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81 lines
2.7 KiB
81 lines
2.7 KiB
<div>
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<h2 class="gradient">Geben Sie Ihre persönlichen Daten ein</h2>
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<div class="form-container">
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<div class="field-grid">
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<label for="greeting">
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<span>Anrede</span>
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<select x-model="value.greeting" id="greeting">
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<template x-for="greeting in greetings">
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<option :value="greeting.value" x-text="greeting.label"></option>
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</template>
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</select>
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</label>
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<label for="title">
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<span>Titel</span>
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<select x-model="value.title" id="title">
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<template x-for="title in titles">
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<option :value="title.value" x-text="title.label"></option>
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</template>
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</select>
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</label>
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<label for="firstname">
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<span>Vorname</span>
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<input type="number" x-model="value.firstname" id="firstname">
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</label>
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<label for="lastname">
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<span>Nachname</span>
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<input type="number" x-model="value.lastname" id="lastname">
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</label>
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<label for="zip">
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<span>PLZ</span>
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<input type="number" x-model="value.zip" id="zip">
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</label>
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<label for="location">
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<span>Ort</span>
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<input type="number" x-model="value.location" id="location">
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</label>
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<label for="phone">
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<span>Telefon</span>
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<input type="tel" x-model="value.phone" id="phone">
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</label>
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<label for="email">
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<span>E-Mail-Adresse</span>
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<input type="email" x-model="value.email" id="email">
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</label>
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<label for="job">
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<span>Beruf des Hauptverdieners</span>
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<select x-model="value.job" id="job">
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<template x-for="job in jobs">
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<option :value="job.value" x-text="job.label"></option>
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</template>
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</select>
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</label>
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<label for="haushalt">
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<span>Haushaltsnetto monatlich</span>
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<input type="number" x-model="value.haushalt" id="haushalt">
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</label>
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<label for="einnahme">
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<span>Netto-Mieteinnahme monatlich</span>
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<input type="number" x-model="value.einnahme" id="einnahme">
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</label>
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<div class="button-row">
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<button @click="slideTo($event, step-1)" type="button">Zurück</button>
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<button type="submit">Absenden</button>
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</div>
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</div>
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</div>
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</div>
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