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__CONFIG_lead_generation_code__<form action="https://q9sw9f.eu-3.quentn.com/public/forms/79/html/submit" method="POST"> <label for="wv-form-item-name">Name </label>
<input class="form-control form-text" type="text" id="wv-form-item-name" name="name" size="60" maxlength="128" />
<label for="wv-form-item-email">E-Mail </label>
<input class="form-control form-text" type="text" id="wv-form-item-email" name="mail" size="60" maxlength="128" />
<button id="wv-submit" name="wv-submit" type="submit" value="Informiert bleiben " class="btn btn-default form-submit">Informiert bleiben </button>
</form>__CONFIG_lead_generation_code__