49 lines
3.5 KiB
HTML
49 lines
3.5 KiB
HTML
<a href="#" class="btn btn-sm btn-primary pull-right" style="text-transform: uppercase;" data-toggle="modal" data-target="#subscribeModal">{{ page.trans_subscribe_label }}</a>
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<div class="modal fade" id="subscribeModal" tabindex="-1" role="dialog" aria-labelledby="subscribeModal" aria-hidden="true">
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<div class="modal-dialog">
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<div class="modal-content">
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<div class="modal-header">
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<button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
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<h4 class="modal-title" id="myModalLabel">{{ page.trans_subscribe_label }}</h4>
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</div>
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<div class="modal-body">
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<div id="mc_embed_signup">
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<form action="{{page.subscribe_action}}" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
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<div id="mc_embed_signup_scroll">
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<div class="indicates-required"><span class="asterisk"></span> indicates required</div>
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<div class="mc-field-group">
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<label for="mce-EMAIL">Mailadresse/ Adresse e-mail <span class="asterisk">*</span>
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</label>
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<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
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</div>
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<div class="mc-field-group">
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<label for="mce-FNAME">Vorname/ Prénom <span class="asterisk">*</span>
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</label>
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<input type="text" value="" name="FNAME" class="required" id="mce-FNAME">
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</div>
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<div class="mc-field-group">
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<label for="mce-LNAME">Nachname/ Nom <span class="asterisk">*</span>
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</label>
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<input type="text" value="" name="LNAME" class="required" id="mce-LNAME">
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</div>
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<div class="mc-field-group input-group">
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<strong>Sprache/ Langue <span class="asterisk">*</span>
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</strong>
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<ul><li><input class="pull-left" type="radio" value="Deutsch" name="MMERGE9" id="mce-MMERGE9-0"><label class="pull-left" for="mce-MMERGE9-0">Deutsch</label></li>
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<li class="clearfix"></li>
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<li><input class="pull-left" type="radio" value="Français" name="MMERGE9" id="mce-MMERGE9-1"><label class="pull-left" for="mce-MMERGE9-1">Français</label></li>
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</ul>
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</div>
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<div id="mce-responses" class="clear">
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<div class="response" id="mce-error-response" style="display:none"></div>
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<div class="response" id="mce-success-response" style="display:none"></div>
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</div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
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<div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_8368e636ee0d8404d5452a0ef_77f535b64d" tabindex="-1" value=""></div>
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<div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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</div> |