{"token":"3c1bfc3be30cfcae5a5636de36c25632.P4FRlA01-I5wWJhutII0KxbolRNYQ0wrUDVCLFz9tI0.DOg88mcDwPxIMupchtF-YC6Q8SYZNA4bZ38zZg2_7cBW5TriPA2S4jQU8w","content":{"content":"\n<div class=\"mod_member_profil  block\">\n\t<div class=\"ce_membercontact  block\">\n\t<div>\n\t\t\t<p class=\"right\"><input type=\"submit\" value=\"Schlie\u00dfen\" style='float:right; margin-top:-20px;' onclick='jQuery.colorbox.close(); return false;' class=\"text-gruen\" \/>\n\t\t\t<\/p>\n\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t<p class='left' style='padding:0px; margin:0px; margin-top:-10px; margin-bottom:10px;'><strong>Diese Nachricht geht direkt an den Tr\u00e4ger.<\/strong><\/p>\n\t\n\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t<\/div>\n\n\t  <form action=\"ajax.php?action=fmd&amp;id=21&amp;member=9628&amp;use=sendcontact&amp;pageId=37\" id=\"Sin_\" method=\"post\" >\n    <div class=\"formbody\">\n      <input type=\"hidden\" name=\"REQUEST_TOKEN\" value=\"3c1bfc3be30cfcae5a5636de36c25632.P4FRlA01-I5wWJhutII0KxbolRNYQ0wrUDVCLFz9tI0.DOg88mcDwPxIMupchtF-YC6Q8SYZNA4bZ38zZg2_7cBW5TriPA2S4jQU8w\">\n      <input type=\"hidden\" name=\"FORM_SUBMIT\" value=\"Sin_\">\n\n\n\n\t\t\t<!--\n\t\t[{]image::files\/customers\/92476426\/WAH_Logo_Wohnen_RGB.png?width=100px&height=80px&title=&class= right&mode= proportional[}]\n\t\t-->\n\t\t<img class='right' src='files\/customers\/92476426\/WAH_Logo_Wohnen_RGB.png' width='150' height='51' alt='Klinikum Wahrendorff' >\n\t\n\n\n\t\t\t\t<div class='left'>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class='widget name  first ' >\n\t\t\t\t\t\t\t\t<label for=\"ctrl_name\" class=\"mandatory\"><span class=\"invisible\">Pflichtfeld <\/span>Ihr Name:<span class=\"mandatory\">*<\/span><\/label>\t\t\t\t\t\t\t\t<input type=\"text\" name=\"name\" id=\"ctrl_name\" class=\"text mandatory\" value=\"\" required maxlength=\"50\">\t\t\t\t\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='widget email ' >\n\t\t\t\t\t\t\t\t<label for=\"ctrl_email\" class=\"mandatory\"><span class=\"invisible\">Pflichtfeld <\/span>Ihre E-Mail:<span class=\"mandatory\">*<\/span><\/label>\t\t\t\t\t\t\t\t<input type=\"email\" name=\"email\" id=\"ctrl_email\" class=\"text mandatory\" value=\"\" required maxlength=\"70\">\t\t\t\t\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='widget telefon ' >\n\t\t\t\t\t\t\t\t<label for=\"ctrl_telefon\">Ihre Telefonnummer:<\/label>\t\t\t\t\t\t\t\t<input type=\"tel\" name=\"telefon\" id=\"ctrl_telefon\" class=\"text\" value=\"\" maxlength=\"30\">\t\t\t\t\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\n\t\t\t\t<div class='widget comment ' >\n\t\t\t\t\t<label for=\"ctrl_comment\" class=\"mandatory\"><span class=\"invisible\">Pflichtfeld <\/span>Ihre Nachricht:<span class=\"mandatory\">*<\/span><\/label>\t\t\t\t\t<textarea name=\"comment\" id=\"ctrl_comment\" class=\"textarea mandatory\" rows=\"10\" cols=\"60\" required><\/textarea>\t\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\n        <div class=\"submit_container\">\n\t\t\t\t\t<input class='text-gruen' type='submit' value='Absenden' \/><span class='hinweis-kopie' >Eine Kopie der Nachricht wird automatisch an Ihre E-Mail-Adresse gesendet.<\/span>\n        <\/div>\n\t\t\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t\t<\/div>\n\t\t<div class='sin_clear'>&nbsp;<\/div>\n\t<\/div>\n<\/div>","script":"jQuery('#Sin_').on('submit', function (e) { e.preventDefault(); ajaxreq(jQuery(this).attr('action'),jQuery(this).serialize(),'POST'); return false; })"}}