Newer
Older
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
<div class="alert alert-info">Nun wird das Impressum mit deinen Daten ausgefüllt. Du kannst es im Nachhinein noch aus dem Adminbereich ändern.</div>
<form method="post" action="?step=7">
<table class="table table-striped">
<tr>
<td>Name/Vorname</td>
<td>
<div class="input-group">
<input type="text" name="name" class="form-control" required>
<input type="text" name="vorname" class="form-control" required>
</div>
</td>
</tr>
<tr>
<td>Str./Hausnummer</td>
<td>
<div class="input-group">
<input type="text" name="str" class="form-control" required>
<input type="text" name="hs" class="form-control" required>
</div>
</td>
</tr>
<tr>
<td>PLZ/Ort</td>
<td>
<div class="input-group">
<input type="text" name="plz" class="form-control" required>
<input type="text" name="ort" class="form-control" required>
</div>
</td>
</tr>
<tr>
<td>E-Mail</td>
<td><input type="text" name="mail" class="form-control" required></td>
</tr>
</table>
<input type="submit" name="impressum_anlegen" value="Anlegen" class="btn btn-success btn-block">
</form>