{"id":108,"date":"2019-03-12T14:51:25","date_gmt":"2019-03-12T13:51:25","guid":{"rendered":"http:\/\/mts.polsl.pl\/?page_id=108"},"modified":"2019-03-13T12:40:59","modified_gmt":"2019-03-13T11:40:59","slug":"formularz-zgloszeniowy","status":"publish","type":"page","link":"https:\/\/mts.polsl.pl\/pl\/?page_id=108","title":{"rendered":"Formularz zg\u0142oszeniowy"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f133-o1\" lang=\"pl-PL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/pl\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F108#wpcf7-f133-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"133\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f133-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<p><label> Imi\u0119<br \/>\n    <span class=\"wpcf7-form-control-wrap imie\"><input type=\"text\" name=\"imie\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Nazwisko<br \/>\n    <span class=\"wpcf7-form-control-wrap nazwisko\"><input type=\"text\" name=\"nazwisko\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p>stopie\u0144 \/ tytu\u0142 naukowy<br \/>\n<span class=\"wpcf7-form-control-wrap stopien\"><select name=\"stopien\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"lic.\">lic.<\/option><option value=\"in\u017c.\">in\u017c.<\/option><option value=\"mgr\">mgr<\/option><option value=\"mgr in\u017c.\">mgr in\u017c.<\/option><option value=\"dr\">dr<\/option><option value=\"dr in\u017c.\">dr in\u017c.<\/option><option value=\"dr hab.\">dr hab.<\/option><option value=\"dr hab in\u017c.\">dr hab in\u017c.<\/option><option value=\"prof. dr hab.\">prof. dr hab.<\/option><option value=\"prof. dr hab in\u017c.\">prof. dr hab in\u017c.<\/option><\/select><\/span><\/p>\n<p>Uczestnictwo<br \/>\n<span class=\"wpcf7-form-control-wrap uczestnictwo\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">referat<\/span><input type=\"radio\" name=\"uczestnictwo\" value=\"referat\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">poster<\/span><input type=\"radio\" name=\"uczestnictwo\" value=\"poster\" \/><\/span><\/span><\/span><\/p>\n<p>Zakwaterowanie w pokojach 1 lub 2-osobowych \u2013 liczba miejsc ograniczona, decyduje kolejno\u015b\u0107 zg\u0142osze\u0144<br \/>\n<span class=\"wpcf7-form-control-wrap Zakwaterowanie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">pok\u00f3j jednoosobowy<\/span><input type=\"radio\" name=\"Zakwaterowanie\" value=\"pok\u00f3j jednoosobowy\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">pok\u00f3j dwuosobowy<\/span><input type=\"radio\" name=\"Zakwaterowanie\" value=\"pok\u00f3j dwuosobowy\" checked=\"checked\" \/><\/span><\/span><\/span><\/p>\n<p><label> Nazwisko drugiego uczestnika konferencji (pole opcjonalne):<br \/>\n    <span class=\"wpcf7-form-control-wrap druga_osoba\"><input type=\"text\" name=\"druga_osoba\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Tytu\u0142 Referatu<br \/>\n    <span class=\"wpcf7-form-control-wrap referat\"><input type=\"text\" name=\"referat\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Proponowane czasopismo<br \/>\n    <span class=\"wpcf7-form-control-wrap pismo\"><input type=\"text\" name=\"pismo\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Nazwa Instytucji<br \/>\n    <span class=\"wpcf7-form-control-wrap instytucja\"><input type=\"text\" name=\"instytucja\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Dane do faktury<br \/>\n    <span class=\"wpcf7-form-control-wrap faktura\"><textarea name=\"faktura\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Adres do korespondencji<br \/>\n    <span class=\"wpcf7-form-control-wrap adres\"><textarea name=\"adres\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span> <\/label><\/p>\n<p><label> Email<br \/>\n    <span class=\"wpcf7-form-control-wrap mail\"><input type=\"email\" name=\"mail\" 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> <\/label><\/p>\n<p><label> Telefon<br \/>\n    <span class=\"wpcf7-form-control-wrap telefon\"><input type=\"text\" name=\"telefon\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Zapisz\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/pages\/108"}],"collection":[{"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=108"}],"version-history":[{"count":2,"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/pages\/108\/revisions"}],"predecessor-version":[{"id":134,"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=\/wp\/v2\/pages\/108\/revisions\/134"}],"wp:attachment":[{"href":"https:\/\/mts.polsl.pl\/pl\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}