Form-old

[et_pb_section fb_built=“1″ theme_builder_area=“post_content“ _builder_version=“4.21.0″ _module_preset=“default“][et_pb_row _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ width=“70%“ hover_enabled=“0″ sticky_enabled=“0″ custom_padding=“0px||0px||true|false“][et_pb_column _builder_version=“4.21.0″ _module_preset=“default“ type=“4_4″ theme_builder_area=“post_content“][et_pb_contact_form _builder_version=“4.21.0″ _module_preset=“default“ _unique_id=“0852ba1f-f87f-46be-b01f-1ff2ae23811d“ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″ submit_button_text=“Nachricht senden“ custom_button=“on“ global_colors_info=“{%22gcid-7f8976d0-20e3-4c4e-a1e1-0299ea855729%22:%91%22button_bg_color%22,%22button_border_color%22%93,%22gcid-d34dfbbb-dd51-48ec-8079-6816050dda05%22:%91%22button_text_color%22,%22button_icon_color%22%93,%22gcid-280d58fb-b451-477b-ac4f-ec3e25cade53%22:%91%22title_text_color%22%93}“ button_bg_color=“gcid-7f8976d0-20e3-4c4e-a1e1-0299ea855729″ button_bg_enable_color=“on“ button_text_color=“gcid-d34dfbbb-dd51-48ec-8079-6816050dda05″ button_border_color=“gcid-7f8976d0-20e3-4c4e-a1e1-0299ea855729″ button_icon_color=“gcid-d34dfbbb-dd51-48ec-8079-6816050dda05″ title_text_color=“gcid-280d58fb-b451-477b-ac4f-ec3e25cade53″][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Welche_Tarifkombinationen_wünschen_Sie?“ field_title=“Welche Tarifkombinationen wünschen Sie?“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Nein%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Ja, Hausratschäden%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Ja, Elementarschäden%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Ja, Hausrat- und Elementarschäden%22,%22checked%22:0,%22dragID%22:2}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Wie_vermieten_Sie_ihre_möblierte_Wohnung?“ field_title=“Wie vermieten Sie ihre möblierte Wohnung?“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Tarif zur Hausratversicherung%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Elementarschäden (unsere Empfehlung)%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Glasversicherung (optional)%22,%22checked%22:0,%22dragID%22:1}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″ field_id=“Anschrift_der_möblierten_Wohnung“ field_title=“Anschrift der möblierten Wohnung“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=“off“][/et_pb_contact_field][et_pb_contact_field field_id=“Postleitzahl“ field_title=“Postleitzahl“ _builder_version=“4.21.0″ hover_enabled=“0″ global_colors_info=“{}“ button_text_size__hover_enabled=“off“ button_one_text_size__hover_enabled=“off“ button_two_text_size__hover_enabled=“off“ button_text_color__hover_enabled=“off“ button_one_text_color__hover_enabled=“off“ button_two_text_color__hover_enabled=“off“ button_border_width__hover_enabled=“off“ button_one_border_width__hover_enabled=“off“ button_two_border_width__hover_enabled=“off“ button_border_color__hover_enabled=“off“ button_one_border_color__hover_enabled=“off“ button_two_border_color__hover_enabled=“off“ button_border_radius__hover_enabled=“off“ button_one_border_radius__hover_enabled=“off“ button_two_border_radius__hover_enabled=“off“ button_letter_spacing__hover_enabled=“off“ button_one_letter_spacing__hover_enabled=“off“ button_two_letter_spacing__hover_enabled=“off“ button_bg_color__hover_enabled=“off“ button_one_bg_color__hover_enabled=“off“ button_two_bg_color__hover_enabled=“off“ theme_builder_area=“post_content“ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field field_id=“Ort“ field_title=“Ort“ _builder_version=“4.21.0″ hover_enabled=“0″ global_colors_info=“{}“ button_text_size__hover_enabled=“off“ button_one_text_size__hover_enabled=“off“ button_two_text_size__hover_enabled=“off“ button_text_color__hover_enabled=“off“ button_one_text_color__hover_enabled=“off“ button_two_text_color__hover_enabled=“off“ button_border_width__hover_enabled=“off“ button_one_border_width__hover_enabled=“off“ button_two_border_width__hover_enabled=“off“ button_border_color__hover_enabled=“off“ button_one_border_color__hover_enabled=“off“ button_two_border_color__hover_enabled=“off“ button_border_radius__hover_enabled=“off“ button_one_border_radius__hover_enabled=“off“ button_two_border_radius__hover_enabled=“off“ button_letter_spacing__hover_enabled=“off“ button_one_letter_spacing__hover_enabled=“off“ button_two_letter_spacing__hover_enabled=“off“ button_bg_color__hover_enabled=“off“ button_one_bg_color__hover_enabled=“off“ button_two_bg_color__hover_enabled=“off“ theme_builder_area=“post_content“ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field field_id=“Strasse“ field_title=“Strasse“ _builder_version=“4.21.0″ hover_enabled=“0″ global_colors_info=“{}“ button_text_size__hover_enabled=“off“ button_one_text_size__hover_enabled=“off“ button_two_text_size__hover_enabled=“off“ button_text_color__hover_enabled=“off“ button_one_text_color__hover_enabled=“off“ button_two_text_color__hover_enabled=“off“ button_border_width__hover_enabled=“off“ button_one_border_width__hover_enabled=“off“ button_two_border_width__hover_enabled=“off“ button_border_color__hover_enabled=“off“ button_one_border_color__hover_enabled=“off“ button_two_border_color__hover_enabled=“off“ button_border_radius__hover_enabled=“off“ button_one_border_radius__hover_enabled=“off“ button_two_border_radius__hover_enabled=“off“ button_letter_spacing__hover_enabled=“off“ button_one_letter_spacing__hover_enabled=“off“ button_two_letter_spacing__hover_enabled=“off“ button_bg_color__hover_enabled=“off“ button_one_bg_color__hover_enabled=“off“ button_two_bg_color__hover_enabled=“off“ theme_builder_area=“post_content“ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field field_id=“Hausnummer“ field_title=“Hausnummer“ _builder_version=“4.21.0″ hover_enabled=“0″ global_colors_info=“{}“ button_text_size__hover_enabled=“off“ button_one_text_size__hover_enabled=“off“ button_two_text_size__hover_enabled=“off“ button_text_color__hover_enabled=“off“ button_one_text_color__hover_enabled=“off“ button_two_text_color__hover_enabled=“off“ button_border_width__hover_enabled=“off“ button_one_border_width__hover_enabled=“off“ button_two_border_width__hover_enabled=“off“ button_border_color__hover_enabled=“off“ button_one_border_color__hover_enabled=“off“ button_two_border_color__hover_enabled=“off“ button_border_radius__hover_enabled=“off“ button_one_border_radius__hover_enabled=“off“ button_two_border_radius__hover_enabled=“off“ button_letter_spacing__hover_enabled=“off“ button_one_letter_spacing__hover_enabled=“off“ button_two_letter_spacing__hover_enabled=“off“ button_bg_color__hover_enabled=“off“ button_one_bg_color__hover_enabled=“off“ button_two_bg_color__hover_enabled=“off“ theme_builder_area=“post_content“ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“1._Hausart“ field_title=“1. Hausart“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Einfamilienhaus%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Zweifamilienhaus%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22Mehrfamilienhaus%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Land-/Ferien-/Wochenendhaus%22,%22checked%22:0,%22dragID%22:4}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“2._Außenwände“ field_title=“2. Außenwände“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Massiv (Mauer, Beton)%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Fertighaus%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Holzkonstruktion%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Stahlkonstruktion%22,%22checked%22:0,%22dragID%22:2}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“3._Dachsart“ field_title=“3. Dachsart“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Ziegel%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Betonplatten%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Stroh%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Holz%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Metall%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22gesandete Dachpappe%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%22Schiefer%22,%22checked%22:0,%22dragID%22:5},{%22value%22:%22Sonstiges%22,%22checked%22:0,%22dragID%22:6}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“4._Stockwerk“ field_title=“4. Stockwerk“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Keller%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Erdgeschoss%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%221. OG oder höher%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22über mehrere Geschosse%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22oberstes Geschoss%22,%22checked%22:0,%22dragID%22:4}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″ field_id=“5._Wohnfläche_in_qm“ field_title=“5. Wohnfläche in qm“][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“6._Mindestabsicherung_vorhanden?“ field_title=“6. Mindestabsicherung vorhanden? Alle Außen- bzw. Wohnungsabschlußtüren sind mit Zylinderschloss (bündig mit Sicherheitsbeschlag oder Sicherheitsrosette von innen verschraubt) gesichert.“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Ja%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22JaNein%22,%22checked%22:0,%22dragID%22:6}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Haben_Sie_eine_Vorversicherung“ field_title=“Haben Sie eine Vorversicherung“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Ja%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22JaNein%22,%22checked%22:0,%22dragID%22:6}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″ field_id=“Wenn_Ja,_wann_endet_die_Versicherung?“ field_title=“Wenn Ja, wann endet die Versicherung?“ field_title_last_edited=“on|desktop“ field_title_tablet=“Wenn Ja, wann endet die Versicherung?“ field_title_phone=“Wenn Ja, wann endet die Versicherung?“][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Field_48″ field_title=“Vorschäden Gab es Hausratvorschäden in den letzten 5 Jahren und/oder Elementarvorschäden in den letzten 10 Jahren? “ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Nein%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Ja, Hausratschäden%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Ja, Elementarschäden%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Ja, Hausrat- und Elementarschäden%22,%22checked%22:0,%22dragID%22:1}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ hover_enabled=“0″ sticky_enabled=“0″ field_id=“Wenn_Ja,_bitte_nähere_Angaben_zu_Schäden“ field_title=“Wenn Ja, bitte nähere Angaben zu Schäden“ field_title_last_edited=“on|desktop“ field_title_tablet=“Wenn Ja, bitte nähere Angaben zu Schäden“ field_title_phone=“Wenn Ja, bitte nähere Angaben zu Schäden“][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Ihre_Nachricht“ field_title=“Haben Sie noch einen Wunsch oder eine Anmerkung?“ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_title=“Wer soll die Angebote erhalten?“ field_id=“Wer_soll_die_Angebote_erhalten?“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Frau%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Herr%22,%22checked%22:0,%22dragID%22:0}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Vorname“ field_title=“Vorname“ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Nachname“ field_title=“Nachname“ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“E-Mail*“ field_title=“E-Mail*“ hover_enabled=“0″ sticky_enabled=“0″ field_type=“email“][/et_pb_contact_field][et_pb_contact_field _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Telefon“ field_title=“Telefon“ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_id=“Ihre_Wunsch-PIN“ field_title=“4-stellige PIN (Wir versenden die Angebote verschlüsselt per E-Mail)*“ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_title=“Wie sind Sie auf uns aufmerksam geworden?“ field_id=“Wie_sind_Sie_auf_uns_aufmerksam_geworden?“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22YouTube%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Google%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Website%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%22apartments-b2b%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Empfehlung%22,%22checked%22:0,%22dragID%22:1}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_title=“Hinweise“ field_id=“Hinweise“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Ich habe die Datenschutzbedingungen gelesen und akzeptiert.%22,%22checked%22:0,%22dragID%22:-1}%93″ hover_enabled=“0″ sticky_enabled=“0″][/et_pb_contact_field][et_pb_contact_field fullwidth_field=“on“ _builder_version=“4.21.0″ _module_preset=“default“ theme_builder_area=“post_content“ field_title=“Ihre Vorteile“ field_id=“Ihre_Vorteile“ field_type=“checkbox“ checkbox_options=“%91{%22value%22:%22Sichere Datenübertragung durch SSL-Server-Zertifikat%22,%22checked%22:1,%22dragID%22:-1},{%22value%22:%22Ihre Daten werden nicht an Dritte weitergegeben%22,%22checked%22:1,%22dragID%22:1},{%22value%22:%22Ein Ansprechpartner für Ihre Fragen%22,%22checked%22:1,%22dragID%22:0}%93″ hover_enabled=“0″ sticky_enabled=“0″ required_mark=“off“ form_field_background_color=“gcid-7f8976d0-20e3-4c4e-a1e1-0299ea855729″ global_colors_info=“{%22gcid-7f8976d0-20e3-4c4e-a1e1-0299ea855729%22:%91%22form_field_background_color%22%93}“][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]