<style type="text/css">
  .required {color: red} 
  .fileupload {color: inherit}
</style>
 
<div class="jumbotron">
	<form action="cmd.php?id=-45" autocomplete="off" class="form-horizontal" enctype="multipart/form-data" method="post">
		{sys:token}
		<input name="formular" type="hidden" value="Wurfmeldung"> 
		<input name="frm_forward" type="hidden" value="showpage.php?seite=wurfmeldung_bestätigung"> 
		<input name="frm_notify_email" type="hidden" value="info@breedmaster.de"> 
		<input name="parselanguage" type="hidden" value="1">
		<fieldset>
			<h1>Wurfmeldung &uuml;bermitteln</h1>
			<p>F&uuml;llen Sie bitte nachstehendes Formular aus. Alle mit <span class="required">*</span> gekennzeichnete Felder sind Pflichtfelder!</p><!-- Text input-->
			<div class="form-group">
				<label class="col-md-3 control-label" for="bemerkung">Bemerkungen</label>
				<div class="col-md-6">
					<textarea class="form-control" cols="65" id="bemerkung" name="bemerkung" rows="5"></textarea><span class="help-block">Detailangaben zu den Welpen wie Fellfarben, Geburtsgewichte, Besonderheiten des Wurfes etc.</span>
				</div>
			</div><!-- File Button -->
			<div class="form-group">
				<label class="col-md-3 control-label" for="anhang">Dateianhang</label>
				<div class="col-md-5">
					<input class="input-file" id="anhang" multiple="multiple" name="anhang[]" type="file"> <span class="help-block">ggf. Wurfmeldeschein etc.</span>
				</div>
			</div>
			<div class="form-group">
				<label class="col-md-3 control-label" for="anhangx">Dateianhang</label>
				<div class="col-md-5">
					<input class="input-file" id="anhangx" multiple="multiple" name="anhangx[]" type="file"> <span class="help-block">ggf. Ahnentafelkopie etc.</span>
				</div>
			</div><!-- Button (Double) -->
			<div class="form-group">
				<div class="col-md-5">
					<button class="btn btn-success" id="absenden" name="absenden">Daten absenden</button>&nbsp; <a class="btn btn-danger" href="javascript:history.back()" id="abbrechen" name="abbrechen">Abbrechen</a>
				</div>
			</div>
		</fieldset>
	</form>
</div>