+++
date = '2024-02-26T10:26:56Z'
draft = false
title = 'Kontakt'
translationKey = 'kontakt'
kontaktformular = true
+++

{{% section classes="pt-0" %}}
{{% aligncenter %}}

#### Contact

## VeruA AG

### Contactez-nous !

<br>

---

<br>

Vous pouvez nous joindre **du lundi au vendredi de 8h00 à 16h00.**

Veuillez nous envoyer votre demande via le formulaire de contact.
Nous vous contacterons dans les plus brefs délais.

{{% /aligncenter %}}

<form action="https://rabeweb.plan.io/helpdesk" method="POST" id="kontaktformular">
<div id="formPartOne">
<input type="hidden" name="formularart" value="Kontaktformular Französisch">
<input type="hidden" name="project" value="kontakt">
        <div>
            <select id="gender" name="gender" requir >
                <option value="Frau">Madame</option>
                <option value="Herr">Monsieur</option>
                <option value="Frau Dr.">Madame Dr.</option>
                <option value="Herr Dr.">Monsieur Dr.</option>
                <option value="">Aucune</option>
            </select>
        </div>
        <div>
            <label for="name">Prénom et nom de famille</label>
            <input type="text" id="name" name="name" required >
        </div>
        <div>
            <input type="text" id="hobbies" name="hobbies" >
        </div>
        <div>
            <input type="text" id="age" name="age">
        </div>
        <div>
            <label for="telefon">Téléphone</label>
            <input type="text" id="telefon" name="telefon" required >
        </div>
        <div>
           <label for="mail">Email</label>
            <input type="mail" id="mail" name="mail" required >
        </div>
        <div>
            <input type="verify_email" id="verify_email" name="verify_email" >
        </div>
        <div>
            <label for="subject">Objet</label>
            <input type="text" id="subject" name="subject" required >
        </div>
       <div>
            <label for="description">Remarque</label>
            <textarea id="description" name="description" rows="4" required></textarea>
        </div>        
</div>
<center class="w-full">
{{< captcha >}}
<button id="kontaktformular-btn" type="submit" class="submitbutton text-white mx-auto submit-after-valid-captcha" >Envoyer la demande</button>

<p><div id="notification" class="bg-blue-500 text-white rounded invisible opacity-0 hidden">Notification</div></p>
</center>
</form>

{{% /section %}}
