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Kevin Adametz
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174
_static/templates/kontakt.php
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174
_static/templates/kontakt.php
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<?php include('./templates/_header.php'); ?>
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<section class="page-header page-header-xlg parallax parallax-3"
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style="background-image:url('assets/images/vision-min.jpg')">
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<div class="overlay dark-1"><!-- dark overlay [1 to 9 opacity] --></div>
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<div class="container">
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</div>
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</section>
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<style>
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.plugin-contact-form-error {
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background-color: #e68080;
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padding: 14px;
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border-radius: 8px;
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border: 1px solid #da7171;
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color: #fff;
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}
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#plugin-contact-form-success {
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background-color: #abbd8b;
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padding: 14px;
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border-radius: 8px;
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border: 1px solid #9eb17e;
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color: #fff;
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}
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</style>
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<!-- /PAGE HEADER -->
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<!-- -->
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<section>
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<div class="container">
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<div class="row">
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<!-- FORM -->
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<div class="col-md-9 col-sm-8">
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<h1>Schreibe uns!</strong></h1>
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<p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt
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ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo
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dolores et ea rebum.</p>
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<form role="form" action="contact_form_ajax.php" data-load="submit" method="post"
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id="plugin-contact-form">
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<div class="row contact-row">
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<div class="col-md-6">
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<input type="text" class="form-control" id="sender_firstname" name="sender_firstname"
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placeholder="Vorname" required>
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<div id="error-sender_firstname-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie Ihren Vornamen an.
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</div>
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</div>
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<div class="col-md-6">
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<input type="text" class="form-control" id="sender_name" name="sender_name"
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placeholder="Nachname" required>
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<div id="error-sender_name-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie Ihren Nachnamen an.
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</div>
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</div>
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</div>
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<div class="row contact-row">
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<div class="col-md-6">
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<input type="email" class="form-control" id="sender_email" name="sender_email"
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placeholder="E-Mail" required>
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<div id="error-sender_email-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie Ihre E-Mail an.
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</div>
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</div>
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<div class="col-md-6">
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<input type="email" class="form-control" id="sender_email_repeat"
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name="sender_email_repeat" placeholder="E-Mail wiederholen" required>
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<div id="error-sender_email_repeat-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie Ihre E-Mail erneut an.
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</div>
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</div>
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</div>
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<div class="row contact-row">
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<div class="col-md-12">
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<input type="text" class="form-control" id="sender_subject" name="sender_subject"
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placeholder="Betreff" required>
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<div id="error-sender_subject-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie einen Betreff an.
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</div>
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</div>
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<div class="col-md-12">
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<br>
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<textarea class="form-control" name="message" id="message" placeholder="Ihre Nachticht"
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rows="6"></textarea>
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<div id="error-message-required" class="alert alert-danger plugin-contact-form-error"
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style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte geben Sie eine Nachricht an.
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</div>
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</div>
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<div class="col-md-12" style="margin-bottom: 10px; margin-top: 10px;">
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<label class="checkbox" for="accepted_data_protection">
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<input type="checkbox" name="accepted_data_protection"
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id="accepted_data_protection">
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<i></i> Hiermit willige ich in die im Rahmen der <a href="/datenschutz">Datenschutzerklärung</a>
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genannte Datenverarbeitung ein.
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</label>
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<div id="error-accepted_data_protection-required"
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class="alert alert-danger plugin-contact-form-error" style="display: none;">
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<button type="button" class="close" data-dismiss="alert">×</button>
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Bitte akzeptieren Sie unsere Datenschutzerklärung.
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</div>
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</div>
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</div>
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<input type="hidden" id="required" name="required"
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value="message,sender_firstname,sender_name,sender_email,sender_email_repeat,sender_subject,accepted_data_protection">
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<input type="hidden" id="sender_token" name="sender_token" value="">
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<button type="submit" class="btn btn-primary"><i class="fa fa-check"></i> Nachricht senden
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</button>
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</form>
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</div> <!-- end col -->
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<!-- /FORM -->
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<!-- INFO -->
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<div class="col-md-3 col-sm-4">
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<h2>Kontakt</h2>
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<hr/>
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<p>
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<span class="block"><strong><i class="fa fa-map-marker"></i> Adresse:<br></strong> mivita e.K.<br>
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Leinfeld 2<br>
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87755 Kirchhaslach</span>
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<span class="block"><strong><i class="fa fa-phone"></i> Telefon:</strong> <a
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href="tel:0 83 33- 35 65">0 83 33- 35 65</a></span>
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<span class="block"><strong><i class="fa fa-envelope"></i> Email:</strong> <a
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href="mailto:info@riwa-tec.de">info@mivita.care</a></span>
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</p>
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<hr/>
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<h4 class="font300">Geschäftszeiten</h4>
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<p>
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<span class="block"><strong>Mo. - Fr.:</strong> 9:00 bis 18:00</span>
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<span class="block"><strong>Sa.:</strong> 9:00 bis 13:00</span>
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<span class="block"><strong>So.:</strong> geschlossen</span>
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</p>
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</div>
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<!-- /INFO -->
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</div>
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</div>
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</section>
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<!-- / -->
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<?php include('./templates/_footer.php'); ?>
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