (*)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-lastname\"><input type=\"text\" name=\"your-lastname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" \/><\/span> <span class=\"wpcf7-form-control-wrap your-firstname\"><input type=\"text\" name=\"your-firstname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" \/><\/span> <\/p>\n<p>e-mail (*)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>e-mail (for confirmation)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-email_confirm\"><input type=\"email\" name=\"your-email_confirm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Phone<br \/>\n    <span class=\"wpcf7-form-control-wrap your-phone\"><input type=\"tel\" name=\"your-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Country  (*)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-country\"><input type=\"text\" name=\"your-country\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Your Product (*)<br \/>\n    <span class=\"wpcf7-form-control-wrap your-product\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"your-product\" value=\"UP200 series\" \/><span class=\"wpcf7-list-item-label\">UP200 series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-product\" value=\"UP220 series\" \/><span class=\"wpcf7-list-item-label\">UP220 series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-product\" value=\"SUP200 series\" \/><span class=\"wpcf7-list-item-label\">SUP200 series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-product\" value=\"UP200V series\" \/><span class=\"wpcf7-list-item-label\">UP200V series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-product\" value=\"G3 series\" \/><span class=\"wpcf7-list-item-label\">G3 series<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"your-product\" value=\"G5 series\" \/><span class=\"wpcf7-list-item-label\">G5 series<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"your-product\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/span><\/span><\/span> <\/p>\n<p>Controller (*)<br \/>\n    Model Name:    <span class=\"wpcf7-form-control-wrap your-controller-model-name\"><input type=\"text\" name=\"your-controller-model-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n    Serial Number: <span class=\"wpcf7-form-control-wrap your-controller-model-serial\"><input type=\"text\" name=\"your-controller-model-serial\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>Handpiece (*)<br \/>\n    Model Name:    <span class=\"wpcf7-form-control-wrap your-handpiece-model-name\"><input type=\"text\" name=\"your-handpiece-model-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\n    Serial Number: <span class=\"wpcf7-form-control-wrap your-handpiece-model-serial\"><input type=\"text\" name=\"your-handpiece-model-serial\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/p>\n<p>(*): Input Required<\/p>\n<p>URAWA may share the above filled information to our distributors to provide customer a better service.<br \/>\nPlease push \"SUBMIT\" button only in case you agree it.<\/p>\n<p><input type=\"submit\" value=\"\u3000\u3000SUBMIT\u3000\u3000\" class=\"wpcf7-form-control wpcf7-submit pro-reg-submit\" \/><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"231\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"inv-recaptcha-holder\"><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":10,"featured_media":0,"parent":2706,"menu_order":930,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/pages\/2708"}],"collection":[{"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/comments?post=2708"}],"version-history":[{"count":3,"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/pages\/2708\/revisions"}],"predecessor-version":[{"id":2715,"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/pages\/2708\/revisions\/2715"}],"up":[{"embeddable":true,"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/pages\/2706"}],"wp:attachment":[{"href":"https:\/\/www.urawa.co.jp\/en\/wp-json\/wp\/v2\/media?parent=2708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}