<html><head></head><body><div class="m-headline m-headline__h6 m-headline--centered m-headline--reduced-space">
  <div class="row">
    <div class="col-12 col-md-12 col-lg-12 col-xl-12">
      <h3 class="m-headline__title"><span class="swisscom-blue-font">blue Sport Benefits</span></h3></div>
  </div>
</div><div class="m-headline m-headline__h2 m-headline--centered">
  <div class="row">
    <div class="col-12 col-md-12 col-lg-12 col-xl-12">
      <h3 class="m-headline__title">Gewinne ein Original Trikot deiner Wahl!</h3></div>
  </div>
</div><div class="m-text m-text--centered">
  <div class="row">
    <div class="col-12 col-md-10 col-lg-8 col-xl-7 col-md-12 col-lg-12 col-xl-12">
      <p class="m-text__main-text">Als aktiver blue Sport Abonnent, hast du nun die exklusive Chance ein Original Trikot deiner Wahl zu gewinnen. Einfach Formular ausfüllen und abschicken. Wichtig ist, dass du jene Mailadresse verwendest, auf die dein blue Sport Abo läuft.</p>
      
    </div>
  </div>
</div><div class="m-fluid-container m-fluid-container--light-grey">
  <div class="m-fluid-container__content"><div class="m-headline m-headline__h3 m-headline--centered m-headline--reduced-space">
  <div class="row">
    <div class="col-12 col-md-12 col-lg-12 col-xl-12">
      <h3 class="m-headline__title">Jetzt Formular ausfüllen</h3></div>
  </div>
</div><div data-t-name="FreeHtmlEmbed"><br>
<div>
    <title>Form Validation Example</title>
    <style>
        /* Add CSS for mobile view */
        @media screen and (max-width: 600px) {
            .container {
                max-width: 100%;
                padding: 10px;
            }
        }
        

        /* Add CSS for desktop view */
        @media screen and (min-width: 601px) {
            .container {
                max-width: 750px;
                margin: 0 auto;
                padding: 10px;
            }
        }

        .input-field {
            box-sizing: border-box;
            font-family: 'TheSans', sans-serif;
            font-size: 16px;
            height: 48px;
            padding-left: 14px;
            border: 1px solid black;
            width: 100%;
            border-radius: 4px;
        }

        .input-field-select {
            box-sizing: border-box;
            font-family: 'TheSans', sans-serif;
            font-size: 16px;
            height: 48px;
            padding-left: 14px;
            margin-bottom: 14px;
            border: 1px solid black;
            width: 60%;
            border-radius: 4px;
        }

        .input-field-plus-description {
            box-sizing: border-box;
            font-family: 'TheSans', sans-serif;
            font-size: 16px;
            height: 48px;
            padding-left: 14px;
            margin-bottom: 1px;
            border: 1px solid black;
            width: 100%;
            border-radius: 4px;
        }

        .input-field-hidden {
            display: none;
        }

        .hint-text {
            font-size: 14px;
            color: black;
            margin-bottom: 40px;

        }

        .legal-link {
            font-size: 16px;
            color: blue;
            margin-bottom: 20px;

        }

        .checkbox-label {
            font-size: 16px;
            margin-bottom: 20px;

        }

        .g-recaptcha {
            margin-top: 10px;
        }

        .send-button {
            background-color: #1781e3;
color:#fff;
font-size: 16px;
text-align: center;
min-width: auto;
padding: 10px 15px 10px 15px;
border-radius: 3px;
border: 2px #1781e3 solid;
white-space: nowrap;
overflow: hidden;
        }

        input, label {
    display:block;
}

        /* Add more CSS styles as needed */
    </style>
<meta http-equiv="Content-type" content="text/html; charset=UTF-8">
    <script src="https://www.google.com/recaptcha/api.js"></script>
    <script>
        function timestamp() { var response = document.getElementById("g-recaptcha-response"); if (response == null || response.value.trim() == "") {var elems = JSON.parse(document.getElementsByName("captcha_settings")[0].value);elems["ts"] = JSON.stringify(new Date().getTime());document.getElementsByName("captcha_settings")[0].value = JSON.stringify(elems); } } setInterval(timestamp, 500); 
</script>

    <div class="container">
    <form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8&amp;orgId=00D1r000000fZMA" method="POST">
    
        <input type="hidden" name="captcha_settings" value="{&quot;keyname&quot;:&quot;CinemaRecapcha&quot;,&quot;fallback&quot;:&quot;true&quot;,&quot;orgId&quot;:&quot;00D1r000000fZMA&quot;,&quot;ts&quot;:&quot;&quot;}">
        <input type="hidden" name="oid" value="00D1r000000fZMA">
        <input type="hidden" name="retURL" value="https://www.blueplus.ch/de/angebote/benefits-danke">
        <input type="hidden" name="Campaign_ID" value="701c4000009mT5oAAE ">
        <input type="hidden" name="member_status" value="sent">
        
        
        <input type="hidden" id="last_name" maxlength="80" name="last_name" size="20" value="LoyaltyBlue"><br>
        
        <input type="hidden" id="lead_source" name="lead_source" value="Loyalty blue Plus">
        
        
        
        
        
        
        
        
        <label for="email">Email</label><input required="" class="input-field" id="email" maxlength="80" name="email" size="20" type="text"><br>
        
        T-Shirt-Grösse (S, M, L, XL)<input required="" class="input-field" id="00Nc4000001Rf89" maxlength="255" name="00Nc4000001Rf89" size="20" type="text"><br>
        
        Lieblingsmannschaft<input required="" class="input-field" id="00Nc4000001RdBD" maxlength="255" name="00Nc4000001RdBD" size="20" type="text"><br>
    
    <div class="g-recaptcha" data-sitekey="6Lf4sconAAAAAGcCKwm1x7BRucKkrqYTe7E0r-uN" data-callback="callback"></div><br>
                 <p><i>Vor dem Absenden des Formulars den Haken setzen und damit auch den Teilnahmebedingungen zustimmen.
                 </i></p><br>
    <input id="submit-button" required="" class="send-button" type="submit" name="submit" disabled="">
    
    </form>
    <script type="text/javascript">
      function callback() {
        const submitButton = document.getElementById("submit-button");
        submitButton.removeAttribute("disabled");
      }
</script>
    </div>
</div>
<br>
<br></div></div>
</div><div class="m-text m-text--fine-print m-text-fine-print__centered">
  <div class="row">
    <div class="col-12">
      <p class="m-text__main-text">Legallines sind wichtig, weil sie dem Ganze eine gewisse Würze verleihen. Hier steht noch keine richtige Legalline, weil wir die noch nicht definiert haben. Aber es kommt eine. Bestimmt. Demnächst.</p>
    </div>
  </div>
</div></body></html>