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Submitted URL: http://birgit-orth.de/
Effective URL: https://lavylites.com/de/registration?token=ac4628b8b30ce227ff49680acf232b9b
Submission: On May 15 via api from US — Scanned from DE
Effective URL: https://lavylites.com/de/registration?token=ac4628b8b30ce227ff49680acf232b9b
Submission: On May 15 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /de/registration?token=ac4628b8b30ce227ff49680acf232b9b
<form class="form-horizontal" id="registration-form" action="/de/registration?token=ac4628b8b30ce227ff49680acf232b9b" method="post">
<div style="display:none"><input type="hidden" value="c9ea865c1f73b073e4df2657b528a3cc0c1a5bcb" name="YII_CSRF_TOKEN"></div>
<div class="form-group"><label class="col-sm-3 control-label" for="Agent_registration_type">Registrationstyp</label>
<div class="col-sm-9"><select class="form-control" placeholder="Registrationstyp" name="Agent[registration_type]" id="Agent_registration_type">
<option value="1" selected="selected">Registration als natürliche Person</option>
<option value="2">Registration als Firma</option>
</select></div>
</div>
<div style="display:none" class="form-group"><label class="col-sm-3 control-label required" for="Agent_company">Firmenname <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Firmenname" name="Agent[company]" id="Agent_company" type="text"></div>
</div>
<div style="display:none" class="form-group"><label class="col-sm-3 control-label required" for="Agent_taxno">Steuernummer der Firma <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Steuernummer der Firma" name="Agent[taxno]" id="Agent_taxno" type="text"></div>
</div>
<div style="display:none" class="form-group"><label class="col-sm-3 control-label" for="Agent_taxno_eu">Umsatzsteuer-Identifikationsnummer</label>
<div class="col-sm-9"><input class="form-control" placeholder="Umsatzsteuer-Identifikationsnummer" name="Agent[taxno_eu]" id="Agent_taxno_eu" type="text"></div>
</div>
<hr>
<div class="form-group"><label class="col-sm-3 control-label required" for="User_lastname">Nachname <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Nachname" name="User[lastname]" id="User_lastname" type="text"></div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="User_firstname">Vorname <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Vorname" name="User[firstname]" id="User_firstname" type="text"></div>
</div>
<hr>
<div class="form-group"><label class="col-sm-3 control-label required" for="Agent_country_id">Land <span class="required">*</span></label>
<div class="col-sm-9"><select class="form-control" placeholder="Land" name="Agent[country_id]" id="Agent_country_id">
<option value="">Bitte wählen Sie!</option>
<option value="14">Austria</option>
<option value="21">Belgium</option>
<option value="33">Bulgaria</option>
<option value="53">Croatia</option>
<option value="55">Cyprus</option>
<option value="56">Czech Republic</option>
<option value="57">Denmark</option>
<option value="66">Estonia</option>
<option value="71">Finland</option>
<option value="72">France</option>
<option value="79">Germany</option>
<option value="82">Greece</option>
<option value="102">Ireland</option>
<option value="104">Italy</option>
<option value="116">Latvia</option>
<option value="122">Lithuania</option>
<option value="123">Luxembourg</option>
<option value="96">Magyarország</option>
<option value="131">Malta</option>
<option value="149">Netherlands</option>
<option value="170">Poland</option>
<option value="171">Portugal</option>
<option value="175">Romania</option>
<option value="192">Slovakia</option>
<option value="193">Slovenia</option>
<option value="197">Spain</option>
<option value="203">Sweden</option>
<option value="204">Switzerland</option>
<option value="222">United Arab Emirates</option>
<option value="223">United Kingdom</option>
<option value="224">United States</option>
</select></div>
</div>
<div class="hidden form-group"><label class="col-sm-3 control-label" for="Agent_region">Region</label>
<div class="col-sm-9"><input class="form-control" placeholder="Region" name="Agent[region]" id="Agent_region" type="text" value=""></div>
</div>
<div>
<div class="form-group"><label class="col-sm-3 control-label required" for="Agent_zip">PLZ <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="PLZ" name="Agent[zip]" id="Agent_zip" type="text"></div>
</div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="Agent_city">Stadt <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Stadt" name="Agent[city]" id="Agent_city" type="text" value=""></div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="Agent_street">Straße <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Straße" name="Agent[street]" id="Agent_street" type="text"></div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label required" for="User_tel">Handynummer <span class="required">*</span></label>
<div class="col-sm-9">
<div class="form-group col-sm-5">
<select id="User_tel_prefix" name="User[tel_prefix]" class="form-control">
<option value="">Bitte wählen Sie!</option>
<option style="background-image:url(/css/img/flags/24/af.png); background-repeat: no-repeat; padding-left: 30px;" value="93"> Afghanistan +93 </option>
<option style="background-image:url(/css/img/flags/24/al.png); background-repeat: no-repeat; padding-left: 30px;" value="355"> Albania +355 </option>
<option style="background-image:url(/css/img/flags/24/dz.png); background-repeat: no-repeat; padding-left: 30px;" value="213"> Algeria +213 </option>
<option style="background-image:url(/css/img/flags/24/as.png); background-repeat: no-repeat; padding-left: 30px;" value="684"> American Samoa +684 </option>
<option style="background-image:url(/css/img/flags/24/ad.png); background-repeat: no-repeat; padding-left: 30px;" value="376"> Andorra +376 </option>
<option style="background-image:url(/css/img/flags/24/ao.png); background-repeat: no-repeat; padding-left: 30px;" value="244"> Angola +244 </option>
<option style="background-image:url(/css/img/flags/24/ai.png); background-repeat: no-repeat; padding-left: 30px;" value="264"> Anguilla +264 </option>
<option style="background-image:url(/css/img/flags/24/aq.png); background-repeat: no-repeat; padding-left: 30px;" value="672"> Antarctica +672 </option>
<option style="background-image:url(/css/img/flags/24/ag.png); background-repeat: no-repeat; padding-left: 30px;" value="268"> Antigua and Barbuda +268 </option>
<option style="background-image:url(/css/img/flags/24/ar.png); background-repeat: no-repeat; padding-left: 30px;" value="54"> Argentina +54 </option>
<option style="background-image:url(/css/img/flags/24/am.png); background-repeat: no-repeat; padding-left: 30px;" value="374"> Armenia +374 </option>
<option style="background-image:url(/css/img/flags/24/aw.png); background-repeat: no-repeat; padding-left: 30px;" value="297"> Aruba +297 </option>
<option style="background-image:url(/css/img/flags/24/au.png); background-repeat: no-repeat; padding-left: 30px;" value="61"> Australia +61 </option>
<option style="background-image:url(/css/img/flags/24/at.png); background-repeat: no-repeat; padding-left: 30px;" value="43"> Austria +43 </option>
<option style="background-image:url(/css/img/flags/24/az.png); background-repeat: no-repeat; padding-left: 30px;" value="994"> Azerbaijan +994 </option>
<option style="background-image:url(/css/img/flags/24/bs.png); background-repeat: no-repeat; padding-left: 30px;" value="242"> Bahamas +242 </option>
<option style="background-image:url(/css/img/flags/24/bh.png); background-repeat: no-repeat; padding-left: 30px;" value="973"> Bahrain +973 </option>
<option style="background-image:url(/css/img/flags/24/bd.png); background-repeat: no-repeat; padding-left: 30px;" value="880"> Bangladesh +880 </option>
<option style="background-image:url(/css/img/flags/24/bb.png); background-repeat: no-repeat; padding-left: 30px;" value="246"> Barbados +246 </option>
<option style="background-image:url(/css/img/flags/24/by.png); background-repeat: no-repeat; padding-left: 30px;" value="375"> Belarus +375 </option>
<option style="background-image:url(/css/img/flags/24/be.png); background-repeat: no-repeat; padding-left: 30px;" value="32"> Belgium +32 </option>
<option style="background-image:url(/css/img/flags/24/bz.png); background-repeat: no-repeat; padding-left: 30px;" value="501"> Belize +501 </option>
<option style="background-image:url(/css/img/flags/24/bj.png); background-repeat: no-repeat; padding-left: 30px;" value="229"> Benin +229 </option>
<option style="background-image:url(/css/img/flags/24/bm.png); background-repeat: no-repeat; padding-left: 30px;" value="441"> Bermuda +441 </option>
<option style="background-image:url(/css/img/flags/24/bt.png); background-repeat: no-repeat; padding-left: 30px;" value="975"> Bhutan +975 </option>
<option style="background-image:url(/css/img/flags/24/bo.png); background-repeat: no-repeat; padding-left: 30px;" value="591"> Bolivia +591 </option>
<option style="background-image:url(/css/img/flags/24/ba.png); background-repeat: no-repeat; padding-left: 30px;" value="387"> Bosnia and Herzegovina +387 </option>
<option style="background-image:url(/css/img/flags/24/bw.png); background-repeat: no-repeat; padding-left: 30px;" value="267"> Botswana +267 </option>
<option style="background-image:url(/css/img/flags/24/bv.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Bouvet Island +999 </option>
<option style="background-image:url(/css/img/flags/24/br.png); background-repeat: no-repeat; padding-left: 30px;" value="55"> Brazil +55 </option>
<option style="background-image:url(/css/img/flags/24/io.png); background-repeat: no-repeat; padding-left: 30px;" value="246"> British Indian Ocean Territory +246 </option>
<option style="background-image:url(/css/img/flags/24/bn.png); background-repeat: no-repeat; padding-left: 30px;" value="673"> Brunei Darussalam +673 </option>
<option style="background-image:url(/css/img/flags/24/bg.png); background-repeat: no-repeat; padding-left: 30px;" value="359"> Bulgaria +359 </option>
<option style="background-image:url(/css/img/flags/24/bf.png); background-repeat: no-repeat; padding-left: 30px;" value="226"> Burkina Faso +226 </option>
<option style="background-image:url(/css/img/flags/24/bi.png); background-repeat: no-repeat; padding-left: 30px;" value="257"> Burundi +257 </option>
<option style="background-image:url(/css/img/flags/24/kh.png); background-repeat: no-repeat; padding-left: 30px;" value="855"> Cambodia +855 </option>
<option style="background-image:url(/css/img/flags/24/cm.png); background-repeat: no-repeat; padding-left: 30px;" value="237"> Cameroon +237 </option>
<option style="background-image:url(/css/img/flags/24/ca.png); background-repeat: no-repeat; padding-left: 30px;" value="1"> Canada +1 </option>
<option style="background-image:url(/css/img/flags/24/cv.png); background-repeat: no-repeat; padding-left: 30px;" value="238"> Cape Verde +238 </option>
<option style="background-image:url(/css/img/flags/24/ky.png); background-repeat: no-repeat; padding-left: 30px;" value="345"> Cayman Islands +345 </option>
<option style="background-image:url(/css/img/flags/24/cf.png); background-repeat: no-repeat; padding-left: 30px;" value="236"> Central African Republic +236 </option>
<option style="background-image:url(/css/img/flags/24/td.png); background-repeat: no-repeat; padding-left: 30px;" value="235"> Chad +235 </option>
<option style="background-image:url(/css/img/flags/24/cl.png); background-repeat: no-repeat; padding-left: 30px;" value="56"> Chile +56 </option>
<option style="background-image:url(/css/img/flags/24/cn.png); background-repeat: no-repeat; padding-left: 30px;" value="86"> China +86 </option>
<option style="background-image:url(/css/img/flags/24/cx.png); background-repeat: no-repeat; padding-left: 30px;" value="61"> Christmas Island +61 </option>
<option style="background-image:url(/css/img/flags/24/cc.png); background-repeat: no-repeat; padding-left: 30px;" value="61"> Cocos (Keeling) Islands +61 </option>
<option style="background-image:url(/css/img/flags/24/co.png); background-repeat: no-repeat; padding-left: 30px;" value="57"> Colombia +57 </option>
<option style="background-image:url(/css/img/flags/24/km.png); background-repeat: no-repeat; padding-left: 30px;" value="269"> Comoros +269 </option>
<option style="background-image:url(/css/img/flags/24/cg.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Congo +999 </option>
<option style="background-image:url(/css/img/flags/24/ck.png); background-repeat: no-repeat; padding-left: 30px;" value="682"> Cook Islands +682 </option>
<option style="background-image:url(/css/img/flags/24/cr.png); background-repeat: no-repeat; padding-left: 30px;" value="506"> Costa Rica +506 </option>
<option style="background-image:url(/css/img/flags/24/ci.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Cote D' Ivoire +999 </option>
<option style="background-image:url(/css/img/flags/24/hr.png); background-repeat: no-repeat; padding-left: 30px;" value="385"> Croatia +385 </option>
<option style="background-image:url(/css/img/flags/24/cu.png); background-repeat: no-repeat; padding-left: 30px;" value="53"> Cuba +53 </option>
<option style="background-image:url(/css/img/flags/24/cy.png); background-repeat: no-repeat; padding-left: 30px;" value="357"> Cyprus +357 </option>
<option style="background-image:url(/css/img/flags/24/cz.png); background-repeat: no-repeat; padding-left: 30px;" value="420"> Czech Republic +420 </option>
<option style="background-image:url(/css/img/flags/24/dk.png); background-repeat: no-repeat; padding-left: 30px;" value="45"> Denmark +45 </option>
<option style="background-image:url(/css/img/flags/24/dj.png); background-repeat: no-repeat; padding-left: 30px;" value="253"> Djibouti +253 </option>
<option style="background-image:url(/css/img/flags/24/dm.png); background-repeat: no-repeat; padding-left: 30px;" value="767"> Dominica +767 </option>
<option style="background-image:url(/css/img/flags/24/do.png); background-repeat: no-repeat; padding-left: 30px;" value="809"> Dominican Republic +809 </option>
<option style="background-image:url(/css/img/flags/24/ec.png); background-repeat: no-repeat; padding-left: 30px;" value="593"> Ecuador +593 </option>
<option style="background-image:url(/css/img/flags/24/eg.png); background-repeat: no-repeat; padding-left: 30px;" value="20"> Egypt +20 </option>
<option style="background-image:url(/css/img/flags/24/sv.png); background-repeat: no-repeat; padding-left: 30px;" value="503"> El Salvador +503 </option>
<option style="background-image:url(/css/img/flags/24/gq.png); background-repeat: no-repeat; padding-left: 30px;" value="240"> Equatorial Guinea +240 </option>
<option style="background-image:url(/css/img/flags/24/er.png); background-repeat: no-repeat; padding-left: 30px;" value="291"> Eritrea +291 </option>
<option style="background-image:url(/css/img/flags/24/ee.png); background-repeat: no-repeat; padding-left: 30px;" value="372"> Estonia +372 </option>
<option style="background-image:url(/css/img/flags/24/et.png); background-repeat: no-repeat; padding-left: 30px;" value="251"> Ethiopia +251 </option>
<option style="background-image:url(/css/img/flags/24/fk.png); background-repeat: no-repeat; padding-left: 30px;" value="500"> Falkland Islands (Malvinas) +500 </option>
<option style="background-image:url(/css/img/flags/24/fo.png); background-repeat: no-repeat; padding-left: 30px;" value="298"> Faroe Islands +298 </option>
<option style="background-image:url(/css/img/flags/24/fj.png); background-repeat: no-repeat; padding-left: 30px;" value="679"> Fiji +679 </option>
<option style="background-image:url(/css/img/flags/24/fi.png); background-repeat: no-repeat; padding-left: 30px;" value="358"> Finland +358 </option>
<option style="background-image:url(/css/img/flags/24/fr.png); background-repeat: no-repeat; padding-left: 30px;" value="33"> France +33 </option>
<option style="background-image:url(/css/img/flags/24/gf.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> French Guiana +999 </option>
<option style="background-image:url(/css/img/flags/24/pf.png); background-repeat: no-repeat; padding-left: 30px;" value="689"> French Polynesia +689 </option>
<option style="background-image:url(/css/img/flags/24/tf.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> French Southern Territories +999 </option>
<option style="background-image:url(/css/img/flags/24/ga.png); background-repeat: no-repeat; padding-left: 30px;" value="241"> Gabon +241 </option>
<option style="background-image:url(/css/img/flags/24/gm.png); background-repeat: no-repeat; padding-left: 30px;" value="220"> Gambia +220 </option>
<option style="background-image:url(/css/img/flags/24/ge.png); background-repeat: no-repeat; padding-left: 30px;" value="995"> Georgia +995 </option>
<option style="background-image:url(/css/img/flags/24/de.png); background-repeat: no-repeat; padding-left: 30px;" value="49"> Germany +49 </option>
<option style="background-image:url(/css/img/flags/24/gh.png); background-repeat: no-repeat; padding-left: 30px;" value="233"> Ghana +233 </option>
<option style="background-image:url(/css/img/flags/24/gi.png); background-repeat: no-repeat; padding-left: 30px;" value="350"> Gibraltar +350 </option>
<option style="background-image:url(/css/img/flags/24/gr.png); background-repeat: no-repeat; padding-left: 30px;" value="30"> Greece +30 </option>
<option style="background-image:url(/css/img/flags/24/gl.png); background-repeat: no-repeat; padding-left: 30px;" value="299"> Greenland +299 </option>
<option style="background-image:url(/css/img/flags/24/gd.png); background-repeat: no-repeat; padding-left: 30px;" value="473"> Grenada +473 </option>
<option style="background-image:url(/css/img/flags/24/gp.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Guadeloupe +999 </option>
<option style="background-image:url(/css/img/flags/24/gu.png); background-repeat: no-repeat; padding-left: 30px;" value="671"> Guam +671 </option>
<option style="background-image:url(/css/img/flags/24/gt.png); background-repeat: no-repeat; padding-left: 30px;" value="502"> Guatemala +502 </option>
<option style="background-image:url(/css/img/flags/24/gn.png); background-repeat: no-repeat; padding-left: 30px;" value="224"> Guinea +224 </option>
<option style="background-image:url(/css/img/flags/24/gw.png); background-repeat: no-repeat; padding-left: 30px;" value="245"> Guinea-Bissau +245 </option>
<option style="background-image:url(/css/img/flags/24/gy.png); background-repeat: no-repeat; padding-left: 30px;" value="592"> Guyana +592 </option>
<option style="background-image:url(/css/img/flags/24/ht.png); background-repeat: no-repeat; padding-left: 30px;" value="509"> Haiti +509 </option>
<option style="background-image:url(/css/img/flags/24/hm.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Heard Island and Mcdonald Islands +999 </option>
<option style="background-image:url(/css/img/flags/24/va.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Holy See (Vatican City State) +999 </option>
<option style="background-image:url(/css/img/flags/24/hn.png); background-repeat: no-repeat; padding-left: 30px;" value="504"> Honduras +504 </option>
<option style="background-image:url(/css/img/flags/24/hk.png); background-repeat: no-repeat; padding-left: 30px;" value="852"> Hong Kong +852 </option>
<option style="background-image:url(/css/img/flags/24/is.png); background-repeat: no-repeat; padding-left: 30px;" value="354"> Iceland +354 </option>
<option style="background-image:url(/css/img/flags/24/in.png); background-repeat: no-repeat; padding-left: 30px;" value="91"> India +91 </option>
<option style="background-image:url(/css/img/flags/24/id.png); background-repeat: no-repeat; padding-left: 30px;" value="62"> Indonesia +62 </option>
<option style="background-image:url(/css/img/flags/24/ir.png); background-repeat: no-repeat; padding-left: 30px;" value="98"> Iran, Islamic Republic of +98 </option>
<option style="background-image:url(/css/img/flags/24/iq.png); background-repeat: no-repeat; padding-left: 30px;" value="964"> Iraq +964 </option>
<option style="background-image:url(/css/img/flags/24/ie.png); background-repeat: no-repeat; padding-left: 30px;" value="353"> Ireland +353 </option>
<option style="background-image:url(/css/img/flags/24/il.png); background-repeat: no-repeat; padding-left: 30px;" value="972"> Israel +972 </option>
<option style="background-image:url(/css/img/flags/24/it.png); background-repeat: no-repeat; padding-left: 30px;" value="39"> Italy +39 </option>
<option style="background-image:url(/css/img/flags/24/jm.png); background-repeat: no-repeat; padding-left: 30px;" value="876"> Jamaica +876 </option>
<option style="background-image:url(/css/img/flags/24/jp.png); background-repeat: no-repeat; padding-left: 30px;" value="81"> Japan +81 </option>
<option style="background-image:url(/css/img/flags/24/jo.png); background-repeat: no-repeat; padding-left: 30px;" value="962"> Jordan +962 </option>
<option style="background-image:url(/css/img/flags/24/kz.png); background-repeat: no-repeat; padding-left: 30px;" value="7"> Kazakhstan +7 </option>
<option style="background-image:url(/css/img/flags/24/ke.png); background-repeat: no-repeat; padding-left: 30px;" value="254"> Kenya +254 </option>
<option style="background-image:url(/css/img/flags/24/ki.png); background-repeat: no-repeat; padding-left: 30px;" value="686"> Kiribati +686 </option>
<option style="background-image:url(/css/img/flags/24/kp.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Korea, Democratic People's Republic of +999 </option>
<option style="background-image:url(/css/img/flags/24/kr.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Korea, Republic of +999 </option>
<option style="background-image:url(/css/img/flags/24/kw.png); background-repeat: no-repeat; padding-left: 30px;" value="965"> Kuwait +965 </option>
<option style="background-image:url(/css/img/flags/24/kg.png); background-repeat: no-repeat; padding-left: 30px;" value="996"> Kyrgyzstan +996 </option>
<option style="background-image:url(/css/img/flags/24/la.png); background-repeat: no-repeat; padding-left: 30px;" value="856"> Lao People's Democratic Republic +856 </option>
<option style="background-image:url(/css/img/flags/24/lv.png); background-repeat: no-repeat; padding-left: 30px;" value="371"> Latvia +371 </option>
<option style="background-image:url(/css/img/flags/24/lb.png); background-repeat: no-repeat; padding-left: 30px;" value="961"> Lebanon +961 </option>
<option style="background-image:url(/css/img/flags/24/ls.png); background-repeat: no-repeat; padding-left: 30px;" value="266"> Lesotho +266 </option>
<option style="background-image:url(/css/img/flags/24/lr.png); background-repeat: no-repeat; padding-left: 30px;" value="231"> Liberia +231 </option>
<option style="background-image:url(/css/img/flags/24/ly.png); background-repeat: no-repeat; padding-left: 30px;" value="218"> Libyan Arab Jamahiriya +218 </option>
<option style="background-image:url(/css/img/flags/24/li.png); background-repeat: no-repeat; padding-left: 30px;" value="423"> Liechtenstein +423 </option>
<option style="background-image:url(/css/img/flags/24/lt.png); background-repeat: no-repeat; padding-left: 30px;" value="370"> Lithuania +370 </option>
<option style="background-image:url(/css/img/flags/24/lu.png); background-repeat: no-repeat; padding-left: 30px;" value="352"> Luxembourg +352 </option>
<option style="background-image:url(/css/img/flags/24/mo.png); background-repeat: no-repeat; padding-left: 30px;" value="853"> Macao +853 </option>
<option style="background-image:url(/css/img/flags/24/mk.png); background-repeat: no-repeat; padding-left: 30px;" value="389"> Macedonia, the Former Yugoslav Republic of +389 </option>
<option style="background-image:url(/css/img/flags/24/mg.png); background-repeat: no-repeat; padding-left: 30px;" value="261"> Madagascar +261 </option>
<option style="background-image:url(/css/img/flags/24/hu.png); background-repeat: no-repeat; padding-left: 30px;" value="36"> Magyarország +36 </option>
<option style="background-image:url(/css/img/flags/24/mw.png); background-repeat: no-repeat; padding-left: 30px;" value="265"> Malawi +265 </option>
<option style="background-image:url(/css/img/flags/24/my.png); background-repeat: no-repeat; padding-left: 30px;" value="60"> Malaysia +60 </option>
<option style="background-image:url(/css/img/flags/24/mv.png); background-repeat: no-repeat; padding-left: 30px;" value="960"> Maldives +960 </option>
<option style="background-image:url(/css/img/flags/24/ml.png); background-repeat: no-repeat; padding-left: 30px;" value="223"> Mali +223 </option>
<option style="background-image:url(/css/img/flags/24/mt.png); background-repeat: no-repeat; padding-left: 30px;" value="356"> Malta +356 </option>
<option style="background-image:url(/css/img/flags/24/mh.png); background-repeat: no-repeat; padding-left: 30px;" value="692"> Marshall Islands +692 </option>
<option style="background-image:url(/css/img/flags/24/mq.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Martinique +999 </option>
<option style="background-image:url(/css/img/flags/24/mr.png); background-repeat: no-repeat; padding-left: 30px;" value="222"> Mauritania +222 </option>
<option style="background-image:url(/css/img/flags/24/mu.png); background-repeat: no-repeat; padding-left: 30px;" value="230"> Mauritius +230 </option>
<option style="background-image:url(/css/img/flags/24/yt.png); background-repeat: no-repeat; padding-left: 30px;" value="262"> Mayotte +262 </option>
<option style="background-image:url(/css/img/flags/24/mx.png); background-repeat: no-repeat; padding-left: 30px;" value="52"> Mexico +52 </option>
<option style="background-image:url(/css/img/flags/24/fm.png); background-repeat: no-repeat; padding-left: 30px;" value="691"> Micronesia, Federated States of +691 </option>
<option style="background-image:url(/css/img/flags/24/md.png); background-repeat: no-repeat; padding-left: 30px;" value="373"> Moldova, Republic of +373 </option>
<option style="background-image:url(/css/img/flags/24/mc.png); background-repeat: no-repeat; padding-left: 30px;" value="377"> Monaco +377 </option>
<option style="background-image:url(/css/img/flags/24/mn.png); background-repeat: no-repeat; padding-left: 30px;" value="976"> Mongolia +976 </option>
<option style="background-image:url(/css/img/flags/24/me.png); background-repeat: no-repeat; padding-left: 30px;" value="382"> Montenegro +382 </option>
<option style="background-image:url(/css/img/flags/24/ms.png); background-repeat: no-repeat; padding-left: 30px;" value="664"> Montserrat +664 </option>
<option style="background-image:url(/css/img/flags/24/ma.png); background-repeat: no-repeat; padding-left: 30px;" value="212"> Morocco +212 </option>
<option style="background-image:url(/css/img/flags/24/mz.png); background-repeat: no-repeat; padding-left: 30px;" value="258"> Mozambique +258 </option>
<option style="background-image:url(/css/img/flags/24/mm.png); background-repeat: no-repeat; padding-left: 30px;" value="95"> Myanmar +95 </option>
<option style="background-image:url(/css/img/flags/24/na.png); background-repeat: no-repeat; padding-left: 30px;" value="264"> Namibia +264 </option>
<option style="background-image:url(/css/img/flags/24/nr.png); background-repeat: no-repeat; padding-left: 30px;" value="674"> Nauru +674 </option>
<option style="background-image:url(/css/img/flags/24/np.png); background-repeat: no-repeat; padding-left: 30px;" value="977"> Nepal +977 </option>
<option style="background-image:url(/css/img/flags/24/nl.png); background-repeat: no-repeat; padding-left: 30px;" value="31"> Netherlands +31 </option>
<option style="background-image:url(/css/img/flags/24/an.png); background-repeat: no-repeat; padding-left: 30px;" value="599"> Netherlands Antilles +599 </option>
<option style="background-image:url(/css/img/flags/24/nc.png); background-repeat: no-repeat; padding-left: 30px;" value="687"> New Caledonia +687 </option>
<option style="background-image:url(/css/img/flags/24/nz.png); background-repeat: no-repeat; padding-left: 30px;" value="64"> New Zealand +64 </option>
<option style="background-image:url(/css/img/flags/24/ni.png); background-repeat: no-repeat; padding-left: 30px;" value="505"> Nicaragua +505 </option>
<option style="background-image:url(/css/img/flags/24/ne.png); background-repeat: no-repeat; padding-left: 30px;" value="227"> Niger +227 </option>
<option style="background-image:url(/css/img/flags/24/ng.png); background-repeat: no-repeat; padding-left: 30px;" value="234"> Nigeria +234 </option>
<option style="background-image:url(/css/img/flags/24/nu.png); background-repeat: no-repeat; padding-left: 30px;" value="683"> Niue +683 </option>
<option style="background-image:url(/css/img/flags/24/nf.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Norfolk Island +999 </option>
<option style="background-image:url(/css/img/flags/24/mp.png); background-repeat: no-repeat; padding-left: 30px;" value="670"> Northern Mariana Islands +670 </option>
<option style="background-image:url(/css/img/flags/24/no.png); background-repeat: no-repeat; padding-left: 30px;" value="47"> Norway +47 </option>
<option style="background-image:url(/css/img/flags/24/om.png); background-repeat: no-repeat; padding-left: 30px;" value="968"> Oman +968 </option>
<option style="background-image:url(/css/img/flags/24/pk.png); background-repeat: no-repeat; padding-left: 30px;" value="92"> Pakistan +92 </option>
<option style="background-image:url(/css/img/flags/24/pw.png); background-repeat: no-repeat; padding-left: 30px;" value="680"> Palau +680 </option>
<option style="background-image:url(/css/img/flags/24/ps.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Palestinian Territory, Occupied +999 </option>
<option style="background-image:url(/css/img/flags/24/pa.png); background-repeat: no-repeat; padding-left: 30px;" value="507"> Panama +507 </option>
<option style="background-image:url(/css/img/flags/24/pg.png); background-repeat: no-repeat; padding-left: 30px;" value="675"> Papua New Guinea +675 </option>
<option style="background-image:url(/css/img/flags/24/py.png); background-repeat: no-repeat; padding-left: 30px;" value="595"> Paraguay +595 </option>
<option style="background-image:url(/css/img/flags/24/pe.png); background-repeat: no-repeat; padding-left: 30px;" value="51"> Peru +51 </option>
<option style="background-image:url(/css/img/flags/24/ph.png); background-repeat: no-repeat; padding-left: 30px;" value="63"> Philippines +63 </option>
<option style="background-image:url(/css/img/flags/24/pn.png); background-repeat: no-repeat; padding-left: 30px;" value="64"> Pitcairn +64 </option>
<option style="background-image:url(/css/img/flags/24/pl.png); background-repeat: no-repeat; padding-left: 30px;" value="48"> Poland +48 </option>
<option style="background-image:url(/css/img/flags/24/pt.png); background-repeat: no-repeat; padding-left: 30px;" value="351"> Portugal +351 </option>
<option style="background-image:url(/css/img/flags/24/pr.png); background-repeat: no-repeat; padding-left: 30px;" value="787"> Puerto Rico +787 </option>
<option style="background-image:url(/css/img/flags/24/qa.png); background-repeat: no-repeat; padding-left: 30px;" value="974"> Qatar +974 </option>
<option style="background-image:url(/css/img/flags/24/re.png); background-repeat: no-repeat; padding-left: 30px;" value="262"> Reunion +262 </option>
<option style="background-image:url(/css/img/flags/24/ro.png); background-repeat: no-repeat; padding-left: 30px;" value="40"> Romania +40 </option>
<option style="background-image:url(/css/img/flags/24/ru.png); background-repeat: no-repeat; padding-left: 30px;" value="7"> Russian Federation +7 </option>
<option style="background-image:url(/css/img/flags/24/rw.png); background-repeat: no-repeat; padding-left: 30px;" value="250"> Rwanda +250 </option>
<option style="background-image:url(/css/img/flags/24/sh.png); background-repeat: no-repeat; padding-left: 30px;" value="290"> Saint Helena +290 </option>
<option style="background-image:url(/css/img/flags/24/kn.png); background-repeat: no-repeat; padding-left: 30px;" value="869"> Saint Kitts and Nevis +869 </option>
<option style="background-image:url(/css/img/flags/24/lc.png); background-repeat: no-repeat; padding-left: 30px;" value="758"> Saint Lucia +758 </option>
<option style="background-image:url(/css/img/flags/24/pm.png); background-repeat: no-repeat; padding-left: 30px;" value="508"> Saint Pierre and Miquelon +508 </option>
<option style="background-image:url(/css/img/flags/24/vc.png); background-repeat: no-repeat; padding-left: 30px;" value="784"> Saint Vincent and the Grenadines +784 </option>
<option style="background-image:url(/css/img/flags/24/ws.png); background-repeat: no-repeat; padding-left: 30px;" value="685"> Samoa +685 </option>
<option style="background-image:url(/css/img/flags/24/sm.png); background-repeat: no-repeat; padding-left: 30px;" value="378"> San Marino +378 </option>
<option style="background-image:url(/css/img/flags/24/st.png); background-repeat: no-repeat; padding-left: 30px;" value="239"> Sao Tome and Principe +239 </option>
<option style="background-image:url(/css/img/flags/24/sa.png); background-repeat: no-repeat; padding-left: 30px;" value="966"> Saudi Arabia +966 </option>
<option style="background-image:url(/css/img/flags/24/sn.png); background-repeat: no-repeat; padding-left: 30px;" value="221"> Senegal +221 </option>
<option style="background-image:url(/css/img/flags/24/rs.png); background-repeat: no-repeat; padding-left: 30px;" value="381"> Serbia +381 </option>
<option style="background-image:url(/css/img/flags/24/sc.png); background-repeat: no-repeat; padding-left: 30px;" value="248"> Seychelles +248 </option>
<option style="background-image:url(/css/img/flags/24/sl.png); background-repeat: no-repeat; padding-left: 30px;" value="232"> Sierra Leone +232 </option>
<option style="background-image:url(/css/img/flags/24/sg.png); background-repeat: no-repeat; padding-left: 30px;" value="65"> Singapore +65 </option>
<option style="background-image:url(/css/img/flags/24/sk.png); background-repeat: no-repeat; padding-left: 30px;" value="421"> Slovakia +421 </option>
<option style="background-image:url(/css/img/flags/24/si.png); background-repeat: no-repeat; padding-left: 30px;" value="386"> Slovenia +386 </option>
<option style="background-image:url(/css/img/flags/24/sb.png); background-repeat: no-repeat; padding-left: 30px;" value="677"> Solomon Islands +677 </option>
<option style="background-image:url(/css/img/flags/24/so.png); background-repeat: no-repeat; padding-left: 30px;" value="252"> Somalia +252 </option>
<option style="background-image:url(/css/img/flags/24/za.png); background-repeat: no-repeat; padding-left: 30px;" value="27"> South Africa +27 </option>
<option style="background-image:url(/css/img/flags/24/es.png); background-repeat: no-repeat; padding-left: 30px;" value="34"> Spain +34 </option>
<option style="background-image:url(/css/img/flags/24/lk.png); background-repeat: no-repeat; padding-left: 30px;" value="94"> Sri Lanka +94 </option>
<option style="background-image:url(/css/img/flags/24/sd.png); background-repeat: no-repeat; padding-left: 30px;" value="249"> Sudan +249 </option>
<option style="background-image:url(/css/img/flags/24/sr.png); background-repeat: no-repeat; padding-left: 30px;" value="597"> Suriname +597 </option>
<option style="background-image:url(/css/img/flags/24/sj.png); background-repeat: no-repeat; padding-left: 30px;" value="47"> Svalbard and Jan Mayen +47 </option>
<option style="background-image:url(/css/img/flags/24/sz.png); background-repeat: no-repeat; padding-left: 30px;" value="268"> Swaziland +268 </option>
<option style="background-image:url(/css/img/flags/24/se.png); background-repeat: no-repeat; padding-left: 30px;" value="46"> Sweden +46 </option>
<option style="background-image:url(/css/img/flags/24/ch.png); background-repeat: no-repeat; padding-left: 30px;" value="41"> Switzerland +41 </option>
<option style="background-image:url(/css/img/flags/24/sy.png); background-repeat: no-repeat; padding-left: 30px;" value="963"> Syrian Arab Republic +963 </option>
<option style="background-image:url(/css/img/flags/24/tw.png); background-repeat: no-repeat; padding-left: 30px;" value="886"> Taiwan, Province of China +886 </option>
<option style="background-image:url(/css/img/flags/24/tj.png); background-repeat: no-repeat; padding-left: 30px;" value="992"> Tajikistan +992 </option>
<option style="background-image:url(/css/img/flags/24/tz.png); background-repeat: no-repeat; padding-left: 30px;" value="255"> Tanzania, United Republic of +255 </option>
<option style="background-image:url(/css/img/flags/24/th.png); background-repeat: no-repeat; padding-left: 30px;" value="66"> Thailand +66 </option>
<option style="background-image:url(/css/img/flags/24/tl.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Timor-Leste +999 </option>
<option style="background-image:url(/css/img/flags/24/tg.png); background-repeat: no-repeat; padding-left: 30px;" value="228"> Togo +228 </option>
<option style="background-image:url(/css/img/flags/24/tk.png); background-repeat: no-repeat; padding-left: 30px;" value="690"> Tokelau +690 </option>
<option style="background-image:url(/css/img/flags/24/to.png); background-repeat: no-repeat; padding-left: 30px;" value="676"> Tonga +676 </option>
<option style="background-image:url(/css/img/flags/24/tt.png); background-repeat: no-repeat; padding-left: 30px;" value="868"> Trinidad and Tobago +868 </option>
<option style="background-image:url(/css/img/flags/24/tn.png); background-repeat: no-repeat; padding-left: 30px;" value="216"> Tunisia +216 </option>
<option style="background-image:url(/css/img/flags/24/tr.png); background-repeat: no-repeat; padding-left: 30px;" value="90"> Turkey +90 </option>
<option style="background-image:url(/css/img/flags/24/tm.png); background-repeat: no-repeat; padding-left: 30px;" value="993"> Turkmenistan +993 </option>
<option style="background-image:url(/css/img/flags/24/tc.png); background-repeat: no-repeat; padding-left: 30px;" value="649"> Turks and Caicos Islands +649 </option>
<option style="background-image:url(/css/img/flags/24/tv.png); background-repeat: no-repeat; padding-left: 30px;" value="688"> Tuvalu +688 </option>
<option style="background-image:url(/css/img/flags/24/ug.png); background-repeat: no-repeat; padding-left: 30px;" value="256"> Uganda +256 </option>
<option style="background-image:url(/css/img/flags/24/ua.png); background-repeat: no-repeat; padding-left: 30px;" value="380"> Ukraine +380 </option>
<option style="background-image:url(/css/img/flags/24/ae.png); background-repeat: no-repeat; padding-left: 30px;" value="971"> United Arab Emirates +971 </option>
<option style="background-image:url(/css/img/flags/24/gb.png); background-repeat: no-repeat; padding-left: 30px;" value="44"> United Kingdom +44 </option>
<option style="background-image:url(/css/img/flags/24/us.png); background-repeat: no-repeat; padding-left: 30px;" value="1"> United States +1 </option>
<option style="background-image:url(/css/img/flags/24/um.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> United States Minor Outlying Islands +999 </option>
<option style="background-image:url(/css/img/flags/24/uy.png); background-repeat: no-repeat; padding-left: 30px;" value="598"> Uruguay +598 </option>
<option style="background-image:url(/css/img/flags/24/uz.png); background-repeat: no-repeat; padding-left: 30px;" value="998"> Uzbekistan +998 </option>
<option style="background-image:url(/css/img/flags/24/vu.png); background-repeat: no-repeat; padding-left: 30px;" value="678"> Vanuatu +678 </option>
<option style="background-image:url(/css/img/flags/24/ve.png); background-repeat: no-repeat; padding-left: 30px;" value="58"> Venezuela +58 </option>
<option style="background-image:url(/css/img/flags/24/vn.png); background-repeat: no-repeat; padding-left: 30px;" value="84"> Vietnam +84 </option>
<option style="background-image:url(/css/img/flags/24/vg.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Virgin Islands, British +999 </option>
<option style="background-image:url(/css/img/flags/24/vi.png); background-repeat: no-repeat; padding-left: 30px;" value="999"> Virgin Islands, U.s. +999 </option>
<option style="background-image:url(/css/img/flags/24/wf.png); background-repeat: no-repeat; padding-left: 30px;" value="681"> Wallis and Futuna +681 </option>
<option style="background-image:url(/css/img/flags/24/eh.png); background-repeat: no-repeat; padding-left: 30px;" value="212"> Western Sahara +212 </option>
<option style="background-image:url(/css/img/flags/24/ye.png); background-repeat: no-repeat; padding-left: 30px;" value="967"> Yemen +967 </option>
<option style="background-image:url(/css/img/flags/24/zm.png); background-repeat: no-repeat; padding-left: 30px;" value="260"> Zambia +260 </option>
<option style="background-image:url(/css/img/flags/24/zw.png); background-repeat: no-repeat; padding-left: 30px;" value="263"> Zimbabwe +263 </option>
</select>
</div>
<div class="form-group col-sm-8">
<input class="form-control" placeholder="Handynummer" autocomplete="off" name="User[tel]" id="User_tel" type="text"> <span class="help_block">Use only numbers and do not write the country prefix.</span>
</div>
</div>
</div>
<div class="alert alert-warning" id="phone_error" style="display: none; overflow: hidden;">
<p style="text-align: center;"><strong style="color: black;">Überprüfung der Telefonnummer </strong></p>
<p style="color: black;">Bei der Überprüfung der Telefonnummer haben wir bemerkt, dass Sie den Landescode in dem Feld mit angegeben haben. Falls dies wirklich so ist, bitten wir Sie den Landescode zu löschen.</p>
</div>
<!-- <div class="form-group">
<label class="col-sm-3 control-label required" for="User_tel">view.registration.telprefix_warning <span class="required">*</span></label>
<div class="col-sm-9">
<input type="checkbox" class="checkbox" name="telprefix_confirm" />
</div>
</div>
-->
<div class="hidden form-group"><label class="col-sm-3 control-label" for="Agent_national_id">Ausweis Nr.</label>
<div class="col-sm-9"><input class="form-control" placeholder="Ausweis Nr." name="Agent[national_id]" id="Agent_national_id" type="text"></div>
</div>
<div class="hidden form-group"><label class="col-sm-3 control-label" for="Agent_national_id_issue_date">Ausweis-Ausstellungs Datum </label>
<div class="col-sm-9">
<div class="input-group"><span class="input-group-addon"><i class="glyphicon glyphicon-calendar"></i></span><input class="form-control ct-form-control" type="text" autocomplete="off" placeholder="Ausweis-Ausstellungs Datum "
name="Agent[national_id_issue_date]" id="Agent_national_id_issue_date"></div>
</div>
</div>
<hr>
<div class="form-group"><label class="col-sm-3 control-label required" for="User_email">E-Mail Adresse <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="E-Mail Adresse" name="User[email]" id="User_email" type="email"><span class="help-block"><span style="color: #FFFFFF;">Zur Anmeldung erforderliche Daten werden wir auf die folgende
Email Adresse senden.<br>Achten Sie darauf, dass Sie es korrekt angeben.</span></span></div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="User_username">Benutzername <span class="required">*</span></label>
<div class="col-sm-9"><input class="form-control" placeholder="Benutzername" name="User[username]" id="User_username" type="text"></div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="User_language_id">Sprache <span class="required">*</span></label>
<div class="col-sm-9"><select class="form-control" placeholder="Sprache" name="User[language_id]" id="User_language_id">
<option value="">Bitte wählen Sie!</option>
<option value="8">Croatian</option>
<option value="9">Czech</option>
<option value="20">Dutch</option>
<option value="0">English</option>
<option value="19">French</option>
<option value="4">German</option>
<option value="22">Greek</option>
<option value="11">Italian</option>
<option value="1">Magyar</option>
<option value="7">Polish</option>
<option value="3">Romanian</option>
<option value="6">Russian</option>
<option value="5">Slovak</option>
<option value="17">Slovenian</option>
<option value="21">Spanish</option>
</select></div>
</div>
<div class="form-group"><label class="col-sm-3 control-label required" for="Agent_sponsor_id">Sponsor ID <span class="required">*</span></label>
<div class="col-sm-9"><input readonly="readonly" value="317560" class="form-control" placeholder="Sponsor ID" name="Agent[sponsor_id]" id="Agent_sponsor_id" type="text"><span class="help-block" style="color: rgb(255, 255, 255);">Orth-Folger
Birgit</span></div>
</div>
<hr>
<div class="form-group" id="GtcGroup" style="display: none;">
<div class="col-sm-3 control-label"></div>
<div class="col-sm-9">
<div class="checkbox" style="padding-left: 0; margin-top: 8px;">
<input id="ytAgent_required1" type="hidden" value="0" name="Agent[required1]"><input name="Agent[required1]" id="Agent_required1" value="1" type="checkbox"> <span id="GtcCheckboxDesc"
class="reg-checkboxdesc">view.registration.acceptgtc</span><br>
<div class="gtcDocContainer">
<!--- <div id="required1" class="gtcDoc"></div>
<div id="required2" class="gtcDoc"></div> -->
<div id="TacGroup" class="gtcDoc"><a target="_blank" class="reg-checkboxlink">AGB herunterladen</a></div>
<div id="PrivacyGroup" class="gtcDoc"><a target="_blank" class="reg-checkboxlink">Datenschutzhinweis herunterladen</a></div>
<div id="CoeGroup" class="gtcDoc"><a target="_blank" class="reg-checkboxlink">Ethikkodex herunterladen</a></div>
<div id="DocumentsGroup" class="gtcDoc">
</div>
</div>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-3"></div>
<div class="col-sm-9">
<br>
<div id="emailAlert" class="alert in fade alert-success" style="visibility: hidden;"><a href="#" class="close" data-dismiss="alert">×</a>Die zum Einloggen erforderlichen Daten werden wir auf die folgende Email Adresse senden. <div
class="emailCheck" id="emailCheck"><strong>akos@szente.info</strong></div>
</div>
<button class="btn-emphasised btn btn-primary" id="yw2" type="submit" name="yt0">Registration für neue Kunden</button>
<a href="https://lavylites.com" class="btn">Rückgängig </a>
</div>
</div>
<div class="confirm_phone" id="confirm_phone" style="display: none;">
</div>
<div class="form-group confirm_phone" style="display: none;">
<div class="col-sm-3"></div>
<div class="col-sm-9">
<br>
<div id="phoneAlert" class="alert in fade alert-success" style="visibility: visible;"><a href="#" class="close" data-dismiss="alert">×</a>Auf die folgende Telefonnummer werden wir eine SMS senden. Damit wir sicher sein können, dass die
angegebene Telefonnummer richtig ist, bitten wir Sie die Telefonnummer zu überprüfen. <div class="phoneCheck" id="phoneCheck" style="font-weight: bold;">+ </div>
</div>
<button class="btn-emphasised btn btn-primary" id="yw3" type="submit" name="yt1">Abschluss der Registration</button>
<a href="https://lavylites.com" class="btn">Rückgängig </a>
</div>
</div>
</form>Text Content
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