40 lines
1.5 KiB
HTML
40 lines
1.5 KiB
HTML
{% extends "base.html" %}
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{% block title %}
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Title: Form
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{% endblock %}
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{% block content %}
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<center>
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<br><br>
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<h1>Trauzeugen-Antragsformular gem. Passierschein A38</h1>
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<form action='#' method='post'>
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<br><br>
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<p> Name:</p>
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<p><input type='text' name='name' /></p>
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<p> Email:</p>
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<p><input type='text' name='email' /></p>
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<br><br>
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<h5>Glatze vorhanden und entspiegelt?</h5>
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<br>
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<input type="radio" class="btn-check" name="options-base" id="option1" autocomplete="off" checked>
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<label class="btn" for="option1">Ja!</label>
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<input type="radio" class="btn-check" name="options-base" id="option2" autocomplete="off">
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<label class="btn" for="option2">Nein!</label>
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<br><br>
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<h5>Bock auf ein Trauzeugen-Happening am 20.07.24?</h5>
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<br><br>
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<input type="radio" class="btn-check" name="options-base2" id="option3" autocomplete="off" checked>
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<label class="btn" for="option3">Fuck yes!</label>
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<input type="radio" class="btn-check" name="options-base2" id="option4" autocomplete="off">
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<label class="btn" for="option4">Fuck no!</label>
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<input type="radio" class="btn-check" name="options-base2" id="option5" autocomplete="off">
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<label class="btn" for="option5">Fuck you!</label><br><br>
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<p><input type='submit' value='Antrag einreichen' /></p>
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</form>
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</center>
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{% endblock %} |