Mailchimp-Formular
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<h2>Abonnieren</h2>
<div class="indicates-required"><span class="asterisk">*</span> gibt an, dass es erforderlich ist</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Adresse E-Mail <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div class="mc-field-group">
<label for="mce-NOM">PRENOM </label>
<input type="text" value="" name="NOM" class="" id="mce-NOM">
</div>
<div class="mc-field-group">
<label for="mce-LNAME">NOM </label>
<input type="text" value="" name="LNAME" class="" id="mce-LNAME">
</div>
<div class="mc-address-group">
<div class="mc-field-group">
<label for="mce-ADRESSE-addr1">Adresse <span class="asterisk">*</span>
</label>
<input type="text" value="" maxlength="70" name="ADRESSE[addr1]" id="mce-ADRESSE-addr1" class="required">
</div>
<div class="mc-field-group">
<label for="mce-ADRESSE-addr2">Adresszeile 2</label>
<input type="text" value="" maxlength="70" name="ADRESSE[addr2]" id="mce-ADRESSE-addr2">
</div>
<div class="mc-field-group size1of2">
<label for="mce-ADRESSE-city">Stadt</label>
<input type="text" value="" maxlength="40" name="ADRESSE[city]" id="mce-ADRESSE-city" class="required">
</div>
<div class="mc-field-group size1of2">
<label for="mce-ADRESSE-state">Bundesland/Provinz/Region</label>
<input type="text" value="" maxlength="20" name="ADRESSE[state]" id="mce-ADRESSE-state" class="required">
</div>
<div class="mc-field-group size1of2">
<label for="mce-ADRESSE-zip">Postleitzahl/Postleitzahl</label>
<input type="text" value="" maxlength="10" name="ADRESSE[zip]" id="mce-ADRESSE-zip" class="required">
</div>
<div class="mc-field-group size1of2">
<label for="mce-ADRESSE-country">Land</label>
<select name="ADRESSE[country]" id="mce-ADRESSE-country" class="required"><option value="164">USA</option><option value="286">Aaland-Inseln</ option><option value="274">Afghanistan</option><option value="2">Albanien</option><option value="3">Algerien</option><option value="178">Amerikanisch Samoa</option><option value="4">Andorra</option><option value="5">Angola</option><option value="176">Anguilla</option><option value="175 ">Antigua und Barbuda</option><option value="6">Argentinien</option><option value="7">Armenien</option><option value="179">Aruba</option><option value="8">Australien</option><option value="9">Österreich</option><option value="10">Aserbaidschan</option><option value="11">Bahamas</option> <option value="12">Bahrain</option><option value="13">Bangladesch</option><option value="14">Barbados</option><option value="15">Weißrussland</ option><option value="16">Belgien</option><option value="17">Belize</option><option value="18">Benin</option><option value="19">Bermuda </option><option value="20">Bhutan</option><option value="21">Bolivien</option><option value="325">Bonaire, Sint Eustatius und Saba</option><option value="22">Bosnien und Herzegowina</option><option value="23">Botswana</option><option value="181">Bouvet-Insel</option><option value="24">Brasilien< /option><option value="180">Brunei Darussalam</option><option value="25">Bulgarien</option><option value="26">Burkina Faso</option><option value="27 ">Burundi</option><option value="28">Kambodscha</option><option value="29">Kamerun</option><option value="30">Kanada</option><option value= "31">Kap Verde</option><option value="32">Kaimaninseln</option><option value="33">Zentralafrikanische Republik</option><option value="34">Tschad</ option><option value="35">Chile</option><option value="36">China</option><option value="185">Weihnachtsinsel</option><option value="37"> Kolumbien</option><option value="204">Komoren</option><option value="38">Kongo</option><option value="183">Cookinseln</option><option value=" 268">Costa Rica</option><option value="275">Elfenbeinküste</option><option value="40">Kroatien</option><option value="276">Kuba</option ><option value="298">Curacao</option><option value="41">Zypern</option><option value="42">Tschechische Republik</option><option value="318">Demokratisch Republik Kongo</option><option value="43">Dänemark</option><option value="44">Dschibuti</option><option value="289">Dominica</option><option value ="187">Dominikanische Republik</option><option value="45">Ecuador</option><option value="46">Ägypten</option><option value="47">El Salvador</option ><option value="48">Äquatorialguinea</option><option value="49">Eritrea</option><option value="50">Estland</option><option value="51">Äthiopien </option><option value="189">Falklandinseln</option><option value="191">Färöer-Inseln</option><option value="52">Fidschi</option><option value=" 53">Finnland</option><option value="54" ausgewählt>Frankreich</option><option value="193">Französisch-Guayana</option><option value="277">Französisch-Polynesien</option> <option value="56">Gabun</option><option value="57">Gambia</option><option value="58">Georgien</option><option value="59">Deutschland</ option><option value="60">Ghana</option><option value="194">Gibraltar</option><option value="61">Griechenland</option><option value="195">Grönland </option><option value="192">Grenada</option><option value="196">Guadeloupe</option><option value="62">Guam</option><option value="198" >Guatemala</option><option value="270">Guernsey</option><option value="63">Guinea</option><option value="65">Guyana</option><option value=" 200">Haiti</option><option value="66">Honduras</option><option value="67">Hongkong</option><option value="68">Ungarn</option><option value="69">Island</option><option value="70">Indien</option><option value="71">Indonesien</option><option value="278">Iran</option> <option value="279">Irak</option><option value="74">Irland</option><option value="323">Isle of Man</option><option value="75">Israel </option><option value="76">Italien</option><option value="202">Jamaika</option><option value="78">Japan</option><option value="288" >Jersey (Kanalinseln)</option><option value="79">Jordanien</option><option value="80">Kasachstan</option><option value="81">Kenia</option>< option value="203">Kiribati</option><option value="82">Kuwait</option><option value="83">Kirgisistan</option><option value="84">Demokratische Volksrepublik Laos </option><option value="85">Lettland</option><option value="86">Libanon</option><option value="87">Lesotho</option><option value="88" >Liberia</option><option value="281">Libyen</option><option value="90">Liechtenstein</option><option value="91">Litauen</option><option value=" 92">Luxemburg</option><option value="208">Macau</option><option value="93">Mazedonien</option><option value="94">Madagaskar</option><option value ="95">Malawi</option><option value="96">Malaysia</option><option value="97">Malediven</option><option value="98">Mali</option>< option value="99">Malta</option><option value="207">Marshallinseln</option><option value="210">Martinique</option><option value="100">Mauretanien</ option><option value="212">Mauritius</option><option value="241">Mayotte</option><option value="101">Mexiko</option><option value="102">Moldawien , Republik</option><option value="103">Monaco</option><option value="104">Mongolei</option><option value="290">Montenegro</option><option value= "294">Montserrat</option><option value="105">Marokko</option><option value="106">Mosambik</option><option value="242">Myanmar</option><option value="107">Namibia</option><option value="108">Nepal</option><option value="109">Niederlande</option><option value="110">Niederländische Antillen</option ><option value="213">Neukaledonien</option><option value="111">Neuseeland</option><option value="112">Nicaragua</option><option value="113"> Niger</option><option value="114">Nigeria</option><option value="217">Niue</option><option value="214">Norfolk-Insel</option><option value=" 272">Nordkorea</option><option value="116">Norwegen</option><option value="117">Oman</option><option value="118">Pakistan</option><option value="222">Palau</option><option value="282">Palästina</option><option value="119">Panama</option><option value="219">Papua-Neuguinea</ option><option value="120">Paraguay</option><option value="121">Peru</option><option value="122">Philippinen</option><option value="221">Pitcairn </option><option value="123">Polen</option><option value="124">Portugal</option><option value="126">Katar</option><option value="315" >Republik Kosovo</option><option value="127">Reunion</option><option value="128">Rumänien</option><option value="129">Russland</option><option value ="130">Ruanda</option><option value="205">St. Kitts und Nevis</option><option value="206">St. Lucia</option><option value="324">St. Martin </option><option value="237">St. Vincent und die Grenadinen</option><option value="132">Samoa (unabhängig)</option><option value="227">San Marino</option ><option value="255">Sao Tome und Principe</option><option value="133">Saudi-Arabien</option><option value="134">Senegal</option><option value="326 ">Serbien</option><option value="135">Seychellen</option><option value="136">Sierra Leone</option><option value="137">Singapur</option><option value ="302">Sint Maarten</option><option value="138">Slowakei</option><option value="139">Slowenien</option><option value="223">Salomonen</option ><option value="140">Somalia</option><option value="141">Südafrika</option><option value="257">Südgeorgien und die Südlichen Sandwichinseln</option><option value ="142">Südkorea</option><option value="311">Südsudan</option><option value="143">Spanien</option><option value="144">Sri Lanka</ option><option value="293">Sudan</option><option value="146">Suriname</option><option value="225">Svalbard und Jan-Mayen-Inseln</option><option value=" 147">Swasiland</option><option value="148">Schweden</option><option value="149">Schweiz</option><option value="285">Syrien</option><option value ="152">Taiwan</option><option value="260">Tadschikistan</option><option value="153">Tansania</option><option value="154">Thailand</option>< option value="233">Timor-Leste</option><option value="155">Togo</option><option value="232">Tonga</option><option value="234">Trinidad und Tobago</option><option value="156">Tunesien</option><option value="157">Türkei</option><option value="158">Turkmenistan</option><option value="287 ">Türken & Caicosinseln</option><option value="159">Uganda</option><option value="161">Ukraine</option><option value="162">Vereinigte Arabische Emirate</option><option value ="262">Vereinigtes Königreich</option><option value="163">Uruguay</option><option value="165">Usbekistan</option><option value="239">Vanuatu</option> <option value="166">Vatikanstadt (Heiliger Stuhl)</option><option value="167">Venezuela</option><option value="168">Vietnam</option><option value=" 169">Jungferninseln (Britisch)</option><option value="238">Jungferninseln (USA)</option><option value="188">Westsahara</option><option value="170" >Jemen</option><option value="173">Sambia</option><option value="174">Simbabwe</option></select>
</div>
</div>
<div class="mc-field-group size1of2">
<label for="mce-TELEPHONE">Telefonnummer </label>
<input type="text" name="TELEPHONE" class="" value="" id="mce-TELEPHONE">
</div>
<div class="mc-field-group">
<label for="mce-MMERGE1">Site-Web </label>
<input type="url" value="" name="MMERGE1" class=" url" id="mce-MMERGE1">
</div>
<div class="mc-field-group size1of2">
<label for="mce-ANNIVERSAI-month">Jubiläumsdatum </label>
<div class="datefield">
<span class="subfield Monthfield"><input class="birthday " type="text" pattern="[0-9]*" value="" placeholder="MM" size="2" maxlength="2" name="ANNIVERSAI[month]" id="mce-ANNIVERSAI-month"></span> /
<span class="subfield dayfield"><input class="birthday " type="text" pattern="[0-9]*" value="" placeholder="DD" size="2" maxlength="2" name="ANNIVERSAI[day]" id="mce-ANNIVERSAI-day"></span>
<span class="small-meta nowrap">( mm / dd )</span>
</div>
</div><div class="mc-field-group size1of2">
<label for="mce-MMERGE7-month">Tagesdatum <span class="asterisk">*</span>
</label>
<div class="datefield">
<span class="subfield monatliches Feld"><input class="datepart required" type="text" pattern="[0-9]*" value="" placeholder="MM" size="2" maxlength="2 " name="MMERGE7[month]" id="mce-MMERGE7-month"></span> /
<span class="subfield dayfield"><input class="datepart needed" type="text" pattern="[0-9]*" value="" placeholder="DD" size="2" maxlength="2 " name="MMERGE7[day]" id="mce-MMERGE7-day"></span> /
<span class="subfield yearfield"><input class="datepart needed" type="text" pattern="[0-9]*" value="" placeholder="YYYY" size="4" maxlength="4 " name="MMERGE7[year]" id="mce-MMERGE7-year"></span>
<span class="small-meta nowrap">( mm / dd / yyyy )</span>
</div>
</div>
<div class="mc-field-group input-group">
<strong>E-Mail-Format</strong>
<ul><li><input type="radio" value="html" name="EMAILTYPE" id="mce-EMAILTYPE-0"><label for="mce-EMAILTYPE-0">html</label> </li>
<li><input type="radio" value="text" name="EMAILTYPE" id="mce-EMAILTYPE-1"><label for="mce-EMAILTYPE-1">text</label></li >
</ul>
</div>
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<div class="content__gdpr">
<label>Marketing-Autorisierungen</label>
<p>Veuillez choisir comment vous souhaitez avoir the nouvelles de ebjcommerceenligne.com</p>
<fieldset class="mc_fieldset gdprRequired mc-field-group" name="interestgroup_field">
<label class="checkbox subfield" for="gdpr_27917"><input type="checkbox" id="gdpr_27917" name="gdpr[27917]" value="Y" class="av-checkbox gdpr"><span >E-Mail</span> </label><label class="checkbox subfield" for="gdpr_27921"><input type="checkbox" id="gdpr_27921" name="gdpr[27921]" value="Y " class="av-checkbox gdpr"><span>Kurier direkt</span> </label>
</fieldset>
<p>Sie können sofort loslegen, indem Sie sich auf das Pfandrecht auf der Basis unserer E-Mail-Adressen verlassen. Um weitere Informationen zu unseren Vertraulichkeitspraktiken zu erhalten, besuchen Sie unsere Website.</p>
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<p>Wir nutzen Mailchimp als unsere Marketingplattform. Indem Sie unten klicken, um sich anzumelden, bestätigen Sie, dass Ihre Daten zur Verarbeitung an Mailchimp übertragen werden. <a href=" https://mailchimp.com/legal/ " target="_blank"> Erfahren Sie hier mehr über die Datenschutzpraktiken von Mailchimp.</a></p>
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