tickets.binaerfabrik.org Open in urlscan Pro
94.16.122.218  Public Scan

Form analysis
1 forms found in the DOM

POST https://tickets.binaerfabrik.org/support

<form method="POST" action="https://tickets.binaerfabrik.org/support"><input type="hidden" name="_token" value="MHZlL8KvQlLtChFkC6ro0VQbRgHdDm3mdzJG2mQj">
  <div class="form-group">
    <div class="row"><label for="name" class="col-md-4 control-label">Name</label>
      <div class="col-md-8"><input id="name" name="name" value="" required="required" autofocus="autofocus" placeholder="Ihr Name" type="text" class="form-control"></div>
    </div>
  </div>
  <div class="form-group">
    <div class="row"><label for="email" class="col-md-4 control-label">E-Mail Addresse</label>
      <div class="col-md-8"><input id="email" name="email" value="" required="required" placeholder="Ihre E-Mailadresse" type="email" class="form-control"></div>
    </div>
  </div>
  <div class="form-group">
    <div class="row"><label for="department" class="col-md-4 control-label">Abteilung</label>
      <div class="col-md-8"><select name="department" id="department" required="required" class="form-control">
          <option value="Entwicklung">Entwicklung</option>
        </select></div>
    </div>
  </div>
  <div class="form-group">
    <div class="row"><label for="priority" class="col-md-4 control-label">Priorität</label>
      <div class="col-md-8"><select name="priority" id="priority" required="required" class="form-control">
          <option value="High">Hoch</option>
          <option value="Medium" selected="selected">Mittel</option>
          <option value="Low">Niedrig</option>
        </select></div>
    </div>
  </div>
  <div class="form-group">
    <div class="row"><label for="subject" class="col-md-4 control-label">Projekt</label>
      <div class="col-md-8"><input id="subject" name="subject" value="" required="required" placeholder="Projekt" type="text" class="form-control"></div>
    </div>
  </div>
  <div class="form-group">
    <div class="row"><label for="message" class="col-md-4 control-label">Nachricht</label>
      <div class="col-md-8"><textarea id="message" name="message" required="required" placeholder="Ihre Nachricht" class="form-control"></textarea></div>
    </div>
  </div>
  <div class="form-group pull-right"><input type="submit" value="Ticket eröffnen" class="btn btn-primary"></div>
</form>

Text Content

Toggle Navigation
 * Ticket eröffnen
 * Ticket ansehen


SUPPORT TICKET ANLEGEN

Name

E-Mail Addresse

Abteilung
Entwicklung
Priorität
Hoch Mittel Niedrig
Projekt

Nachricht




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