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

{{% section %}}
{{% aligncenter %}}

#### Kontakt

## VeruA AG

### Nehmen Sie Kontakt mit uns auf!

<br>

---

<br>

Sie erreichen uns **werktags zwischen 8:00 Uhr und 16:00 Uhr.**

Bitte schreiben Sie uns Ihr Anliegen per Kontaktformular.
Wir nehmen zeitnah Kontakt zu Ihnen auf.

{{% /aligncenter %}}

<form action="https://rabeweb.plan.io/helpdesk" method="POST" id="kontaktformular">
<div id="formPartOne">
<input type="hidden" name="formularart" value="Kontaktformular Deutsch">
<input type="hidden" name="project" value="kontakt">
        <div>
            <select id="gender" name="gender" required >
                <option value="Frau">Frau</option>
                <option value="Herr">Herr</option>
                <option value="Frau Dr.">Frau Dr.</option>
                <option value="Herr Dr.">Herr Dr.</option>
                <option value="">Keine Angabe</option>
            </select>
        </div>
        <div>
            <label for="name">Vorname Nachname</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">Telefon</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">Betreff</label>
            <input type="text" id="subject" name="subject" required >
        </div>
       <div>
            <label for="description">Anfrage</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" >Anfrage absenden</button>

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

{{% /section %}}
