{"id":17789,"date":"2024-07-15T15:25:45","date_gmt":"2024-07-15T13:25:45","guid":{"rendered":"https:\/\/www.medtron.com\/en\/service-kontaktformular\/"},"modified":"2025-05-26T10:41:11","modified_gmt":"2025-05-26T08:41:11","slug":"service-contact-form","status":"publish","type":"page","link":"https:\/\/www.medtron.com\/en\/service-contact-form\/","title":{"rendered":"Contact Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17789\" class=\"elementor elementor-17789\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4fcd566 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"4fcd566\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b8758e3\" data-id=\"b8758e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fa421ae elementor-widget elementor-widget-spacer\" data-id=\"fa421ae\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6e07fb4 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"6e07fb4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61b2ede\" data-id=\"61b2ede\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dedaec5 elementor-widget elementor-widget-heading\" data-id=\"dedaec5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Contact Form<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-172499a elementor-widget elementor-widget-heading\" data-id=\"172499a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">We are here to help you<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d05a23c elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"d05a23c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3192ecd\" data-id=\"3192ecd\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a29d4f3 mscf elementor-widget elementor-widget-bridge_cf_7\" data-id=\"a29d4f3\" data-element_type=\"widget\" data-widget_type=\"bridge_cf_7.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"qode-contact-form-7 qode-contact-form-7-0\">\n    \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f15829-o1\" lang=\"de-DE\" dir=\"ltr\" data-wpcf7-id=\"15829\">\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\/17789\/#wpcf7-f15829-o1\" method=\"post\" class=\"wpcf7-form init default wpcf7-acceptance-as-validation\" aria-label=\"Kontaktformular\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"15829\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f15829-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"contact-container\">\n<div class=\"contact-row\">\n<div class=\"contact-col\">\nType of your request*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"type-of-your-request\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"type-of-your-request\"><option value=\"\">&#8211; Bitte ausw\u00e4hlen &#8211;<\/option><option value=\"Consulting\">Consulting<\/option><option value=\"Price information\">Price information<\/option><option value=\"Spare parts\">Spare parts<\/option><option value=\"Demo postition\">Demo postition<\/option><option value=\"On-site service\">On-site service<\/option><option value=\"Education\/training\">Education\/training<\/option><option value=\"Other\">Other<\/option><\/select><\/span> \n<\/div>\n<div class=\"contact-col\">\nProduct request*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"product-request\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"product-request\"><option value=\"\">&#8211; Bitte ausw\u00e4hlen &#8211;<\/option><option value=\"Computed tomography\">Computed tomography<\/option><option value=\"Magnetic resonance imaging\">Magnetic resonance imaging<\/option><option value=\"Angiography\">Angiography<\/option><option value=\"Therapy\">Therapy<\/option><option value=\"Disposables\">Disposables<\/option><option value=\"General\">General<\/option><\/select><\/span> \n<\/div>\n<\/div>\n<div class=\"contact-row\">\n<div class=\"contact-col\">\n<label> Your request* (Please state the serial number of your injector if applicable)\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/div>\n<div class=\"contact-col checkbox\">\n Extended request\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"extended\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"extended[]\" value=\"Request a callback (Please enter your callback number in the request field)\" \/><span class=\"wpcf7-list-item-label\">Request a callback (Please enter your callback number in the request field)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"extended[]\" value=\"Create a quote\" \/><span class=\"wpcf7-list-item-label\">Create a quote<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"extended[]\" value=\"Arrange a consultation\" \/><span class=\"wpcf7-list-item-label\">Arrange a consultation<\/span><\/span><\/span><\/span> \n<\/div>\n<\/div>\n\n\n<div class=\"contact-container\">\n    <div class=\"contact-row\">\n        <div class=\"contact-col\">\n            <label> Salutation*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"salutation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"salutation\"><option value=\"Mr.\">Mr.<\/option><option value=\"Mrs.\">Mrs.<\/option><option value=\"Divers\">Divers<\/option><\/select><\/span> <\/label>\n        <\/div>\n    <\/div>\n    <div class=\"contact-row\">\n        <div class=\"contact-col\">\n            <label> First Name*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n        <\/div>\n        <div class=\"contact-col\">\n            <label> Last Name*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n        <\/div>\n    <\/div>\n    <div class=\"contact-row\">\n        <div class=\"contact-col\">\n            <label> email*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"email-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-name\" \/><\/span> <\/label>\n        <\/div>\n        <div class=\"contact-col\">\n            <label> Country\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"country-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-name\" \/><\/span> <\/label>\n        <\/div>\n    <\/div>\n    <div class=\"contact-row\">\n        <div class=\"contact-col\">\n            <label> Company*\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span> <\/label>\n        <\/div>\n        <div class=\"contact-col\">\n            <label> Position\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"position-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"position-name\" \/><\/span> <\/label>\n<\/div>\n    <\/div>\n\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-701\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-701\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">By submitting this form, I agree that MEDTRON AG may process my personal data as described in the <a href=\u201c https:\/\/www.medtron.com\/en\/datenschutz\/\u201d> privacy policy<\/a>. MEDTRON AG will use the data provided to send me the requested information and other interesting content such as newsletters, webinar and event invitations. I can revoke my consent at any time.*<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n <\/div>\n<\/div>\n<br>\n\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n    <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d1a65a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"d1a65a6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-784795e\" data-id=\"784795e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ae32a3 elementor-widget elementor-widget-spacer\" data-id=\"3ae32a3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-01cb675 elementor-section-boxed elementor-section-height-default elementor-section-height-default parallax_section_no qode_elementor_container_no\" data-id=\"01cb675\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fa7a4be\" data-id=\"fa7a4be\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6362af3 elementor-widget elementor-widget-spacer\" data-id=\"6362af3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Contact Form We are here to help you Type of your request* &#8211; Bitte ausw\u00e4hlen &#8211;ConsultingPrice informationSpare partsDemo postitionOn-site serviceEducation\/trainingOther Product request* &#8211; Bitte ausw\u00e4hlen &#8211;Computed tomographyMagnetic resonance imagingAngiographyTherapyDisposablesGeneral Your request* (Please state the serial number of your injector if applicable) Extended request Request a&#8230;<\/p>\n","protected":false},"author":117,"featured_media":15729,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full_width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-17789","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contact form Customer and distributor service | MEDTRON<\/title>\n<meta name=\"description\" content=\"Fill out the contact form. 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