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action=\u0022\/provbestallning\/nojs\u0022 method=\u0022post\u0022 id=\u0022provbestallning-form\u0022 accept-charset=\u0022UTF-8\u0022\u003E\u003Cdiv\u003E\u003Ch3\u003E\u003Cstrong\u003EAnm\u00e4lan om provexemplar\u003C\/strong\u003E\u003C\/h3\u003E\u003Cp\u003EF\u00f6r dig som arbetar professionellt som arkitekt, inredare eller som \u00e4r registrerad avtalskund hos oss p\u00e5 Centro kan du best\u00e4lla prover ur v\u00e5rt sortiment direkt h\u00e4r p\u00e5 hemsidan.\u003C\/p\u003E\u003Cp style=\u0022margin-bottom: 2em;\u0022\u003EPrivatpersoner ombeds kontakta n\u00e4rmaste Centrobutik 08-4429050\u003C\/p\u003E\u003Cdiv class=\u0022form-item form-type-textfield form-item-company-name\u0022\u003E\n  \u003Clabel for=\u0022edit-company-name\u0022\u003EF\u00f6retag: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-company-name\u0022 name=\u0022company_name\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-full-name\u0022\u003E\n  \u003Clabel for=\u0022edit-full-name\u0022\u003EF\u00f6r- \u0026amp; efternamn: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-full-name\u0022 name=\u0022full_name\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-email\u0022\u003E\n  \u003Clabel for=\u0022edit-email\u0022\u003EE-mail: \u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-email\u0022 name=\u0022email\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-street-address\u0022\u003E\n  \u003Clabel for=\u0022edit-street-address\u0022\u003EGatuadress: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-street-address\u0022 name=\u0022street_address\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-postal-code\u0022\u003E\n  \u003Clabel for=\u0022edit-postal-code\u0022\u003EPostnummer: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-postal-code\u0022 name=\u0022postal_code\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-post-address\u0022\u003E\n  \u003Clabel for=\u0022edit-post-address\u0022\u003EPostadress: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-post-address\u0022 name=\u0022post_address\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022form-item form-type-textfield form-item-phone\u0022\u003E\n  \u003Clabel for=\u0022edit-phone\u0022\u003ETelefonnummer: \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-phone\u0022 name=\u0022phone\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003C\/div\u003E\n\u003Ch3\u003E\u003Cstrong\u003EProvbest\u00e4llning:\u003C\/strong\u003E\u003C\/h3\u003E\u003Cp\u003EF\u00f6ljande plattor skulle jag vilja ha levererade till min angivna adress.\u003C\/p\u003E\u003Cdiv class=\u0022form-item form-type-textarea form-item-texarea-field\u0022\u003E\n \u003Cdiv class=\u0022form-textarea-wrapper resizable\u0022\u003E\u003Ctextarea id=\u0022edit-texarea-field\u0022 name=\u0022texarea_field\u0022 cols=\u002260\u0022 rows=\u00223\u0022 class=\u0022form-textarea required\u0022\u003E\u003C\/textarea\u003E\u003C\/div\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022captcha\u0022\u003E\u003Cinput type=\u0022hidden\u0022 name=\u0022captcha_sid\u0022 value=\u00226091\u0022 \/\u003E\n\u003Cinput type=\u0022hidden\u0022 name=\u0022captcha_token\u0022 value=\u00222ceade6d1fd34e96ce778ac1bdd9e123\u0022 \/\u003E\n\u003Cimg src=\u0022\/image_captcha?sid=6091\u0026amp;ts=1714024339\u0022 width=\u0022180\u0022 height=\u002260\u0022 alt=\u0022Image CAPTCHA\u0022 title=\u0022Image CAPTCHA\u0022 \/\u003E\u003Cdiv class=\u0022form-item form-type-textfield form-item-captcha-response\u0022\u003E\n  \u003Clabel for=\u0022edit-captcha-response\u0022\u003EWhat code is in the image? \u003Cspan class=\u0022form-required\u0022 title=\u0022Detta f\u00e4lt \u00e4r obligatoriskt.\u0022\u003E*\u003C\/span\u003E\u003C\/label\u003E\n \u003Cinput type=\u0022text\u0022 id=\u0022edit-captcha-response\u0022 name=\u0022captcha_response\u0022 value=\u0022\u0022 size=\u002215\u0022 maxlength=\u0022128\u0022 class=\u0022form-text required\u0022 \/\u003E\n\u003Cdiv class=\u0022description\u0022\u003EEnter the characters shown in the image.\u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cinput class=\u0022prov-btn btn-provbestallning-submit form-submit\u0022 type=\u0022submit\u0022 id=\u0022edit-submit\u0022 name=\u0022op\u0022 value=\u0022Skicka\u0022 \/\u003E\u003Cinput type=\u0022hidden\u0022 name=\u0022form_build_id\u0022 value=\u0022form-JFaWFeWwK2_Ekj3yZcWMFbqdzZLED1uJgps77k3xU18\u0022 \/\u003E\n\u003Cinput type=\u0022hidden\u0022 name=\u0022form_id\u0022 value=\u0022provbestallning_form\u0022 \/\u003E\n\u003C\/div\u003E\u003C\/form\u003E"}]