Aliaxis UK locations

Form Field:

title_gender

Parameter for E-Mail: {{title_gender}}

Required 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}}

Required 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}}

Required 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}}

Required field?

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

Put after the template field:

--reset--

Field layout:

col2

Form Field:

phone_number

Parameter for E-Mail: {{phone_number}}

Required 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}}

Required 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}}

Required 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}}

Required 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}}

Required 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}}

Required 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}}

Required 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.

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

Lenham

Dickley Lane
ME17 2DE

Warboys

Airfield Industrial Estate
PE28 2SH

Our Locations