184 lines
9.2 KiB
PHP
184 lines
9.2 KiB
PHP
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<!-- Container fuer entry form-->
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<div class="container">
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<div class="row">
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<div class="col-12">
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<form id="entry-form" action="index.php" method="post">
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<!-- Vorname-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Vorname*</span>
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</div>
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<input type="text" class="form-control" name="entryVorname" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Nachname-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Nachname*</span>
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</div>
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<input type="text" class="form-control" name="entryNachname" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Geburtstag-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Geburtstag</span>
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</div>
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<input type="text" class="form-control" name="entryGeburtstag" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Wohnort-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Wohnort</span>
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</div>
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<input type="text" class="form-control" name="entryOrt" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Strasse-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Straße</span>
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</div>
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<input type="text" class="form-control" name="entryStraße" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Woher kennen-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Woher kennen wir uns?*</span>
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</div>
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<input type="text" class="form-control" name="entryKennen" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Festnetz-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Festnetz</span>
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</div>
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<input type="text" class="form-control" name="entryFestnetz" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Handynummer-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Handynummer</span>
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</div>
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<input type="text" class="form-control" name="entryHandy" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- E-Mail-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">E-Mail*</span>
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</div>
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<input type="text" class="form-control" name="entryMail" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Hobbies-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Hobbies</span>
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</div>
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<input type="text" class="form-control" name="entryHobbies" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Berufswunsch-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Berufswunsch</span>
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</div>
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<input type="text" class="form-control" name="entryBeruf" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Essen-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Das könnte ich jeden Tag essen</span>
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</div>
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<input type="text" class="form-control" name="entryEssen" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Insel-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Was ich auf eine Insel mitnehmen würde</span>
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</div>
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<input type="text" class="form-control" name="entryInsel" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Film-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingsfilm</span>
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</div>
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<input type="text" class="form-control" name="entryFilm" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Sport-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingssport</span>
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</div>
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<input type="text" class="form-control" name="entrySport" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Charaker-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Coolster Film oder Spielecharaker</span>
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</div>
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<input type="text" class="form-control" name="entryCharakter" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Tier -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Mein Lieblingstier</span>
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</div>
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<input type="text" class="form-control" name="entryTier" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Musik -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Lieblingsmusik(Genre, Interpret, Titel)</span>
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</div>
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<input type="text" class="form-control" name="entryMusik" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Game -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Geilstes Game</span>
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</div>
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<input type="text" class="form-control" name="entryGame" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Alk-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Lieblings alkoholisches Getränk</span>
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</div>
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<input type="text" class="form-control" name="entryAlk" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Story-->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Meine heftigste Suffstory</span>
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</div>
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<input type="text" class="form-control" name="entryStory" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Absturz -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Letzer Absturz</span>
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</div>
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<input type="text" class="form-control" name="entryAbsturz" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Trinkspiel -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Lieblings Trinkspiel</span>
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</div>
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<input type="text" class="form-control" name="entryTrinkspiel" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- TAN -->
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<div class="input-group input-group-sm mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="inputGroup-sizing-sm">Eintrags-TAN*</span>
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</div>
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<input type="text" class="form-control" name="entryTan" aria-label="Small" aria-describedby="inputGroup-sizing-sm">
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</div>
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<!-- Absenden Button-->
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<div class="modal-footer">
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<button id="entry" type="submit" class="btn btn-primary">Absenden</button>
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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> <!-- Ende container entry form -->
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