<form enctype="multipart/form-data" method="post" id="article_request-2" action="/wissensportal?tx_form_formframework%5Baction%5D=perform&tx_form_formframework%5Bcontroller%5D=FormFrontend&type=2002&cHash=ebd07cf495e814be741947f6c530e3d4#article_request-2"> <div><input type="hidden" name="tx_form_formframework[article_request-2][__state]" value="TzozOToiVFlQTzNcQ01TXEZvcm1cRG9tYWluXFJ1bnRpbWVcRm9ybVN0YXRlIjoyOntzOjI1OiIAKgBsYXN0RGlzcGxheWVkUGFnZUluZGV4IjtpOjA7czoxMzoiACoAZm9ybVZhbHVlcyI7YTowOnt9fQ==a63ff5bcb82e560edd82c710f95a70ec17d8e653" /><input type="hidden" name="tx_form_formframework[__trustedProperties]" value="a:1:{s:17:"article_request-2";a:18:{s:7:"article";i:1;s:11:"article-sub";i:1;s:17:"article-languages";i:1;s:5:"email";i:1;s:7:"company";i:1;s:10:"salutation";i:1;s:5:"title";i:1;s:18:"ziIcahKdfPvDlU0EB1";i:1;s:9:"firstname";i:1;s:7:"surname";i:1;s:6:"street";i:1;s:13:"street_number";i:1;s:3:"zip";i:1;s:4:"city";i:1;s:7:"country";i:1;s:4:"note";i:1;s:20:"article-request-gdpr";i:1;s:13:"__currentPage";i:1;}}2c89e48ce7574da8da0b78be647bc0be7b37fb6c" /> </div> <div class="gutter grid"> <div class="cell sm-12 lg-12 input"> <p class="request-title">„Das neue Normblatt DIN DVM 2109“</p> <input id="article_request-2-article" type="hidden" name="tx_form_formframework[article_request-2][article]" value="Das neue Normblatt DIN DVM 2109" /> </div> <div class="cell sm-12 lg-12 input"> <p class="request-title-sub">Straßenbau 30 (1939) 20, S.323-325</p> <input id="article_request-2-article-sub" type="hidden" name="tx_form_formframework[article_request-2][article-sub]" value="Straßenbau 30 (1939) 20, S.323-325" /> </div> </div> <div class="gutter grid"> <div class="cell sm-24 lg-12 input"> <input id="article_request-2-article-languages" type="hidden" name="tx_form_formframework[article_request-2][article-languages]" value="0" /> </div> </div> <div class="gutter grid"> <div class="cell sm-24 lg-24 "> <div class="clearfix"> <p class="h2">Ihre persönlichen Kontaktdaten:</p> </div> </div> </div> <div class="gutter grid"> <div class="cell sm-12 lg-6 input"> <div class="form-group Email"> <input required="required" class=" form-control" id="article_request-2-email" type="email" name="tx_form_formframework[article_request-2][email]" value="" /> <label class="control-label" for="article_request-2-email">E-Mail Adresse</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input maxlength="50" class=" form-control" id="article_request-2-company" type="text" name="tx_form_formframework[article_request-2][company]" value="" /> <label class="control-label" for="article_request-2-company">Unternehmen (optional)</label> </div> </div> </div> <div class="gutter grid"> <div class="cell sm-12 lg-6 input"> <div class="form-group SingleSelect"> <select required="required" class="js-has-placeholder form-control" id="article_request-2-salutation" name="tx_form_formframework[article_request-2][salutation]"><option value="">Anrede</option> <option value="Mr">Herr</option> <option value="Mrs">Frau</option> </select> <label class="control-label" for="article_request-2-salutation">Anrede</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group SingleSelect"> <select class="js-has-placeholder form-control" id="article_request-2-title" name="tx_form_formframework[article_request-2][title]"><option value="">Titel (optional)</option> <option value="Prof">Prof.</option> <option value="Dr">Dr.</option> </select> <label class="control-label" for="article_request-2-title">Titel (optional)</label> </div> </div> </div> <input autocomplete="ziIcahKdfPvDlU0EB1" aria-hidden="true" id="article_request-2-ziIcahKdfPvDlU0EB1" style="position:absolute; margin:0 0 0 -999em;" tabindex="-1" type="text" name="tx_form_formframework[article_request-2][ziIcahKdfPvDlU0EB1]" /> <div class="gutter grid"> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="35" class=" form-control" id="article_request-2-firstname" type="text" name="tx_form_formframework[article_request-2][firstname]" value="" /> <label class="control-label" for="article_request-2-firstname">Vorname</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="35" class=" form-control" id="article_request-2-surname" type="text" name="tx_form_formframework[article_request-2][surname]" value="" /> <label class="control-label" for="article_request-2-surname">Nachname</label> </div> </div> </div> <div class="gutter grid"> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="50" class=" form-control" id="article_request-2-street" type="text" name="tx_form_formframework[article_request-2][street]" value="" /> <label class="control-label" for="article_request-2-street">Straße</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="5" class=" form-control" id="article_request-2-street_number" type="text" name="tx_form_formframework[article_request-2][street_number]" value="" /> <label class="control-label" for="article_request-2-street_number">Hausnummer</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input maxlength="7" class=" form-control" id="article_request-2-zip" type="text" name="tx_form_formframework[article_request-2][zip]" value="" /> <label class="control-label" for="article_request-2-zip">Postleitzahl (optional)</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="35" class=" form-control" id="article_request-2-city" type="text" name="tx_form_formframework[article_request-2][city]" value="" /> <label class="control-label" for="article_request-2-city">Stadt</label> </div> </div> <div class="cell sm-12 lg-6 input"> <div class="form-group Text"> <input required="required" maxlength="50" class=" form-control" id="article_request-2-country" type="text" name="tx_form_formframework[article_request-2][country]" value="" /> <label class="control-label" for="article_request-2-country">Land</label> </div> </div> </div> <div class="gutter grid"> <div class="cell sm-24 lg-24 "> <div class="clearfix"> <p class="h2">Ihre Anmerkung:</p> </div> </div> </div> <div class="gutter grid"> <div class="cell sm-12 lg-6 input"> <div class="form-group Textarea"> <textarea class="xxlarge form-control" id="article_request-2-note" name="tx_form_formframework[article_request-2][note]"></textarea> <label class="control-label" for="article_request-2-note">Bemerkung (optional)</label> </div> </div> <div class="cell sm-12 lg-6 input checkbox"> <div class="form-group GdprCheckbox"> <div class="form-check"> <label class="add-on form-check-label" for="article_request-2-article-request-gdpr"> <input type="hidden" name="tx_form_formframework[article_request-2][article-request-gdpr]" value="" /><input required="required" class="add-on" id="article_request-2-article-request-gdpr" type="checkbox" name="tx_form_formframework[article_request-2][article-request-gdpr]" value="1" /> <span class="label">GDPR</span> <span class="checkmark"></span> </label> <p> Ich stimme zu, dass meine Angaben aus dem Online-Formular zur Bearbeitung meiner Publikationsbestellung verarbeitet werden. Die Daten werden gelöscht oder gesperrt, sobald der Zweck der Verarbeitung entfällt. Hinweis: Sie können Ihre Einwilligung jederzeit für die Zukunft per E-Mail an <a href="mailto:datenschutzbeauftragter@vdz-online.de">datenschutzbeauftragter@vdz-online.de</a> widerrufen. Detaillierte Informationen zum Umgang mit Nutzerdaten sind in unserer <a href="/wissensportal" target="_blank">Datenschutzerklärung</a> abrufbar. </p> </div> </div> </div> </div> <div class="actions"> <nav class="form-navigation gutter grid"> <div class="cell lg-6 sm-12 btn-toolbar" role="toolbar"> <div class="btn-group" role="group"> <input type="hidden" name="tx_form_formframework[article_request-2][__currentPage]" value="1" /> <span class="btn-group next submit"> <button data-submit-loader="Ihre Anfrage wird gesendet" class="button white" type="submit" name="tx_form_formframework[article_request-2][__currentPage]" value="1"> Anfrage senden </button> </span> </div> </div> </nav> </div> </form>