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<form class=“layout_form cr_form cr_font“ action=“https://eu.cleverreach.com/f/31926-139177/wcs/“ method=“post“ target=“_blank“>

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<div class=“editable_content“ style=“text-align:left;“>

<div id=“3144148″ rel=“text“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

<label for=“text3144148″ class=“itemname“>Vorname*</label> <input id=“text3144148″ name=“203718″ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144150″ rel=“text“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

<label for=“text3144150″ class=“itemname“>Nachname*</label> <input id=“text3144150″ name=“203719″ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144152″ rel=“text“ class=“cr_ipe_item ui-sortable“ style=“ margin-bottom:0px;“>

<label for=“text3144152″ class=“itemname“>Firma</label> <input id=“text3144152″ name=“203718″ type=“text“ value=““ style=“width:100%;“ />

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<label for=“text3144154″ class=“itemname“>PLZ</label> <input id=“text3144154″ name=“206900″ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144155″ rel=“text“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

<label for=“text3144155″ class=“itemname“>Telefon*</label> <input id=“text3144155″ name=“244844″ type=“text“ value=““ style=“width:100%;“ />

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<hr class=“cr_hr“ />

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<label for=“text3144157″ class=“itemname“>Projekt / Bauvorhaben / PLZ*</label> <input id=“text3144157″ name=“244845″ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144158″ rel=“text“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

<label for=“text3144158″ class=“itemname“>Höhe über NN*</label> <input id=“text3144158″ name=“244846″ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144159″ rel=“select“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

<label for=“select_3144159″ class=“itemname“>Bedachungsart*</label> <select id=“select_3144159″ class=“cr_font“ name=“244847″ style=“width:100%;“ >

<option value=“300 N/m2 Dfl. (z.B. Metalldach, Holzschindeldach, Wellzement?“ >300 N/m2 Dfl. (z.B. Metalldach, Holzschindeldach, Wellzement?</option>

<option value=“550 N/m2 Dfl. (z.B. Dachziegel, Dachsteine, Schiefer)“ >550 N/m2 Dfl. (z.B. Dachziegel, Dachsteine, Schiefer)</option>

<option value=“750 N/m2 Dfl. (z.B. Biberdoppeldeckung)“ >750 N/m2 Dfl. (z.B. Biberdoppeldeckung)</option>

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<label for=“select_3144160″ class=“itemname“>Dachschalung*</label> <select id=“select_3144160″ class=“cr_font“ name=“244848″ style=“width:100%;“ >

<option value=“Ja“ >Ja</option>

<option value=“Nein“ >Nein</option>

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<label for=“text3144161″ class=“itemname“>Dicke der Schalung*</label> <input id=“text3144161″ name=“244849″ type=“text“ value=““ style=“width:100%;“ />

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<label for=“text3144162″ class=“itemname“>Firsthöhe*</label> <input id=“text3144162″ name=“244850″ type=“text“ value=““ style=“width:100%;“ />

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<label for=“text3144163″ class=“itemname“>Name des Dämmplattenherstellers*</label> <input id=“text3144163″ name=“244851″ type=“text“ value=““ style=“width:100%;“ />

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<label for=“text3144164″ class=“itemname“>Dicke der Dämmplatte*</label> <input id=“text3144164″ name=““ type=“text“ value=““ style=“width:100%;“ />

</div><div id=“3144165″ rel=“select“ class=“cr_ipe_item ui-sortable musthave“ style=“ margin-bottom:0px;“>

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<option value=“Klammer“ >Klammer</option>

<option value=“Nagel“ >Nagel</option>

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<label for=“text3144166″ class=“itemname“>Zusätzliche Information</label> <input id=“text3144166″ name=“244853″ type=“text“ value=““ style=“width:100%;“ />

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<hr class=“cr_hr“ />

</div><div id=“3144168″ rel=“email“ class=“cr_ipe_item ui-sortable musthave“ style=“margin-bottom:px;“>

<label for=“text3144168″ class=“itemname“>E-Mail*</label> <input id=“text3144168″ name=“email“ value=““ type=“text“ style=“width:100%;“ />

</div><div id=“3144169″ rel=“button“ class=“cr_ipe_item ui-sortable submit_container“ style=“text-align:center; margin-bottom:px;“>

<button type=“submit“ class=“cr_button“>Anmelden</button>

</div>

</div>

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