SV Blau-Weiss Schotten 1909 e.V. - Kontaktdaten aktualisieren

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<title>Kontaktdatenformular</title>
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$('#Geburtsdatum').datepicker({
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var today = new Date();
var y = today.getFullYear();
var mo = today.getMonth() + 1;
var d = today.getDate()
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<div class="w3-container w3-white">

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<div class="w3-container">
<p class="textend">Mit diesem Formular können Sie uns Ihre aktuellen Kontaktdaten übermitteln. Wir möchten in Zukunft möglichst papierlos arbeiten und bitten darum, uns Ihre Mail-Adresse als Kontaktmöglichkeit mitzuteilen. </p>
</div>


<form class="w3-container" action="javascript: uebertragen()" method="POST" name="DAFORM" onSubmit="SetCookies();return chkFormular();" enctype="multipart/form-data" target="_self">
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<input type="hidden" name="admin" value="fnR/V3pyfnlyZHJ+Y3I5Y3JkYw==">
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<input type="hidden" name="typemail" value="html">
<input type="hidden" name="crypt" value="1">
<input type="hidden" name="conf_csv" value="0">
<input type="hidden" name="einleittext" value="">
<input type="hidden" name="copyfields" value="-1">
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<input type="hidden" name="hide_empty_fields" value="0">
<input type="hidden" name="settings_encoding" value="utf-8">
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<input type="hidden" name="conf_lang" value="de">
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<input type="hidden" name="label__Telefonnummerprivat" value="VGVsZWZvbm51bW1lciBGZXN0bmV0eg==">

<p>
<label>Vorname*</label>
<input class="w3-input w3-white" type="text" name="Vorname" id="Vorname" value="" maxLength="100">
</p>

<p>
<label>Nachname*</label>
<input class="w3-input w3-white" type="text" name="Nachname" id="Nachname" value="" maxLength="100">
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<p>
<label>E-Mail*</label>
<input class="w3-input w3-white" type="text" name="EMail" id="EMail" value="" maxLength="100">
</p>

<p>
<label>Telefonnummer mobil</label>
<input class="w3-input w3-white" type="text" name="Telefonnummermobil" id="Telefonnummermobil" placeholder="0567 8987654" maxLength="100">
</p>

<p>
<label>Telefonnummer Festnetz</label>
<input class="w3-input w3-white" type="text" name="Telefonnummerprivat" id="Telefonnummerprivat" placeholder="06044 1234" maxLength="100">
</p>

<p>
<label>Spam-Schutz</label>
</p>
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<p class="textend"></p>
<hr/>

<label>Bitte beachten Sie unsere </label>
<a href="https://blau-weiss-schotten.de/index.php/datenschutz" target="_blank">Datenschutzerklärung.</a>
<p>
<button type="submit" class="w3-btn w3-blue-grey">Absenden</button>
<button type="reset" class="w3-btn w3-red">Zurücksetzen</button>

</p>
</form>

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</html>{/source}

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