{"id":4731,"date":"2026-06-17T15:29:26","date_gmt":"2026-06-17T13:29:26","guid":{"rendered":"https:\/\/www.skoliosenetzwerkoesterreich.at\/experten\/?post_type=formgent_form&#038;p=4731"},"modified":"2026-06-18T10:24:20","modified_gmt":"2026-06-18T08:24:20","slug":"ai-form-8102","status":"publish","type":"formgent_form","link":"https:\/\/www.skoliosenetzwerkoesterreich.at\/experten\/form\/ai-form-8102\/","title":{"rendered":"Widerrufsformular"},"content":{"rendered":"\n<style>\n    .formgent-form-4731 {\n        \/* Form variables *\/\n        --formgent-form-background-color: #ffffff;\n        --formgent-form-background-image: ;\n        --formgent-form-background-image-position:\n        center center;\n\n        --formgent-form-padding-desktop: 20px 20px 40px 20px;\n        --formgent-form-padding-tablet: 20px 20px 40px 20px;\n        --formgent-form-padding-mobile: 20px 20px 40px 20px;\n        --formgent-form-margin-desktop: 0 0 0 0;\n        --formgent-form-margin-tablet: 0 0 0 0;\n        --formgent-form-margin-mobile: 0 0 0 0;\n        --formgent-form-border-width: 0;\n        --formgent-form-border: 0 solid transparent;\n        --formgent-form-border-radius: 16px 16px 16px 16px;\n\n        \/* Field variables *\/\n        --formgent-field-vertical-spacing-desktop: 35px;\n        --formgent-field-vertical-spacing-tablet: 35px;\n        --formgent-field-vertical-spacing-mobile: 35px;\n        --formgent-field-horizontal-spacing-desktop: 12px;\n        --formgent-field-horizontal-spacing-tablet: 12px;\n        --formgent-field-horizontal-spacing-mobile: 12px;\n        --formgent-field-background-color: transparent;\n        --formgent-field-background-color-hover: transparent;\n        --formgent-field-placeholder-color: #a1a9b2;\n        --formgent-field-label-color: #000000;\n        --formgent-field-description-color: #747c89;\n        --formgent-field-error-message-color: #c83a3a;\n        --formgent-field-input-color: #4d5761 ;\n        --formgent-field-options-color: #4d5761;\n        --formgent-field-border: 1px solid #d2d6db;\n        --formgent-field-border-radius: 8px 8px 8px 8px;\n        --formgent-field-rating-color: #a1a9b2;\n        --formgent-field-rating-color-hover: #5e53f9;\n        --formgent-field-range-slider-color: #000000;\n        \/* Fixed submit button variables *\/\n        --formgent-fixed-btn-bg-color: #000000;\n        --formgent-fixed-btn-text-color: #ffffff;\n        --formgent-fixed-btn-border-color: #000000;\n        --formgent-fixed-btn-style: default;\n        --formgent-fixed-btn-alignment: left;\n    }\n    .display-none {\n        display: none;\n    }\n<\/style><style>\n    <\/style>\n<div class=\"formgent-form formgent-form-4731 formgent-form-general \">\n            <div class=\"formgent-confirmation-wrap formgent-confirmation-wrap--hidden\">\n            <div class=\"formgent-notices formgent-notices--classic-form\"\n                data-message=\"&lt;h3 style=&quot;text-align: center; font-size: 32px; font-weight: bold;&quot;&gt;Vielen Dank!\u00a0&lt;\/h3&gt;\n&lt;p style=&quot;text-align: center;&quot;&gt;Hiermit best\u00e4tigen wir den Eingang Ihres R\u00fccktrittsformulars \/ Widerrufsformulars.&lt;\/p&gt;\n&lt;p style=&quot;text-align: center;&quot;&gt;\u00dcber die weitere Abwicklung bekommen Sie eine separate E-Mail.&lt;\/p&gt;\n&lt;p&gt;Mit freundlichen Gr\u00fc\u00dfen&lt;\/p&gt;\n&lt;p&gt;Skoliose Netzwerk \u00d6sterreich\u00a0&lt;\/p&gt;\">\n            <\/div>\n            <div class=\"formgent-quiz-result\"><\/div>\n        <\/div>\n        <form id=\"formgent-formgent_store1\"         data-wp-interactive=\"formgent\/form\"\n        data-wp-context='{&quot;form_id&quot;:4731,&quot;blocks_settings&quot;:{&quot;jFNtCa-cEaWABsrcQHsZ0&quot;:{&quot;style&quot;:{&quot;typography&quot;:{&quot;textAlign&quot;:&quot;center&quot;}},&quot;fontSize&quot;:&quot;medium&quot;,&quot;id&quot;:&quot;GwBj5c_eDPm9kqnco1att&quot;,&quot;name&quot;:&quot;jFNtCa-cEaWABsrcQHsZ0&quot;,&quot;field_type&quot;:&quot;heading&quot;},&quot;zvHegmsUgHKvg6xz0edy6&quot;:{&quot;level&quot;:5,&quot;style&quot;:{&quot;typography&quot;:{&quot;textAlign&quot;:&quot;center&quot;}},&quot;fontSize&quot;:&quot;medium&quot;,&quot;id&quot;:&quot;t4ZuhsC538vp2chg8zECR&quot;,&quot;name&quot;:&quot;zvHegmsUgHKvg6xz0edy6&quot;,&quot;field_type&quot;:&quot;heading&quot;},&quot;bestellnummer&quot;:{&quot;id&quot;:&quot;GqxzAk5A2oBPZ6G75KJMR&quot;,&quot;name&quot;:&quot;bestellnummer&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;text&quot;},&quot;bestellnummer-1&quot;:{&quot;id&quot;:&quot;vUtMi-SDKFOo&quot;,&quot;name&quot;:&quot;bestellnummer-1&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;text&quot;},&quot;bestellnummer-2&quot;:{&quot;id&quot;:&quot;gKGXcGu_xqRG&quot;,&quot;name&quot;:&quot;bestellnummer-2&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;text&quot;},&quot;name-des-kunden&quot;:{&quot;id&quot;:&quot;WkL-AwdJg07BPIyaOSE3s&quot;,&quot;name&quot;:&quot;name-des-kunden&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;text&quot;},&quot;address&quot;:{&quot;id&quot;:&quot;d16eAw_yCvfU&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;name&quot;:&quot;address&quot;,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;address&quot;,&quot;children&quot;:{&quot;address_line_one&quot;:{&quot;id&quot;:&quot;srne5JZ4LzpT&quot;,&quot;name&quot;:&quot;address_line_one&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;metadata&quot;:{&quot;name&quot;:&quot;Address line 1&quot;},&quot;field_type&quot;:&quot;text&quot;},&quot;address_line_two&quot;:{&quot;id&quot;:&quot;5xa9Rf14Q2HQ&quot;,&quot;name&quot;:&quot;address_line_two&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:false,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;metadata&quot;:{&quot;name&quot;:&quot;Address line 2&quot;},&quot;field_type&quot;:&quot;text&quot;},&quot;city&quot;:{&quot;id&quot;:&quot;dBF-0dVSNCcy&quot;,&quot;name&quot;:&quot;city&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;50&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;metadata&quot;:{&quot;name&quot;:&quot;City&quot;},&quot;field_type&quot;:&quot;text&quot;},&quot;zip_code&quot;:{&quot;id&quot;:&quot;Ud8SJWFaai2q&quot;,&quot;name&quot;:&quot;zip_code&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;50&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;metadata&quot;:{&quot;name&quot;:&quot;Postal code \\\/ Zip Code&quot;},&quot;field_type&quot;:&quot;text&quot;}}},&quot;grund-f-r-den-wiederruf&quot;:{&quot;id&quot;:&quot;8Bt094VP0ahQwX3LwM0X0&quot;,&quot;name&quot;:&quot;grund-f-r-den-wiederruf&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:300,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;textarea&quot;},&quot;email-1&quot;:{&quot;id&quot;:&quot;0_ImUIvjQpr4&quot;,&quot;name&quot;:&quot;email-1&quot;,&quot;value&quot;:&quot;&quot;,&quot;confirm_placeholder&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;confirm_sub_label&quot;:&quot;&quot;,&quot;show_field_icon&quot;:false,&quot;enable_confirmation_field&quot;:false,&quot;confirm_label&quot;:&quot;Confirm Email&quot;,&quot;required&quot;:false,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;is_invalid_name&quot;:false,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;email&quot;},&quot;ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere&quot;:{&quot;id&quot;:&quot;z1qjiuCjbe6J2CvSJqF14&quot;,&quot;name&quot;:&quot;ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere&quot;,&quot;value&quot;:&quot;&quot;,&quot;default_option&quot;:[],&quot;options&quot;:[{&quot;label&quot;:&quot;Ja, ich best\\u00e4tige&quot;,&quot;value&quot;:&quot;ja-ich-best-tige&quot;}],&quot;label_alignment&quot;:&quot;top&quot;,&quot;style&quot;:&quot;frame&quot;,&quot;layout&quot;:&quot;default&quot;,&quot;choice_limit&quot;:false,&quot;choice_limit_item&quot;:2,&quot;required&quot;:true,&quot;allow_user_add_other_option&quot;:false,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;other_label&quot;:&quot;Other&quot;,&quot;other_placeholder&quot;:&quot;Please specify&quot;,&quot;enable_numeric_value&quot;:false,&quot;field_type&quot;:&quot;multiple-choice&quot;},&quot;text&quot;:{&quot;id&quot;:&quot;0XLkkk53DClc&quot;,&quot;name&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;,&quot;label_alignment&quot;:&quot;top&quot;,&quot;required&quot;:true,&quot;character_limit&quot;:false,&quot;limit&quot;:100,&quot;block_width&quot;:&quot;100&quot;,&quot;logics&quot;:[],&quot;is_preview&quot;:false,&quot;field_type&quot;:&quot;text&quot;}},&quot;form_type&quot;:&quot;general&quot;,&quot;data&quot;:{&quot;jFNtCa-cEaWABsrcQHsZ0&quot;:&quot;&quot;,&quot;zvHegmsUgHKvg6xz0edy6&quot;:&quot;&quot;,&quot;bestellnummer&quot;:&quot;&quot;,&quot;bestellnummer-1&quot;:&quot;&quot;,&quot;bestellnummer-2&quot;:&quot;&quot;,&quot;name-des-kunden&quot;:&quot;&quot;,&quot;address&quot;:{&quot;address_line_one&quot;:&quot;&quot;,&quot;address_line_two&quot;:&quot;&quot;,&quot;city&quot;:&quot;&quot;,&quot;zip_code&quot;:&quot;&quot;},&quot;grund-f-r-den-wiederruf&quot;:&quot;&quot;,&quot;email-1&quot;:&quot;&quot;,&quot;ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere&quot;:&quot;&quot;,&quot;text&quot;:&quot;&quot;},&quot;preset_values&quot;:{&quot;site_title&quot;:&quot;Die Expertensuche von Skoliose Netzwerk \\u00d6sterreich&quot;,&quot;site_name&quot;:&quot;Die Expertensuche von Skoliose Netzwerk \\u00d6sterreich&quot;,&quot;site_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten&quot;,&quot;form_title&quot;:&quot;Widerrufsformular&quot;,&quot;browser_name&quot;:&quot;&quot;,&quot;browser_platform&quot;:&quot;&quot;,&quot;embedded_post_id&quot;:&quot;4731&quot;,&quot;embedded_post_title&quot;:&quot;Widerrufsformular&quot;,&quot;current_date&quot;:&quot;08\\\/05\\\/2026&quot;,&quot;current_page_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-json\\\/wp\\\/v2\\\/formgent_form\\\/4731&quot;,&quot;referrer_url&quot;:&quot;&quot;,&quot;admin_name&quot;:&quot;Skoliose Netzwerk \\u00d6sterreich&quot;,&quot;login_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php&quot;,&quot;registration_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=register&quot;,&quot;lost_password_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=lostpassword&quot;,&quot;forgot_password_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=lostpassword&quot;,&quot;logout_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-login.php?action=logout\\u0026amp;_wpnonce=7fed78f17a&quot;,&quot;cookie_value&quot;:&quot;&quot;,&quot;cookie_values&quot;:&quot;&quot;},&quot;is_form_loaded&quot;:false,&quot;is_partial_submitting&quot;:false,&quot;global&quot;:{&quot;is_response_submitting&quot;:false,&quot;is_response_token_generating&quot;:false,&quot;is_enabled_honeypot_protection&quot;:false,&quot;payment&quot;:{&quot;enable_summary&quot;:false,&quot;payment_summary&quot;:&quot;&quot;,&quot;items&quot;:[],&quot;total_amount&quot;:&quot;&quot;}},&quot;quiz_result&quot;:false,&quot;show_quiz_results&quot;:true,&quot;confirmation&quot;:{&quot;type&quot;:&quot;message&quot;,&quot;page&quot;:0,&quot;url&quot;:&quot;https:\\\/\\\/google.com&quot;,&quot;after_submission&quot;:&quot;reset&quot;},&quot;_ccOverride&quot;:false,&quot;_confirmationDisplayed&quot;:false,&quot;submit_label&quot;:&quot;Submit&quot;,&quot;redirecting_label&quot;:&quot;You will be redirected in&quot;,&quot;plugin_url&quot;:&quot;https:\\\/\\\/www.skoliosenetzwerkoesterreich.at\\\/experten\\\/wp-content\\\/plugins&quot;,&quot;external_data&quot;:[]}'\n        data-wp-init=\"callbacks.initClassicForm\"\n        data-wp-bind--disabled=\"context.global.is_response_submitting\" data-wp-watch=\"callbacks.watchForm\">\n                        <div class=\"formgent-field-list formgent-field-list--frontend\"\n            data-wp-class--formgent-field-list-loading=\"!context.is_form_loaded\"\n            data-wp-class--formgent-partial-submitting=\"!context.is_partial_submitting\">\n            \n<h2 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;jFNtCa-cEaWABsrcQHsZ0&quot; }\" class=\"wp-block-heading has-text-align-center has-medium-font-size display-none\">Widerrufsformular Skoliose Netzwerk \u00d6sterreich - Onlineshop<\/h2>\n\n\n\n<h5 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;zvHegmsUgHKvg6xz0edy6&quot; }\" class=\"wp-block-heading has-text-align-center has-small-font-size display-none\">Wenn Sie vom Kauf zur\u00fccktreten \/ den Kauf widerrufen wollen, dann f\u00fcllen Sie bitte dieses Formular aus und senden Sie es zur\u00fcck. Richtlinien ab 19. Juni 2026 - Gem\u00e4\u00df \u00a7 13a Abs 2 FAGG<\/h5>\n\n\n\n<h5 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;zvHegmsUgHKvg6xz0edy6&quot; }\" class=\"wp-block-heading has-small-font-size display-none\">An: Skoliose Netzwerk \u00d6sterreich - Onlineshop - D\u00f6rfl 10, 8262 Ilz - E-Mail: <a href=\"mailto:info@skoliosenetzwerkoesterreich.com\">info@skoliosenetzwerkoesterreich.com<\/a><\/h5>\n\n\n\n<h5 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;zvHegmsUgHKvg6xz0edy6&quot; }\" class=\"wp-block-heading has-text-align-center has-medium-font-size display-none\"><em>Hiermit widerrufe ich den von mir abgeschlossenen Vertrag \u00fcber<br>den Kauf der folgenden Ware\/n<\/em><\/h5>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"bestellnummer\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-GqxzAk5A2oBPZ6G75KJMR\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Bestellnummer oder Rechnungsnummer                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-GqxzAk5A2oBPZ6G75KJMR\"\n                placeholder=\"Bitte geben Sie Ihre Bestellnummer ein\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Bitte geben Sie hier Ihre Bestellnummer oder Rechnungsnummer ein                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"bestellnummer-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-vUtMi-SDKFOo\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Bestellt am                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-vUtMi-SDKFOo\"\n                placeholder=\"Bitte geben Sie hier das Bestelldatum ein\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"bestellnummer-2\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-gKGXcGu_xqRG\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Bestellung erhalten am                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-gKGXcGu_xqRG\"\n                placeholder=\"Bitte hier das Datum eingeben\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"name-des-kunden\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-WkL-AwdJg07BPIyaOSE3s\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Name des Kunden                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-WkL-AwdJg07BPIyaOSE3s\"\n                placeholder=\"Bitte geben Sie Ihren Vornamen und Nachnamen ein\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                    Bitte geben Sie hier Ihren Namen ein                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"address\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\" id=\"formgent-d16eAw_yCvfU\">\n    <div class=\"formgent-field-single formgent-field-align-top\" data-wp-context='{ \"parent_name\": \"address\" }'>\n        <span class=\"formgent-field-label formgent-label-align-top\">\n        Adresse des Kunden    <\/span>\n    \n<div class=\"formgent-field-list formgent-field-list--frontend\">\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"address_line_one\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-srne5JZ4LzpT\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Stra\u00dfe und Hausnummer                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-srne5JZ4LzpT\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"address_line_two\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-5xa9Rf14Q2HQ\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Adresszusatz                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-5xa9Rf14Q2HQ\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"city\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-50\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-dBF-0dVSNCcy\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Ort                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-dBF-0dVSNCcy\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"zip_code\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-50\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-Ud8SJWFaai2q\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Postleitzahl                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-Ud8SJWFaai2q\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div><\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"grund-f-r-den-wiederruf\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-8Bt094VP0ahQwX3LwM0X0\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Grund f\u00fcr den Wiederruf\/R\u00fccktritt                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-8Bt094VP0ahQwX3LwM0X0\"\n                placeholder=\"Bitte geben Sie den Grund f\u00fcr den Wiederruf ein\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                            <span class=\"formgent-field-sub-label\">\n                    Bitte geben Sie hier den Grund Ihres Wiederrufs ein.                 <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"email-1\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field formgent-field-width-100 formgent-field-email\">\n    <div class=\"formgent-field-single formgent-field-align-top formgent-field-single-email-primary\">\n                    <label\n                for=\"formgent-0_ImUIvjQpr4\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Wird von der M\u00f6glichkeit der elektronischen \u00dcbermittlung der Widerrufserkl\u00e4rung Gebrauch gemacht,<br>\u00fcbersenden wir unverz\u00fcglich per E-Mail eine Best\u00e4tigung \u00fcber den Eingang eines solchen Widerrufs. Um den Erhalt des Widerrufs unverz\u00fcglich zu best\u00e4tigen, erg\u00e4nzen Sie bitte nachstehend Ihre E-Mail-Adresse:                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <div class='formgent-has-input-icon'>\n                \n                <input\n                    class=\"formgent-field-single__input\"\n                    type=\"email\"\n                    id=\"formgent-0_ImUIvjQpr4\"\n                    placeholder=\"\"\n                    data-wp-on--input=\"actions.updateInput\"\n                    data-wp-bind--value=\"state.getValue\"\n                \/>\n            <\/div>\n\n                            <span class=\"formgent-field-sub-label\">\n                    Geben Sie bitte hier Ihre E-Mail-Adresse ein                <\/span>\n                    <\/div>\n    <\/div>\n\n    <\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initSelectField\"\n    data-wp-context='{&quot;name&quot;:&quot;ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere&quot;,&quot;field_label&quot;:&quot;Ich best\\u00e4tige, dass ich den Wiederruf \\\/ R\\u00fccktritt verstehe und akzeptiere&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;lHp3nkHSMkt4nBwabWAx0&quot;,&quot;label&quot;:&quot;Ja, ich best\\u00e4tige&quot;,&quot;value&quot;:&quot;ja-ich-best-tige&quot;}],&quot;field_type&quot;:&quot;multiple-choice&quot;}'\n    data-wp-bind--hidden=\"state.hideField\"\n    class=\"display-none formgent-field formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label for=\"formgent-ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere\"\n                class=\"formgent-field-label formgent-label-align-top\">\n                Ich best\u00e4tige, dass ich den Wiederruf \/ R\u00fccktritt verstehe und akzeptiere                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--multi-choice\">\n            <div class=\"formgent-field-single__box formgent-multiple-choice-ich-best-tige-dass-ich-den-wiederruf-verstehe-und-akzeptiere formgent-field-single__box--default\"\n                id=\"formgent-z1qjiuCjbe6J2CvSJqF14\"\n                data-wp-init=\"callbacks.multipleChoiceKeyboard\">\n                                        <div\n                            class=\"formgent-field-single__box__choice formgent-field-single__box__choice--frame\"\n                            data-wp-context='{&quot;option&quot;:{&quot;id&quot;:&quot;lHp3nkHSMkt4nBwabWAx0&quot;,&quot;label&quot;:&quot;Ja, ich best\\u00e4tige&quot;,&quot;value&quot;:&quot;ja-ich-best-tige&quot;}}'>\n                            <input class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                                type=\"checkbox\" data-wp-on--change=\"actions.updateMultiChoice\"\n                                data-wp-bind--id=\"state.getOptionId\"\n                                data-wp-bind--checked=\"state.isMultiSelectOptionChecked\"\n                                data-wp-bind--disabled=\"state.isMultiSelectOptionDisabled\"\n                                data-wp-bind--name=\"state.getOptionName\" \/>\n                            <label data-wp-bind--for=\"state.getOptionId\" class=\"formgent-field-single__label\">\n                                <span class=\"formgent-field-single__checkbox\">\n                                                                    <\/span>\n                                                                <span data-wp-text=\"state.getOptionLabel\"><\/span>\n                                                            <\/label>\n                        <\/div>\n                                <\/div>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-0XLkkk53DClc\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Ort und Datum                                     <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-0XLkkk53DClc\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                            <span class=\"formgent-field-sub-label\">\n                     Mit * gekennzeichnete Felder sind Pflichtfelder.                <\/span>\n                    <\/div>\n    <\/div>\n<\/div>\n\n<div\n    data-wp-interactive=\"formgent\/form\"\n    data-wp-context='{ \"name\": \"button\" }'\n    data-wp-class--formgent-display-none=\"context.is_multi_step\"\n    data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field  formgent-field-width-100\">\n\n    <div\n        class=\"formgent-field-single formgent-field-single--button formgent-field-align-left formgent-show-button\"\n        style=\"--formgent-btn-bg-color: #4cafaa; --formgent-btn-text-color: #000000; --formgent-btn-border-color: #000000;\"\n        data-wp-class--formgent-show-button=\"!state.showPaypalButton\"\n        data-wp-class--formgent-hide-button=\"state.showPaypalButton\"\n    >\n        <button type=\"submit\"\n            class=\"formgent-btn formgent-btn-md formgent-btn-default\"\n            data-wp-on--keydown=\"actions.handleSubmitButtonKeydown\"\n        >\n            R\u00fccktrittserkl\u00e4rung absenden        <\/button>\n    <\/div>\n    \n<div\n    class=\"formgent-field-single formgent-field-single--button formgent-field-single--paypal-button formgent-hide-button formgent-field-align-left\"\n    data-wp-class--formgent-show-button=\"state.showPaypalButton\"\n    data-wp-class--formgent-hide-button=\"!state.showPaypalButton\"\n>\n    <button type=\"submit\" class=\"formgent-btn formgent-btn-md formgent-btn-paypal\">\n        <span><svg height=\"16px\" id=\"Layer_1\" version=\"1.1\" viewBox=\"0 25 63 16\" width=\"63px\" xml:space=\"preserve\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\"><g><g><path d=\"M49.2,28.2h-3.4c-0.2,0-0.4,0.2-0.5,0.4l-1.4,8.8c0,0.2,0.1,0.3,0.3,0.3h1.8c0.2,0,0.3-0.1,0.3-0.3    l0.4-2.5c0-0.2,0.2-0.4,0.5-0.4h1.1c2.3,0,3.6-1.1,3.9-3.3c0.2-0.9,0-1.7-0.4-2.2C51.2,28.5,50.3,28.2,49.2,28.2 M49.6,31.5    c-0.2,1.2-1.1,1.2-2,1.2H47l0.4-2.3c0-0.1,0.1-0.2,0.3-0.2h0.2c0.6,0,1.2,0,1.5,0.4C49.6,30.7,49.6,31,49.6,31.5\" 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