<form method="POST" action="https://www.pinnery.com/webform/post.php?account=5a69e026a5328" onsubmit="return pinnery_MandatoryFilled(this);"><div class="pinneryForm"><input type="hidden" name="mandatoryCheck" id="mandatoryCheck" value="0" /><input type="hidden" name="s1" id="pinnerySoul" /><input type="hidden" name="s2" id="pinnerySoul2" /><input type="hidden" name="s3" id="pinnerySoul3" /><input type="hidden" name="destinationUrl" value="" /><div class="pinneryFormGroup"><label for="pinneryInput0">Betreff:<span class="pinneryMandatory">*</span></label><input type="hidden" name="mfld_subject" id="pinnery_mfld_subject" value="1" /><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Betreff" type="text" name="fld_subject" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Kommentare:</label><textarea onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput pinneryFormTextarea" placeholder="Kommentare" name="fld_comments"></textarea></div><div class="pinneryFormGroup"><label for="pinneryInput0">Vorname:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Vorname" type="text" name="fld_firstname" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Name:<span class="pinneryMandatory">*</span></label><input type="hidden" name="mfld_lastname" id="pinnery_mfld_lastname" value="1" /><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Name" type="text" name="fld_lastname" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Firma:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Firma" type="text" name="fld_company" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">PLZ:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="PLZ" type="text" name="fld_zip" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Ort:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Ort" type="text" name="fld_city" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">eMail:<span class="pinneryMandatory">*</span></label><input type="hidden" name="mfld_email" id="pinnery_mfld_email" value="1" /><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="eMail" type="email" name="fld_email" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Telefon:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Telefon" type="tel" name="fld_phone" /></div><div class="pinneryFormGroup"><label for="pinneryInput0">Mobiltelefon:</label><input onchange="pinneryInput()" id="pinneryInput0" class="pinneryFormInput" placeholder="Mobiltelefon" type="tel" name="fld_mobilephone" /></div><div class="pinneryMandatoryDesc"><span class="pinneryMandatory">*</span>Pflichtfeld</div><div class="pinneryNoRobot"><div class="pinneryRobotCheck" onclick="pinnery_checkRobot()"><img class="pinneryRobotCheckBox" src="https://www.pinnery.com/webform/check.gif" alt="Checkbox" /></div><div class="pinneryRobotText">Ich bin kein Roboter.<span class="pinneryMandatory">*</span></div></div><div class="pinneryError" id="pinneryErrorMandatory">Bitte geben Sie alle Pflichtangaben ein!</div><div class="pinneryError" id="pinneryErrorRobot">Bitte verifizieren Sie, dass Sie kein Roboter sind!</div><div class="pinnerySubmitWrapper"><input type="submit" /></div></div></form><script type="text/javascript" src="https://www.pinnery.com/webform/contact.js"></script>