Bestellformular freiberufliche implementiert, phpmailer implementiert, captcha implementiert
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3217c0a202
commit
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2 changed files with 200 additions and 16 deletions
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@ -149,6 +149,68 @@ table .far {
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.content table {
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.content table {
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font-size:1em;
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font-size:1em;
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}
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}
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/* Formular */
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#bestellformular {
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max-width: 64rem;
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margin-left: auto;
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margin-right: auto;
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}
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#bestellformular div {
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margin-bottom: 1rem;
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}
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#bestellformular label {
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display: block;
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margin-bottom: 0.5rem;
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font-size: 0.875rem;
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font-weight: 500;
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color: #4B5563;
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}
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#bestellformular select,
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#bestellformular input,
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#bestellformular textarea {
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width: 100%;
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padding: 0.5rem 1rem;
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border: 1px solid #D1D5DB;
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border-radius: 0.375rem;
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}
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#bestellformular select:focus,
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#bestellformular input:focus,
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#bestellformular textarea:focus {
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outline: none;
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border-color: #3B82F6;
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box-shadow: 0 0 0 3px rgba(59, 130, 246, 0.5);
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}
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#bestellformular button {
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width:350px;
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padding: 0.5rem 1rem;
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margin-bottom:10px;
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margin-top:10px;
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margin-left: auto;
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margin-right: auto;
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background-color: #3B82F6;
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border-radius: 0.375rem;
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}
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#bestellformular .submitbutton{
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background-color: #a9cd2e;
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align-self: center;
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width:100%;
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}
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#bestellformular button:hover {
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background-color: #2563EB;
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}
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#bestellformular .submitbutton:hover{
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background-color: #88a625;
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}
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.captcha-container {
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box-shadow: none!important;
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}
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/**** Utility *****/
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/**** Utility *****/
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.aligncenter * {
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.aligncenter * {
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text-align: center;
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text-align: center;
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@ -3,22 +3,144 @@ date = '2024-02-21T08:49:32Z'
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draft = false
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draft = false
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title = 'Freiberufliche'
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title = 'Freiberufliche'
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+++
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+++
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{{% veruaslider %}}
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{{% slide image="../bestellungen-header.jpg" first="true " %}}
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{{% /veruaslider %}}
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{{% section %}}
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{{% section %}}
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{{% aligncenter %}}
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#### Bestellformular
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## VeruA ** Verwaltung und Abrechnung
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### Freiberufliche
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<br>
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<form action="https://verua.dev-1.andreashnida.de/mail.php" method="POST" class="max-w-md mx-auto">
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---
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<div class="mb-4">
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<label for="name" class="block mb-2 text-sm font-medium text-gray-700">Name</label>
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<br>
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<input type="text" id="name" name="name" class="w-full px-4 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
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</div>
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{{% /aligncenter %}}
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<div class="mb-4">
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<label for="email" class="block mb-2 text-sm font-medium text-gray-700">Email</label>
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<form action="https://verua.dev-1.andreashnida.de/ajaxmail.php" method="POST" id="bestellformular">
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<input type="email" id="email" name="email" class="w-full px-4 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-blue-500 focus:border-blue-500" required>
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<div id="formPartOne">
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</div>
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<div>
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<div class="mb-4">
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<label for="gender">Gender</label>
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<label for="message" class="block mb-2 text-sm font-medium text-gray-700">Message</label>
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<select id="gender" name="gender" required>
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<textarea id="message" name="message" rows="4" class="w-full px-4 py-2 border border-gray-300 rounded-md focus:outline-none focus:ring-blue-500 focus:border-blue-500" required></textarea>
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<option value="frau">Frau</option>
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</div>
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<option value="mann">Mann</option>
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<button type="submit" class="w-full px-4 py-2 bg-blue-500 rounded-md hover:bg-blue-600">Submit</button>
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<option value="divers">Divers</option>
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</select>
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</div>
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<div>
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<label for="name">Name</label>
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<input type="text" id="name" name="name" required>
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</div>
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<div>
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<label for="vorname">Vorname</label>
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<input type="text" id="vorname" name="vorname" required>
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</div>
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<div>
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<label for="strasse">Strasse</label>
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<input type="text" id="strasse" name="strasse" required>
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</div>
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<div>
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<label for="plz_ort">PLZ Ort</label>
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<input type="text" id="plz_ort" name="plz_ort" required>
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</div>
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<div>
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<label for="telefon">Telefon</label>
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<input type="text" id="telefon" name="telefon" required>
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</div>
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<div>
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<label for="email">Email</label>
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<input type="email" id="email" name="email" required>
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</div>
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<div>
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<label for="message">Message</label>
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<textarea id="message" name="message" rows="4" required></textarea>
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</div>
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<div>
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<label for="zsr_nummer">ZSR Nummer</label>
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<input type="text" id="zsr_nummer" name="zsr_nummer" required>
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</div>
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</div>
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<div id="formPartTwo">
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<div>
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<label for="bestehend">Wünschen Sie einen neuer Server oder den Zugang zu einem bestehenden Team-Server?</label>
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<select id="bestehend" name="bestehend" required>
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<option value="Applikation und Zugang zu bestehendem Team-Server">Applikation und Zugang zu bestehendem Team-Server (1'296 CHF)</option>
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<option value="Applikation und neuer Webserver">Applikation und neuer Webserver (1'296 CHF)</option>
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</select>
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</div>
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<div>
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<label for="servername">Bitte geben Sie den Namen des Servers an. Der Zugriff erfolgt immer über die Web-Adresse: https://<strong>wunschname</strong>.verua.ch</label>
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<input type="url" id="servername" name="servername" placeholder="https://wunschname.verua.ch" required>
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</div>
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<div>
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<label for="modulpop2">Wünschen Sie die Erweiterung um das Modul POP2?</label>
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<select id="modulpop2" name="modulpop2" required>
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<option value="Nein, nur das Standard-Programm">Nein, nur das Standard-Programm</option>
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<option value="Ja, ich bestelle das Zusatzmodul POP2 für 42.00 CHF jährlich, Bereitstellungskosten einmalig 438.00 CHF">Ja, ich bestelle das Zusatzmodul POP2 für 42.00 CHF jährlich, Bereitstellungskosten einmalig 438.00 CHF</option>
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<option value="Ich bin mir noch nicht sicher.">Ich bin mir noch nicht sicher.</option>
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</select>
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</div>
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<div>
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<label for="materialverwaltung">Benötigen Sie das Zusatzmodul Materialverwaltung?</label>
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<select id="materialverwaltung" name="materialverwaltung" required>
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<option value="Nein, nur das Standard-Programm">Nein, nur das Standard-Programm</option>
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<option value="Ja, ich bestelle das Zusatzmodul Materialverwaltung für 138.00 CHF jährlich, Bereitstellungskosten einmalig 342.00 CHF">Ja, ich bestelle das Zusatzmodul Materialverwaltung für 138.00 CHF jährlich, Bereitstellungskosten einmalig 342.00 CHF</option>
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<option value="Ich bin mir noch nicht sicher.">Ich bin mir noch nicht sicher.</option>
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</select>
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</div>
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<div>
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<label for="qrcode">Wünschen Sie die Erweiterung um das Modul QR-Code?</label>
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<select id="qrcode" name="qrcode" required>
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<option value="Nein, nur das Standard-Programm">Nein, nur das Standard-Programm</option>
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<option value="Ja, ich bestelle das Zusatzmodul Materialverwaltung für 138.00 CHF jährlich, Bereitstellungskosten einmalig 342.00 CHF">Ja, ich bestelle das Zusatzmodul Materialverwaltung für 138.00 CHF jährlich, Bereitstellungskosten einmalig 342.00 CHF</option>
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<option value="Ich bin mir noch nicht sicher.">Ich bin mir noch nicht sicher.</option>
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</select>
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</div>
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<div>
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<label for="wochenbett">Benötigen Sie das Programm für Wochenbett-Betreuung?</label>
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<select id="wochenbett" name="wochenbett" required>
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<option value="Nein">Nein</option>
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<option value="Ja, ich möchte die Wochenbett-Version">Ja, ich möchte die Wochenbett-Version</option>
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</select>
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</div>
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<div>
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<label for="anmerkung">Anmerkung</label>
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<textarea id="anmerkung" name="anmerkung" rows="4" required></textarea>
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</div>
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</div>
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<div class ="captcha-container"></div>
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<button type="submit" class="submitbutton text-white mx-auto submit-after-valid-captcha">Submit</button>
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</form>
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</form>
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<div id="notification" class="mt-10 bg-blue-500 px-4 py-2 text-white hidden rounded">Notification</div>
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{{% /section %}}
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<link rel="stylesheet" href="https://verua.dev-1.andreashnida.de/vendor/captcha-system/css/main.css">
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<script src = 'https://verua.dev-1.andreashnida.de/vendor/captcha-system/js/main.js'></script>
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<script>
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window.onload = function() {
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document.getElementById('bestellformular').addEventListener('submit', function(e) {
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e.preventDefault(); // Verhindert die Standard-Formularsendung
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const form = e.target;
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const data = new FormData(form);
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const notification = document.getElementById('notification');
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fetch(form.action, {
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method: 'POST',
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body: data,
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})
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.then(response => response.json()) // Erwartet, dass die Antwort ein JSON ist
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.then(data => {
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// Erfolgsnachricht anzeigen
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notification.textContent = 'Nachricht erfolgreich gesendet!';
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notification.className = 'bg-green-500 text-white px-4 py-2 rounded block';
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setTimeout(() => notification.className = 'bg-green-500 text-white px-4 py-2 rounded hidden', 5000); // Benachrichtigung nach 5 Sekunden ausblenden
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})
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.catch((error) => {
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// Fehlermeldung anzeigen
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notification.textContent = 'Fehler beim Senden der Nachricht.';
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notification.className = 'bg-red-500 text-white px-4 py-2 rounded block';
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setTimeout(() => notification.className = 'bg-red-500 text-white px-4 py-2 rounded hidden', 5000); // Benachrichtigung nach 5 Sekunden ausblenden
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});
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});
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};
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</script>
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{{% /section %}}
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