{% extends 'sicherheitsdienst_document.html.twig' %}{% block main_content %} <div style="margin-top:50px;"> </div> <section class="section-padding"> <div class="container"> <div class="row"> <div class="col-12 col-lg-4"> {{ pimcore_wysiwyg('contact_text_left') }} </div> <div class="col-12 col-lg-8"> {{ pimcore_wysiwyg('contact_text_right') }} {% if message %} <div class="row"> <div class="col-12"> <div class="alert alert-secondary mb-3"> {% for line in message %} {{ line | raw }} {% endfor %} </div> </div> </div> {% endif %} {% if not mailSubmitted %} <div class="contact-form-border"> <form name="contact-form" id="contact-form" class="form" method="post" action="{{ app.request.uri }}"> <input type="hidden" name="contact_token" value="{{ 'now' | date('dmYHis') }}" /> <div class="row"> <div class="col-12 col-sm-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactFirstname" id="contactFirstname" value="{{ formdata.contactFirstname is defined ? formdata.contactFirstname }}" placeholder="Vorname*" required /> <label for="contactFirstname">Vorname*</label> </div> </div> <div class="col-12 col-sm-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactLastname" id="contactLastname" value="{{ formdata.contactLastname is defined ? formdata.contactLastname }}" placeholder="Nachname*" required /> <label for="contactLastname">Nachname*</label> </div> </div> </div> <div class="row"> <div class="col-9 col-md-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactStreet" value="{{ formdata.contactStreet is defined ? formdata.contactStreet }}" placeholder="Straße" /> <label for="contactStreet">Strasse</label> </div> </div> <div class="col-3 col-md-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactStreetNumber" value="{{ formdata.contactStreetNumber is defined ? formdata.contactStreetNumber }}" placeholder="Hausnr." /> <label for="contactStreetNumber">Hausnr.</label> </div> </div> </div> <div class="row"> <div class="col-3 col-md-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactZip" value="{{ formdata.contactZip is defined ? formdata.contactZip }}" placeholder="Plz" /> <label for="contactZip">Plz</label> </div> </div> <div class="col-9 col-md-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contactCity" value="{{ formdata.contactCity is defined ? formdata.contactCity }}" placeholder="Ort" /> <label for="contactCity">Ort</label> </div> </div> </div> <div class="row"> <!-- <div class="col-12 col-md-6 mb-3"> <div class="form-floating"> <input class="form-control" type="text" name="contact_phone" value="{{ formdata.contact_phone is defined ? formdata.contact_phone }}" placeholder="Telefon" /> </div> </div> --> <div class="col-12 mb-3"> <div class="form-floating" id="emailAddress"> <input class="form-floating" type="text" name="email_address" value="" placeholder="E-Mail-Adresse" /> <label for="email_address">E-Mail-Adresse wiederholen</label> </div> <div class="form-floating"> <input class="form-control" type="email" name="contactEmail" id="contactEmail" value="{{ formdata.contactEmail is defined ? formdata.contactEmail }}" placeholder="E-Mail-Adresse*" required /> <label for="contactEmail">E-Mail-Adresse*</label> </div> </div> </div> <div class="row"> <div class="col-12 mb-3"> <div class="form-group"> <textarea class="form-control" rows="6" name="contactMessage" id="contactMessage" placeholder="Ihre Nachricht*" required >{{ formdata.contactMessage is defined ? formdata.contactMessage }}</textarea> </div> </div> </div> {% if captcha is defined %} <br /> <div class="row"> <div class="col-12 mb-3"> <label for="captcha_answer"><strong>Sicherheitsfrage</strong><br />Bitte beantworten Sie die Frage: <strong>"{{ captcha.question | raw }}"</strong></label> </div> </div> <div class="row"> <div class="col-12 mb-3"> <div class="form-captcha"> <div class="form-group"> <input type="hidden" name="captcha_key" id="captcha_key" value="{{ captcha.key }}" required /> <input class="form-control" type="text" name="captcha_answer" id="captcha_answer" value="" required /> </div> </div> </div> </div> {% endif %} <div class="row"> <div class="col-12 text-center"> <div class="small"> {{ pimcore_wysiwyg('contact_dsgvo') }} </div> <input class="btn btn-default" style="display:inline-block;" type="submit" name="contact_submit" value="Nachricht abschicken" /> </div> </div> </form> </div> {% endif %} {% if mailSubmitted or editmode %} {% if editmode %} <div class="pim-tooltip"> <div class="row"> <div class="col"> Hinweis: Dieser Text wird dem Besucher nur nach erfolgreich versendeter Nachricht angezeigt. </div> </div> </div> {% endif %} <br /> <div class="row"> <div class="col-12"> {{ pimcore_wysiwyg('contact_submitted') }} </div> </div> {% endif %} </div> </div> </div> </section> {% endblock %}