2024-02-13 02:18:27 +01:00
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<form data-request="anfrage::onSubmit" data-request-flash class="grid grid-cols-2 gap-3">
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<div class="col-span-full">
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<label for="reason" class="block text-sm font-medium text-gray-900 dark:text-white">Grund für die Feier</label>
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<input id="reason" name="reason" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="z.B. 18. Geburtstag">
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</div>
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<div>
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<label for="firstname" class="block text-sm font-medium text-gray-900 dark:text-white">Vorname</label>
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<input id="firstname" name="firstname" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div>
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<label for="lastname" class="block text-sm font-medium text-gray-900 dark:text-white">Nachname</label>
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<input id="lastname" name="lastname" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div>
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<label for="phone" class="block text-sm font-medium text-gray-900 dark:text-white">Telefonnummer</label>
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<input id="phone" name="phone" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div>
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<label for="email" class="block text-sm font-medium text-gray-900 dark:text-white">E-Mail-Adresse</label>
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<input id="email" name="email" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div>
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<label for="date" class="block text-sm font-medium text-gray-900 dark:text-white">Gewünschtes Datum</label>
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<input id="date" name="date" datepicker datepicker-autohide datepicker-format="dd.mm.yyyy" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div>
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<label for="guests" class="block text-sm font-medium text-gray-900 dark:text-white">Wie viele Gäste werden erwartet?</label>
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<input id="guests" name="guests" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light" placeholder="">
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</div>
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<div class="col-span-full">
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<label for="misc" class="block text-sm font-medium text-gray-900 dark:text-white">Was du sonst noch loswerden willst …</label>
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<textarea id="misc" name="misc" rows="5" class="shadow-sm bg-gray-50 border border-gray-300 text-gray-900 text-sm rounded-lg focus:ring-blue-500 focus:border-blue-500 block w-full p-2.5 dark:bg-gray-700 dark:border-gray-600 dark:placeholder-gray-400 dark:text-white dark:focus:ring-blue-500 dark:focus:border-blue-500 dark:shadow-sm-light"></textarea>
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</div>
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<div class="flex justify-center col-span-full mt-5">
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<button class="py-2 px-6 rounded bg-blue-900 hover:bg-blue-800 text-lg font-bold text-gray-300" type="submit">Absenden</button>
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2024-02-12 21:44:41 +01:00
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</div>
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</form>
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2024-02-13 02:18:27 +01:00
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