36 lines
1.3 KiB
Smarty
36 lines
1.3 KiB
Smarty
<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">Rückruf erwünscht?</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> |