<form action="https://go.mikogo.com" method="POST"><!-- [et_pb_line_break_holder] --> <input id="cm" name="cm" type="hidden" value="2"> <!-- [et_pb_line_break_holder] --> <input id="sl" name="sl" type="hidden" value="en"> <!-- [et_pb_line_break_holder] --> <table border="0" class="hm-content--form" style="width:370px;padding:20px;background: #f5f5f5;border-collapse:separate;"> <!-- [et_pb_line_break_holder] --> <tbody> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td colspan="2" style="padding-bottom:10px;text-align:center;font-size:18px;font-weight:300;color:#063;">LIVE-Online-Beratung</td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td style="padding-right:10px;font-size:16px;">Sitzungsnummer:</td> <!-- [et_pb_line_break_holder] --> <td align="left" style="paddingleft:10px;paddingbottom:10px;"><!-- [et_pb_line_break_holder] --> <input id="sid" name="sid" style="width: 215px;" type="text"><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td colspan="2" height="10"> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td style="padding-right:10px;font-size:16px;">Ihr Name:</td> <!-- [et_pb_line_break_holder] --> <td align="left" style="paddingleft:10px;paddingbottom:10px;"><!-- [et_pb_line_break_holder] --> <input id="sn" name="sn" style="width: 215px;" type="text"><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td colspan="2" height="10"> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td style="padding-right:10px;font-size:16px;" valign="top"><!-- [et_pb_line_break_holder] --> <a href="https://www.profis-mit-herz.info/wp/wp-content/uploads/2018/04/Info-Blatt-Versicherungsvermittlung.pdf" target="_blank" title="Erstinformation">Erstinformation</a><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> <td align="left" style="paddingleft:10px;paddingbottom:10px;"><!-- [et_pb_line_break_holder] --> <input id="erstinformation" type="checkbox"> <!-- [et_pb_line_break_holder] --> <label for="erstinformation" style="line-height:20px;font-size: 12px;"> Ich habe die Erstinformation des Vermittlers/der Vermittlerin heruntergeladen und gespeichert oder vorab in Papierform oder per E-Mail erhalten.</label><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td colspan="2" height="10"> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> <tr> <!-- [et_pb_line_break_holder] --> <td style="font-size: 10px;line-height: 17px;" valign="bottom">Powered by <!-- [et_pb_line_break_holder] --> <a href="https://www.mikogo.com/" target="_blank">Mikogo</a><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <button id="btnSubmit" name="btnSubmit" type="submit">Sitzung beitreten</button><!-- [et_pb_line_break_holder] --> </td> <!-- [et_pb_line_break_holder] --> </tr> <!-- [et_pb_line_break_holder] --> </tbody> <!-- [et_pb_line_break_holder] --> </table> <!-- [et_pb_line_break_holder] --></form>
