{% extends "base.html" %}

{% block inhalt %}
<form method="POST" action="qr.html">
    <label>Gebe bitte Details für die Visitenkarte an!</label><br />
    <input type="hidden" name="type" value="mecard">

    <label for="vname">Vorname:</label>
        <input type="text" name="vname" id="vname" size="30" maxlength="60" required><br />
    <label for="nname">Nachname:</label>
        <input type="text" name="nname" id="nname" size="30" maxlength="60" required><br />
    <label><i><u>optionale Angaben:</u></i></label><br />
    <label for="titel">Titel (z.B. Dr.,Prof.):</label>
        <input type="text" name="titel" id="titel" size="10" maxlength="60"><br />
    <label for="tel">Telefon:</label>
        <input type="tel" name="tel" id="tel" size="20" maxlength="24"><br />
    <label for="mail">EMail:</label>
        <input type="email" name="mail" id="mail" size="30" maxlength="120"><br />
    <label for="url">Webseite:</label>
        <input type="url" name="url" id="url" size="30" maxlength="120"><br />
    <label for="nickname">Spitzname &#47; Pseudonym:</label>
        <input type="text" name="nickname" id="nickname" size="20" maxlength="60"><br />
    <label for="gebdate">Geburtsdatum</label>
        <input type="date" name="gebdate" id="gebdate"><br />
    <label for="note">freie Notiz:</label>
    <input type="text" name="note" id="note" size="30" maxlength="240"><br />
    <br />
    <label for="strasse">Strasse:</label>
        <input type="text" name="strasse" id="strasse" size="30" maxlength="120"><br />
    <label for="plz">Postleitzahl:</label>
        <input type="text" name="plz" id="plz" size="10" maxlength="20"><br />
    <label for="ort">Ort:</label>
        <input type="text" name="ort" id="ort" size="30" maxlength="120"><br />
    <label for="land">Land:</label>
        <input type="text" name="land" id="land" size="30" maxlength="120"><br />
    <label for="adresszusatz">Adresszusatz &#47; Wohnungsnummer:</label>
        <input type="text" name="adresszusatz" id="adresszusatz" size="20" maxlength="120"><br />
    <label for="pbox">Postfach:</label>
        <input type="text" name="pbox" id="pbox" size="20" maxlength="60"><br />
    <label for="bland">Bundesland:</label>
        <input type="text" name="bland" id="bland" size="30" maxlength="120"><br />

    <br />
    <br />
    <button type="reset">Eingaben zur&uuml;cksetzen</button>
    <button type="submit">Eingaben absenden</button>
</form>

{% endblock %}