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lars |
1 |
<div class="inner">
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<div class="csc-mailform">
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<div style="padding:2%;">
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<h1>
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Sie wollen ein Gerät verkaufen?
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</h1>
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<p>
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Bitte füllen Sie das folgende Formular aus.
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</p>
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</div>
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<form action="/anfrage_form.htm" enctype="multipart/form-data" method="post">
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<ol>
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<li class="csc-form-2 csc-form-element csc-form-element-header"><h3>Maschinendaten</h3></li>
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<li class="csc-form-3 csc-form-element csc-form-element-textline">
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<label for="field-3">Maschinentyp</label>
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<input id="field-3" name="tx_form[Maschinentyp]" type="text"/>
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</li>
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<li class="csc-form-4 csc-form-element csc-form-element-textline">
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<label for="field-4">Marke/Modell</label>
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<input id="field-4" name="tx_form[Marke_Modell]" type="text"/>
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</li>
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<li class="csc-form-5 csc-form-element csc-form-element-textline">
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<label for="field-5">Baujahr</label>
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<input id="field-5" name="tx_form[Baujahr]" type="text"/>
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</li>
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<li class="csc-form-6 csc-form-element csc-form-element-textline">
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<label for="field-6">Betriebsstunden</label>
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<input id="field-6" name="tx_form[Betriebsstunden]" type="text"/>
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</li>
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<li class="csc-form-7 csc-form-element csc-form-element-textline">
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<label for="field-7">Preisvorstellung ohne MwSt.</label>
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<input id="field-7" name="tx_form[Preisvorstellung]" type="text"/>
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</li>
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<li class="csc-form-8 csc-form-element csc-form-element-header"><h3>Persönliche Daten</h3></li>
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<li class="csc-form-9 csc-form-element csc-form-element-textline">
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<label for="field-9">Name</label>
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<input id="field-9" name="tx_form[Name]" type="text"/>
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</li>
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<li class="csc-form-10 csc-form-element csc-form-element-textline">
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<label for="field-10">E-Mail</label>
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<input id="field-10" name="tx_form[E-Mail]" type="text"/>
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</li>
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<li class="csc-form-11 csc-form-element csc-form-element-textline">
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<label for="field-11">Telefon</label>
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<input id="field-11" name="tx_form[Telefon]" type="text"/>
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</li>
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<li class="csc-form-12 csc-form-element csc-form-element-textline">
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<label for="field-12">Firma</label>
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<input id="field-12" name="tx_form[Firma]" type="text"/>
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</li>
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<li class="csc-form-13 csc-form-element csc-form-element-textline">
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<label for="field-13">Adresse</label>
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<input id="field-13" name="tx_form[Adresse]" type="text"/>
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</li>
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<li class="csc-form-14 csc-form-element csc-form-element-header"><h3>Kurze Beschreibung</h3></li>
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<li class="csc-form-15 csc-form-element csc-form-element-textarea">
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<label for="field-15">Zustand/Ausstattung</label>
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<textarea cols="40" id="field-15" name="tx_form[Beschreibung]" rows="5"></textarea>
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</li>
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<li class="csc-form-16 csc-form-element csc-form-element-fileupload">
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<label for="field-16">Bild 1 hochladen</label>
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<input id="field-16" name="document[]" type="file"/>
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</li>
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<li class="csc-form-17 csc-form-element csc-form-element-fileupload">
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<label for="field-17">Bild 2 hochladen</label>
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<input id="field-17" name="document[]" type="file"/>
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</li>
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<li class="csc-form-18 csc-form-element csc-form-element-fileupload">
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<label for="field-18">Bild 3 hochladen</label>
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<input id="field-18" name="document[]" type="file"/>
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</li>
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<li class="csc-form-19 csc-form-element csc-form-element-fileupload">
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<label for="field-19">Bild 4 hochladen</label>
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<input id="field-19" name="document[]" type="file"/>
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</li>
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<li class="csc-form-20 csc-form-element csc-form-element-fileupload">
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<label for="field-20">Bild 5 hochladen</label>
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<input id="field-20" name="document[]" type="file" />
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</li>
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<li class="csc-form-21 csc-form-element csc-form-element-submit">
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<input type="hidden" name="action" value="sendmail" />
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<input id="field-21" type="submit" value="Formular absenden"/>
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</li>
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</ol>
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</form>
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</div>
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</div>
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