73 lines
3.7 KiB
HTML
73 lines
3.7 KiB
HTML
---
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layout: page
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title: '| Kontakt'
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permalink: '/kontakt/'
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---
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<script src="https://www.google.com/recaptcha/api.js" async defer></script>
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<script src="{{ '/assets/js/kontakt.js' | relative_url }}"></script>
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<div class="container" id="section-wrapper">
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<section id="kontakt">
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<div class="center">
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<h2 class="thin-text">Kontakt</h2>
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</div>
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<form method="post" action="https://websitekontakt.services.freifunk.labcode.de" class="row">
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<div class="row">
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<div class="input-field col s12">
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<select required name="recipient" class="validate" id="recipient">
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<option value="" disabled selected id="recipient_option_choose">Bitte Empfänger auswählen</option>
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<option value="allgemein">Allgemein</option>
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<option value="vorstand">Vorstand</option>
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<option value="technik">Technik</option>
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<option value="kasse">Kasse</option>
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<option value="cmy_ak">Community Altenkirchen</option>
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<option value="cmy_lo">Community Lohmar</option>
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<option value="cmy_mck">Community Meckenheim</option>
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<option value="cmy_rhb">Community Rheinbach</option>
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<option value="cmy_su">Community Siegburg</option>
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<option value="cmy_sta">Community St. Augustin</option>
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<option value="cmy_tdf">Community Troisdorf</option>
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</select>
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<label>Empfänger auswählen</label>
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</div>
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</div>
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<div class="row">
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<div class="input-field col s12 m6">
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<input required id="name" name="name" type="text" class="validate">
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<label for="name">Dein Name</label>
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</div>
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<div class="input-field col s12 m6">
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<input required id="email" name="email" type="email" class="validate">
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<label for="email">Deine E-Mail</label>
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</div>
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</div>
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<div class="row">
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<div class="input-field col s12">
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<textarea required id="nachricht" name="nachricht" class="validate materialize-textarea"></textarea>
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<label for="nachricht">Deine Nachricht</label>
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</div>
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</div>
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<div class="row col s12">
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<p>
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<label>
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<input type="checkbox" required name="dsgvo" />
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<span>Ich habe die <a href="{{ site.baseurl }}{% link datenschutz.html %}">Datenschutzerklärung</a> zur Kenntnis genommen. Ich stimme zu, dass meine Angaben und Daten zur Beantwortung meiner Anfrage elektronisch erhoben und gespeichert werden.
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Hinweis: Sie können Ihre Einwilligung jederzeit für die Zukunft per E-Mail an kontakt@freifunk-rhein-sieg.net widerrufen.</span>
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</label>
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</p>
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</div>
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<div class="row">
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<div class="col s12">
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<div class="g-recaptcha" data-sitekey="6LecWU0UAAAAAEn0x7omZAzYm-uHdSfA-r8IdLv8"></div>
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</div>
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</div>
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<input id="hostname" name="hostname" type="hidden" value="{{ site.url }}">
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<div class="row">
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<div class="col s12">
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<button class="btn waves-effect waves-light" type="submit" name="action">Submit
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<i class="material-icons right">send</i>
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</button>
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</div>
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</div>
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</form>
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</section>
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</div> |