<form>
<conf>
<descr>Please note that all are required fields marked with *</descr>
<defaults label-col="4"/>

</conf>
<field type="title" name="1. Contact*"/>
    <field name="Company" req="true"/>
    <field name="Name" req="true"/>
        <field name="Street" req="true"/>
<field name="ZIP/City" req="true"/>
    <field name="Email" valid="email" req="true"/>
    <field name="Phone" req="true"/>

<field type="title" name="2. Concept idea*"/>
    <field type="caption" name="Describe your concept idea. What makes it special?" />
    <field name="" type="textarea" req="true"/>

<field type="title" name="3. Sales strategy*"/>
    <field type="caption" name="Where and how do you want to sell your concept? What initial commercial quantities do you expect to need?"/>
    <field name="" type="textarea" req="true"/>

<field type="title" name="4. Financing*" />
    <field type="caption" name="What is the available budget for development, filling and market launch?"/>
    <field name="" type="textarea" req="true"/>

<field type="title" name="5. Beverage category (please tick as appropriate; choose at least one of the given options)*" />
    <field name="" type="checkboxGroup" req="true">
        <options>
            <option name="Soft drink/refreshing drink"/>
            <option name="Tea drink" />
            <option name="Drink containing vitamins/minerals" />
            <option name="Energy drink" />
            <option name="Protein drink" />
            <option name="Drink containing fruit juice" />
            <option name="Juice/smoothie" />
            <option name="Alcoholic drink" />
            <option name="Others:"/>
        </options>
    </field>

<field type="title" name="6. Beverage properties (please tick as appropriate, choose at least one of the given options)*" />
<field name="Containing fruit juice (content:%/litre; fruit/s:)"/>
<field name="Containing caffeine (content:mg/100 ml[br](max. 32 mg/100ml))"/>
<field name="Containing alcohol (content:%vol; type of alcohol:)"/>
<field name="Containing vitamins (vitamins:)"/>
<field name="Containing minerals (minerals:)"/>
<field name="Other characteristics:"/>

<field type="title" name="7. Sensory (please tick as appropriate; choose at least one of the given options)*" />


<field type="title" name="How should your drink taste*"/>
    <field name="" type="checkboxGroup" req="true">
        <options>
            <option name="Not sweet at all" />
            <option name="A little sweet" />
            <option name="Medium sweet" />
            <option name="Sweet" />
            <option name="sour" />
            <option name="fruity" />
            <option name="bitter" />
            <option name="sparkling (carbonated)" />
        </options>
    </field>

<field type="title" name="8. Sweetening should be done with (choose at least one of the given options):*"/>
    <field name="" type="checkboxGroup" req="true">
        <options>
            <option name="Sugar" />
            <option name="Sweetener" />
            <option name="Juice" />
            <option name="Stevia" />
            <option name="Modifying flavours/aromas" />
            <option name="Agave syrup" />
            <option name="Honey" />
        </options>
    </field>

    <field name="Other:"/>

<field type="title" name="9. Optics (choose at least one of the given options):*"/>
    <field name="" type="checkboxGroup" req="true">
        <options>
            <option name="Clear" />
            <option name="Naturally cloudy" />
            <option name="Typical of fruit" />
        </options>
    </field>
    <field name="Colour:"/>

<field type="title" name="10. Which type of container should your final product be filled by a co-packer? (choose at least one of the given options)?*"/>
<field type="title" name="(Please note the IPRONA is not producer of your final product and, thus, does not handle the final step of co-packing.)"/>
    <field name="" type="checkboxGroup" req="true">
        <options>
            <option name="Glass" />
            <option name="PET" />
            <option name="Can" />
            <option name="Pouch" />
            <option name="Tetra pack" />
        </options>
    </field>

<field type="title" name="11. Is the use of natural aromas allowed?*"/>
    <field name="" type="select" req="true">
        <options>
            <option name=""/>
            <option name="Yes"/>
            <option name="No"/>
        </options>
    </field>

<field type="title" name="12. Other characteristics:"/>
    <field name="" type="checkboxGroup">
        <options>
            <option name="Clean label" />
            <option name="Vegan" />
            <option name="Gluten free" />
            <option name="Organic" />
            <option name="Low in calories" />
            <option name="kosher conformity" />
            <option name="halal conformity" />
            <option name="No other characteristics" />
        </options>
    </field>

    <field name="Other:"/>

<field name="Product characteristics: Describe the taste and other characteristics of your drink…" type="textarea" req="true"/>
<field name="Other remarks:" type="textarea"/>


    {getTpl:request/privacy/main}
    <field name="Send" type="submit"/>
</form>