templates/customer_services/newsletter.html.twig line 1

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  1. {% extends 'base.html.twig' %}
  4. {% block main_content %}
  5. <div class="main-content-area">
  6.     <form id= "register-form" method="post" name="Register" action="/register_user">
  7.         <div class="register-form-container">
  8.             <div class="label-input-container">
  9.                 <label for="anrede"> Anrede* </label>
  10.                 <div class="pseudo-div">
  11.                     <input type="radio" name="anrede" value="Frau">&nbspFrau
  12.                     <input type="radio" name="anrede" value="Herr">&nbspHerr
  13.                 </div>
  14.             </div>
  15.         </div>
  16.         <div class="register-form-container">
  17.             <div class="label-input-container">
  18.                 <label for="vorname">
  19.                     Vorname
  20.                 </label>
  21.                 <input type="text" name="vorname" >
  22.             </div>
  23.             <div class="label-input-container">
  24.                 <label for="nachname">
  25.                     Nachname
  26.                 </label>
  27.                 <input type="text" name="nachname" >
  28.             </div>
  29.         </div>
  31.         <div class="register-form-container">
  32.             <div class="label-input-container">
  33.                 <label for="mail"> E-Mail </label>
  34.                 <input type="text" name="mail">
  35.             </div>
  36.         </div>
  37.         <br>
  38.         INSERT RECAPTCHA<br><br>
  40.         <p><input type="checkbox" name="eaktion" value="ok" required="">&nbsp Bitte senden Sie mir künftig Ihren wöchentlichen Newsletter</p>
  41.         <p><input type="checkbox" name="datenschutz" value="ok" required="">&nbsp <a href="/dsgv"><u>Datenschutzerklärung</u></a></p>
  42.         <div class="register-form-container" style="margin-top:20px">
  43.             <input type="submit" name="register" value="senden" >
  44.         </div>
  45.     </form>
  46. </div>
  49. {% endblock %}