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Submitted URL: https://shop.pdfforge.org/checkout/2d56bc98-86c2-4d26-baba-790a0ab992fa
Effective URL: https://shop.pdfforge.org/checkout/confirm/2d56bc98-86c2-4d26-baba-790a0ab992fa
Submission: On December 03 via manual from NL — Scanned from NL
Effective URL: https://shop.pdfforge.org/checkout/confirm/2d56bc98-86c2-4d26-baba-790a0ab992fa
Submission: On December 03 via manual from NL — Scanned from NL
Form analysis
1 forms found in the DOMPOST /checkout/confirm/2d56bc98-86c2-4d26-baba-790a0ab992fa
<form action="/checkout/confirm/2d56bc98-86c2-4d26-baba-790a0ab992fa" method="POST" class="form-horizontal" role="form">
<input type="hidden" name="csrfToken" value="68f6589a8be691b721ca6a0f3639609c3b1edf33-1733241307416-6cb406731965302f62748370">
<fieldset class="pt-2">
<legend>Invoice recipient</legend>
<div class="form-group row " id="recipient_firstName_field">
<label class="col-form-label col-md-3" for="recipient_firstName">First Name</label>
<div class="col-md-9">
<input type="text" id="recipient_firstName" name="recipient.firstName" value="Peter " class="form-control" required="required">
</div>
</div>
<div class="form-group row " id="recipient_name_field">
<label class="col-form-label col-md-3" for="recipient_name">Name</label>
<div class="col-md-9">
<input type="text" id="recipient_name" name="recipient.name" value="Wurst" class="form-control" required="required">
</div>
</div>
<div class="form-group row " id="recipient_email_field">
<label class="col-form-label col-md-3" for="recipient_email">E-Mail</label>
<div class="col-md-9">
<input type="email" id="recipient_email" name="recipient.email" value="peter.wurst@hydacusa.com" class="form-control" inputclass="col s12" required="required">
</div>
</div>
<div class="form-group row " id="recipient_telephone_field">
<label class="col-form-label col-md-3" for="recipient_telephone">Telephone</label>
<div class="col-md-9">
<input type="tel" id="recipient_telephone" name="recipient.telephone" value="" class="form-control" inputclass="col s12" required="required">
</div>
</div>
<div class="form-group row " id="recipient_customerReference_field">
<label class="col-form-label col-md-3" for="recipient_customerReference">Your Reference</label>
<div class="col-md-9">
<input type="text" id="recipient_customerReference" name="recipient.customerReference" value="" class="form-control" inputclass="col s12">
</div>
</div>
<div class="form-group row " id="recipient_address_street_field">
<label class="col-form-label col-md-3" for="recipient_address_street">Address</label>
<div class="col-md-9">
<input type="text" id="recipient_address_street" name="recipient.address.street" value="2260 City Line Rd" class="form-control" inputclass="col s12" required="required">
</div>
</div>
<div class="form-group row " id="recipient_address_secondLine_field">
<label class="col-form-label col-md-3 sr-only" for="recipient_address_secondLine">Address second line</label>
<div class="col-md-9 offset-md-3">
<input type="text" id="recipient_address_secondLine" name="recipient.address.secondLine" value="" class="form-control">
</div>
</div>
<div class="form-group row " id="recipient_address_thirdLine_field">
<label class="col-form-label col-md-3 sr-only" for="recipient_address_thirdLine">Address third line</label>
<div class="col-md-9 offset-md-3">
<input type="text" id="recipient_address_thirdLine" name="recipient.address.thirdLine" value="" class="form-control">
</div>
</div>
<div class="form-row">
<div class="col-md-3"> Zip/City </div>
<div class="col ml-1">
<div class="form-group " id="recipient_address_postalCode_field">
<label class="sr-only" for="recipient_address_postalCode">Zip</label>
<input type="text" id="recipient_address_postalCode" name="recipient.address.postalCode" value="18017" class="form-control" placeholder="Zip" inputclass="col s12" required="required">
</div>
</div>
<div class="col">
<div class="form-group " id="recipient_address_city_field">
<label class="sr-only" for="recipient_address_city">City</label>
<input type="text" id="recipient_address_city" name="recipient.address.city" value="Bethlehem" class="form-control" placeholder="City" inputclass="col s12" required="required">
</div>
</div>
</div>
<div class="form-group row " id="recipient_company_field">
<label class="col-form-label col-md-3" for="recipient_company">Company</label>
<div class="col-md-9">
<input type="text" id="recipient_company" name="recipient.company" value="HYDAC" class="form-control" inputclass="col s12">
</div>
</div>
<div class="form-group row " id="recipient_taxId_id_field">
<label class="col-form-label col-md-3" for="recipient_taxId_id">VAT-ID</label>
<div class="col-md-9">
<input type="text" id="recipient_taxId_id" name="recipient.taxId.id" value="" class="form-control" inputclass="col s12"
oninput="if (this.value.length > 0) { document.getElementById('recipient_company').required = true;} else { document.getElementById('recipient_company').required = false;}">
</div>
</div>
<div class="form-group row " id="recipient_address_country_field">
<label class="col-form-label col-md-3" for="recipient_address_country">Country</label>
<div class="col-md-9">
<select id="recipient_address_country" name="recipient.address.country" required="required" inputclass="col s12" class="form-control">
<option value="">--- Select Country ---</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State of</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="CI">Côte d'Ivoire</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea, Democratic People's Republic of</option>
<option value="KR">Korea, Republic of</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">North Macedonia, Republic of</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine, State of</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="RE">Réunion</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Viet Nam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
</fieldset>
<div class="form-group row">
<div class="col-md-9 offset-md-3">
<button type="submit" class="btn btn-success mt-3"> <i class="mdi mdi-account-check-outline"></i> Continue </button>
</div>
</div>
</form>
Text Content
menu * PDFCreator * PDF Architect * PDFCreator Online * Blog Invoice recipient First Name Name E-Mail Telephone Your Reference Address Address second line Address third line Zip/City Zip City Company VAT-ID Country --- Select Country --- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia, Republic of Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Continue CART PDFCreator Server Annual license fee 1 x € 1.190,00 € 1.190,00 extend license duration -------------------------------------------------------------------------------- total (net) € 1.190,00 Tax Free 0% - -------------------------------------------------------------------------------- total (gross) € 1.190,00 NOTICE The software will be distributed as ESD after the purchase. This offer is valid until 28 december 2024 Use of the software is subject to the end-user license agreement EULA Contact If you have any questions regarding your purchase, please contact our Customer Service Team. You can reach us at licensing@pdfforge.org. -------------------------------------------------------------------------------- PRODUCTS * PDF Architect * PDFCreator * PDFCreator Online COMMUNITY * Forum * Blog * PDFCreator Community * Volunteer as translator COMPANY * About us * Jobs LEGAL * Advertisement Policy * Privacy policy * Imprint Payments will be processed by PAYONE GmbH and Paddle.com Market Ltd ©2024 pdfforge GmbH. All rights reserved