{"id":459,"date":"2025-03-12T06:45:37","date_gmt":"2025-03-12T06:45:37","guid":{"rendered":"https:\/\/brefapharm.com\/?page_id=459"},"modified":"2025-03-19T11:12:19","modified_gmt":"2025-03-19T11:12:19","slug":"anfrage","status":"publish","type":"page","link":"https:\/\/brefapharm.com\/en\/anfrage\/","title":{"rendered":"Request"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"459\" class=\"elementor elementor-459\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ff026cb e-flex e-con-boxed e-con e-parent\" data-id=\"ff026cb\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c26cc74 fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"c26cc74\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-custom-radio-checkbox fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_3 ffs_custom_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ff-form-has-steps ffs_custom\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" action=\"\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Inquiry form - Configurator<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_3_item_sf\" aria-label=\"Contact\">\n                    Contact                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_3__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_3_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n                <input type=\"hidden\" id=\"__fluent_protection_token_3\" class=\"fluent-form-token-field\" name=\"__fluent_protection_token_3\">\n        <input type='hidden' name='__fluent_form_embded_post_id' value='459' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"3a4de17bf3\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/459\" \/><div class='ff-step-container' data-name=\"step_start-3_8\" data-disable_auto_focus=\"yes\" data-enable_auto_slider=\"yes\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><div class='ff-el-progress-status' aria-live='polite'><\/div>\n            <div class='ff-el-progress'>\n                <div role='progressbar'  class='ff-el-progress-bar'><span><\/span><\/div>\n            <\/div>\n            <ul style='display: none' class='ff-el-progress-title'>\n                <li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li><li><\/li>\n            <\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-3_8\" data-disable_auto_focus=\"yes\" data-enable_auto_slider=\"yes\" data-enable_step_data_persistency=\"yes\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-el-group ff-el-form-hide_label  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Choose shape\">Choose shape<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Baerchen-1.png)' class='ff-el-image-input-src' for='input_radio_1_65ce8efbfcce2f46e42482c00ff3eeef' aria-label='Bear'><\/label><label class='ff-el-form-check-label' for=\"input_radio_1_65ce8efbfcce2f46e42482c00ff3eeef\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"B\u00e4r\"  id='input_radio_1_65ce8efbfcce2f46e42482c00ff3eeef' aria-label='Bear' aria-invalid='false' aria-required=\"false\"> <span>Bear<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Himbeere-1.png)' class='ff-el-image-input-src' for='input_radio_1_0522209d6dcf458d481cd3695a6eaa70' aria-label='Raspberry'><\/label><label class='ff-el-form-check-label' for=\"input_radio_1_0522209d6dcf458d481cd3695a6eaa70\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Himbeere\"  id='input_radio_1_0522209d6dcf458d481cd3695a6eaa70' aria-label='Raspberry' aria-invalid='false' aria-required=\"false\"> <span>Raspberry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Melone-1.png)' class='ff-el-image-input-src' for='input_radio_1_92c5c29d421869cc671635bb269c29ca' aria-label='Melon'><\/label><label class='ff-el-form-check-label' for=\"input_radio_1_92c5c29d421869cc671635bb269c29ca\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Melone\"  id='input_radio_1_92c5c29d421869cc671635bb269c29ca' aria-label='Melon' aria-invalid='false' aria-required=\"false\"> <span>Melon<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Ananas-1.png)' class='ff-el-image-input-src' for='input_radio_1_d9f3ea4109a4bc14026ec0f97c4de6e2' aria-label='Own form'><\/label><label class='ff-el-form-check-label' for=\"input_radio_1_d9f3ea4109a4bc14026ec0f97c4de6e2\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Eigene Form\"  id='input_radio_1_d9f3ea4109a4bc14026ec0f97c4de6e2' aria-label='Own form' aria-invalid='false' aria-required=\"false\"> <span>Own form<\/span><\/label><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_1\" ><div class='ff-el-group ff-el-form-hide_label  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Choose sugar\">Choose sugar<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_bb24f642612d567bcab12099cf9e86a6\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"zuckerhaltig\"  id='input_radio_bb24f642612d567bcab12099cf9e86a6' aria-label='sugary' aria-invalid='false' aria-required=\"false\"> <span>sugary<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_c025a808110295cddd765b2a5b087ad5\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"zuckerfrei\"  id='input_radio_c025a808110295cddd765b2a5b087ad5' aria-label='sugar free' aria-invalid='false' aria-required=\"false\"> <span>sugar free<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_2\" ><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Select recipe\">Select recipe<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_f8a4151611b551940e95427708bc0fe0\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Multivitamin Erwachsene\"  id='input_radio_2_f8a4151611b551940e95427708bc0fe0' aria-label='Multivitamin adults' aria-invalid='false' aria-required=\"false\"> <span>Multivitamin adults<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_5abee9ba066ef1a95379350e20173493\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Multivitamin f\u00fcr Kinder\"  id='input_radio_2_5abee9ba066ef1a95379350e20173493' aria-label='Multivitamin for children' aria-invalid='false' aria-required=\"false\"> <span>Multivitamin for children<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_cf4da502f385ab573915753c7d3180ba\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ashwagandha\"  id='input_radio_2_cf4da502f385ab573915753c7d3180ba' aria-label='Ashwagandha' aria-invalid='false' aria-required=\"false\"> <span>Ashwagandha<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_d4507779c3d1710f5589f7b8fc5294ec\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vitamin D3\"  id='input_radio_2_d4507779c3d1710f5589f7b8fc5294ec' aria-label='Vitamin D3' aria-invalid='false' aria-required=\"false\"> <span>Vitamin D3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_c9950117c3c1c4b0b02c8761a176bc07\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vitamin D3 + K2\"  id='input_radio_2_c9950117c3c1c4b0b02c8761a176bc07' aria-label='Vitamin D3 + K2' aria-invalid='false' aria-required=\"false\"> <span>Vitamin D3 + K2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_457ff41427213f6af0bfc09818de108b\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vitamin C\"  id='input_radio_2_457ff41427213f6af0bfc09818de108b' aria-label='Vitamin C' aria-invalid='false' aria-required=\"false\"> <span>Vitamin C<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_783f65aa991d30decb95aea1508abecb\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"B-Komplex\"  id='input_radio_2_783f65aa991d30decb95aea1508abecb' aria-label='B-complex' aria-invalid='false' aria-required=\"false\"> <span>B-complex<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_0be051a9d4fac8a670277a4ec1455cce\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Premium B-Komplex\"  id='input_radio_2_0be051a9d4fac8a670277a4ec1455cce' aria-label='Premium B-Complex' aria-invalid='false' aria-required=\"false\"> <span>Premium B-Complex<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_b477f3369d409c5d7953310582eb7436\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vitamin B12\"  id='input_radio_2_b477f3369d409c5d7953310582eb7436' aria-label='Vitamin B12' aria-invalid='false' aria-required=\"false\"> <span>Vitamin B12<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_c421448df167f622533b8eab70ff457f\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Eisen + Vitamin C\"  id='input_radio_2_c421448df167f622533b8eab70ff457f' aria-label='Iron + vitamin C' aria-invalid='false' aria-required=\"false\"> <span>Iron + vitamin C<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_00afb7430d2625cdac55c870ec1ee6de\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Omega 3\"  id='input_radio_2_00afb7430d2625cdac55c870ec1ee6de' aria-label='Omega 3' aria-invalid='false' aria-required=\"false\"> <span>Omega 3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_c4d578015d7a10de80d15e33d9219a99\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Omega 3 + Multivitamin\"  id='input_radio_2_c4d578015d7a10de80d15e33d9219a99' aria-label='Omega 3 + multivitamin' aria-invalid='false' aria-required=\"false\"> <span>Omega 3 + multivitamin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_32fcc1a2545992dd04889daabc007c10\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Calcium + D3\"  id='input_radio_2_32fcc1a2545992dd04889daabc007c10' aria-label='Calcium + D3' aria-invalid='false' aria-required=\"false\"> <span>Calcium + D3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_4d857bd7a69d88bd90ef7ac01e997cc3\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Magnesium\"  id='input_radio_2_4d857bd7a69d88bd90ef7ac01e997cc3' aria-label='Magnesium' aria-invalid='false' aria-required=\"false\"> <span>Magnesium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_55f622d3392c5e033f73896cfc44961a\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Melatonin\"  id='input_radio_2_55f622d3392c5e033f73896cfc44961a' aria-label='Melatonin' aria-invalid='false' aria-required=\"false\"> <span>Melatonin<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_efca9278997e02802e353c6b3fd7508f\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Melatonin + CBD\"  id='input_radio_2_efca9278997e02802e353c6b3fd7508f' aria-label='Melatonin + CBD' aria-invalid='false' aria-required=\"false\"> <span>Melatonin + CBD<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_75f26f7fa440bc3e46e1ac7fad60abf7\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"CBD\"  id='input_radio_2_75f26f7fa440bc3e46e1ac7fad60abf7' aria-label='CBD' aria-invalid='false' aria-required=\"false\"> <span>CBD<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_c634dff5ccfda7ce205dd3d50e342c48\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Apfelessig\"  id='input_radio_2_c634dff5ccfda7ce205dd3d50e342c48' aria-label='Apple cider vinegar' aria-invalid='false' aria-required=\"false\"> <span>Apple cider vinegar<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_5c02759a36b59895f1173ba3acfdbb65\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Hanfsamen\u00f6l\"  id='input_radio_2_5c02759a36b59895f1173ba3acfdbb65' aria-label='Hemp seed oil' aria-invalid='false' aria-required=\"false\"> <span>Hemp seed oil<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_186cadcd881cb41a89f9924ffc7469ee\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Eierschale\"  id='input_radio_2_186cadcd881cb41a89f9924ffc7469ee' aria-label='Eggshell' aria-invalid='false' aria-required=\"false\"> <span>Eggshell<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_93ef9fd9a05d926955c379cd931a4ff4\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Immunboost\"  id='input_radio_2_93ef9fd9a05d926955c379cd931a4ff4' aria-label='Immune boost' aria-invalid='false' aria-required=\"false\"> <span>Immune boost<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_307883305ebe67c38734353c619c5251\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Haare, Haut &amp;\u200e N\u00e4gel\"  id='input_radio_2_307883305ebe67c38734353c619c5251' aria-label='Hair, skin &amp; nails' aria-invalid='false' aria-required=\"false\"> <span>Hair, skin &amp; nails<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_53a459c330229f06165a555ffcca2e1f\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"PMS\"  id='input_radio_2_53a459c330229f06165a555ffcca2e1f' aria-label='PMS' aria-invalid='false' aria-required=\"false\"> <span>PMS<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_470f9591617c865cb4a88879d26646d1\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Wunschrezeptur\"  id='input_radio_2_470f9591617c865cb4a88879d26646d1' aria-label='Desired recipe' aria-invalid='false' aria-required=\"false\"> <span>Desired recipe<\/span><\/label><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_3\" ><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Choose color\">Choose color<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/KarotteSplash.png)' class='ff-el-image-input-src' for='input_radio_3_5f9bab8914152e87d6e0324f50d8f442' aria-label='Yellow (beta-carotene)'><\/label><label class='ff-el-form-check-label' for=\"input_radio_3_5f9bab8914152e87d6e0324f50d8f442\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gelb (Beta-Carotin)\"  id='input_radio_3_5f9bab8914152e87d6e0324f50d8f442' aria-label='Yellow (beta-carotene)' aria-invalid='false' aria-required=\"false\"> <span>Yellow (beta-carotene)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Schwarze-KarotteSplash.png)' class='ff-el-image-input-src' for='input_radio_3_c0a7c180465ddbaab82f2938ad90bd0b' aria-label='Red (black carrot)'><\/label><label class='ff-el-form-check-label' for=\"input_radio_3_c0a7c180465ddbaab82f2938ad90bd0b\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Rot (schwarze Karotte)\"  id='input_radio_3_c0a7c180465ddbaab82f2938ad90bd0b' aria-label='Red (black carrot)' aria-invalid='false' aria-required=\"false\"> <span>Red (black carrot)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/SpirulinaSplash.png)' class='ff-el-image-input-src' for='input_radio_3_5cc17f928f1888c2bfb27b0df0e10ca8' aria-label='Blue (spirulina)'><\/label><label class='ff-el-form-check-label' for=\"input_radio_3_5cc17f928f1888c2bfb27b0df0e10ca8\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Blau (Spirulina)\"  id='input_radio_3_5cc17f928f1888c2bfb27b0df0e10ca8' aria-label='Blue (spirulina)' aria-invalid='false' aria-required=\"false\"> <span>Blue (spirulina)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/KurkumaSplash.png)' class='ff-el-image-input-src' for='input_radio_3_a87df6634e24d448ccd16170b6c791f7' aria-label='Orange (turmeric)'><\/label><label class='ff-el-form-check-label' for=\"input_radio_3_a87df6634e24d448ccd16170b6c791f7\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Orange (Kurkuma)\"  id='input_radio_3_a87df6634e24d448ccd16170b6c791f7' aria-label='Orange (turmeric)' aria-invalid='false' aria-required=\"false\"> <span>Orange (turmeric)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/SpinatSplash.png)' class='ff-el-image-input-src' for='input_radio_3_dd05893beadb66ecbaf9b539371c4c47' aria-label='Green (spinach)'><\/label><label class='ff-el-form-check-label' for=\"input_radio_3_dd05893beadb66ecbaf9b539371c4c47\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Gr\u00fcn (Spinat)\"  id='input_radio_3_dd05893beadb66ecbaf9b539371c4c47' aria-label='Green (spinach)' aria-invalid='false' aria-required=\"false\"> <span>Green (spinach)<\/span><\/label><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_4\" ><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_5\" ><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Select flavor\">Select flavor<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-apfel-vor-weissem-hintergrund-71632.png)' class='ff-el-image-input-src' for='input_radio_4_a63096d6cfe4a469d4bb1b88e1b270f5' aria-label='Apple'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_a63096d6cfe4a469d4bb1b88e1b270f5\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Apfel\"  id='input_radio_4_a63096d6cfe4a469d4bb1b88e1b270f5' aria-label='Apple' aria-invalid='false' aria-required=\"false\"> <span>Apple<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-himbeere-vor-weissem-hintergrund-47941.png)' class='ff-el-image-input-src' for='input_radio_4_499cdb7c0a4d40c4f297614f18541afb' aria-label='Raspberry'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_499cdb7c0a4d40c4f297614f18541afb\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Himbeere\"  id='input_radio_4_499cdb7c0a4d40c4f297614f18541afb' aria-label='Raspberry' aria-invalid='false' aria-required=\"false\"> <span>Raspberry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-zitrone-vor-weissem-hintergrund-4314.png)' class='ff-el-image-input-src' for='input_radio_4_4253aec90d83300deaff8b1af9329845' aria-label='Lemon'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_4253aec90d83300deaff8b1af9329845\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Zitrone\"  id='input_radio_4_4253aec90d83300deaff8b1af9329845' aria-label='Lemon' aria-invalid='false' aria-required=\"false\"> <span>Lemon<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-schwarze-johannisbeere-vor-weissem-hintergrund-78149.png)' class='ff-el-image-input-src' for='input_radio_4_64ee70f31b2a5a831b045bc65cd8ab9f' aria-label='Black currant'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_64ee70f31b2a5a831b045bc65cd8ab9f\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Johannisbeere schwarz\"  id='input_radio_4_64ee70f31b2a5a831b045bc65cd8ab9f' aria-label='Black currant' aria-invalid='false' aria-required=\"false\"> <span>Black currant<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-kirsche-vor-weissem-hintergrund-45338.png)' class='ff-el-image-input-src' for='input_radio_4_3c1473d4f33723cc36811ca159d3c984' aria-label='Cherry'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_3c1473d4f33723cc36811ca159d3c984\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Kirsche\"  id='input_radio_4_3c1473d4f33723cc36811ca159d3c984' aria-label='Cherry' aria-invalid='false' aria-required=\"false\"> <span>Cherry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-roote-johannisbeere-vor-weissem-hintergrund-78149.png)' class='ff-el-image-input-src' for='input_radio_4_2c15dcb2eca618dba6c0044a57375a4b' aria-label='Red currant'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_2c15dcb2eca618dba6c0044a57375a4b\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Johannisbeere rot\"  id='input_radio_4_2c15dcb2eca618dba6c0044a57375a4b' aria-label='Red currant' aria-invalid='false' aria-required=\"false\"> <span>Red currant<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-brommbeere-vor-weissem-hintergrund-45338.png)' class='ff-el-image-input-src' for='input_radio_4_3304b78c16efe1b3d3c5f3166f37419e' aria-label='Blackberry'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_3304b78c16efe1b3d3c5f3166f37419e\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Brombeere\"  id='input_radio_4_3304b78c16efe1b3d3c5f3166f37419e' aria-label='Blackberry' aria-invalid='false' aria-required=\"false\"> <span>Blackberry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-erdbeere-vor-weissem-hintergrund-6834.png)' class='ff-el-image-input-src' for='input_radio_4_d7b68f6cbff858118b7e0b1a8fb610ca' aria-label='Strawberry'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_d7b68f6cbff858118b7e0b1a8fb610ca\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Erdbeere\"  id='input_radio_4_d7b68f6cbff858118b7e0b1a8fb610ca' aria-label='Strawberry' aria-invalid='false' aria-required=\"false\"> <span>Strawberry<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-orange-vor-weissem-hintergrund-41648-13-03-2025-11-11-43.png)' class='ff-el-image-input-src' for='input_radio_4_dbdc2004e60cd4157b67ced079d044df' aria-label='Orange'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_dbdc2004e60cd4157b67ced079d044df\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Orange\"  id='input_radio_4_dbdc2004e60cd4157b67ced079d044df' aria-label='Orange' aria-invalid='false' aria-required=\"false\"> <span>Orange<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-mango-vor-weissem-hintergrund-50830.png)' class='ff-el-image-input-src' for='input_radio_4_a70235c07ccc748258ef9a22f76519d8' aria-label='Mango'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_a70235c07ccc748258ef9a22f76519d8\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Mango\"  id='input_radio_4_a70235c07ccc748258ef9a22f76519d8' aria-label='Mango' aria-invalid='false' aria-required=\"false\"> <span>Mango<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/BeerenMix.png)' class='ff-el-image-input-src' for='input_radio_4_09a52f2ea4405e0ff8413442e19b2d76' aria-label='Berry mix'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_09a52f2ea4405e0ff8413442e19b2d76\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Beeren-Mix\"  id='input_radio_4_09a52f2ea4405e0ff8413442e19b2d76' aria-label='Berry mix' aria-invalid='false' aria-required=\"false\"> <span>Berry mix<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-fragezeichen-aus-obst-vor-weissem-hintergrund-82942.png)' class='ff-el-image-input-src' for='input_radio_4_4060d5d24ee96d58fcbf2567a76bca1c' aria-label='Desired aroma'><\/label><label class='ff-el-form-check-label' for=\"input_radio_4_4060d5d24ee96d58fcbf2567a76bca1c\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Wunsch-aroma\"  id='input_radio_4_4060d5d24ee96d58fcbf2567a76bca1c' aria-label='Desired aroma' aria-invalid='false' aria-required=\"false\"> <span>Desired aroma<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Select packaging\">Select packaging<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/dose-150ml.png)' class='ff-el-image-input-src' for='input_radio_5_a4d8b9e87cbc72d3198d548a61ba9fd7' aria-label='125ml jar for 30 fruit gums'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_a4d8b9e87cbc72d3198d548a61ba9fd7\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"125ml Dose f\u00fcr 30 Fruchtgummis\"  id='input_radio_5_a4d8b9e87cbc72d3198d548a61ba9fd7' aria-label='125ml jar for 30 fruit gums' aria-invalid='false' aria-required=\"false\"> <span>125ml jar for 30 fruit gums<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url()' class='ff-el-image-input-src' for='input_radio_5_54521856967b1d4f3a7298ee279006c0' aria-label='150ml jar for 30 fruit gums'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_54521856967b1d4f3a7298ee279006c0\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"150ml Dose f\u00fcr 30 Fruchtgummis\"  id='input_radio_5_54521856967b1d4f3a7298ee279006c0' aria-label='150ml jar for 30 fruit gums' aria-invalid='false' aria-required=\"false\"> <span>150ml jar for 30 fruit gums<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/dose_trans_gross.png)' class='ff-el-image-input-src' for='input_radio_5_8e43dbf0e484cb972b55d192ed3994c2' aria-label='250ml jar for 60 fruit gums'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_8e43dbf0e484cb972b55d192ed3994c2\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"250ml Dose f\u00fcr 60 Fruchtgummis\"  id='input_radio_5_8e43dbf0e484cb972b55d192ed3994c2' aria-label='250ml jar for 60 fruit gums' aria-invalid='false' aria-required=\"false\"> <span>250ml jar for 60 fruit gums<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/dose-braun_klein.png)' class='ff-el-image-input-src' for='input_radio_5_f4d0e977e497f8726278e172fd8d92bc' aria-label='250ml jar for 30\/60 fruit gums'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_f4d0e977e497f8726278e172fd8d92bc\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"250ml Dose f\u00fcr 30\/60 Fruchtgummis\"  id='input_radio_5_f4d0e977e497f8726278e172fd8d92bc' aria-label='250ml jar for 30\/60 fruit gums' aria-invalid='false' aria-required=\"false\"> <span>250ml jar for 30\/60 fruit gums<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/doese-braun_gross.png)' class='ff-el-image-input-src' for='input_radio_5_8c33bb8a9b7e6958357f8adabed1161d' aria-label='300ml jar for 60 fruit gums'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_8c33bb8a9b7e6958357f8adabed1161d\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"300ml Dose f\u00fcr 60 Fruchtgummis\"  id='input_radio_5_8c33bb8a9b7e6958357f8adabed1161d' aria-label='300ml jar for 60 fruit gums' aria-invalid='false' aria-required=\"false\"> <span>300ml jar for 60 fruit gums<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/standboden.png)' class='ff-el-image-input-src' for='input_radio_5_e768d8e41d3222ace3cd7d5dd290db99' aria-label='Stand-up pouch'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_e768d8e41d3222ace3cd7d5dd290db99\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Standbodenbeutel\"  id='input_radio_5_e768d8e41d3222ace3cd7d5dd290db99' aria-label='Stand-up pouch' aria-invalid='false' aria-required=\"false\"> <span>Stand-up pouch<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/giveaway.png)' class='ff-el-image-input-src' for='input_radio_5_97b01449ff383593d11beb7d4478cce7' aria-label='Giveaway'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_97b01449ff383593d11beb7d4478cce7\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Giveaway\"  id='input_radio_5_97b01449ff383593d11beb7d4478cce7' aria-label='Giveaway' aria-invalid='false' aria-required=\"false\"> <span>Giveaway<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/03\/Firefly-orange-glossy-questionmark-57253.png)' class='ff-el-image-input-src' for='input_radio_5_3576e82bcd9e84ce9bbb67de6bfce6e4' aria-label='Your own packaging'><\/label><label class='ff-el-form-check-label' for=\"input_radio_5_3576e82bcd9e84ce9bbb67de6bfce6e4\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ihre eigene Verpackung\"  id='input_radio_5_3576e82bcd9e84ce9bbb67de6bfce6e4' aria-label='Your own packaging' aria-invalid='false' aria-required=\"false\"> <span>Your own packaging<\/span><\/label><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_6\" ><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Select your cap\">Select your cap<\/label><\/div><div class='ff-el-input--content'><div class=\"ff_el_checkable_photo_holders\"><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Deckel1.png)' class='ff-el-image-input-src' for='input_radio_6_7559406c3926f7b22d7fe365bd528d5e' aria-label='01'><\/label><label class='ff-el-form-check-label' for=\"input_radio_6_7559406c3926f7b22d7fe365bd528d5e\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"01\"  id='input_radio_6_7559406c3926f7b22d7fe365bd528d5e' aria-label='01' aria-invalid='false' aria-required=\"false\"> <span>01<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check- ff-el-image-holder'><label style='background-image: url(https:\/\/brefapharm.com\/wp-content\/uploads\/2025\/05\/Deckel2.png)' class='ff-el-image-input-src' for='input_radio_6_e5a7e7e6d66e747d300b20360ba0d1f3' aria-label='02'><\/label><label class='ff-el-form-check-label' for=\"input_radio_6_e5a7e7e6d66e747d300b20360ba0d1f3\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"02\"  id='input_radio_6_e5a7e7e6d66e747d300b20360ba0d1f3' aria-label='02' aria-invalid='false' aria-required=\"false\"> <span>02<\/span><\/label><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\"fluentform-step\" data-name=\"form_step-3_7\" ><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text' aria-label=\"Company name\">Company name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\"ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_names_first_name_' >First name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_names_last_name_' >Last name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_phone' aria-label=\"Phone number\">Phone number<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_3_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_email' aria-label=\"e-mail\">e-mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_address_line_1_' aria-label=\"Address line 1\">Address line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_3_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address line 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_address_line_2_' aria-label=\"Address line 2\">Address line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_3_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address line 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_zip_' aria-label=\"Zip code\">Zip code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_3_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip code\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_3_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_state_' aria-label=\"Federal state\">Federal state<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_3_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Federal state\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_country_' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_3_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Land ausw\u00e4hlen\" data-key_name=\"country\" aria-invalid='false' aria-required=\"false\"><option value=''>Select country<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='PW' >Belau<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RE' >Reunion<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SZ' >Swaziland<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' 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