{"id":9546,"date":"2025-03-25T09:51:08","date_gmt":"2025-03-25T08:51:08","guid":{"rendered":"https:\/\/coverseal-be.poush-dev.be\/demander-un-devis\/"},"modified":"2026-04-17T14:28:44","modified_gmt":"2026-04-17T12:28:44","slug":"ein-angebot-anfordern","status":"publish","type":"page","link":"https:\/\/coverseal.be\/de\/ein-angebot-anfordern\/","title":{"rendered":"Ein Angebot anfordern"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8220;1&#8243; _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; background_color=&#8220;gcid-primary-color&#8220; min_height=&#8220;100vh&#8220; custom_padding=&#8220;80px|6vw|2px|6vw|false|true&#8220; locked=&#8220;off&#8220; global_colors_info=&#8220;{%22gcid-primary-color%22:%91%22background_color%22%93}&#8220;][et_pb_row _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; custom_margin=&#8220;||20px||false|false&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_text module_class=&#8220;h2-size&#8220; _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; header_font=&#8220;Lexend-Regular||||||||&#8220; header_text_color=&#8220;gcid-secondary-color&#8220; header_2_text_color=&#8220;gcid-secondary-color&#8220; animation_direction=&#8220;left&#8220; global_colors_info=&#8220;{%22gcid-secondary-color%22:%91%22header_2_text_color%22,%22header_text_color%22%93}&#8220;]<\/p>\n<h1>Ein Angebot anfordern<\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; max_width=&#8220;1040px&#8220; global_colors_info=&#8220;{}&#8220;]<\/p>\n<p><span>Sublimieren und sichern Sie Ihr Swimmingpool mit unserer Abdeckung f\u00fcr<strong> 4 Jahreszeiten<\/strong>. Jedes Vorhaben mit einem Einstiegspreis von 12 000 \u20ac ist einzigartig, um Ihren W\u00fcnschen und Erwartungen gerecht zu werden. Erfragen Sie schon jetzt Ihr personalisiertes Angebot! Einer unserer Mitarbeiter oder Partner wird sich schnellstm\u00f6glich mit Ihnen in Verbindung setzen. <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_column type=&#8220;4_4&#8243; _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;][et_pb_code _builder_version=&#8220;4.27.4&#8243; _module_preset=&#8220;default&#8220; global_colors_info=&#8220;{}&#8220;]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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       \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_23\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_23'>LinkedIn<\/label><div class='gfield_description' id='gfield_description_4_23'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div><div class='ginput_container'><input name='input_23' id='input_4_23' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'>Vorname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_4_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   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aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_4_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_4_2_2' class='gform-field-label gform-field-label--type-sub '>Best\u00e4tigung E-Mail-Adresse *<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_4_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_4_20\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>*Pflichtfelder.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_11' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page custom-gform-button' data-js='page-field-id-11' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_17\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_17' id='input_4_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='de' \/><\/div><\/div><div id=\"field_4_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_13'>Wer ist Ihr derzeitiger Poolbesitzer?<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'>PLZ<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Land<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_4_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='be' >Belgien<\/option><\/select><\/div><\/div><div id=\"field_4_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_15'>Wie sind Sie auf Coverseal aufmerksam geworden?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_4_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Eine Option w\u00e4hlen<\/option><option value='Revendeur \/ Professionnel' >Wiederverk\u00e4ufer \/ Profi<\/option><option value='Bouche-\u00e0-oreille' >Mundpropaganda<\/option><option value='Recherche Google' >Google-Suche<\/option><option value='Banni\u00e8re publicitaire' >Bannerwerbung<\/option><option value='Magazine \/ Presse' >Magazin \/ Presse<\/option><option value='R\u00e9seaux sociaux' >Soziale Netzwerke<\/option><option value='Youtube' >Youtube<\/option><option value='Influenceur' >Influencer<\/option><option value='Autre' >Andere<\/option><\/select><\/div><\/div><div id=\"field_4_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'>Bitte geben Sie an<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_4_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Geben Sie Ihre Pr\u00e4ferenz f\u00fcr einen erneuten Kontakt an. Wir werden unser Bestes tun, um dieses Zeitfenster einzuhalten.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_16'><div class='gchoice gchoice_4_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='8:00 bis 10:00 Uhr'  id='choice_4_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_1' id='label_4_16_1' class='gform-field-label gform-field-label--type-inline'>8:00 bis 10:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='10:00 bis 12:00 Uhr'  id='choice_4_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_2' id='label_4_16_2' class='gform-field-label gform-field-label--type-inline'>10:00 bis 12:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='12:00 bis 14:00 Uhr'  id='choice_4_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_3' id='label_4_16_3' class='gform-field-label gform-field-label--type-inline'>12:00 bis 14:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='14:00 bis 16:00 Uhr'  id='choice_4_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_4' id='label_4_16_4' class='gform-field-label gform-field-label--type-inline'>14:00 bis 16:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='16:00 bis 18:00 Uhr'  id='choice_4_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_5' id='label_4_16_5' class='gform-field-label gform-field-label--type-inline'>16:00 bis 18:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='18:00 bis 20:00 Uhr'  id='choice_4_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_6' id='label_4_16_6' class='gform-field-label gform-field-label--type-inline'>18:00 bis 20:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_9\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >RGPD<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_4_9_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_9_1' >Ich habe die <a href=\"\/de\/datenschutzerklaerung\/\">Datenschutzrichtlinie<\/a> gelesen und verstanden. Ich erm\u00e4chtige die Firma Becoflex S.A., in \u00dcbereinstimmung mit der Allgemeinen Datenschutzverordnung (DSGVO) auf meine Informationen zuzugreifen.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_9.2' value='Ich habe die &lt;a href=&quot;\/de\/datenschutzerklaerung\/&quot;&gt;Datenschutzrichtlinie&lt;\/a&gt; gelesen und verstanden. Ich erm\u00e4chtige die Firma Becoflex S.A., in \u00dcbereinstimmung mit der Allgemeinen Datenschutzverordnung (DSGVO) auf meine Informationen zuzugreifen.' class='gform_hidden' \/><input type='hidden' name='input_9.3' value='3' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_4_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>*Pflichtfelder.<\/p><\/div><div id=\"field_4_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Dieses Feld wird bei der Anzeige des Formulars ausgeblendet\"><\/i><span>Dieses Feld wird bei der Anzeige des 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Jedes Vorhaben mit einem Einstiegspreis von 12 000 \u20ac ist einzigartig, um Ihren W\u00fcnschen und Erwartungen gerecht zu werden. Erfragen Sie schon jetzt Ihr personalisiertes Angebot! Einer unserer Mitarbeiter oder Partner wird sich schnellstm\u00f6glich mit Ihnen in Verbindung setzen. \n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_4' style='display:none'><style>#gform_wrapper_4[data-form-index=\"0\"].gform-theme,[data-parent-form=\"4_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 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192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u201e<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u201c zeigt erforderliche Felder an<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/de\/wp-json\/wp\/v2\/pages\/9546#gf_4' data-formid='4' novalidate>\n        <div id='gf_progressbar_wrapper_4' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Schritt <span class='gf_step_current_page'>1<\/span> von <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_23\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_23'>Comments<\/label><div class='gfield_description' id='gfield_description_4_23'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div><div class='ginput_container'><input name='input_23' id='input_4_23' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'>Vorname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_4_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >E-Mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_4_2_container'>\n                                <span id='input_4_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_4_2' class='gform-field-label gform-field-label--type-sub '>E-Mail-Adresse *<\/label>\n                                    <input class='' type='email' name='input_2' id='input_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_4_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_4_2_2' class='gform-field-label gform-field-label--type-sub '>Best\u00e4tigung E-Mail-Adresse *<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_4_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_4_20\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>*Pflichtfelder.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_11' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page custom-gform-button' data-js='page-field-id-11' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_4_17\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_17' id='input_4_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='de' \/><\/div><\/div><div id=\"field_4_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_13'>Wer ist Ihr derzeitiger Poolbesitzer?<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'>PLZ<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Land<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_4_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='be' >Belgien<\/option><\/select><\/div><\/div><div id=\"field_4_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_15'>Wie sind Sie auf Coverseal aufmerksam geworden?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_4_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Eine Option w\u00e4hlen<\/option><option value='Revendeur \/ Professionnel' >Wiederverk\u00e4ufer \/ Profi<\/option><option value='Bouche-\u00e0-oreille' >Mundpropaganda<\/option><option value='Recherche Google' >Google-Suche<\/option><option value='Banni\u00e8re publicitaire' >Bannerwerbung<\/option><option value='Magazine \/ Presse' >Magazin \/ Presse<\/option><option value='R\u00e9seaux sociaux' >Soziale Netzwerke<\/option><option value='Youtube' >Youtube<\/option><option value='Influenceur' >Influencer<\/option><option value='Autre' >Andere<\/option><\/select><\/div><\/div><div id=\"field_4_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'>Bitte geben Sie an<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_4_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Geben Sie Ihre Pr\u00e4ferenz f\u00fcr einen erneuten Kontakt an. Wir werden unser Bestes tun, um dieses Zeitfenster einzuhalten.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_16'><div class='gchoice gchoice_4_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='8:00 bis 10:00 Uhr'  id='choice_4_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_1' id='label_4_16_1' class='gform-field-label gform-field-label--type-inline'>8:00 bis 10:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='10:00 bis 12:00 Uhr'  id='choice_4_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_2' id='label_4_16_2' class='gform-field-label gform-field-label--type-inline'>10:00 bis 12:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='12:00 bis 14:00 Uhr'  id='choice_4_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_3' id='label_4_16_3' class='gform-field-label gform-field-label--type-inline'>12:00 bis 14:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='14:00 bis 16:00 Uhr'  id='choice_4_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_4' id='label_4_16_4' class='gform-field-label gform-field-label--type-inline'>14:00 bis 16:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='16:00 bis 18:00 Uhr'  id='choice_4_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_5' id='label_4_16_5' class='gform-field-label gform-field-label--type-inline'>16:00 bis 18:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_16_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.6' type='checkbox'  value='18:00 bis 20:00 Uhr'  id='choice_4_16_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_16_6' id='label_4_16_6' class='gform-field-label gform-field-label--type-inline'>18:00 bis 20:00 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_9\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >RGPD<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_9.1' id='input_4_9_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_9_1' >Ich habe die <a href=\"\/de\/datenschutzerklaerung\/\">Datenschutzrichtlinie<\/a> gelesen und verstanden. Ich erm\u00e4chtige die Firma Becoflex S.A., in \u00dcbereinstimmung mit der Allgemeinen Datenschutzverordnung (DSGVO) auf meine Informationen zuzugreifen.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_9.2' value='Ich habe die &lt;a href=&quot;\/de\/datenschutzerklaerung\/&quot;&gt;Datenschutzrichtlinie&lt;\/a&gt; gelesen und verstanden. Ich erm\u00e4chtige die Firma Becoflex S.A., in \u00dcbereinstimmung mit der Allgemeinen Datenschutzverordnung (DSGVO) auf meine Informationen zuzugreifen.' class='gform_hidden' \/><input type='hidden' name='input_9.3' value='3' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_4_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>*Pflichtfelder.<\/p><\/div><div id=\"field_4_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Dieses Feld wird bei der Anzeige des Formulars ausgeblendet\"><\/i><span>Dieses Feld wird bei der Anzeige des Formulars ausgeblendet<\/span><\/div><label class='gfield_label gform-field-label' for='input_4_22'>langue_site<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='de' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Vorherige'  \/> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Ich fordere meinen Kostenvoranschlag an'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='aEoxlgU2EX+UqOm84YvwJRXebHu\/U5pIe4hwsooJVHxM\/WKEFqL0S+UOCx8T\/xfSCTVyufqPiG59Xv+iOWsHTCngaJUKGeLYvytqvEFz1rn2bTs=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='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' 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