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82 lines
2.4 KiB
Markdown
82 lines
2.4 KiB
Markdown
+++
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date = '2024-02-26T10:26:56Z'
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draft = false
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title = 'Kontakt'
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translationKey = 'kontakt'
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kontaktformular = true
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+++
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{{% section classes="pt-0" %}}
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{{% aligncenter %}}
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#### Contact
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## VeruA AG
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### Contactez-nous !
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<br>
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---
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<br>
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Vous pouvez nous joindre **du lundi au vendredi de 8h00 à 16h00.**
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Veuillez nous envoyer votre demande via le formulaire de contact.
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Nous vous contacterons dans les plus brefs délais.
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{{% /aligncenter %}}
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<form action="https://rabeweb.plan.io/helpdesk" method="POST" id="kontaktformular">
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<div id="formPartOne">
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<input type="hidden" name="formularart" value="Kontaktformular Französisch">
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<input type="hidden" name="project" value="kontakt">
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<div>
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<select id="gender" name="gender" requir >
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<option value="Frau">Madame</option>
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<option value="Herr">Monsieur</option>
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<option value="Frau Dr.">Madame Dr.</option>
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<option value="Herr Dr.">Monsieur Dr.</option>
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<option value="">Aucune</option>
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</select>
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</div>
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<div>
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<label for="name">Prénom et nom de famille</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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<input type="text" id="hobbies" name="hobbies" >
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</div>
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<div>
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<input type="text" id="age" name="age">
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</div>
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<div>
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<label for="telefon">Téléphone</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="mail">Email</label>
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<input type="mail" id="mail" name="mail" required >
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</div>
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<div>
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<input type="verify_email" id="verify_email" name="verify_email" >
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</div>
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<div>
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<label for="subject">Objet</label>
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<input type="text" id="subject" name="subject" required >
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</div>
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<div>
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<label for="description">Remarque</label>
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<textarea id="description" name="description" rows="4" required></textarea>
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</div>
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</div>
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<center class="w-full">
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{{< captcha >}}
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<button id="kontaktformular-btn" type="submit" class="submitbutton text-white mx-auto submit-after-valid-captcha" >Envoyer la demande</button>
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<p><div id="notification" class="bg-blue-500 text-white rounded invisible opacity-0 hidden">Notification</div></p>
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</center>
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</form>
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{{% /section %}}
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