kundenkarte.sw-carwash.de Open in urlscan Pro
20.52.61.137  Public Scan

Form analysis
1 forms found in the DOM

POST /Contact/SendEmail

<form action="/Contact/SendEmail" method="post" novalidate="novalidate">
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="CardNumber">Kartennummer*</label>
    <input class="form-control" placeholder="Kartennummer" type="text" data-val="true" data-val-maxlength="Die Kartennummer ist zu lang." data-val-maxlength-max="20" data-val-minlength="Die Kartennummer ist zu kurz." data-val-minlength-min="4"
      data-val-required="Bitte geben Sie die Kartennummer an (Pflichtfeld)" id="CardNumber" maxlength="20" name="CardNumber" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="CardNumber" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2  text-start ">
    <label class="control-label" for="SiteID">Standort*</label>
    <select class="form-control" data-val="true" data-val-required="Bitte wählen Sie den Standort aus (Pflichtfeld)" id="SiteID" name="SiteID">
      <option value="">Bitte Standort auswählen</option>
      <option selected="selected">Burgau</option>
    </select>
    <span class="text-danger field-validation-valid" data-valmsg-for="SiteID" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="CompanyName">Firma (optional)</label>
    <input class="form-control" type="text" id="CompanyName" name="CompanyName" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="CompanyName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="FirstName">Vorname</label>
    <input class="form-control" placeholder="Vorname" type="text" id="FirstName" name="FirstName" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start ">
    <label class="control-label" for="LastName">Nachname</label>
    <input class="form-control" placeholder="Nachname" type="text" id="LastName" name="LastName" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="BirthDate">Geburtsdatum</label>
    <input type="date" class="form-control" placeholder="TT.MM.JJJJ" value="" id="BirthDate" name="BirthDate"><input name="__Invariant" type="hidden" value="BirthDate">
    <span class="text-danger field-validation-valid" data-valmsg-for="BirthDate" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="LicensePlate">Kennzeichen</label>
    <input class="form-control" placeholder="Kennzeichen" type="text" id="LicensePlate" name="LicensePlate" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="LicensePlate" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="Email">Email*</label>
    <input class="form-control" placeholder="Email" type="email" data-val="true" data-val-email="Bitte geben Sie eine gültige Emailadresse an." data-val-required="Bitte geben Sie eine Emailadresse an (Pflichtfeld)" id="Email" name="Email" value="">
    <span class="text-danger field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="Street">Anschrift</label>
    <input class="form-control" placeholder="Straße und Hausnummer" type="text" id="Street" name="Street" value="">
    <div class="w-100 mt-2 d-flex">
      <input class="form-control w-25" placeholder="PLZ" type="text" id="PostalCode" name="PostalCode" value="">
      <input class="form-control w-75" placeholder="Ort" type="text" id="City" name="City" value="">
    </div>
    <span class="text-danger field-validation-valid" data-valmsg-for="Street" data-valmsg-replace="true"></span>
    <span class="text-danger field-validation-valid" data-valmsg-for="PostalCode" data-valmsg-replace="true"></span>
    <span class="text-danger field-validation-valid" data-valmsg-for="City" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-2 text-start">
    <label class="control-label" for="IsGDPRAccepted">
      <input data-val="true" data-val-required="The IsGDPRAccepted field is required." id="IsGDPRAccepted" name="IsGDPRAccepted" type="checkbox" value="true"> Ich habe die
      <a href="#" onclick="window.open('static/GDPRSWCarwash.html', '_blank')">DS-GVO Richtlinie</a> gelesen und akzeptiert* </label>
    <span class="text-danger field-validation-valid" data-valmsg-for="IsGDPRAccepted" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group w-100 mt-5 d-flex justify-content-evenly">
    <input type="submit" value="Senden" class="w-50 btn btn-primary ">
    <a class="btn btn-secondary" href="/">Abbrechen</a>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8FFPwoWiU0hHqgzT3kJfa0axhLiXfvhGSbUNJs7Q8NI7bbBqgiTo60DEC1ijMiZua25CYYfnxwol5-15vp-B1i4CTr0PAVt4S9nn21cB9l03D_iiZ4yXkuWA1W10DYUf5PSTjN2MX28P8qxH1d0bQYg"><input name="IsGDPRAccepted"
    type="hidden" value="false">
</form>

Text Content

KARTENANTRAG

Kartennummer*
Standort* Bitte Standort auswählen Burgau
Firma (optional)
Vorname
Nachname
Geburtsdatum
Kennzeichen
Email*
Anschrift

Ich habe die DS-GVO Richtlinie gelesen und akzeptiert*
Abbrechen
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