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<html>
  <head>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <title>Bestellformular</title>
    <meta name="generator" content="DA-BestellFormular 4.8.1">
    
    <link rel="stylesheet" href="https://www.w3schools.com/lib/w3.css">
    <script src="https://code.jquery.com/jquery-1.11.2.min.js"></script>
    <script src="https://code.jquery.com/ui/1.11.2/jquery-ui.min.js"></script>
    <script>
      $(function() {
        
        
      });
    </script>   
<style type="text/css">
body { background-color:#ffffff;}
h1 { color:#2196f3; font-family:Segoe UI,Arial,sans-serif; font-size:30pt; }
p { color:#000000; font-family:Segoe UI,Arial,sans-serif; font-size:12pt; }
hr { border-width: 3px 0px 0px; }
.moneyoutput { display: inline !important; width: 100px; padding: 0px; color: #000000 !important; background-color: #ffffff !important;}
.priceoutput { color:#000000; }
.optioninput { min-width: 160px; width: 40%; }
price
/* Landscape phones and down */
@media (max-width: 480px) { 
    .mainContainer    {
      width: 100%;
    }
}
@media (min-width: 768px) { 
    .mainContainer    {
        width: 70%;
        margin-left: auto; margin-right: auto;
    }
}
.internal { display: none; }
.imgitem { 
    max-width: 100%; 
    display:block; 
    height: auto; 
}            
</style>
<script type="text/javascript">
function addHiddenField(formID, name, value)
{
    var input = document.createElement("input");
    input.setAttribute("type", "hidden");
    input.setAttribute(name, "name_you_want");
    input.setAttribute(value, "value_you_want");
    document.getElementById(formID).appendChild(input);
}
function GetCookie(cookie_name)
{
  if (document.cookie.length>0)
    {
    cookie_start=document.cookie.indexOf(cookie_name + "=");
    if (cookie_start!=-1)
      { 
      cookie_start=cookie_start + cookie_name.length+1; 
      cookie_end=document.cookie.indexOf(";",cookie_start);
      if (cookie_end==-1) cookie_end=document.cookie.length;
      return unescape(document.cookie.substring(cookie_start,cookie_end));
      } 
    }
  return "";
}
function str_replace(search, replace, subject) {
    return subject.split(search).join(replace);
}
</script>
<!-- DAFORMJSBEGIN -->
<!-- JSCAPTCHAREFRESH -->
<script type="text/javascript">
  function preisUpdateArt()
  {
      var anz=parseInt(document.DAFORM.b_anz0.value);
      if(!(anz > 0))
      {
        anz=0;
        document.DAFORM.b_anz0.value="0";
      }
      option = 0;
      gesamt_einz = 7.99 + option;
      gesamt = anz * gesamt_einz
      document.DAFORM.b_einz_ges0.value = gesamt_einz.toFixed(2).replace('.', ',');
      document.DAFORM.b_ges0.value = gesamt.toFixed(2).replace('.', ',');
      var anz=parseInt(document.DAFORM.b_anz1.value);
      if(!(anz > 0))
      {
        anz=0;
        document.DAFORM.b_anz1.value="0";
      }
      option = 0;
      gesamt_einz = 9.99 + option;
      gesamt = anz * gesamt_einz
      document.DAFORM.b_einz_ges1.value = gesamt_einz.toFixed(2).replace('.', ',');
      document.DAFORM.b_ges1.value = gesamt.toFixed(2).replace('.', ',');
    updateGesamt();
    SetCookies();
  }
  function updateGesamt()
  {
      var steuer = steuerKosten();
      var gesamt = gesamtKosten();
      
      document.DAFORM.b_mwst.value = steuer.toFixed(2).toString().replace('.', ',');     
      
      document.DAFORM.b_gesamt.value = gesamt.toFixed(2).toString().replace('.', ',');
      
  }
  function gesamtKosten()
  {
      total = 0.0;
      
        option = 0;
        total += document.DAFORM.b_anz0.value * 7.99 + option;
        option = 0;
        total += document.DAFORM.b_anz1.value * 9.99 + option;
      
      return total;
  }
  
  function steuerKosten()
  {
      total = 0.0;
        option = 0;
        total += ((document.DAFORM.b_anz0.value * 7.99 + option) * 19)/(19 + 100);
        option = 0;
        total += ((document.DAFORM.b_anz1.value * 9.99 + option) * 19)/(19 + 100);
     
      return total;
      
  }  
</script>
<script type="text/javascript">
  /**
  * Gibt den Cookie zum übergebenen Namen zurück, sofern vorhanden
  * ansonsten wird ein leerer String zurück gegeben
  */
  function GetCookie(cookie_name)
  {
    if (document.cookie.length>0)
      {
      cookie_start=document.cookie.indexOf(cookie_name + "=");
      if (cookie_start!=-1)
        { 
        cookie_start=cookie_start + cookie_name.length+1; 
        cookie_end=document.cookie.indexOf(";",cookie_start);
        if (cookie_end==-1) cookie_end=document.cookie.length;
        return unescape(document.cookie.substring(cookie_start,cookie_end));
        } 
      }
    return "";
  }
  
  /**
  * Setzt die Cookiewerte im Formular
  */
  function SetCookieValues()
  {
  }
  /**
  * Liest die Informationen aus dem Formular und speichert diese    
  */
  function SetCookies()
  {
      
  }
  
</script>
<script type="text/javascript">
function chkFormular()
{
if(document.DAFORM.Vorname.value.trim() == "")  {
alert("Bitte geben Sie Ihren Vornamen an.");
document.DAFORM.Vorname.focus();
return false;
}
if(document.DAFORM.Nachname.value.trim() == "")  {
alert("Bitte geben Sie einen Nachnamen ein.");
document.DAFORM.Nachname.focus();
return false;
}
if(document.DAFORM.Strasse.value.trim() == "")  {
alert("Bitte geben Sie die Straße ein.");
document.DAFORM.Strasse.focus();
return false;
}
if(document.DAFORM.PLZ.value.trim() == "")  {
alert("Bitte geben Sie eine PLZ an.");
document.DAFORM.PLZ.focus();
return false;
}
if(document.DAFORM.Ort.value.trim() == "")  {
alert("Bitte geben Sie den Ort an.");
document.DAFORM.Ort.focus();
return false;
}
if(!document.DAFORM.email.value.match(/^[A-Z0-9._%-]+@[A-Z0-9.-]+\.[A-Z]{2,6}$/i))  {
alert("Bitte geben Sie Ihre E-Mail-Adresse an.");
document.DAFORM.email.focus();
return false;
}
if(document.DAFORM.AGB.checked  == false)
    {
alert("Bitte akzeptieren Sie die AGB.");
     document.DAFORM.AGB.focus();
     return false;
    }
    return true;
}
</script>
      <script src="https://unpkg.com/sweetalert/dist/sweetalert.min.js"></script>
      <script>
          function wochentag() {
              var jetzt = new Date();
              // Ermitteln des Wochentags, das Ergebnis
              // 0 = Sonntag
              // 1 = Montag
              // ...
              // 6 = Sonntag
              var aktTag = jetzt.getDay();
              // hier überprüfen wir, welchen Wochentag wir haben, an 2 oder (||) 3 blenden wir den Hinweis ein.
              if (aktTag == 2 || aktTag == 3) {
                anzeigeRuheTag();
              }
          }
          function anzeigeRuheTag() {
              swal('Heute ist Ruhetag', 'Dienstag und Mittwoch haben wir leider Ruhetag.', 'info',  { button: 'OK',});
          }
      </script>
<!-- JSCRIPT2 -->
<!-- DAFORMJSEND -->
</head>
<body onLoad="preisUpdateArt();SetCookieValues();wochentag();">
  
<div class="w3-card-12 w3-white mainContainer">
<!-- FORMTITLE_BEGIN -->
  <div class="w3-container w3-sand">
      <h1>Bestellformular</h1>
  </div>
<!-- FORMTITLE_END -->
<!-- EINLEITUNGTEXT_BEGIN -->
  <div class="w3-container">
      <p class="textend">Mit diesem Formular können Sie auf einfache Weise unsere Produkte bestellen.</p>
  </div>
<!-- EINLEITUNGTEXT_END -->
  <form class="w3-container" action="https://www.ekiwi-scripts.de/bestell/v4/formmail_v4.php" method="POST" name="DAFORM" onSubmit="SetCookies();return chkFormular();" enctype="multipart/form-data" target="_self">
  <input type="hidden" name="formid" value="710599">
  <input type="hidden" name="settings" value="cXZ7ZHJrcXZ7ZHI=">
  <input type="hidden" name="redirect" value="https://www.ekiwi.de/form/danke.htm">
  <input type="hidden" name="subject" value="Bestellformular">
  <input type="hidden" name="admin" value="fnR/V3pyfnlyZHJ+Y3I5Y3JkYw==">
  <input type="hidden" name="admin1" value="">
  <input type="hidden" name="admin2" value="">
  <input type="hidden" name="typemail" value="html">
  <input type="hidden" name="crypt" value="1">
  <input type="hidden" name="einleittext" value="">
  <input type="hidden" name="conf_MailtextEnd" value="">
  <input type="hidden" name="copyfields" value="0">
  <input type="hidden" name="copyip" value="0">
  <input type="hidden" name="hide_empty_fields" value="0">
  <input type="hidden" name="settings_encoding" value="utf-8">  
  <input type="hidden" name="tax" value="dWViY2N4">    
  <input type="hidden" name="anzahl" value="2">
  <input type="hidden" name="waehrung" value="€">  
  <input type="hidden" name="lang" value="de">
  <input type="hidden" name="conf_lang" value="de">  
  <input type="hidden" name="conf_pdf" value="0">  
  <input type="hidden" name="conf_gen_id" value="0"> 
  <input type="hidden" name="ReturnToSender" value="0">
   <input type="hidden" name="label__Vorname" value="Vm9ybmFtZQ==">
   <input type="hidden" name="label__Nachname" value="TmFjaG5hbWU=">
   <input type="hidden" name="label__Firma" value="RmlybWE=">
   <input type="hidden" name="label__Strasse" value="U3RyYcOfZQ==">
   <input type="hidden" name="label__PLZ" value="UExa">
   <input type="hidden" name="label__Ort" value="T3J0">
   <input type="hidden" name="label__email" value="RS1NYWls">
   <input type="hidden" name="label__AGB" value="QUdCIGFremVwdGllcnQ=">
  <input type="hidden" name="b_name0" value="Pizza mit Pommes">
  <input type="hidden" name="b_preis0" value="7.99">
  <input type="hidden" name="b_mwst0" value="19">
  <input type="hidden" name="b_bestnr0" value="0">
  <input type="hidden" name="b_opt_count0" value="0">
  <input type="hidden" name="b_name1" value="Pizza Html">
  <input type="hidden" name="b_preis1" value="9.99">
  <input type="hidden" name="b_mwst1" value="19">
  <input type="hidden" name="b_bestnr1" value="0">
  <input type="hidden" name="b_opt_count1" value="0">
<input type="hidden" name="conf_trans_text_article" value="Artikel:">
<input type="hidden" name="conf_trans_text_artno" value="Art.-Nr.:">
<input type="hidden" name="conf_trans_text_amount" value="Menge:">
<input type="hidden" name="conf_trans_text_vat" value="enthaltene Mwst.:">
<input type="hidden" name="conf_trans_text_options" value="Artikeloptionen:">
<input type="hidden" name="conf_trans_text_single_price" value="Einzelpreis:">
<input type="hidden" name="conf_trans_text_price" value="Preis:">
<input type="hidden" name="conf_trans_text_total_price" value="Gesamtpreis:">
<input type="hidden" name="conf_trans_text_date" value="Datum:">
<input type="hidden" name="conf_trans_text_time" value="Uhrzeit:">
<input type="hidden" name="conf_trans_text_orderdata" value="Bestelldaten:">
<input type="hidden" name="conf_trans_text_custdata" value="Kundendaten:">
<input type="hidden" name="conf_trans_text_order" value="Bestellung">
<input type="hidden" name="conf_trans_text_ip_info" value="Weitere Informationen:">
<input type="hidden" name="conf_trans_text_ip_adresse" value="IP-Adresse:">
<input type="hidden" name="conf_trans_text_ip_agent" value="Browser:">
<input type="hidden" name="conf_custom_seperator" value=",">
  
<input type="hidden" name="conf_payment" value="0">
<hr>
<h3>Pizza mit Pommes</h3>
      <p>
          
      </p>
<div class="w3-row">
    <div class="w3-quarter">
      <p><strong>Anzahl</strong></p>
      <input name="b_anz0" type="number" id="b_anz0" value="0" size="10" onChange="preisUpdateArt();" class="w3-input  w3-white">
    </div>
    <div class="w3-quarter">
        <p></p>
    </div>
    <div class="w3-quarter w3-right-align">
    <p><strong>Einzelpreis</strong></p>
      <div class="w3-right-align priceoutput">
        <input name="b_einz_ges0" type="text" id="b_einz_ges0" value="7,99" size="10" readonly class="w3-input w3-border-0 w3-right-align moneyoutput"> €
       </div> 
    </div>
    <div class="w3-quarter w3-right-align priceoutput">
    <p><strong>Gesamtpreis</strong></p>
      <input name="b_ges0" type="text" id="b_ges0" value="0,00" size="10" readonly class="w3-input w3-border-0 w3-right-align moneyoutput"> €
    </div>
</div>
<hr>
<h3>Pizza Html</h3>
      <p>
          
      </p>
<div class="w3-row">
    <div class="w3-quarter">
      <p><strong>Anzahl</strong></p>
      <input name="b_anz1" type="number" id="b_anz1" value="0" size="10" onChange="preisUpdateArt();" class="w3-input  w3-white">
    </div>
    <div class="w3-quarter">
        <p></p>
    </div>
    <div class="w3-quarter w3-right-align">
    <p><strong>Einzelpreis</strong></p>
      <div class="w3-right-align priceoutput">
        <input name="b_einz_ges1" type="text" id="b_einz_ges1" value="9,99" size="10" readonly class="w3-input w3-border-0 w3-right-align moneyoutput"> €
       </div> 
    </div>
    <div class="w3-quarter w3-right-align priceoutput">
    <p><strong>Gesamtpreis</strong></p>
      <input name="b_ges1" type="text" id="b_ges1" value="0,00" size="10" readonly class="w3-input w3-border-0 w3-right-align moneyoutput"> €
    </div>
</div>
<hr>
<!-- MWSTSTART-->
  <p class="w3-right-align"><strong>enthaltene MwSt.:</strong></p>
  <p class="w3-right-align">
  <input class="w3-input w3-border-0 w3-right-align moneyoutput" name="b_mwst" type="text" placeholder="0,00"> €
  </p>
<!-- MWSTEND-->
  <p class="w3-right-align"><strong>Gesamtpreis</strong></p>
  <p class="w3-right-align">
  <input class="w3-input w3-border-0 w3-right-align moneyoutput" name="b_gesamt" type="text" style="font-weight: bold; font-size: 14pt" placeholder="0,00"><b style="font-size: 14pt"> €</b>
  </p>
  
<div class="w3-row">
<div class="w3-col m6">
<div class="w3-container">
    <p>
    <label>Vorname<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="Vorname" id="Vorname" value="" maxLength="100">
        </p>
</div>
</div>
<div class="w3-col m6">
<div class="w3-container">
    <p>
    <label>Nachname<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="Nachname" id="Nachname" value="" maxLength="100">
        </p>
</div>
</div>
</div>
<div class="w3-container">
    <p>
    <label>Firma</label>
    <input class="w3-input w3-white" type="text" name="Firma" id="Firma" value="" maxLength="100">
        </p>
</div>
<div class="w3-container">
    <p>
    <label>Straße<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="Strasse" id="Strasse" value="" maxLength="100">
        </p>
</div>
<div class="w3-row">
<div class="w3-col m6">
<div class="w3-container">
    <p>
    <label>PLZ<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="PLZ" id="PLZ" value="" maxLength="100">
        </p>
</div>
</div>
<div class="w3-col m6">
<div class="w3-container">
    <p>
    <label>Ort<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="Ort" id="Ort" value="" maxLength="100">
        </p>
</div>
</div>
</div>
<div class="w3-container">
    <p>
    <label>E-Mail<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <input class="w3-input w3-white" type="text" name="email" id="email" value="" maxLength="200">
        </p>
</div>
<div class="w3-container">
    <p>
    <input class="w3-check" type="checkbox" value="x" name="AGB" id="AGB"> <label>AGB akzeptiert<span style="color: red; cursor: help;" title="erforderlich"> *</span></label>
    <p class="w3-opacity"><a href="https://ekiwi.de/form/agb.htm" target="_blank">Ich habe die Allgemeinen Geschäftsbedingungen gelesen und akzeptiert.
</a></p>
    </p>
</div>
<!-- CAPTCHA -->
    <p class="textend"></p>
  <hr/>
  <p>
    <button type="submit" class="w3-btn w3-blue-grey">Kostenpflichtig bestellen</button>      
    <button type="reset" class="w3-btn w3-red">Zurücksetzen</button>
    <!-- PRINTBUTTON -->    
  </p>
</form>
</div>
<script type="text/javascript">
  function inIframe () {
      try {
          return window.self !== window.top;
      } catch (e) {
          return true;
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  function openDialog(nameDialog, idOfButton)
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    var rect = document.getElementById(idOfButton).getBoundingClientRect();
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<script type="text/javascript">
</script>
</body>
</html>