71 lines
3.7 KiB
HTML
71 lines
3.7 KiB
HTML
<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header">
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<h5 class="modal-title" id="exampleModalLabel">Registrieren Sie sich!</h5>
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<button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
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</div>
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<div class="modal-body container registerform">
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<form id="marmeladenLadenRegisterForm" >
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<div class="row">
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<div class="col-3">
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<select name="salutation" id="salutation">
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<option disabled selected value="0" style="display:none">Anrede</option>
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<option value="Frau">Frau</option>
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<option value="Herr">Herr</option>
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<option value="Person">Person</option>
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</select>
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</div>
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<div class="col-4">
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<input type="text" class="form-control" name="firstname" id="firstname" placeholder="Vorname" required>
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</div>
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<div class="col-5">
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<input type="text" class="form-control" name="lastname" id="lastname" placeholder="Nachname" required>
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</div>
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</div>
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<div class="row" id="address">
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<div class="col-12">
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<input type="text" class="form-control" name="street" id="street" placeholder="Straße" required>
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</div>
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<div>
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<div class="row">
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<div class="col-4">
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<input type="text" class="form-control" name="zip" id="zip" placeholder="PLZ" required>
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</div>
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<div class="col-8">
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<input type="text" class="form-control" name="city" id="city" placeholder="Stadt" required>
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</div>
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</div>
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<div class="row">
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<div class="col-12">
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<input type="text" class="form-control" name="country" id="country" placeholder="Land" required>
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</div>
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</div>
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<div class="row">
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<div class="col-12">
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<input type="email" class="form-control" name="email" id="email" placeholder="E-Mail" required>
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</div>
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</div>
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<div class="row">
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<div class="col-12">
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<input type="password" class="form-control" name="password" id="password" placeholder="Passwort" required>
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</div>
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</div>
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<div class="row">
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<div class="col-12">
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<input type="password" class="form-control" name="password2" id="password2" placeholder="Passwort wiederholen" required>
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</div>
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</div>
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<div class="row">
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<div class="col-12">
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<input type="text" class="form-control" name="phone" id="phone" placeholder="Telefon" required>
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</div>
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</div>
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<div class="modal-footer d-block">
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<button type="button" class="btn btn-secondary float-start" id="cancelButton" data-bs-target="#marmeladenladenLogin" data-bs-toggle="modal" data-bs-dismiss="modal">Cancel</button>
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<button type="button" class="btn btn-success float-end" id="registration" onclick="register()" >Registrieren</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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<script src="../js/registration.js"></script> |