Please disable Adblockers and enable JavaScript for domain CEWebS.cs.univie.ac.at! We have NO ADS, but they may interfere with some of our course material.

Name: resources/forms/form-a.html 
1:
<input type=text name=name placeholder="Name des Versicherten" id="name" />
2:
<input type=text name=versnr placeholder="Versicherungsnummer" id="versnr" />
3:
<input type=text name=mail placeholder="E-mail Adresse" id="mail" />
4:
<input type=text name=garage placeholder="Garage" id="garage" />
5:
<input type=text name=schadenssumme placeholder="Schadenssumme" id="schadenssumme" />
6:
<p></p><button type=submit>absenden</button>