signatur.mavy.de Open in urlscan Pro
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POST signatur.php

<form autocomplete="off" action="signatur.php" method="post">
  <h1>Signaturgenerator<sup><a href="changelog.txt">v 2.1</a></sup></h1>
  <!--<label for="preset">Vorlage</label><br>-->
  <select name="preset" id="preset" onclick="myFunction()" size="1" required="">
    <option value="" disabled="" selected="">Vorlage auswählen</option>
    <option value="Dennis">Dennis</option>
    <option value="Lukas">Lukas</option>
    <option value="Janne">Janne</option>
    <option value="Sebastian">Sebastian</option>
    <option value="mavy">mavy</option>
  </select><br>
  <input type="text" name="name" id="name" placeholder="Name" required=""><br>
  <input type="text" name="titel1" id="titel1" placeholder="Untertitel"><br>
  <input type="text" name="titel2" id="titel2" placeholder="Tätigkeit"><br>
  <input type="tel" id="phone" name="phone" placeholder="Telefonnummer"><br>
  <!--<input type="email" id="email" name="mail" placeholder="eMail-Adresse" required></input><br>-->
  <select id="email" name="mail" required="" size="1">
    <option value="" disabled="" selected="">Mail-Adresse</option>
  </select>
  <input type="checkbox" id="funding" value="funding" name="funding"><label for="funding">Förderung</label> <br>
  <input type="checkbox" id="termin" value="termin" name="termin"><label for="termin">Termin vereinbaren</label> <br>
  <input type="checkbox" id="video" value="video" name="video"><label for="video">Video</label> <br>
  <input type="checkbox" id="abstract" value="abstract" name="abstract"><label for="abstract">Abstract</label>
  <input type="submit" class="submit" value="weiter">
</form>

Text Content

SIGNATURGENERATORV 2.1

Vorlage auswählen Dennis Lukas Janne Sebastian mavy




Mail-Adresse Förderung
Termin vereinbaren
Video
Abstract