脺bermittlung Kreditkartenzahlung - Gesellschaft f眉r Informatik e.V.

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frame-space-after-none"><div class="frame-container"><div class="frame-inner"><header class="frame-header"><h1 class="element-header "><span>Online-Formular zur 脺bermittlung von Kreditkartenzahlungen</span></h1></header></div></div></div><div id="c59305" class="frame frame-default frame-type-text frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><p>Sie k枚nnen Ihren Jahresbeitrag 眉ber dieses Online-Formular mit Ihrer Kreditkarte bezahlen.</p></div></div></div><div id="c73581" class="frame frame- frame-type-gibase-highlighted-content frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><div class="well"><div class="header-children"><div id="c59304" class="frame frame-default frame-type-text frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><p><strong>Sicherheitshinweis:</strong> Ihre sensiblen Kartendaten werden verschl眉sselt 眉bertragen und bei uns in einer physikalisch vom Webserver-System getrennten, sicheren und 眉ber Internet nicht erreichbaren Umgebung aufbewahrt.</p></div></div></div></div></div></div></div></div><div id="c59302" class="frame frame- frame-type-list frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><div class="tx-powermail"><div class=""><form data-powermail-validate="data-powermail-validate" data-validate="html5" data-powermail-ajax="true" data-powermail-form="45" enctype="multipart/form-data" name="field" class="powermail_form powermail_form_45 nolabel form-horizontal " action="/kreditkartenzahlung?tx_powermail_pi1%5Baction%5D=confirmation&tx_powermail_pi1%5Bcontroller%5D=Form&cHash=7266cd78eaba0b2a6ba596f27d41d386#c59302" method="post"><div><input type="hidden" name="tx_powermail_pi1[__referrer][@extension]" value="Powermail" /><input type="hidden" name="tx_powermail_pi1[__referrer][@controller]" value="Form" /><input type="hidden" name="tx_powermail_pi1[__referrer][@action]" value="form" /><input type="hidden" name="tx_powermail_pi1[__referrer][arguments]" value="YTowOnt967dcfc7fa191b2ed0b1be31ed85d0a9ebb92406a" /><input type="hidden" name="tx_powermail_pi1[__referrer][@request]" value="{"@extension":"Powermail","@controller":"Form","@action":"form"}b2cbfd92908ab50d1d36ed2214137d0a56a37511" /><input type="hidden" name="tx_powermail_pi1[__trustedProperties]" value="{"field":{"gi-mitgliedsnummer":1,"vorname":1,"nachname":1,"e_mail":1,"betrag":1,"kreditkarte":1,"karteninhaberfallsabweichend":1,"kartennummer":1,"ablaufdatum":1,"pruefnummer":1,"__hp":1},"mail":{"form":1}}86fdf6ee7c9655684328b4a26b050c17c1a29d0b" /></div><h3>Kreditkartenzahlung</h3><fieldset class="powermail_fieldset powermail_fieldset_117 "><div class="row"><div class="col-xs-12 col-lg-3"><legend class="powermail_legend">Pers枚nliche Daten</legend></div><div class="col-xs-12 col-lg-6"><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_gi-mitgliedsnummer form-group"><label for="powermail_field_gi-mitgliedsnummer" class="control-label col-xs-12" title=""> GI-Mitgliedsnummer<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_gi-mitgliedsnummer" type="text" name="tx_powermail_pi1[field][gi-mitgliedsnummer]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_vorname form-group"><label for="powermail_field_vorname" class="control-label col-xs-12" title=""> Vorname<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_vorname" type="text" name="tx_powermail_pi1[field][vorname]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_nachname form-group"><label for="powermail_field_nachname" class="control-label col-xs-12" title=""> Name<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_nachname" type="text" name="tx_powermail_pi1[field][nachname]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_e_mail form-group"><label for="powermail_field_e_mail" class="control-label col-xs-12" title=""> E-Mail<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_e_mail" type="text" name="tx_powermail_pi1[field][e_mail]" value="" /></div></div></div></div></fieldset><fieldset class="powermail_fieldset powermail_fieldset_116 "><div class="row"><div class="col-xs-12 col-lg-3"><legend class="powermail_legend">Zahlungsdaten</legend></div><div class="col-xs-12 col-lg-6"><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_betrag form-group"><label for="powermail_field_betrag" class="control-label col-xs-12" title=""> Betrag in EURO<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_betrag" type="text" name="tx_powermail_pi1[field][betrag]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_radio powermail_fieldwrap_kreditkarte form-group"><label for="powermail_field_kreditkarte" class="control-label col-xs-12" title=""> Kreditkarte<span class="mandatory">*</span></label><div class="col-xs-12"><div class="radio "><label class="custom-control custom-radio" for="powermail_field_kreditkarte_1"><input required="required" aria-required="true" data-powermail-required-message="Eines dieser Felder muss ausgef眉llt werden!" data-powermail-errors-container=".powermail_field_error_container_kreditkarte" data-powermail-class-handler=".powermail_fieldwrap_kreditkarte > div > div" class="custom-control-input powermail_radio" id="powermail_field_kreditkarte_1" type="radio" name="tx_powermail_pi1[field][kreditkarte]" value="VISA" /><span class="custom-control-indicator"></span><span class="custom-control-description">VISA</span></label></div><div class="radio "><label class="custom-control custom-radio" for="powermail_field_kreditkarte_2"><input class="custom-control-input powermail_radio" id="powermail_field_kreditkarte_2" type="radio" name="tx_powermail_pi1[field][kreditkarte]" value="Mastercard" /><span class="custom-control-indicator"></span><span class="custom-control-description">Mastercard</span></label></div><div class="powermail_field_error_container powermail_field_error_container_kreditkarte"></div></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_karteninhaberfallsabweichend form-group"><label for="powermail_field_karteninhaberfallsabweichend" class="control-label col-xs-12" title=""> Karteninhaber (falls abweichend) </label><div class="col-xs-12"><input class="powermail_input form-control " id="powermail_field_karteninhaberfallsabweichend" type="text" name="tx_powermail_pi1[field][karteninhaberfallsabweichend]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_kartennummer form-group"><label for="powermail_field_kartennummer" class="control-label col-xs-12" title=""> Kartennummer<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" data-powermail-length="[1, 16]" data-powermail-error-message="Ihre Eingabe ist ung眉ltig (Zu viele oder zu wenig Zeichen)" class="powermail_input form-control " id="powermail_field_kartennummer" type="text" name="tx_powermail_pi1[field][kartennummer]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_ablaufdatum form-group"><label for="powermail_field_ablaufdatum" class="control-label col-xs-12" title=""> Ablaufdatum<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" placeholder="MM/JJ" class="powermail_input form-control " id="powermail_field_ablaufdatum" type="text" name="tx_powermail_pi1[field][ablaufdatum]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_pruefnummer form-group"><label for="powermail_field_pruefnummer" class="control-label col-xs-12" title="CVC/CVV Code wird nur zur Validierung verwendet und nicht gespeichert."> Pr眉fnummer<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" data-powermail-length="[1, 3]" data-powermail-error-message="Ihre Eingabe ist ung眉ltig (Zu viele oder zu wenig Zeichen)" class="powermail_input form-control " id="powermail_field_pruefnummer" type="text" name="tx_powermail_pi1[field][pruefnummer]" value="" /><small id="powermail_field_pruefnummer" class="form-text text-muted">CVC/CVV Code wird nur zur Validierung verwendet und nicht gespeichert.</small></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_submit powermail_fieldwrap_zahlungabsenden form-group"><div class="col-xs-12 col-sm-offset-2"><button type="submit" class="btn btn-primary">Absenden</button></div></div></div></div></fieldset><input class="powermail_form_uid" type="hidden" name="tx_powermail_pi1[mail][form]" value="45" /><div style="margin-left: -99999px; position: absolute;"><label for="powermail_hp_45"> Diese Feld nicht ausf眉llen! </label><input autocomplete="new-powermail-hp-45" aria-hidden="true" id="powermail_hp_45" tabindex="-1" type="text" name="tx_powermail_pi1[field][__hp]" value="" /></div></form></div></div> 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