Aliaxis UK locations

Form Field:

title_gender

Parameter for E-Mail: {{title_gender}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col1

Title (gender) options:

Form Field:

firstname

Parameter for E-Mail: {{firstname}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col2

Form Field:

lastname

Parameter for E-Mail: {{lastname}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col2

Form Field:

Parameter for E-Mail: {{email}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col2

You can add some domains, delimited by semicolon to allowlist or blocklist some domains (i.e. gmail.com;yahoo.fr) :

Blacklist domain emails:

Whitelist domain emails:

Form Field:

phone_number

Parameter for E-Mail: {{phone_number}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col2

Form Field:

company

Parameter for E-Mail: {{company}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col2

Form Field:

postal_code

Parameter for E-Mail: {{postal_code}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

company

Field layout:

col2

Form Field:

segment

Parameter for E-Mail: {{segment}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

subject

Field layout:

col1

Segment options: Option text → Send to address(es) email(s) info [OPTIONAL]
If the option is selected, the addresses set for this option will be added to the internal email.
Multiple addresses can be specified by separating the email addresses with a semicolon.
Example: receiver@pimcore.org; receiver2@pimcore.org

Form Field:

subject

Parameter for E-Mail: {{subject}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Field layout:

col1

Subject options: Option text → Send to address(es) email(s) info [OPTIONAL]
If the option is selected, the addresses set for this option will be added to the internal email.
Multiple addresses can be specified by separating the email addresses with a semicolon.
Example: receiver@pimcore.org; receiver2@pimcore.org

Form Field:

comment

Parameter for E-Mail: {{comment}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Put after the template field:

--reset--

Add a limit to comment text: (0 or empty means no limit)

Minimum of characters:

Maximum of characters:

Form Field:

opt_in

Parameter for E-Mail: {{opt_in}}

Mandatory field?

Disabled field?

Exclude from email info ? Exclude the field in all email parameters

Yes, I’d love to receive emails from Aliaxis about insights, resources, event invitations and services. I understand that I may withdraw my consent at any time, per the Privacy policy.

First name *

Last name *

Email *

Phone number

Company name *

Postcode *

Job title

Enquiry type *

Product of interest

Application of interest

Description

Yes, I’d love to receive emails from Aliaxis about insights, resources, event invitations and services. I understand that I may withdraw my consent at any time, per the Privacy policy.

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Aliaxis will use this information to ensure the best response to your enquiry. By submitting this form, you acknowledge that Aliaxis may contact you if needed.

Ashford

Bradfield Road
Ashford
TN25 4AQ

Bedford

Unit 1 Hudson Road
MK41 0LZ

Cannock

Swaffield Park
Hyssop Close
WS11 7FU

Chesterfield

Unit 2 Astwith Close
S42 5UR

Huntingdon

St. Peters Road
PE29 7DA

Warboys

Airfield Industrial Estate
PE28 2SH

Our Locations