108 lines
4.2 KiB
PHP
108 lines
4.2 KiB
PHP
<?php
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echo "<fieldset>\n";
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echo " <legend>Firmendaten eingeben</legend>\n";
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echo " <form action=\"bestellung.php\" method=\"post\" />\n";
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echo " <input type=\"hidden\" name=\"prod\" value=\"".$_POST['prod']."\" />\n";
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echo " <input type=\"hidden\" name=\"aktstep\" value=\"1\" />\n";
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echo " <input type=\"hidden\" name=\"User\" value=\"".$_POST['User']."\" />\n";
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echo " <input type=\"hidden\" name=\"Passwort\" value=\"".$_POST['Passwort']."\" />\n";
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echo " <input type=\"hidden\" name=\"Passwort2\" value=\"".$_POST['Passwort2']."\" />\n";
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echo " <input type=\"hidden\" name=\"Zahlung\" value=\"".$_POST['Zahlung']."\" />\n";
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echo " <input type=\"hidden\" name=\"Versand\" value=\"".$_POST['Versand']."\" />\n";
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echo " <input type=\"hidden\" name=\"agb_ok\" value=\"".$_POST['agb_ok']."\" />\n";
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echo " <div style=\"float:left; width: 64px; height: 64px;\"></div>\n";
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include "inhalte/start_prod.php";
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echo " <input type=\"submit\" class=\"button_next\" name=\"step\" value=\"2\" />\n";
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echo " <br />\n";
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echo " <hr />\n";
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echo " <br />\n";
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echo " <label>Firmenname</label>\n";
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echo " <input type=\"text\" name=\"Firma_Name\" value=\"".$_POST['Firma_Name']."\" />\n";
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echo " <br />\n";
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echo " <label>Anrede</label>\n";
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echo " <select name=\"Anrede\" />\n";
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echo " <option value=\"Frau\" ";
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if ("Frau" == $_POST['Anrede']) {
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echo "selected=\"selected\"";
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}
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echo ">Frau</option>\n";
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echo " <option value=\"Herr\" ";
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if ("Herr" == $_POST['Anrede']) {
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echo "selected=\"selected\"";
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}
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echo ">Herr</option>\n";
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echo " </select>\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_vor) {
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echo " class=\"warn\"";
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}
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echo ">* Vorname</label>\n";
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echo " <input type=\"text\" name=\"Vorname\" value=\"".$_POST['Vorname']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_nach) {
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echo " class=\"warn\"";
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}
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echo ">* Nachname</label>\n";
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echo " <input type=\"text\" name=\"Nachname\" value=\"".$_POST['Nachname']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_str) {
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echo " class=\"warn\"";
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}
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echo ">* Strasse / Hausnummer</label>\n";
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echo " <input type=\"text\" name=\"Strasse\" value=\"".$_POST['Strasse']."\" />\n";
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echo " <h2>/</h2>\n";
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echo " <input class=\"short\" type=\"text\" name=\"Nummer\" value=\"".$_POST['Nummer']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_plz) {
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echo " class=\"warn\"";
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}
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echo ">* PLZ / Ort</label>\n";
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echo " <input class=\"short\" type=\"text\" name=\"PLZ\" value=\"".$_POST['PLZ']."\" />\n";
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echo " <h2>/</h2>\n";
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echo " <input type=\"text\" name=\"Ort\" value=\"".$_POST['Ort']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_land) {
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echo " class=\"warn\"";
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}
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echo ">* Land</label>\n";
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echo " <input type=\"text\" name=\"Land\" value=\"".$_POST['Land']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_tel) {
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echo " class=\"warn\"";
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}
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echo ">* Telefon</label>\n";
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echo " <input type=\"text\" name=\"Telefon\" value=\"".$_POST['Telefon']."\" />\n";
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echo " <br />\n";
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echo " <label>Mobil</label>\n";
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echo " <input type=\"text\" name=\"Mobil\" value=\"".$_POST['Mobil']."\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_email) {
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echo " class=\"warn\"";
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}
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echo ">* Email</label>\n";
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echo " <input type=\"text\" name=\"Email\" value=\"".$_POST['Email']."\" />\n";
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echo " <img src=\"img/small_info.png\" alt=\"Hilfe\" title=\"Geben Sie unbedingt eine gültige Email-Adresse an. Sie erhalten auf diese Email-Adresse eine Aktivierungsnachricht, die Sie bestätigen müssen!\" />\n";
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echo " <br />\n";
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echo " <label\n";
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if ($check_email) {
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echo " class=\"warn\"";
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}
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echo ">* Email-Bestätigung</label>\n";
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echo " <input type=\"text\" name=\"Email2\" value=\"".$_POST['Email2']."\" />\n";
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echo " <img src=\"img/small_info.png\" alt=\"Hilfe\" title=\"Wiederholen Sie die oben angegebene Email-Adresse!\" />\n";
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echo " <br />\n";
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echo " <label> </label><label class=\"warn\">* Pflichtfelder<br /></label>\n";
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echo " <br /><hr /><br />\n";
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echo " <div style=\"float:left; width: 64px; height: 64px;\"></div>\n";
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include "inhalte/warnings.php";
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echo " <input type=\"submit\" class=\"button_next\" name=\"step\" value=\"2\" />\n";
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echo " </form>\n";
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echo "</fieldset>\n";
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?>
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