<div id="footerContactParent">
	<form method="post" action="{$main_widget_footercontact.config.action}">
		<h2>
			<span class="icon"></span>
			Kontaktformular
		</h2>

		<div class="firstName obligatory">
			<label for="contact_forename">Vorname</label>
			<input id="contact_forename" type="text" name="contact[forename]">
		</div>
		<div class="lastName obligatory">
			<label for="contact_surname">Nachname</label>
			<input id="contact_surname" type="text" name="contact[surname]">
		</div>
		<div class="eMail obligatory">
			<label for="contact_e_mail">E-Mail Adresse</label>
			<input id="contact_e_mail" type="text" name="contact[e_mail]">
		</div>
		<div class="phone">
			<label for="contact_call_number_private">Telefon</label>
			<input id="contact_call_number_private" type="text" name="contact[call_number_private]">
		</div>
		<div class="callback">
			<label for="contact_callback">R&uuml;ckruf erw&uuml;nscht?</label>
			<input class="datepicker" id="contact_callback" type="text" name="contact[callback]">
		</div>
		<div class="message">
			<label for="contact_message">Ihre Nachricht</label>
			<textarea id="contact_message" name="contact[message]"></textarea>
		</div>
		
		<input id="contact_account_contact" type="hidden" name="account_contact">
		<button>Senden</button>
	</form>
</div>