

<div class="enquiry">
	<div class="container">
		<div class="header">
			<div class="row">
				<div class="col-xs-12">
					<h1>Mietanfrage zu POLARIS SPORTSMAN 1000 TOURING</h1>
					<p>
						<span class="price">
							€ 4.880,00</span>
						excl. MwSt.
					</p>
				</div>
			</div>
		</div>

		<form method="post" name="enquiry" action="/mietgeraete/?type=1589962772&amp;tx_vonblon_sales%5Baction%5D=send&amp;cHash=c09a2dc4e77d0e688a1d921977fdc1c1">
<div>
<input type="hidden" name="tx_vonblon_sales[__referrer][@extension]" value="Vonblon" />
<input type="hidden" name="tx_vonblon_sales[__referrer][@vendor]" value="Vonblon" />
<input type="hidden" name="tx_vonblon_sales[__referrer][@controller]" value="Sale" />
<input type="hidden" name="tx_vonblon_sales[__referrer][@action]" value="form" />
<input type="hidden" name="tx_vonblon_sales[__referrer][arguments]" value="YToyOntzOjQ6InNhbGUiO3M6NDoiMzA1NiI7czo2OiJhY3Rpb24iO3M6NDoiZm9ybSI7fQ==5eb9ee5607faf19ec950f1a589caf9c5cf70761c" />
<input type="hidden" name="tx_vonblon_sales[__referrer][@request]" value="a:4:{s:10:&quot;@extension&quot;;s:7:&quot;Vonblon&quot;;s:11:&quot;@controller&quot;;s:4:&quot;Sale&quot;;s:7:&quot;@action&quot;;s:4:&quot;form&quot;;s:7:&quot;@vendor&quot;;s:7:&quot;Vonblon&quot;;}472b68ab29be24dd96c46d2a5fdce91aaba6f617" />
<input type="hidden" name="tx_vonblon_sales[__trustedProperties]" value="a:2:{s:7:&quot;enquiry&quot;;a:12:{s:7:&quot;subject&quot;;i:1;s:8:&quot;lastName&quot;;i:1;s:9:&quot;firstName&quot;;i:1;s:7:&quot;company&quot;;i:1;s:5:&quot;phone&quot;;i:1;s:5:&quot;email&quot;;i:1;s:6:&quot;street&quot;;i:1;s:3:&quot;zip&quot;;i:1;s:4:&quot;city&quot;;i:1;s:12:&quot;rentalPeriod&quot;;i:1;s:14:&quot;productSubject&quot;;i:1;s:7:&quot;remarks&quot;;i:1;}s:6:&quot;submit&quot;;i:1;}49633b5cab4ac16cce07adb77521859f44e54be2" />
</div>

			<input type="hidden" name="tx_vonblon_sales[enquiry][subject]" value="3056" />
			<fieldset class="row">
				<div class="form-group col-md-6 required">
					<label for="lastName">Nachname</label>
					<input class="form-control" id="lastName" type="text" name="tx_vonblon_sales[enquiry][lastName]" required="required" />
				</div>
				<div class="form-group col-md-6 required">
					<label for="firstName">Vorname</label>
					<input class="form-control" id="firstName" type="text" name="tx_vonblon_sales[enquiry][firstName]" required="required" />
				</div>
				<div class="form-group col-md-6">
					<label for="company">Firma</label>
					<input class="form-control" id="company" type="text" name="tx_vonblon_sales[enquiry][company]" />
				</div>
				<div class="form-group col-md-6 required">
					<label for="phone">Telefon</label>
					<input class="form-control" id="phone" type="text" name="tx_vonblon_sales[enquiry][phone]" required="required" />
				</div>
				<div class="form-group col-md-6 required">
					<label for="email">Email</label>
					<input class="form-control" id="email" type="text" name="tx_vonblon_sales[enquiry][email]" required="required" />
				</div>
				<div class="form-group col-md-6">
					<label for="street">Strasse</label>
					<input class="form-control" id="street" type="text" name="tx_vonblon_sales[enquiry][street]" />
				</div>
				<div class="form-group col-md-6">
					<label for="zip">PLZ</label>
					<input class="form-control" id="zip" type="text" name="tx_vonblon_sales[enquiry][zip]" />
				</div>
				<div class="form-group col-md-6">
					<label for="city">Ort</label>
					<input class="form-control" id="city" type="text" name="tx_vonblon_sales[enquiry][city]" />
				</div>
				<div class="form-group col-md-6">
					<label class="form-label">Ich möchte das Gerät...</label><br/>
					<label class="radio-inline">
						<input class="form-check-input" id="rentalPeriod_Saison" type="radio" name="tx_vonblon_sales[enquiry][rentalPeriod]" value="Mieten (Saison)" />
						Mieten (Saison)
					</label>
					<label class="radio-inline">
						<input class="form-check-input" id="rentalPeriod_Tage" type="radio" name="tx_vonblon_sales[enquiry][rentalPeriod]" value="Mieten (Saison)" />
						Mieten (Tage)
					</label>
					<label class="radio-inline">
						<input class="form-check-input" id="rentalPeriod_buy" type="radio" name="tx_vonblon_sales[enquiry][rentalPeriod]" value="Kaufen" />
						Kaufen
					</label>
				</div>
			</fieldset>
			<fieldset class="row">
                <div class="form-group col-md-12 product-subject required">
                    <label for="productSubject">Produktbezeichung</label>
                    <input class="form-control" id="productSubject" type="text" name="tx_vonblon_sales[enquiry][productSubject]" />
                </div>
				<div class="form-group col-xs-12">
					<label for="remarks">Anmerkungen</label>
					<textarea class="form-control" id="remarks" name="tx_vonblon_sales[enquiry][remarks]"></textarea>
				</div>
				<div class="form-group col-xs-12">
					<button class="btn btn-primary" type="submit" name="tx_vonblon_sales[submit]" value="">Anfrage senden</button>
				</div>
			</fieldset>
		</form>
	</div>
</div>
