{"id":18358,"date":"2024-09-18T12:43:24","date_gmt":"2024-09-18T12:43:24","guid":{"rendered":"https:\/\/tusa.viewsite.link\/europe\/produktregistrierung\/"},"modified":"2024-09-18T12:43:24","modified_gmt":"2024-09-18T12:43:24","slug":"produktregistrierung","status":"publish","type":"page","link":"https:\/\/tusa.viewsite.link\/europe\/de\/produktregistrierung\/","title":{"rendered":"Produktregistrierung"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Product Registration<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/europe\/de\/wp-json\/wp\/v2\/pages\/18358' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_28\" class=\"gfield gfield--type-section gfield--input-type-section gsection customer-section customer-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_28\" ><h3 class=\"gsection_title\">Customer Information<\/h3><\/div><fieldset id=\"field_5_1\" class=\"gfield gfield--type-name gfield--input-type-name customer-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full customer-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_3\" ><label class='gfield_label gform-field-label' for='input_5_3'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_5_3' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full customer-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_4\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_5_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_4_1' id='input_5_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_5_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_4_2' id='input_5_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_5_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_4_3' id='input_5_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_5_4_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_4_4' id='input_5_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_5_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_4_5' id='input_5_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_4_6_container' >\n                                        <select name='input_4.6' id='input_5_4_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_5_4_6' id='input_5_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection warranty-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_29\" ><h3 class=\"gsection_title\">Warranty Information<\/h3><\/div><div id=\"field_5_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full warranty-section-1 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_30\" ><div id=\"ctl29_copy\"><div class=\"techheader\"><strong>REGULATOR WARRANTY INFORMATION<\/strong><\/div>\nTUSA regulators have been engineered, designed and manufactured to offer the utmost in trouble-free performance. We do request that you maintain this valuable investment by having an annual inspection performed at an authorized TUSA dealer. If this regulator is properly maintained, it will provide many years of trouble free service. <br>\n<br>\n<div class=\"techheader\"><strong><span style=\"text-decoration: underline;\">USA CUSTOMERS ONLY<\/span><\/strong><\/div>\nYou must have your regulator serviced and reported to TUSA every 12 months to qualify for the Free Parts for Life Program. To learn more about the Free Parts for Life Program, click <a href=\"\/contentdocuments\/TUSA-FPFL.pdf\" target=\"_blank\">HERE<\/a>. <br>\n<br>\n<div class=\"techheader\"><strong>COMPUTER WARRANTY INFORMATION<\/strong><\/div>\nThis warranty is valid only if the product is registered within 30 days of purchase by the consumer or authorized retailer. The warranty is non-transferable and is limited to replacement or repair at the sole discretion of TUSA as required. <br>\n<br>\nUnauthorized attempts to repair or tamper with products will deem the warranty null and void. <br>\n<br>\nEquipment requiring service should be returned prepaid to your authorized TUSA retailer along with dated proof of purchase. <br>\n<br>\n<div class=\"techheader\"><strong>BCJ WARRANTY INFORMATION<\/strong><\/div>\nThis flotation device is warranted to the original owner only and shall be free of defects in materials and workmanship under normal sport skin and scuba diving use with proper maintenance and care for a period of one year from date of purchase by the consumer. <br>\n<br>\nWELDED SEAMS OR AIR RETENTION UNIT SHALL BE FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP FOR AN UNLIMITED DURATION. <br>\n<br>\nWarranty is non-transferable and is limited to replacement or repair of part or parts. Unauthorized attempts of repair of this item will void your warranty. Equipment in question should be returned prepaid to your authorized TUSA dealer along with dated proof of purchase. The above unlimited duration warranty on welded retention seams is not applicable to rental dive school or commercial use.\n<div><br>\nFor our complete warranty policy click <a href=\"\/warranty-policy\/\">here<\/a>.<\/div><\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_5\" ><h3 class=\"gsection_title\">Product Information<\/h3><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection product-section product-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_7\" ><h3 class=\"gsection_title\">Product # 1<\/h3><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full product-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_8\" ><label class='gfield_label gform-field-label' for='input_5_8'>Date of Purchase<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_5_8' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_8_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_8_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_8' class='gform_hidden' value='https:\/\/tusa.viewsite.link\/europe\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full product-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_10\" ><label class='gfield_label gform-field-label' for='input_5_10'>Authorized Dealer<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full product-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_14\" ><label class='gfield_label gform-field-label' for='input_5_14'>Model<\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_5_14' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a Product<\/option><option value='VPS-500A - Teilesatz f\u00fcr V-500A' >VPS-500A - Teilesatz f\u00fcr V-500A<\/option><option value='VC-580AS - SWIPE Korrekturlinse' >VC-580AS - SWIPE Korrekturlinse<\/option><option value='VPS-741JA - Teilesatz f\u00fcr VC-750A' >VPS-741JA - Teilesatz f\u00fcr VC-750A<\/option><option value='VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser' >VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser<\/option><option value='VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon' >VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon<\/option><option value='VA-1301A - Brillenetui' >VA-1301A - Brillenetui<\/option><option value='VC-510A - Korrekturlinse f\u00fcr V-500A' >VC-510A - Korrekturlinse f\u00fcr V-500A<\/option><option value='VC-750A - Korrekturglas f\u00fcr VPS-741JA' >VC-750A - Korrekturglas f\u00fcr VPS-741JA<\/option><option value='VA-TOWEL 5 - Sporthandtuch' >VA-TOWEL 5 - Sporthandtuch<\/option><option value='V820ASA - SWIPE Selene' >V820ASA - SWIPE Selene<\/option><option value='V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)' >V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)<\/option><option value='V-240 ASA - Swipe Aile' >V-240 ASA - Swipe Aile<\/option><option value='V-500A - Platina' >V-500A - Platina<\/option><option value='V-421JA - Guppy Jr.' >V-421JA - Guppy Jr.<\/option><option value='V-31A - Badekappe' >V-31A - Badekappe<\/option><option value='V-300A - Imprex' >V-300A - Imprex<\/option><option value='V-240ASAM - Swipe Aile - Gespiegelt' >V-240ASAM - Swipe Aile - Gespiegelt<\/option><option value='V760JASA - SWIPE Junior Schutzbrille' >V760JASA - SWIPE Junior Schutzbrille<\/option><option value='V730JASA - SWIPE Jugend' >V730JASA - SWIPE Jugend<\/option><option value='V630ASAM - SWIPE Fitness (Gespiegelt)' >V630ASAM - SWIPE Fitness (Gespiegelt)<\/option><option value='V630ASA - SWIPE Fitness' >V630ASA - SWIPE Fitness<\/option><option value='V230ASAC - SWIPE Klinge ORCA' >V230ASAC - SWIPE Klinge ORCA<\/option><option value='V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)' >V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)<\/option><option value='V-820A - Selene' >V-820A - Selene<\/option><option value='V-825A - Trost' >V-825A - Trost<\/option><option value='V-730JA - Schnapper Jr.' >V-730JA - Schnapper Jr.<\/option><option value='V-820AMR - Selene (Gespiegelt)' >V-820AMR - Selene (Gespiegelt)<\/option><option value='V-720JA - Zutto Jr.' >V-720JA - Zutto Jr.<\/option><option value='V-710JA - Squidjet Jr.' >V-710JA - Squidjet Jr.<\/option><option value='V-640ASA - SWIPE Fitness (gebogene Linse)' >V-640ASA - SWIPE Fitness (gebogene Linse)<\/option><option value='V-550A - Aquario' >V-550A - Aquario<\/option><option value='UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene' >UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene<\/option><option value='UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene' >UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene<\/option><option value='UP-2521B - Powerview Adult Dry Travel Set' >UP-2521B - Powerview Adult Dry Travel Set<\/option><option value='UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df' >UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df<\/option><option value='UP-1521QB - Serene Travel Set f\u00fcr Erwachsene' >UP-1521QB - Serene Travel Set f\u00fcr Erwachsene<\/option><option value='UM8001 - Vollgesichts-Schnorchelmaske' >UM8001 - Vollgesichts-Schnorchelmaske<\/option><option value='UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene' >UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene<\/option><option value='V-230AMR - Blade ORCA (Gespiegelt)' >V-230AMR - Blade ORCA (Gespiegelt)<\/option><option value='V-230A - Klinge ORCA' >V-230A - Klinge ORCA<\/option><option value='V-220AMR - Pirana (Gespiegelt)' >V-220AMR - Pirana (Gespiegelt)<\/option><option value='V-220A - Pirana' >V-220A - Pirana<\/option><option value='V-130AMR - Shinari (Gespiegelt)' >V-130AMR - Shinari (Gespiegelt)<\/option><option value='V-130A - Shinari' >V-130A - Shinari<\/option><option value='V-127AMR - Blade Zero (Gespiegelt)' >V-127AMR - Blade Zero (Gespiegelt)<\/option><option value='V-127A - Klinge Null' >V-127A - Klinge Null<\/option><option value='V-101A - Scharfsch\u00fctze II' >V-101A - Scharfsch\u00fctze II<\/option><option value='V-1000A - X-Treme' >V-1000A - X-Treme<\/option><option value='USP250QB - Trockener Schnorchel' >USP250QB - Trockener Schnorchel<\/option><option value='UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene' >UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene<\/option><option value='UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set' >UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set<\/option><option value='UM29 - Freitauchmaske f\u00fcr Erwachsene' >UM29 - Freitauchmaske f\u00fcr Erwachsene<\/option><option value='UM16QB - Gelassene Maske f\u00fcr Erwachsene' >UM16QB - Gelassene Maske f\u00fcr Erwachsene<\/option><option value='UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt' >UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt<\/option><option value='UF1202 - Vollfu\u00df-Gummiflosse' >UF1202 - Vollfu\u00df-Gummiflosse<\/option><option value='UC-1214P - Mini Platina Jugend Combo' >UC-1214P - Mini Platina Jugend Combo<\/option><option value='UF0202 - Sport Flosse (Neu)' >UF0202 - Sport Flosse (Neu)<\/option><option value='UC-1625QB - Serene Adult Combo' >UC-1625QB - Serene Adult Combo<\/option><option value='UF0103 - Kompakte Schnorchelflosse' >UF0103 - Kompakte Schnorchelflosse<\/option><option value='UC-2014P - Mini-Kleio Jugend Combo' >UC-2014P - Mini-Kleio Jugend Combo<\/option><option value='UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)' >UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)<\/option><option value='UF-21 - Schnorchelflosse' >UF-21 - Schnorchelflosse<\/option><option value='UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene' >UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene<\/option><option value='UC-2022P - Mini-Kleio Jugend Dry Combo' >UC-2022P - Mini-Kleio Jugend Dry Combo<\/option><option value='UC1625PMQB - Serene Adult Combo (verspiegelte Linse)' >UC1625PMQB - Serene Adult Combo (verspiegelte Linse)<\/option><option value='UC-2425P - Powerview Adult Dry Combo' >UC-2425P - Powerview Adult Dry Combo<\/option><option value='UC0211P - KLEIO mini FIT Jugend Kombi' >UC0211P - KLEIO mini FIT Jugend Kombi<\/option><option value='UC-7519P - Splendive Erwachsene Combo' >UC-7519P - Splendive Erwachsene Combo<\/option><option value='UC-5019P - Liberator Adult Dry Combo' >UC-5019P - Liberator Adult Dry Combo<\/option><option value='UC-3325P - Imprex 3D Dry Adult Combo' >UC-3325P - Imprex 3D Dry Adult Combo<\/option><option value='UC-3125PQB - Visio Tri-Ex Erwachsene Combo' >UC-3125PQB - Visio Tri-Ex Erwachsene Combo<\/option><option value='TC-753 - TC-753 A.P.A. MONTAGEBAND' >TC-753 - TC-753 A.P.A. MONTAGEBAND<\/option><option value='TC-752 - TC-752 Messerplatte' >TC-752 - TC-752 Messerplatte<\/option><option value='TA5013 - Kopf- und Halsgamasche' >TA5013 - Kopf- und Halsgamasche<\/option><option value='TA1102 - Rettungsmarker' >TA1102 - Rettungsmarker<\/option><option value='TA0918 - Universal-Federriemen' >TA0918 - Universal-Federriemen<\/option><option value='TA0917 - Maskenband aus Stoff' >TA0917 - Maskenband aus Stoff<\/option><option value='UC-0106 - X-Plore Maske\/Schnorchel Kombi' >UC-0106 - X-Plore Maske\/Schnorchel Kombi<\/option><option value='UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm' >UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm<\/option><option value='UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm' >UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm<\/option><option value='UA0510 - Optische Universalfassung und Linse' >UA0510 - Optische Universalfassung und Linse<\/option><option value='UA0101 - Aqua-Schuh' >UA0101 - Aqua-Schuh<\/option><option value='UA-5308 - Jugend Neoprenanzug Shorty' >UA-5308 - Jugend Neoprenanzug Shorty<\/option><option value='UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm' >UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm<\/option><option value='UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm' >UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm<\/option><option value='UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm' >UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm<\/option><option value='UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm' >UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm<\/option><option value='TM-5700Q \/ TM-5700QB - Liberator Plus Maske' >TM-5700Q \/ TM-5700QB - Liberator Plus Maske<\/option><option value='TEC-52A - Super Anti-Beschlag-Behandlung' >TEC-52A - Super Anti-Beschlag-Behandlung<\/option><option value='TL0001 - Kompakte LED-Leuchte (Weit)' >TL0001 - Kompakte LED-Leuchte (Weit)<\/option><option value='TA0905 - SWITCH Pro Klinge' >TA0905 - SWITCH Pro Klinge<\/option><option value='SP0101 - Hyperdry Elite II Schnorchel' >SP0101 - Hyperdry Elite II Schnorchel<\/option><option value='TA0915 - Universal Bungee Strap' >TA0915 - Universal Bungee Strap<\/option><option value='SP-580Q - Imprex II Hyperdry Schnorchel' >SP-580Q - Imprex II Hyperdry Schnorchel<\/option><option value='SP-170 - Platina II Hyperdry Schnorchel' >SP-170 - Platina II Hyperdry Schnorchel<\/option><option value='TA0906 - Nylon-Riemen' >TA0906 - Nylon-Riemen<\/option><option value='TA0903 - Fu\u00dftasche' >TA0903 - Fu\u00dftasche<\/option><option value='TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken' >TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken<\/option><option value='TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske' >TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske<\/option><option value='TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske' >TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske<\/option><option value='TA0209 - Tropical Handschuh Polymesh' >TA0209 - Tropical Handschuh Polymesh<\/option><option value='TA0208 - Warmwasser-Handschuh 2mm' >TA0208 - Warmwasser-Handschuh 2mm<\/option><option value='SV-2500 - Schnorchelweste (Jugend)' >SV-2500 - Schnorchelweste (Jugend)<\/option><option value='SV-4500 - Schnorchelweste (Erwachsener)' >SV-4500 - Schnorchelweste (Erwachsener)<\/option><option value='SS-81U - SS-81 Sichere Sekunde' >SS-81U - SS-81 Sichere Sekunde<\/option><option value='SS0007 - SS0007 Sichere Sekunde' >SS0007 - SS0007 Sichere Sekunde<\/option><option value='SS0002 - Duo Air II Alternativer Inflationsregler' >SS0002 - Duo Air II Alternativer Inflationsregler<\/option><option value='SS0001 - SS0001 Sichere Sekunde' >SS0001 - SS0001 Sichere Sekunde<\/option><option value='SF0102 - Imprex Duo Fin' >SF0102 - Imprex Duo Fin<\/option><option value='SF0101 - HyFlex Vesna Flosse' >SF0101 - HyFlex Vesna Flosse<\/option><option value='SF0107 - HyFlex Switch Pro Flosse' >SF0107 - HyFlex Switch Pro Flosse<\/option><option value='SF-0116 - Vesna Flosse mit Bungee Strap' >SF-0116 - Vesna Flosse mit Bungee Strap<\/option><option value='SCA-330T - Mini 3-Spur-Konsole' >SCA-330T - Mini 3-Spur-Konsole<\/option><option value='SCA-360 - Analoge 3-Spur-Konsole' >SCA-360 - Analoge 3-Spur-Konsole<\/option><option value='SF0110 - Travel Right Fin' >SF0110 - Travel Right Fin<\/option><option value='SF0111 - HyFlex Zoom Flosse' >SF0111 - HyFlex Zoom Flosse<\/option><option value='SF0104 - HyFlex Switch Finne' >SF0104 - HyFlex Switch Finne<\/option><option value='SP-121QB - ReefTourer Schnorchel' >SP-121QB - ReefTourer Schnorchel<\/option><option value='SF-0114 - Solla Flosse mit Bungee Strap' >SF-0114 - Solla Flosse mit Bungee Strap<\/option><option value='SF-0113 - Befreierflosse' >SF-0113 - Befreierflosse<\/option><option value='SCA-150 - Imprex Druckmessger\u00e4t' >SCA-150 - Imprex Druckmessger\u00e4t<\/option><option value='SCA-280 - Platina Analog 2-Spur Konsole' >SCA-280 - Platina Analog 2-Spur Konsole<\/option><option value='RS1207 - RS1207 Regulator' >RS1207 - RS1207 Regulator<\/option><option value='RS609 - RS609 Regulator' >RS609 - RS609 Regulator<\/option><option value='SCA-270 - Platina Analog SPG Konsole' >SCA-270 - Platina Analog SPG Konsole<\/option><option value='SCA-230T - SCA-230T' >SCA-230T - SCA-230T<\/option><option value='SCA-160 - Platina Serie Handgelenkkompass' >SCA-160 - Platina Serie Handgelenkkompass<\/option><option value='SAV-7EVO3 - SAV-7 EVO3' >SAV-7EVO3 - SAV-7 EVO3<\/option><option value='M2004 - Intega Maske' >M2004 - Intega Maske<\/option><option value='M2001S - Paragon Maske' >M2001S - Paragon Maske<\/option><option value='M1011SQB\/ M1011SQW - Ino Pro Maske' >M1011SQB\/ M1011SQW - Ino Pro Maske<\/option><option value='RD-2 - Roller Duffel Bag' >RD-2 - Roller Duffel Bag<\/option><option value='RCB-1 - Tragetasche f\u00fcr Atemregler' >RCB-1 - Tragetasche f\u00fcr Atemregler<\/option><option value='MS-20 - MS-20 MASKENBAND' >MS-20 - MS-20 MASKENBAND<\/option><option value='ML2001S - Paragon nicht reflektierende Linse' >ML2001S - Paragon nicht reflektierende Linse<\/option><option value='MC-211 - Intega Korrekturgl\u00e4ser' >MC-211 - Intega Korrekturgl\u00e4ser<\/option><option value='MC-7500 - Freedom Ceos Korrekturgl\u00e4ser' >MC-7500 - Freedom Ceos Korrekturgl\u00e4ser<\/option><option value='MC-5000 - Liberator Plus Korrekturgl\u00e4ser' >MC-5000 - Liberator Plus Korrekturgl\u00e4ser<\/option><option value='MC-20 - Platina Korrekturgl\u00e4ser' >MC-20 - Platina Korrekturgl\u00e4ser<\/option><option value='M3001 - Freiheit Tri-Quest Maske' >M3001 - Freiheit Tri-Quest Maske<\/option><option value='RS1001 - RS1001 Regulator' >RS1001 - RS1001 Regulator<\/option><option value='MC2001SA - Paragon Korrekturlinse' >MC2001SA - Paragon Korrekturlinse<\/option><option value='RS-681 - RS-681 Regulator' >RS-681 - RS-681 Regulator<\/option><option value='RS-790 - RS-790 Regulator' >RS-790 - RS-790 Regulator<\/option><option value='M1011\/M1011QB - Ino Maske' >M1011\/M1011QB - Ino Maske<\/option><option value='M1010S - Zensee Pro Maske' >M1010S - Zensee Pro Maske<\/option><option value='M1010 - Zensee Maske' >M1010 - Zensee Maske<\/option><option value='M1007S - Paragon S Maske' >M1007S - Paragon S Maske<\/option><option value='IQ1301 - TC1 Tauchcomputer' >IQ1301 - TC1 Tauchcomputer<\/option><option value='IQ1204 - DC Solar Link Tauchcomputer' >IQ1204 - DC Solar Link Tauchcomputer<\/option><option value='FK-14 - Mini-Messer aus Titan' >FK-14 - Mini-Messer aus Titan<\/option><option value='M-210 - Panthen Maske' >M-210 - Panthen Maske<\/option><option value='M-212 - Freiheit Ceos Maske' >M-212 - Freiheit Ceos Maske<\/option><option value='M-2004F - Intega Maske mit Stoffband' >M-2004F - Intega Maske mit Stoffband<\/option><option value='M-110SQB-CR - Visio Pro Maske' >M-110SQB-CR - Visio Pro Maske<\/option><option value='M-1011F - Ino Maske mit Stoffband' >M-1011F - Ino Maske mit Stoffband<\/option><option value='M-1010F - Zensee Maske mit Stoffband' >M-1010F - Zensee Maske mit Stoffband<\/option><option value='FK-910 - X-Pert II Drop Point Klinge Messer' >FK-910 - X-Pert II Drop Point Klinge Messer<\/option><option value='FK-11 - Mini-Messer Stumpfe Spitze Klinge' >FK-11 - Mini-Messer Stumpfe Spitze Klinge<\/option><option value='FK-10 - Mini-Knife Drop Point Klinge' >FK-10 - Mini-Knife Drop Point Klinge<\/option><option value='FK-920 - X-Pert II Messer mit stumpfer Klinge' >FK-920 - X-Pert II Messer mit stumpfer Klinge<\/option><option value='M-111 - Kleio II Maske' >M-111 - Kleio II Maske<\/option><option value='M1001 - Freedom HD Maske' >M1001 - Freedom HD Maske<\/option><option value='M-32\/M-32QB - Imprex 3D Hyperdry Maske' >M-32\/M-32QB - Imprex 3D Hyperdry Maske<\/option><option value='M1002 - Tina Maske' >M1002 - Tina Maske<\/option><option value='M1003 - Freedom Elite Maske' >M1003 - Freedom Elite Maske<\/option><option value='FK-940TI - X-Pert II Titan-Messer' >FK-940TI - X-Pert II Titan-Messer<\/option><option value='BA0103 - Mesh-Rucksack' >BA0103 - Mesh-Rucksack<\/option><option value='DB0204 - HS 3mm Taucherbrille' >DB0204 - HS 3mm Taucherbrille<\/option><option value='DB0109 - HS 5mm Tauchstiefel' >DB0109 - HS 5mm Tauchstiefel<\/option><option value='DB0107 - SS-Tauchboot' >DB0107 - SS-Tauchboot<\/option><option value='BF-7500 - Freedom Ceos Lesegl\u00e4ser' >BF-7500 - Freedom Ceos Lesegl\u00e4ser<\/option><option value='BF-211 - Intega Lesegl\u00e4ser' >BF-211 - Intega Lesegl\u00e4ser<\/option><option value='BC0103B - Liberator BCD' >BC0103B - Liberator BCD<\/option><option value='BCJ-8000C - X-Wing BCD' >BCJ-8000C - X-Wing BCD<\/option><option value='BC0102B - Soverin-Alpha BCD' >BC0102B - Soverin-Alpha BCD<\/option><option value='BA0301 - Rolltasche aus Mesh' >BA0301 - Rolltasche aus Mesh<\/option><option value='BA-0209 - Kleine Rollentasche (Neu 2024)' >BA-0209 - Kleine Rollentasche (Neu 2024)<\/option><option value='BA-0208 - Medium Roller Bag (Neu 2024)' >BA-0208 - Medium Roller Bag (Neu 2024)<\/option><option value='BA-0207 - Gro\u00dfe Rollentasche (Neu 2024)' >BA-0207 - Gro\u00dfe Rollentasche (Neu 2024)<\/option><option value='APA - Aktive Bereinigungshilfe' >APA - Aktive Bereinigungshilfe<\/option><option value='BC0201C - Conquest II BCD' >BC0201C - Conquest II BCD<\/option><option value='FF-23 - Solla Vollfu\u00dfflosse' >FF-23 - Solla Vollfu\u00dfflosse<\/option><option value='BC0403B - TUSA Tina BCD' >BC0403B - TUSA Tina BCD<\/option><option value='BC0602B - Crestline BCD' >BC0602B - Crestline BCD<\/option><option value='BC0502B - T-Fl\u00fcgel BCD' >BC0502B - T-Fl\u00fcgel BCD<\/option><option value='BC0203B - BB React BCD' >BC0203B - BB React BCD<\/option><\/select><\/div><\/div><div id=\"field_5_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full product-section-1 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_15\" ><label class='gfield_label gform-field-label' for='input_5_15'>Serial No.<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_5_15' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection product-section product-section-2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_17\" ><h3 class=\"gsection_title\">Product # 2<\/h3><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full product-section-2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_18\" ><label class='gfield_label gform-field-label' for='input_5_18'>Date of Purchase<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_18' id='input_5_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_18_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_18' class='gform_hidden' value='https:\/\/tusa.viewsite.link\/europe\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full product-section-2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_19\" ><label class='gfield_label gform-field-label' for='input_5_19'>Authorized Dealer<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full product-section-2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_20\" ><label class='gfield_label gform-field-label' for='input_5_20'>Model<\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_5_20' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a Product<\/option><option value='VPS-500A - Teilesatz f\u00fcr V-500A' >VPS-500A - Teilesatz f\u00fcr V-500A<\/option><option value='VC-580AS - SWIPE Korrekturlinse' >VC-580AS - SWIPE Korrekturlinse<\/option><option value='VPS-741JA - Teilesatz f\u00fcr VC-750A' >VPS-741JA - Teilesatz f\u00fcr VC-750A<\/option><option value='VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser' >VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser<\/option><option value='VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon' >VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon<\/option><option value='VA-1301A - Brillenetui' >VA-1301A - Brillenetui<\/option><option value='VC-510A - Korrekturlinse f\u00fcr V-500A' >VC-510A - Korrekturlinse f\u00fcr V-500A<\/option><option value='VC-750A - Korrekturglas f\u00fcr VPS-741JA' >VC-750A - Korrekturglas f\u00fcr VPS-741JA<\/option><option value='VA-TOWEL 5 - Sporthandtuch' >VA-TOWEL 5 - Sporthandtuch<\/option><option value='V820ASA - SWIPE Selene' >V820ASA - SWIPE Selene<\/option><option value='V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)' >V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)<\/option><option value='V-240 ASA - Swipe Aile' >V-240 ASA - Swipe Aile<\/option><option value='V-500A - Platina' >V-500A - Platina<\/option><option value='V-421JA - Guppy Jr.' >V-421JA - Guppy Jr.<\/option><option value='V-31A - Badekappe' >V-31A - Badekappe<\/option><option value='V-300A - Imprex' >V-300A - Imprex<\/option><option value='V-240ASAM - Swipe Aile - Gespiegelt' >V-240ASAM - Swipe Aile - Gespiegelt<\/option><option value='V760JASA - SWIPE Junior Schutzbrille' >V760JASA - SWIPE Junior Schutzbrille<\/option><option value='V730JASA - SWIPE Jugend' >V730JASA - SWIPE Jugend<\/option><option value='V630ASAM - SWIPE Fitness (Gespiegelt)' >V630ASAM - SWIPE Fitness (Gespiegelt)<\/option><option value='V630ASA - SWIPE Fitness' >V630ASA - SWIPE Fitness<\/option><option value='V230ASAC - SWIPE Klinge ORCA' >V230ASAC - SWIPE Klinge ORCA<\/option><option value='V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)' >V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)<\/option><option value='V-820A - Selene' >V-820A - Selene<\/option><option value='V-825A - Trost' >V-825A - Trost<\/option><option value='V-730JA - Schnapper Jr.' >V-730JA - Schnapper Jr.<\/option><option value='V-820AMR - Selene (Gespiegelt)' >V-820AMR - Selene (Gespiegelt)<\/option><option value='V-720JA - Zutto Jr.' >V-720JA - Zutto Jr.<\/option><option value='V-710JA - Squidjet Jr.' >V-710JA - Squidjet Jr.<\/option><option value='V-640ASA - SWIPE Fitness (gebogene Linse)' >V-640ASA - SWIPE Fitness (gebogene Linse)<\/option><option value='V-550A - Aquario' >V-550A - Aquario<\/option><option value='UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene' >UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene<\/option><option value='UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene' >UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene<\/option><option value='UP-2521B - Powerview Adult Dry Travel Set' >UP-2521B - Powerview Adult Dry Travel Set<\/option><option value='UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df' >UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df<\/option><option value='UP-1521QB - Serene Travel Set f\u00fcr Erwachsene' >UP-1521QB - Serene Travel Set f\u00fcr Erwachsene<\/option><option value='UM8001 - Vollgesichts-Schnorchelmaske' >UM8001 - Vollgesichts-Schnorchelmaske<\/option><option value='UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene' >UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene<\/option><option value='V-230AMR - Blade ORCA (Gespiegelt)' >V-230AMR - Blade ORCA (Gespiegelt)<\/option><option value='V-230A - Klinge ORCA' >V-230A - Klinge ORCA<\/option><option value='V-220AMR - Pirana (Gespiegelt)' >V-220AMR - Pirana (Gespiegelt)<\/option><option value='V-220A - Pirana' >V-220A - Pirana<\/option><option value='V-130AMR - Shinari (Gespiegelt)' >V-130AMR - Shinari (Gespiegelt)<\/option><option value='V-130A - Shinari' >V-130A - Shinari<\/option><option value='V-127AMR - Blade Zero (Gespiegelt)' >V-127AMR - Blade Zero (Gespiegelt)<\/option><option value='V-127A - Klinge Null' >V-127A - Klinge Null<\/option><option value='V-101A - Scharfsch\u00fctze II' >V-101A - Scharfsch\u00fctze II<\/option><option value='V-1000A - X-Treme' >V-1000A - X-Treme<\/option><option value='USP250QB - Trockener Schnorchel' >USP250QB - Trockener Schnorchel<\/option><option value='UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene' >UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene<\/option><option value='UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set' >UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set<\/option><option value='UM29 - Freitauchmaske f\u00fcr Erwachsene' >UM29 - Freitauchmaske f\u00fcr Erwachsene<\/option><option value='UM16QB - Gelassene Maske f\u00fcr Erwachsene' >UM16QB - Gelassene Maske f\u00fcr Erwachsene<\/option><option value='UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt' >UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt<\/option><option value='UF1202 - Vollfu\u00df-Gummiflosse' >UF1202 - Vollfu\u00df-Gummiflosse<\/option><option value='UC-1214P - Mini Platina Jugend Combo' >UC-1214P - Mini Platina Jugend Combo<\/option><option value='UF0202 - Sport Flosse (Neu)' >UF0202 - Sport Flosse (Neu)<\/option><option value='UC-1625QB - Serene Adult Combo' >UC-1625QB - Serene Adult Combo<\/option><option value='UF0103 - Kompakte Schnorchelflosse' >UF0103 - Kompakte Schnorchelflosse<\/option><option value='UC-2014P - Mini-Kleio Jugend Combo' >UC-2014P - Mini-Kleio Jugend Combo<\/option><option value='UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)' >UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)<\/option><option value='UF-21 - Schnorchelflosse' >UF-21 - Schnorchelflosse<\/option><option value='UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene' >UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene<\/option><option value='UC-2022P - Mini-Kleio Jugend Dry Combo' >UC-2022P - Mini-Kleio Jugend Dry Combo<\/option><option value='UC1625PMQB - Serene Adult Combo (verspiegelte Linse)' >UC1625PMQB - Serene Adult Combo (verspiegelte Linse)<\/option><option value='UC-2425P - Powerview Adult Dry Combo' >UC-2425P - Powerview Adult Dry Combo<\/option><option value='UC0211P - KLEIO mini FIT Jugend Kombi' >UC0211P - KLEIO mini FIT Jugend Kombi<\/option><option value='UC-7519P - Splendive Erwachsene Combo' >UC-7519P - Splendive Erwachsene Combo<\/option><option value='UC-5019P - Liberator Adult Dry Combo' >UC-5019P - Liberator Adult Dry Combo<\/option><option value='UC-3325P - Imprex 3D Dry Adult Combo' >UC-3325P - Imprex 3D Dry Adult Combo<\/option><option value='UC-3125PQB - Visio Tri-Ex Erwachsene Combo' >UC-3125PQB - Visio Tri-Ex Erwachsene Combo<\/option><option value='TC-753 - TC-753 A.P.A. MONTAGEBAND' >TC-753 - TC-753 A.P.A. MONTAGEBAND<\/option><option value='TC-752 - TC-752 Messerplatte' >TC-752 - TC-752 Messerplatte<\/option><option value='TA5013 - Kopf- und Halsgamasche' >TA5013 - Kopf- und Halsgamasche<\/option><option value='TA1102 - Rettungsmarker' >TA1102 - Rettungsmarker<\/option><option value='TA0918 - Universal-Federriemen' >TA0918 - Universal-Federriemen<\/option><option value='TA0917 - Maskenband aus Stoff' >TA0917 - Maskenband aus Stoff<\/option><option value='UC-0106 - X-Plore Maske\/Schnorchel Kombi' >UC-0106 - X-Plore Maske\/Schnorchel Kombi<\/option><option value='UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm' >UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm<\/option><option value='UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm' >UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm<\/option><option value='UA0510 - Optische Universalfassung und Linse' >UA0510 - Optische Universalfassung und Linse<\/option><option value='UA0101 - Aqua-Schuh' >UA0101 - Aqua-Schuh<\/option><option value='UA-5308 - Jugend Neoprenanzug Shorty' >UA-5308 - Jugend Neoprenanzug Shorty<\/option><option value='UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm' >UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm<\/option><option value='UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm' >UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm<\/option><option value='UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm' >UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm<\/option><option value='UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm' >UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm<\/option><option value='TM-5700Q \/ TM-5700QB - Liberator Plus Maske' >TM-5700Q \/ TM-5700QB - Liberator Plus Maske<\/option><option value='TEC-52A - Super Anti-Beschlag-Behandlung' >TEC-52A - Super Anti-Beschlag-Behandlung<\/option><option value='TL0001 - Kompakte LED-Leuchte (Weit)' >TL0001 - Kompakte LED-Leuchte (Weit)<\/option><option value='TA0905 - SWITCH Pro Klinge' >TA0905 - SWITCH Pro Klinge<\/option><option value='SP0101 - Hyperdry Elite II Schnorchel' >SP0101 - Hyperdry Elite II Schnorchel<\/option><option value='TA0915 - Universal Bungee Strap' >TA0915 - Universal Bungee Strap<\/option><option value='SP-580Q - Imprex II Hyperdry Schnorchel' >SP-580Q - Imprex II Hyperdry Schnorchel<\/option><option value='SP-170 - Platina II Hyperdry Schnorchel' >SP-170 - Platina II Hyperdry Schnorchel<\/option><option value='TA0906 - Nylon-Riemen' >TA0906 - Nylon-Riemen<\/option><option value='TA0903 - Fu\u00dftasche' >TA0903 - Fu\u00dftasche<\/option><option value='TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken' >TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken<\/option><option value='TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske' >TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske<\/option><option value='TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske' >TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske<\/option><option value='TA0209 - Tropical Handschuh Polymesh' >TA0209 - Tropical Handschuh Polymesh<\/option><option value='TA0208 - Warmwasser-Handschuh 2mm' >TA0208 - Warmwasser-Handschuh 2mm<\/option><option value='SV-2500 - Schnorchelweste (Jugend)' >SV-2500 - Schnorchelweste (Jugend)<\/option><option value='SV-4500 - Schnorchelweste (Erwachsener)' >SV-4500 - Schnorchelweste (Erwachsener)<\/option><option value='SS-81U - SS-81 Sichere Sekunde' >SS-81U - SS-81 Sichere Sekunde<\/option><option value='SS0007 - SS0007 Sichere Sekunde' >SS0007 - SS0007 Sichere Sekunde<\/option><option value='SS0002 - Duo Air II Alternativer Inflationsregler' >SS0002 - Duo Air II Alternativer Inflationsregler<\/option><option value='SS0001 - SS0001 Sichere Sekunde' >SS0001 - SS0001 Sichere Sekunde<\/option><option value='SF0102 - Imprex Duo Fin' >SF0102 - Imprex Duo Fin<\/option><option value='SF0101 - HyFlex Vesna Flosse' >SF0101 - HyFlex Vesna Flosse<\/option><option value='SF0107 - HyFlex Switch Pro Flosse' >SF0107 - HyFlex Switch Pro Flosse<\/option><option value='SF-0116 - Vesna Flosse mit Bungee Strap' >SF-0116 - Vesna Flosse mit Bungee Strap<\/option><option value='SCA-330T - Mini 3-Spur-Konsole' >SCA-330T - Mini 3-Spur-Konsole<\/option><option value='SCA-360 - Analoge 3-Spur-Konsole' >SCA-360 - Analoge 3-Spur-Konsole<\/option><option value='SF0110 - Travel Right Fin' >SF0110 - Travel Right Fin<\/option><option value='SF0111 - HyFlex Zoom Flosse' >SF0111 - HyFlex Zoom Flosse<\/option><option value='SF0104 - HyFlex Switch Finne' >SF0104 - HyFlex Switch Finne<\/option><option value='SP-121QB - ReefTourer Schnorchel' >SP-121QB - ReefTourer Schnorchel<\/option><option value='SF-0114 - Solla Flosse mit Bungee Strap' >SF-0114 - Solla Flosse mit Bungee Strap<\/option><option value='SF-0113 - Befreierflosse' >SF-0113 - Befreierflosse<\/option><option value='SCA-150 - Imprex Druckmessger\u00e4t' >SCA-150 - Imprex Druckmessger\u00e4t<\/option><option value='SCA-280 - Platina Analog 2-Spur Konsole' >SCA-280 - Platina Analog 2-Spur Konsole<\/option><option value='RS1207 - RS1207 Regulator' >RS1207 - RS1207 Regulator<\/option><option value='RS609 - RS609 Regulator' >RS609 - RS609 Regulator<\/option><option value='SCA-270 - Platina Analog SPG Konsole' >SCA-270 - Platina Analog SPG Konsole<\/option><option value='SCA-230T - SCA-230T' >SCA-230T - SCA-230T<\/option><option value='SCA-160 - Platina Serie Handgelenkkompass' >SCA-160 - Platina Serie Handgelenkkompass<\/option><option value='SAV-7EVO3 - SAV-7 EVO3' >SAV-7EVO3 - SAV-7 EVO3<\/option><option value='M2004 - Intega Maske' >M2004 - Intega Maske<\/option><option value='M2001S - Paragon Maske' >M2001S - Paragon Maske<\/option><option value='M1011SQB\/ M1011SQW - Ino Pro Maske' >M1011SQB\/ M1011SQW - Ino Pro Maske<\/option><option value='RD-2 - Roller Duffel Bag' >RD-2 - Roller Duffel Bag<\/option><option value='RCB-1 - Tragetasche f\u00fcr Atemregler' >RCB-1 - Tragetasche f\u00fcr Atemregler<\/option><option value='MS-20 - MS-20 MASKENBAND' >MS-20 - MS-20 MASKENBAND<\/option><option value='ML2001S - Paragon nicht reflektierende Linse' >ML2001S - Paragon nicht reflektierende Linse<\/option><option value='MC-211 - Intega Korrekturgl\u00e4ser' >MC-211 - Intega Korrekturgl\u00e4ser<\/option><option value='MC-7500 - Freedom Ceos Korrekturgl\u00e4ser' >MC-7500 - Freedom Ceos Korrekturgl\u00e4ser<\/option><option value='MC-5000 - Liberator Plus Korrekturgl\u00e4ser' >MC-5000 - Liberator Plus Korrekturgl\u00e4ser<\/option><option value='MC-20 - Platina Korrekturgl\u00e4ser' >MC-20 - Platina Korrekturgl\u00e4ser<\/option><option value='M3001 - Freiheit Tri-Quest Maske' >M3001 - Freiheit Tri-Quest Maske<\/option><option value='RS1001 - RS1001 Regulator' >RS1001 - RS1001 Regulator<\/option><option value='MC2001SA - Paragon Korrekturlinse' >MC2001SA - Paragon Korrekturlinse<\/option><option value='RS-681 - RS-681 Regulator' >RS-681 - RS-681 Regulator<\/option><option value='RS-790 - RS-790 Regulator' >RS-790 - RS-790 Regulator<\/option><option value='M1011\/M1011QB - Ino Maske' >M1011\/M1011QB - Ino Maske<\/option><option value='M1010S - Zensee Pro Maske' >M1010S - Zensee Pro Maske<\/option><option value='M1010 - Zensee Maske' >M1010 - Zensee Maske<\/option><option value='M1007S - Paragon S Maske' >M1007S - Paragon S Maske<\/option><option value='IQ1301 - TC1 Tauchcomputer' >IQ1301 - TC1 Tauchcomputer<\/option><option value='IQ1204 - DC Solar Link Tauchcomputer' >IQ1204 - DC Solar Link Tauchcomputer<\/option><option value='FK-14 - Mini-Messer aus Titan' >FK-14 - Mini-Messer aus Titan<\/option><option value='M-210 - Panthen Maske' >M-210 - Panthen Maske<\/option><option value='M-212 - Freiheit Ceos Maske' >M-212 - Freiheit Ceos Maske<\/option><option value='M-2004F - Intega Maske mit Stoffband' >M-2004F - Intega Maske mit Stoffband<\/option><option value='M-110SQB-CR - Visio Pro Maske' >M-110SQB-CR - Visio Pro Maske<\/option><option value='M-1011F - Ino Maske mit Stoffband' >M-1011F - Ino Maske mit Stoffband<\/option><option value='M-1010F - Zensee Maske mit Stoffband' >M-1010F - Zensee Maske mit Stoffband<\/option><option value='FK-910 - X-Pert II Drop Point Klinge Messer' >FK-910 - X-Pert II Drop Point Klinge Messer<\/option><option value='FK-11 - Mini-Messer Stumpfe Spitze Klinge' >FK-11 - Mini-Messer Stumpfe Spitze Klinge<\/option><option value='FK-10 - Mini-Knife Drop Point Klinge' >FK-10 - Mini-Knife Drop Point Klinge<\/option><option value='FK-920 - X-Pert II Messer mit stumpfer Klinge' >FK-920 - X-Pert II Messer mit stumpfer Klinge<\/option><option value='M-111 - Kleio II Maske' >M-111 - Kleio II Maske<\/option><option value='M1001 - Freedom HD Maske' >M1001 - Freedom HD Maske<\/option><option value='M-32\/M-32QB - Imprex 3D Hyperdry Maske' >M-32\/M-32QB - Imprex 3D Hyperdry Maske<\/option><option value='M1002 - Tina Maske' >M1002 - Tina Maske<\/option><option value='M1003 - Freedom Elite Maske' >M1003 - Freedom Elite Maske<\/option><option value='FK-940TI - X-Pert II Titan-Messer' >FK-940TI - X-Pert II Titan-Messer<\/option><option value='BA0103 - Mesh-Rucksack' >BA0103 - Mesh-Rucksack<\/option><option value='DB0204 - HS 3mm Taucherbrille' >DB0204 - HS 3mm Taucherbrille<\/option><option value='DB0109 - HS 5mm Tauchstiefel' >DB0109 - HS 5mm Tauchstiefel<\/option><option value='DB0107 - SS-Tauchboot' >DB0107 - SS-Tauchboot<\/option><option value='BF-7500 - Freedom Ceos Lesegl\u00e4ser' >BF-7500 - Freedom Ceos Lesegl\u00e4ser<\/option><option value='BF-211 - Intega Lesegl\u00e4ser' >BF-211 - Intega Lesegl\u00e4ser<\/option><option value='BC0103B - Liberator BCD' >BC0103B - Liberator BCD<\/option><option value='BCJ-8000C - X-Wing BCD' >BCJ-8000C - X-Wing BCD<\/option><option value='BC0102B - Soverin-Alpha BCD' >BC0102B - Soverin-Alpha BCD<\/option><option value='BA0301 - Rolltasche aus Mesh' >BA0301 - Rolltasche aus Mesh<\/option><option value='BA-0209 - Kleine Rollentasche (Neu 2024)' >BA-0209 - Kleine Rollentasche (Neu 2024)<\/option><option value='BA-0208 - Medium Roller Bag (Neu 2024)' >BA-0208 - Medium Roller Bag (Neu 2024)<\/option><option value='BA-0207 - Gro\u00dfe Rollentasche (Neu 2024)' >BA-0207 - Gro\u00dfe Rollentasche (Neu 2024)<\/option><option value='APA - Aktive Bereinigungshilfe' >APA - Aktive Bereinigungshilfe<\/option><option value='BC0201C - Conquest II BCD' >BC0201C - Conquest II BCD<\/option><option value='FF-23 - Solla Vollfu\u00dfflosse' >FF-23 - Solla Vollfu\u00dfflosse<\/option><option value='BC0403B - TUSA Tina BCD' >BC0403B - TUSA Tina BCD<\/option><option value='BC0602B - Crestline BCD' >BC0602B - Crestline BCD<\/option><option value='BC0502B - T-Fl\u00fcgel BCD' >BC0502B - T-Fl\u00fcgel BCD<\/option><option value='BC0203B - BB React BCD' >BC0203B - BB React BCD<\/option><\/select><\/div><\/div><div id=\"field_5_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full product-section-2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_21\" ><label class='gfield_label gform-field-label' for='input_5_21'>Serial No.<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection product-section product-section-3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_22\" ><h3 class=\"gsection_title\">Product # 3<\/h3><\/div><div id=\"field_5_26\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full product-section-3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_26\" ><label class='gfield_label gform-field-label' for='input_5_26'>Date of Purchase<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_26' id='input_5_26' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_26_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_26_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_26' class='gform_hidden' value='https:\/\/tusa.viewsite.link\/europe\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full product-section-3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_25\" ><label class='gfield_label gform-field-label' for='input_5_25'>Authorized Dealer<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_5_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_24\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full product-section-3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_24\" ><label class='gfield_label gform-field-label' for='input_5_24'>Model<\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_5_24' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a Product<\/option><option value='VPS-500A - Teilesatz f\u00fcr V-500A' >VPS-500A - Teilesatz f\u00fcr V-500A<\/option><option value='VC-580AS - SWIPE Korrekturlinse' >VC-580AS - SWIPE Korrekturlinse<\/option><option value='VPS-741JA - Teilesatz f\u00fcr VC-750A' >VPS-741JA - Teilesatz f\u00fcr VC-750A<\/option><option value='VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser' >VPS-570A - Ersatzteilset f\u00fcr VC580AS SWIPE Korrekturgl\u00e4ser<\/option><option value='VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon' >VA-1201A - 2-Wege-Ohrst\u00f6psel aus Silikon<\/option><option value='VA-1301A - Brillenetui' >VA-1301A - Brillenetui<\/option><option value='VC-510A - Korrekturlinse f\u00fcr V-500A' >VC-510A - Korrekturlinse f\u00fcr V-500A<\/option><option value='VC-750A - Korrekturglas f\u00fcr VPS-741JA' >VC-750A - Korrekturglas f\u00fcr VPS-741JA<\/option><option value='VA-TOWEL 5 - Sporthandtuch' >VA-TOWEL 5 - Sporthandtuch<\/option><option value='V820ASA - SWIPE Selene' >V820ASA - SWIPE Selene<\/option><option value='V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)' >V760JASAM - SWIPE Junior Schwimmbrille (Verspiegelt)<\/option><option value='V-240 ASA - Swipe Aile' >V-240 ASA - Swipe Aile<\/option><option value='V-500A - Platina' >V-500A - Platina<\/option><option value='V-421JA - Guppy Jr.' >V-421JA - Guppy Jr.<\/option><option value='V-31A - Badekappe' >V-31A - Badekappe<\/option><option value='V-300A - Imprex' >V-300A - Imprex<\/option><option value='V-240ASAM - Swipe Aile - Gespiegelt' >V-240ASAM - Swipe Aile - Gespiegelt<\/option><option value='V760JASA - SWIPE Junior Schutzbrille' >V760JASA - SWIPE Junior Schutzbrille<\/option><option value='V730JASA - SWIPE Jugend' >V730JASA - SWIPE Jugend<\/option><option value='V630ASAM - SWIPE Fitness (Gespiegelt)' >V630ASAM - SWIPE Fitness (Gespiegelt)<\/option><option value='V630ASA - SWIPE Fitness' >V630ASA - SWIPE Fitness<\/option><option value='V230ASAC - SWIPE Klinge ORCA' >V230ASAC - SWIPE Klinge ORCA<\/option><option value='V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)' >V230ASAMC - SWIPE Klinge ORCA (Gespiegelt)<\/option><option value='V-820A - Selene' >V-820A - Selene<\/option><option value='V-825A - Trost' >V-825A - Trost<\/option><option value='V-730JA - Schnapper Jr.' >V-730JA - Schnapper Jr.<\/option><option value='V-820AMR - Selene (Gespiegelt)' >V-820AMR - Selene (Gespiegelt)<\/option><option value='V-720JA - Zutto Jr.' >V-720JA - Zutto Jr.<\/option><option value='V-710JA - Squidjet Jr.' >V-710JA - Squidjet Jr.<\/option><option value='V-640ASA - SWIPE Fitness (gebogene Linse)' >V-640ASA - SWIPE Fitness (gebogene Linse)<\/option><option value='V-550A - Aquario' >V-550A - Aquario<\/option><option value='UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene' >UP-7221B - Splendive Dry Travel Set f\u00fcr Erwachsene<\/option><option value='UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene' >UP-3521QB - Visio Tri-Ex Reiseset f\u00fcr Erwachsene<\/option><option value='UP-2521B - Powerview Adult Dry Travel Set' >UP-2521B - Powerview Adult Dry Travel Set<\/option><option value='UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df' >UP-1521QB-W - Serene Travel Set f\u00fcr Erwachsene - Wei\u00df<\/option><option value='UP-1521QB - Serene Travel Set f\u00fcr Erwachsene' >UP-1521QB - Serene Travel Set f\u00fcr Erwachsene<\/option><option value='UM8001 - Vollgesichts-Schnorchelmaske' >UM8001 - Vollgesichts-Schnorchelmaske<\/option><option value='UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene' >UM31QB - Visio Tri-Ex Maske f\u00fcr Erwachsene<\/option><option value='V-230AMR - Blade ORCA (Gespiegelt)' >V-230AMR - Blade ORCA (Gespiegelt)<\/option><option value='V-230A - Klinge ORCA' >V-230A - Klinge ORCA<\/option><option value='V-220AMR - Pirana (Gespiegelt)' >V-220AMR - Pirana (Gespiegelt)<\/option><option value='V-220A - Pirana' >V-220A - Pirana<\/option><option value='V-130AMR - Shinari (Gespiegelt)' >V-130AMR - Shinari (Gespiegelt)<\/option><option value='V-130A - Shinari' >V-130A - Shinari<\/option><option value='V-127AMR - Blade Zero (Gespiegelt)' >V-127AMR - Blade Zero (Gespiegelt)<\/option><option value='V-127A - Klinge Null' >V-127A - Klinge Null<\/option><option value='V-101A - Scharfsch\u00fctze II' >V-101A - Scharfsch\u00fctze II<\/option><option value='V-1000A - X-Treme' >V-1000A - X-Treme<\/option><option value='USP250QB - Trockener Schnorchel' >USP250QB - Trockener Schnorchel<\/option><option value='UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene' >UP0101 - Platina Hyperdry Reiseset f\u00fcr Erwachsene<\/option><option value='UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set' >UP0201 - Mini-Kleio Hyperdry Jugend Reise-Set<\/option><option value='UM29 - Freitauchmaske f\u00fcr Erwachsene' >UM29 - Freitauchmaske f\u00fcr Erwachsene<\/option><option value='UM16QB - Gelassene Maske f\u00fcr Erwachsene' >UM16QB - Gelassene Maske f\u00fcr Erwachsene<\/option><option value='UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt' >UC-0118 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene - gespiegelt<\/option><option value='UF1202 - Vollfu\u00df-Gummiflosse' >UF1202 - Vollfu\u00df-Gummiflosse<\/option><option value='UC-1214P - Mini Platina Jugend Combo' >UC-1214P - Mini Platina Jugend Combo<\/option><option value='UF0202 - Sport Flosse (Neu)' >UF0202 - Sport Flosse (Neu)<\/option><option value='UC-1625QB - Serene Adult Combo' >UC-1625QB - Serene Adult Combo<\/option><option value='UF0103 - Kompakte Schnorchelflosse' >UF0103 - Kompakte Schnorchelflosse<\/option><option value='UC-2014P - Mini-Kleio Jugend Combo' >UC-2014P - Mini-Kleio Jugend Combo<\/option><option value='UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)' >UC2425PMQB - Powerview Adult Dry Combo (verspiegelte Linse)<\/option><option value='UF-21 - Schnorchelflosse' >UF-21 - Schnorchelflosse<\/option><option value='UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene' >UC-0110 - Maske\/Schnorchel-Kombination f\u00fcr Erwachsene<\/option><option value='UC-2022P - Mini-Kleio Jugend Dry Combo' >UC-2022P - Mini-Kleio Jugend Dry Combo<\/option><option value='UC1625PMQB - Serene Adult Combo (verspiegelte Linse)' >UC1625PMQB - Serene Adult Combo (verspiegelte Linse)<\/option><option value='UC-2425P - Powerview Adult Dry Combo' >UC-2425P - Powerview Adult Dry Combo<\/option><option value='UC0211P - KLEIO mini FIT Jugend Kombi' >UC0211P - KLEIO mini FIT Jugend Kombi<\/option><option value='UC-7519P - Splendive Erwachsene Combo' >UC-7519P - Splendive Erwachsene Combo<\/option><option value='UC-5019P - Liberator Adult Dry Combo' >UC-5019P - Liberator Adult Dry Combo<\/option><option value='UC-3325P - Imprex 3D Dry Adult Combo' >UC-3325P - Imprex 3D Dry Adult Combo<\/option><option value='UC-3125PQB - Visio Tri-Ex Erwachsene Combo' >UC-3125PQB - Visio Tri-Ex Erwachsene Combo<\/option><option value='TC-753 - TC-753 A.P.A. MONTAGEBAND' >TC-753 - TC-753 A.P.A. MONTAGEBAND<\/option><option value='TC-752 - TC-752 Messerplatte' >TC-752 - TC-752 Messerplatte<\/option><option value='TA5013 - Kopf- und Halsgamasche' >TA5013 - Kopf- und Halsgamasche<\/option><option value='TA1102 - Rettungsmarker' >TA1102 - Rettungsmarker<\/option><option value='TA0918 - Universal-Federriemen' >TA0918 - Universal-Federriemen<\/option><option value='TA0917 - Maskenband aus Stoff' >TA0917 - Maskenband aus Stoff<\/option><option value='UC-0106 - X-Plore Maske\/Schnorchel Kombi' >UC-0106 - X-Plore Maske\/Schnorchel Kombi<\/option><option value='UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm' >UA5136 - Neoprenanzug Top f\u00fcr Frauen 2mm<\/option><option value='UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm' >UA5135 - Neoprenanzug Top f\u00fcr M\u00e4nner 2mm<\/option><option value='UA0510 - Optische Universalfassung und Linse' >UA0510 - Optische Universalfassung und Linse<\/option><option value='UA0101 - Aqua-Schuh' >UA0101 - Aqua-Schuh<\/option><option value='UA-5308 - Jugend Neoprenanzug Shorty' >UA-5308 - Jugend Neoprenanzug Shorty<\/option><option value='UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm' >UA-5307 - Neoprenanzug Shorty f\u00fcr Frauen 2mm<\/option><option value='UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm' >UA-5306 - Neoprenanzug Shorty f\u00fcr M\u00e4nner 2mm<\/option><option value='UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm' >UA-5209 - Neoprenanzug Bottom f\u00fcr Frauen 2mm<\/option><option value='UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm' >UA-5208 - Neoprenanzug Bottom f\u00fcr M\u00e4nner 2mm<\/option><option value='TM-5700Q \/ TM-5700QB - Liberator Plus Maske' >TM-5700Q \/ TM-5700QB - Liberator Plus Maske<\/option><option value='TEC-52A - Super Anti-Beschlag-Behandlung' >TEC-52A - Super Anti-Beschlag-Behandlung<\/option><option value='TL0001 - Kompakte LED-Leuchte (Weit)' >TL0001 - Kompakte LED-Leuchte (Weit)<\/option><option value='TA0905 - SWITCH Pro Klinge' >TA0905 - SWITCH Pro Klinge<\/option><option value='SP0101 - Hyperdry Elite II Schnorchel' >SP0101 - Hyperdry Elite II Schnorchel<\/option><option value='TA0915 - Universal Bungee Strap' >TA0915 - Universal Bungee Strap<\/option><option value='SP-580Q - Imprex II Hyperdry Schnorchel' >SP-580Q - Imprex II Hyperdry Schnorchel<\/option><option value='SP-170 - Platina II Hyperdry Schnorchel' >SP-170 - Platina II Hyperdry Schnorchel<\/option><option value='TA0906 - Nylon-Riemen' >TA0906 - Nylon-Riemen<\/option><option value='TA0903 - Fu\u00dftasche' >TA0903 - Fu\u00dftasche<\/option><option value='TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken' >TA0804 - Freedom Film Gro\u00dfe 1-Fenster-Masken<\/option><option value='TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske' >TA0803 - Freedom Film f\u00fcr gro\u00dfe 2-Fenster-Maske<\/option><option value='TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske' >TA0801 - Freedom Film f\u00fcr 1-Fenster-Maske<\/option><option value='TA0209 - Tropical Handschuh Polymesh' >TA0209 - Tropical Handschuh Polymesh<\/option><option value='TA0208 - Warmwasser-Handschuh 2mm' >TA0208 - Warmwasser-Handschuh 2mm<\/option><option value='SV-2500 - Schnorchelweste (Jugend)' >SV-2500 - Schnorchelweste (Jugend)<\/option><option value='SV-4500 - Schnorchelweste (Erwachsener)' >SV-4500 - Schnorchelweste (Erwachsener)<\/option><option value='SS-81U - SS-81 Sichere Sekunde' >SS-81U - SS-81 Sichere Sekunde<\/option><option value='SS0007 - SS0007 Sichere Sekunde' >SS0007 - SS0007 Sichere Sekunde<\/option><option value='SS0002 - Duo Air II Alternativer Inflationsregler' >SS0002 - Duo Air II Alternativer Inflationsregler<\/option><option value='SS0001 - SS0001 Sichere Sekunde' >SS0001 - SS0001 Sichere Sekunde<\/option><option value='SF0102 - Imprex Duo Fin' >SF0102 - Imprex Duo Fin<\/option><option value='SF0101 - HyFlex Vesna Flosse' >SF0101 - HyFlex Vesna Flosse<\/option><option value='SF0107 - HyFlex Switch Pro Flosse' >SF0107 - HyFlex Switch Pro Flosse<\/option><option value='SF-0116 - Vesna Flosse mit Bungee Strap' >SF-0116 - Vesna Flosse mit Bungee Strap<\/option><option value='SCA-330T - Mini 3-Spur-Konsole' >SCA-330T - Mini 3-Spur-Konsole<\/option><option value='SCA-360 - Analoge 3-Spur-Konsole' >SCA-360 - Analoge 3-Spur-Konsole<\/option><option value='SF0110 - Travel Right Fin' >SF0110 - Travel Right Fin<\/option><option value='SF0111 - HyFlex Zoom Flosse' >SF0111 - HyFlex Zoom Flosse<\/option><option value='SF0104 - HyFlex Switch Finne' >SF0104 - HyFlex Switch Finne<\/option><option value='SP-121QB - ReefTourer Schnorchel' >SP-121QB - ReefTourer Schnorchel<\/option><option value='SF-0114 - Solla Flosse mit Bungee Strap' >SF-0114 - Solla Flosse mit Bungee Strap<\/option><option value='SF-0113 - Befreierflosse' >SF-0113 - Befreierflosse<\/option><option value='SCA-150 - Imprex Druckmessger\u00e4t' >SCA-150 - Imprex Druckmessger\u00e4t<\/option><option value='SCA-280 - Platina Analog 2-Spur Konsole' >SCA-280 - Platina Analog 2-Spur Konsole<\/option><option value='RS1207 - RS1207 Regulator' >RS1207 - RS1207 Regulator<\/option><option value='RS609 - RS609 Regulator' >RS609 - RS609 Regulator<\/option><option value='SCA-270 - Platina Analog SPG Konsole' >SCA-270 - Platina Analog SPG Konsole<\/option><option value='SCA-230T - SCA-230T' >SCA-230T - SCA-230T<\/option><option value='SCA-160 - Platina Serie Handgelenkkompass' >SCA-160 - Platina Serie Handgelenkkompass<\/option><option value='SAV-7EVO3 - SAV-7 EVO3' >SAV-7EVO3 - SAV-7 EVO3<\/option><option value='M2004 - Intega Maske' >M2004 - Intega Maske<\/option><option value='M2001S - Paragon Maske' >M2001S - Paragon Maske<\/option><option value='M1011SQB\/ M1011SQW - Ino Pro Maske' >M1011SQB\/ M1011SQW - Ino Pro Maske<\/option><option value='RD-2 - Roller Duffel Bag' >RD-2 - Roller Duffel Bag<\/option><option value='RCB-1 - Tragetasche f\u00fcr Atemregler' >RCB-1 - Tragetasche f\u00fcr Atemregler<\/option><option value='MS-20 - MS-20 MASKENBAND' >MS-20 - MS-20 MASKENBAND<\/option><option value='ML2001S - Paragon nicht reflektierende Linse' >ML2001S - Paragon nicht reflektierende Linse<\/option><option value='MC-211 - Intega Korrekturgl\u00e4ser' >MC-211 - Intega Korrekturgl\u00e4ser<\/option><option value='MC-7500 - Freedom Ceos Korrekturgl\u00e4ser' >MC-7500 - Freedom Ceos Korrekturgl\u00e4ser<\/option><option value='MC-5000 - Liberator Plus Korrekturgl\u00e4ser' >MC-5000 - Liberator Plus Korrekturgl\u00e4ser<\/option><option value='MC-20 - Platina Korrekturgl\u00e4ser' >MC-20 - Platina Korrekturgl\u00e4ser<\/option><option value='M3001 - Freiheit Tri-Quest Maske' >M3001 - Freiheit Tri-Quest Maske<\/option><option value='RS1001 - RS1001 Regulator' >RS1001 - RS1001 Regulator<\/option><option value='MC2001SA - Paragon Korrekturlinse' >MC2001SA - Paragon Korrekturlinse<\/option><option value='RS-681 - RS-681 Regulator' >RS-681 - RS-681 Regulator<\/option><option value='RS-790 - RS-790 Regulator' >RS-790 - RS-790 Regulator<\/option><option value='M1011\/M1011QB - Ino Maske' >M1011\/M1011QB - Ino Maske<\/option><option value='M1010S - Zensee Pro Maske' >M1010S - Zensee Pro Maske<\/option><option value='M1010 - Zensee Maske' >M1010 - Zensee Maske<\/option><option value='M1007S - Paragon S Maske' >M1007S - Paragon S Maske<\/option><option value='IQ1301 - TC1 Tauchcomputer' >IQ1301 - TC1 Tauchcomputer<\/option><option value='IQ1204 - DC Solar Link Tauchcomputer' >IQ1204 - DC Solar Link Tauchcomputer<\/option><option value='FK-14 - Mini-Messer aus Titan' >FK-14 - Mini-Messer aus Titan<\/option><option value='M-210 - Panthen Maske' >M-210 - Panthen Maske<\/option><option value='M-212 - Freiheit Ceos Maske' >M-212 - Freiheit Ceos Maske<\/option><option value='M-2004F - Intega Maske mit Stoffband' >M-2004F - Intega Maske mit Stoffband<\/option><option value='M-110SQB-CR - Visio Pro Maske' >M-110SQB-CR - Visio Pro Maske<\/option><option value='M-1011F - Ino Maske mit Stoffband' >M-1011F - Ino Maske mit Stoffband<\/option><option value='M-1010F - Zensee Maske mit Stoffband' >M-1010F - Zensee Maske mit Stoffband<\/option><option value='FK-910 - X-Pert II Drop Point Klinge Messer' >FK-910 - X-Pert II Drop Point Klinge Messer<\/option><option value='FK-11 - Mini-Messer Stumpfe Spitze Klinge' >FK-11 - Mini-Messer Stumpfe Spitze Klinge<\/option><option value='FK-10 - Mini-Knife Drop Point Klinge' >FK-10 - Mini-Knife Drop Point Klinge<\/option><option value='FK-920 - X-Pert II Messer mit stumpfer Klinge' >FK-920 - X-Pert II Messer mit stumpfer Klinge<\/option><option value='M-111 - Kleio II Maske' >M-111 - Kleio II Maske<\/option><option value='M1001 - Freedom HD Maske' >M1001 - Freedom HD Maske<\/option><option value='M-32\/M-32QB - Imprex 3D Hyperdry Maske' >M-32\/M-32QB - Imprex 3D Hyperdry Maske<\/option><option value='M1002 - Tina Maske' >M1002 - Tina Maske<\/option><option value='M1003 - Freedom Elite Maske' >M1003 - Freedom Elite Maske<\/option><option value='FK-940TI - X-Pert II Titan-Messer' >FK-940TI - X-Pert II Titan-Messer<\/option><option value='BA0103 - Mesh-Rucksack' >BA0103 - Mesh-Rucksack<\/option><option value='DB0204 - HS 3mm Taucherbrille' >DB0204 - HS 3mm Taucherbrille<\/option><option value='DB0109 - HS 5mm Tauchstiefel' >DB0109 - HS 5mm Tauchstiefel<\/option><option value='DB0107 - SS-Tauchboot' >DB0107 - SS-Tauchboot<\/option><option value='BF-7500 - Freedom Ceos Lesegl\u00e4ser' >BF-7500 - Freedom Ceos Lesegl\u00e4ser<\/option><option value='BF-211 - Intega Lesegl\u00e4ser' >BF-211 - Intega Lesegl\u00e4ser<\/option><option value='BC0103B - Liberator BCD' >BC0103B - Liberator BCD<\/option><option value='BCJ-8000C - X-Wing BCD' >BCJ-8000C - X-Wing BCD<\/option><option value='BC0102B - Soverin-Alpha BCD' >BC0102B - Soverin-Alpha BCD<\/option><option value='BA0301 - Rolltasche aus Mesh' >BA0301 - Rolltasche aus Mesh<\/option><option value='BA-0209 - Kleine Rollentasche (Neu 2024)' >BA-0209 - Kleine Rollentasche (Neu 2024)<\/option><option 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field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_23\" ><label class='gfield_label gform-field-label' for='input_5_23'>Serial No.<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_27\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Newsletter<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_27'><div class='gchoice gchoice_5_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='1'  id='choice_5_27_1'   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