Customer Solicit Customer

<section>
    <div class="container">
        <div class="row justify-content-center">
            <div class="mb-5 col-sm-12 col-md-12 col-lg-8 col-xl-6">
                <div class="compact" role="form" aria-label="Customer solicit customer form">
                    <form name="KWK_de" id="CustomerSolicitCustomerSlimForm" class="form-group" action="?formAct#response" method="post" data-validate="true" aria-label="Customer solicit customer form">
                        <input type="hidden" name="id" value="AC70D6E3-F9D6-8339-BCA162934EDD3653" />
                        <input type="text" name="username" class="form-control importantField d-none" value="" />
                        <input type="hidden" name="message" value="" class="form-control" />
                        <fieldset>
                            <div class="alert alert-danger my-3 animated bounceIn d-none" id="fillFieldsValid" role="alert">
                                <p class="mb-0"><i class="icon-solid-exclamation-triangle mr-1"></i><span>Es fehlen noch wichtige Informationen. Bitte füllen
                                        Sie die Felder vollständig aus.</span></p>
                            </div>
                            <h5 class="mt-4 mb-3 pl-1">Ihre Angaben</h5>
                            <div class="form-group">
                                <input id="timocomid" type="text" class="form-control form-control-lg border-bottom-0 radius-bl-0 radius-br-0" name="timocomid" data-mandatory="true" data-ruletype="Integer" required="" />
                                <label class="form-control-placeholder" for="timocomid">TIMOCOM
                                    ID *</label>
                            </div>
                            <div class="form-group">
                                <input id="advertiseCompany" class="form-control form-control-lg border-bottom-0 radius-0" type="text" name="advertiseCompany" data-mandatory="true" data-ruletype="CompanyName" required="" />
                                <label class="form-control-placeholder" for="advertiseCompany">Firma *</label>
                            </div>
                            <div class="form-group">
                                <input id="advertiseName" class="form-control form-control-lg border-bottom-0 radius-0" type="text" name="advertiseName" data-mandatory="true" data-ruletype="PersonName" required="" />
                                <label class="form-control-placeholder" for="advertiseName">Name
                                    *</label>
                            </div>
                            <div class="form-group">
                                <select name="advertiseCountry" id="advertiseCountry" class="form-control form-control-lg border-bottom-0 radius-tl-0 radius-tr-0" aria-label="Advertiser country" data-ruletype="Country" data-dependencyattribute="data-country" data-revalidatedependendies="true">
                                    <option value="AD">AD... Andorra</option>
                                    <option value="AE">AE... Vereinigte Arabische Emirate</option>
                                    <option value="AF">AF... Afghanistan</option>
                                    <option value="AL">AL... Albanien</option>
                                    <option value="AM">AM... Armenien</option>
                                    <option value="AT">AT... Österreich</option>
                                    <option value="AZ">AZ... Aserbaidschan</option>
                                    <option value="BA">BA... Bosnien-Herzegowina</option>
                                    <option value="BE">BE... Belgien</option>
                                    <option value="BG">BG... Bulgarien</option>
                                    <option value="BH">BH... Bahrain</option>
                                    <option value="BR">BR... Brasilien</option>
                                    <option value="BY">BY... Weißrussland</option>
                                    <option value="CH">CH... Schweiz</option>
                                    <option value="CN">CN... China</option>
                                    <option value="CY">CY... Zypern</option>
                                    <option value="CZ">CZ... Tschechien</option>
                                    <option value="DE" selected="selected">DE... Deutschland</option>
                                    <option value="DK">DK... Dänemark</option>
                                    <option value="DZ">DZ... Algerien</option>
                                    <option value="EE">EE... Estland</option>
                                    <option value="EG">EG... Ägypten</option>
                                    <option value="ER">ER... Eritrea</option>
                                    <option value="ES">ES... Spanien</option>
                                    <option value="ET">ET... Äthiopien</option>
                                    <option value="FI">FI... Finnland</option>
                                    <option value="FO">FO... Färöer Inseln</option>
                                    <option value="FR">FR... Frankreich</option>
                                    <option value="GB">GB... Großbritannien</option>
                                    <option value="GE">GE... Georgien</option>
                                    <option value="GI">GI... Gibraltar</option>
                                    <option value="GR">GR... Griechenland</option>
                                    <option value="HR">HR... Kroatien</option>
                                    <option value="HU">HU... Ungarn</option>
                                    <option value="IE">IE... Irland</option>
                                    <option value="IL">IL... Israel</option>
                                    <option value="IN">IN... Indien</option>
                                    <option value="IQ">IQ... Irak</option>
                                    <option value="IR">IR... Iran</option>
                                    <option value="IS">IS... Island</option>
                                    <option value="IT">IT... Italien</option>
                                    <option value="JO">JO... Jordanien</option>
                                    <option value="KG">KG... Kirgistan</option>
                                    <option value="KW">KW... Kuwait</option>
                                    <option value="KZ">KZ... Kasachstan</option>
                                    <option value="LB">LB... Libanon</option>
                                    <option value="LI">LI... Liechtenstein</option>
                                    <option value="LT">LT... Litauen</option>
                                    <option value="LU">LU... Luxemburg</option>
                                    <option value="LV">LV... Lettland</option>
                                    <option value="LY">LY... Libyen</option>
                                    <option value="MA">MA... Marokko</option>
                                    <option value="MC">MC... Monaco</option>
                                    <option value="MD">MD... Moldawien</option>
                                    <option value="ME">ME... Montenegro</option>
                                    <option value="MK">MK... Nordmazedonien</option>
                                    <option value="MN">MN... Mongolei</option>
                                    <option value="MT">MT... Malta</option>
                                    <option value="NL">NL... Niederlande</option>
                                    <option value="NO">NO... Norwegen</option>
                                    <option value="NP">NP... Nepal</option>
                                    <option value="OM">OM... Oman</option>
                                    <option value="PK">PK... Pakistan</option>
                                    <option value="PL">PL... Polen</option>
                                    <option value="PT">PT... Portugal</option>
                                    <option value="QA">QA... Katar</option>
                                    <option value="RO">RO... Rumänien</option>
                                    <option value="RS">RS... Serbien</option>
                                    <option value="RU">RU... Russland</option>
                                    <option value="SA">SA... Saudi-Arabien</option>
                                    <option value="SE">SE... Schweden</option>
                                    <option value="SI">SI... Slowenien</option>
                                    <option value="SK">SK... Slowakei</option>
                                    <option value="SM">SM... San Marino</option>
                                    <option value="SY">SY... Syrien</option>
                                    <option value="TJ">TJ... Tadschikistan</option>
                                    <option value="TM">TM... Turkmenistan</option>
                                    <option value="TN">TN... Tunesien</option>
                                    <option value="TR">TR... Türkei</option>
                                    <option value="UA">UA... Ukraine</option>
                                    <option value="UZ">UZ... Usbekistan</option>
                                    <option value="VA">VA... Vatikan</option>
                                    <option value="YE">YE... Jemen</option>
                                </select>
                            </div>
                        </fieldset>
                        <fieldset>
                            <h5 class="mt-4 pl-1">
                                Sie haben folgenden Interessenten für TIMOCOM geworben
                            </h5>
                            <div class="form-group">
                                <select class="form-control form-control-lg border-bottom-0 radius-bl-0 radius-br-0" name="product" aria-label="Product">
                                    <option value="TCO" selected="">Frachtenbörse</option>
                                    <option value="TCM">Routen &amp; Kosten</option>
                                    <option value="TCB">Ausschreibungen</option>
                                    <option value="TCO/TCM">Frachtenbörse/Routen &amp; Kosten</option>
                                    <option value="TCO/TCB">Frachtenbörse/Ausschreibungen</option>
                                    <option value="TCO/TCM/TCB">Frachtenbörse/Routen &amp;
                                        Kosten/Ausschreibungen</option>
                                </select>
                            </div>
                            <div class="form-group">
                                <input id="name" type="text" class="form-control form-control-lg border-bottom-0 radius-0" name="name" data-mandatory="true" data-ruletype="PersonName" required="" />
                                <label class="form-control-placeholder" for="name">Name *</label>
                            </div>
                            <div class="form-group">
                                <input id="company" class="form-control form-control-lg border-bottom-0 radius-0" type="text" name="company" data-mandatory="true" data-ruletype="CompanyName" required="" />
                                <label class="form-control-placeholder" for="company">Firma *</label>
                            </div>
                            <div class="form-group">
                                <select name="country" id="country" class="form-control form-control-lg border-bottom-0 radius-0" aria-label="Country" data-ruletype="Country" data-dependencyattribute="data-country" data-revalidatedependendies="true">
                                    <option value="AD">AD... Andorra</option>
                                    <option value="AE">AE... Vereinigte Arabische Emirate</option>
                                    <option value="AF">AF... Afghanistan</option>
                                    <option value="AL">AL... Albanien</option>
                                    <option value="AM">AM... Armenien</option>
                                    <option value="AT">AT... Österreich</option>
                                    <option value="AZ">AZ... Aserbaidschan</option>
                                    <option value="BA">BA... Bosnien-Herzegowina</option>
                                    <option value="BE">BE... Belgien</option>
                                    <option value="BG">BG... Bulgarien</option>
                                    <option value="BH">BH... Bahrain</option>
                                    <option value="BR">BR... Brasilien</option>
                                    <option value="BY">BY... Weißrussland</option>
                                    <option value="CH">CH... Schweiz</option>
                                    <option value="CN">CN... China</option>
                                    <option value="CY">CY... Zypern</option>
                                    <option value="CZ">CZ... Tschechien</option>
                                    <option value="DE" selected="selected">DE... Deutschland</option>
                                    <option value="DK">DK... Dänemark</option>
                                    <option value="DZ">DZ... Algerien</option>
                                    <option value="EE">EE... Estland</option>
                                    <option value="EG">EG... Ägypten</option>
                                    <option value="ER">ER... Eritrea</option>
                                    <option value="ES">ES... Spanien</option>
                                    <option value="ET">ET... Äthiopien</option>
                                    <option value="FI">FI... Finnland</option>
                                    <option value="FO">FO... Färöer Inseln</option>
                                    <option value="FR">FR... Frankreich</option>
                                    <option value="GB">GB... Großbritannien</option>
                                    <option value="GE">GE... Georgien</option>
                                    <option value="GI">GI... Gibraltar</option>
                                    <option value="GR">GR... Griechenland</option>
                                    <option value="HR">HR... Kroatien</option>
                                    <option value="HU">HU... Ungarn</option>
                                    <option value="IE">IE... Irland</option>
                                    <option value="IL">IL... Israel</option>
                                    <option value="IN">IN... Indien</option>
                                    <option value="IQ">IQ... Irak</option>
                                    <option value="IR">IR... Iran</option>
                                    <option value="IS">IS... Island</option>
                                    <option value="IT">IT... Italien</option>
                                    <option value="JO">JO... Jordanien</option>
                                    <option value="KG">KG... Kirgistan</option>
                                    <option value="KW">KW... Kuwait</option>
                                    <option value="KZ">KZ... Kasachstan</option>
                                    <option value="LB">LB... Libanon</option>
                                    <option value="LI">LI... Liechtenstein</option>
                                    <option value="LT">LT... Litauen</option>
                                    <option value="LU">LU... Luxemburg</option>
                                    <option value="LV">LV... Lettland</option>
                                    <option value="LY">LY... Libyen</option>
                                    <option value="MA">MA... Marokko</option>
                                    <option value="MC">MC... Monaco</option>
                                    <option value="MD">MD... Moldawien</option>
                                    <option value="ME">ME... Montenegro</option>
                                    <option value="MK">MK... Nordmazedonien</option>
                                    <option value="MN">MN... Mongolei</option>
                                    <option value="MT">MT... Malta</option>
                                    <option value="NL">NL... Niederlande</option>
                                    <option value="NO">NO... Norwegen</option>
                                    <option value="NP">NP... Nepal</option>
                                    <option value="OM">OM... Oman</option>
                                    <option value="PK">PK... Pakistan</option>
                                    <option value="PL">PL... Polen</option>
                                    <option value="PT">PT... Portugal</option>
                                    <option value="QA">QA... Katar</option>
                                    <option value="RO">RO... Rumänien</option>
                                    <option value="RS">RS... Serbien</option>
                                    <option value="RU">RU... Russland</option>
                                    <option value="SA">SA... Saudi-Arabien</option>
                                    <option value="SE">SE... Schweden</option>
                                    <option value="SI">SI... Slowenien</option>
                                    <option value="SK">SK... Slowakei</option>
                                    <option value="SM">SM... San Marino</option>
                                    <option value="SY">SY... Syrien</option>
                                    <option value="TJ">TJ... Tadschikistan</option>
                                    <option value="TM">TM... Turkmenistan</option>
                                    <option value="TN">TN... Tunesien</option>
                                    <option value="TR">TR... Türkei</option>
                                    <option value="UA">UA... Ukraine</option>
                                    <option value="UZ">UZ... Usbekistan</option>
                                    <option value="VA">VA... Vatikan</option>
                                    <option value="YE">YE... Jemen</option>
                                </select>
                            </div>
                            <div class="form-group">
                                <input id="phone" class="form-control form-control-lg border-bottom-0 radius-0" type="text" name="phone" required="" />
                                <label class="form-control-placeholder" for="phone">Telefon</label>
                            </div>
                            <div class="form-group">
                                <input id="mail" class="form-control form-control-lg border-bottom-0 radius-0" type="text" name="mail" data-mandatory="true" data-ruletype="Email" required="" />
                                <label class="form-control-placeholder" for="mail">E-Mail*
                                </label>
                            </div>
                        </fieldset>
                        <div class="frc-captcha w-100 d-flex justify-content-center pt-1" data-sitekey="FCMT00JSKVE85ECK" data-lang="de" data-puzzle-endpoint="https://eu-api.friendlycaptcha.eu/api/v1/puzzle" data-solution-field-name="fCaptchaSolution" data-attached="1">
                            <div class="frc-container">
                                <svg class="frc-icon" role="img" xmlns="http://www.w3.org/2000/svg" height="32" width="32" viewBox="0 0 24 24">
                                    <path d="M17,11c0.34,0,0.67,0.04,1,0.09V6.27L10.5,3L3,6.27v4.91c0,4.54,3.2,8.79,7.5,9.82c0.55-0.13,1.08-0.32,1.6-0.55 C11.41,19.47,11,18.28,11,17C11,13.69,13.69,11,17,11z"></path>
                                    <path d="M17,13c-2.21,0-4,1.79-4,4c0,2.21,1.79,4,4,4s4-1.79,4-4C21,14.79,19.21,13,17,13z M17,14.38"></path>
                                </svg>
                                <div class="frc-content">
                                    <span class="frc-text">Anti-Roboter-Verifizierung</span>
                                    <button type="button" class="frc-button">Hier klicken</button>
                                </div>
                            </div><span class="frc-banner"><a href="https://friendlycaptcha.com/" rel="noopener" target="_blank"><b>Friendly</b>Captcha ⇗</a></span>
                            <input name="fCaptchaSolution" class="frc-captcha-solution" type="hidden" value=".UNSTARTED" />
                        </div>
                        <button class="btn btn-lg btn-block btn-primary mt-3 mb-3" type="submit" name="name" value="">Formular senden</button>
                    </form>
                    <div class="mt-3">
                        <p class="small">Alle mit
                            <strong>'*'</strong>
                            markierten Felder sind Pflichtfelder, bitte unbedingt ausfüllen.
                        </p>
                    </div>
                </div>
            </div>
        </div>
    </div>
</section>