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retouren.html
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<script type="text/javascript">
function showHideFirm() {
d = document.getElementById("customer").value;
if(d == "Geschäftskunde"){
document.getElementById("firm_form-element").classList.remove("hidden");
document.getElementById("firm").required = true;
document.getElementById("phoneNum").required = true;
document.getElementById("input-phoneNum").classList.add("is-required");
}
else{
document.getElementById("firm_form-element").classList.add("hidden");
document.getElementById("firm").required = false;
document.getElementById("phoneNum").required = false;
document.getElementById("input-phoneNum").classList.remove("is-required");
}
}
function rueckgabeReklamation(){
d = document.getElementById("retReason").value;
if(d == "Rückgabe"){
document.getElementById("uploadedFiles").required = false;
document.getElementById("input-uploadedFiles").classList.remove("is-required");
}
else{
document.getElementById("uploadedFiles").required = true;
document.getElementById("input-uploadedFiles").classList.add("is-required");
}
}
function enableBtn(){
document.getElementById("submitButton").disabled = false;
document.getElementById("captcha").value = grecaptcha.getResponse();
}
</script>
<script src="https://www.google.com/recaptcha/api.js" async defer></script>
<meta charset="utf-8">
<div class="row">
<div class="col-md-2 d-xs-none d-md-block"></div>
<div class="col col-md-4">
<form action="https://tectree.de/form/retouren.php" method="post" enctype="multipart/form-data" class="needs-validation form-ajax" id="form-retouren">
<div class="nw_form-group">
<div class="nw_form-group__form-elements">
<span class="nw_form-element--input is-required">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Privat- / Geschäftskunde</span>
<select class="form-select" name="customer" id="customer" size="1" onchange="showHideFirm()" required>
<option value="">Bitte auswählen...</option>
<option>Privatkunde</option>
<option>Geschäftskunde</option>
</select>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required hidden" id="firm_form-element">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Firma</span>
<input class="form-control" name="firm" id="firm" type="text" required>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Kontaktperson</span>
<input class="form-control" name="full_name" id="full_name" type="text" required>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input" id="input-phoneNum">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Telefonnummer</span>
<input class="form-control" name="phoneNum" id="phoneNum" type="text">
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>E-Mail Adresse</span>
<input class="form-control" name="email" id="email" type="email" required>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Auftragsnummer / Lieferscheinnummer / Rechnungsnummer</span>
<input class="form-control" name="uniqueNum" id="uniqueNum" type="text" required>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Retouren- / Reklamationsgrund</span>
<select class="form-select" name="retReason" id="retReason" size="1" onchange="rueckgabeReklamation()" required>
<option value="">Bitte auswählen...</option>
<option>Rückgabe</option>
<option>Falschlieferung</option>
<option>Defekt</option>
<option>Transportschaden</option>
<option>Unterlieferung</option>
<option>Überlieferung</option>
</select>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input is-required" id="input-msg_body">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Artikelnummer / Menge / Fehlerbeschreibung bzw. Zusatzinformationen</span>
<textarea rows="5" cols="80" class="form-control" name="msg_body" id="msg_body" required></textarea>
</label>
</div>
</div>
</span>
<span class="nw_form-element--input" id="input-uploadedFiles">
<div class="input-group">
<div class="nw_input-group">
<label>
<span>Anhänge / Fotos</span>
<input class="form-control" name="uploadedFiles[]" id="uploadedFiles" type="file" multiple="multiple"/>
</label>
</div>
</div>
</span>
<p>Bitte fügen Sie bei jeglichen Reklamationen ein Foto von dem beanstandeten Mangel bei.</p>
<span class="nw_form-element--input">
<div class="input-group">
<div class="nw_input-group">
<label>
<div class="g-recaptcha" data-sitekey="6LeXRgUqAAAAAHeHrQHiXA9tF3CUxfsC_cfwmOi_" data-callback="enableBtn"></div>
<input type="hidden" name="captcha" id="captcha" value="">
</label>
</div>
</div>
</span>
</div>
</div>
<div class="alert alert-success hidden" role="alert" id="alert"></div>
<button class="btn btn-primary full-width" type="submit" disabled="disabled" id="submitButton">Retouren- / Reklamationsantrag senden</button>
</form>
<br>* = Pflichtfeld<br>
Informationen zur den AGB <a href="https://www.loechel-industriebedarf.de/content/show/12348" target="_blank">(Allgemeine Geschäftsbedingungen anzeigen)</a><br>
Informationen zur Datenschutzerklärung <a href="https://www.loechel-industriebedarf.de/datenschutz" target="_blank">(Datenschutzerklärung anzeigen)</a><br>
Informationen zur Widerrufsbelehrung <a href="https://www.loechel-industriebedarf.de/content/show/15125" target="_blank">(Widerrufsbelehrung anzeigen)</a><br>
</div>
<div class="col-md-4 col-12 mt-3 mt-md-0">
<article class="nw_contact-person">
<h4 class="nw_contact-person__header mb-3">Ihr Ansprechpartner</h4>
<div class="nw_contact-person__content">
<div class="nw_contact-person__image nw_image">
<img class="nw_image__image mb-5" alt="Löchel Industriebedarf Retouren" style="opacity: 1;" src="/upload/ContactPersonManager_95/loechel_icon200x200.png">
</div>
<p class="nw_contact-person__name">Löchel Industriebedarf Retouren</p>
<address>
<div class="nw_contact-person__data-entry">
<div class="nw_contact-person__data-entry-value">
<span>Tel.:</span> <a href="tel:04271 782776">04271 782776</a>
</div>
</div>
<div class="nw_contact-person__data-entry">
<div class="nw_contact-person__data-entry-value">
<span>eMail:</span> <a href="mailto:retouren@loechel-industriebedarf.de">retouren@loechel-industriebedarf.de</a>
</div>
</div>
</address>
</div>
</article>
</div>
</div>