kontakt

<form accept-charset="UTF-8" action="https://ke260.infusionsoft.com/app/form/process/5c267be02542805a6014f706884d43af" class="infusion-form" id="inf_form_5c267be02542805a6014f706884d43af" method="POST">
    <input name="inf_form_xid" type="hidden" value="5c267be02542805a6014f706884d43af" />
    <input name="inf_form_name" type="hidden" value="Webform Contact" />
    <input name="infusionsoft_version" type="hidden" value="1.68.0.128" />
    <div class="infusion-field">
        <label for="inf_field_Title">Anrede</label>
        <div class="infusion-field-input-container">
            <select id="inf_field_Title" name="inf_field_Title"><option value="">Please select one</option><option value="Herr">Herr</option><option value="Frau">Frau</option></select>
        </div>
    </div>
    <div class="infusion-field">
        <label for="inf_field_FirstName">Vorname *</label>
        <input class="infusion-field-input-container" id="inf_field_FirstName" name="inf_field_FirstName" placeholder="Vorname *" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_field_LastName">Nachname *</label>
        <input class="infusion-field-input-container" id="inf_field_LastName" name="inf_field_LastName" placeholder="Nachname *" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_field_Company">Firma</label>
        <input class="infusion-field-input-container" id="inf_field_Company" name="inf_field_Company" placeholder="Firma" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_field_Phone1">Telefon</label>
        <input class="infusion-field-input-container" id="inf_field_Phone1" name="inf_field_Phone1" placeholder="Telefon" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_field_Email">Email *</label>
        <input class="infusion-field-input-container" id="inf_field_Email" name="inf_field_Email" placeholder="Email *" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_custom_Subject">Betreff *</label>
        <input class="infusion-field-input-container" id="inf_custom_Subject" name="inf_custom_Subject" placeholder="Betreff *" type="text" />
    </div>
    <div class="infusion-field">
        <label for="inf_custom_CallbackMessage">Nachricht *</label>
        <textarea cols="24" id="inf_custom_CallbackMessage" name="inf_custom_CallbackMessage" placeholder="Nachricht *" rows="5">
    </textarea></div>
    <div class="infusion-field">
        <label for="inf_custom_SoftwareUsed">Bisher verwendete L&ouml;sungen</label>
        <div class="infusion-field-input-container">
            <select multiple="" class=" infusion-multiselect" id="inf_custom_SoftwareUsed" name="inf_custom_SoftwareUsed" size="10"><option value="Afterbuy">Afterbuy</option><option value="Plentymarkets">Plentymarkets</option><option value="JTL">JTL</option><option value="Dreamrobot">Dreamrobot</option><option value="eTope">eTope</option><option value="Shopware">Shopware</option><option value="xtCommerce 4">xtCommerce 4</option><option value="xtCommerce 3">xtCommerce 3</option><option value="Gambio">Gambio</option><option value="Magento">Magento</option><option value="Presta">Presta</option><option value="Keine">Keine</option></select>
        </div>
    </div>
    <div class="infusion-submit">
        <button type="submit">Submit</button>
    </div>
</form>

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