
<h3>Neues Konto registrieren</h3>


<p><a href="https://appstaging.r-biopharm.com/de/login/">Klicken Sie hier, um sich einzuloggen</a></p>

<form id="signup_form" class="signup_form" action="" method="POST">
    <fieldset>
        <p>
            <label for="vouchers">Vouchers</label>
            <textarea name="vouchers" id="vouchers" rows="3" cols="30" placeholder="1 Code pro Zeile"></textarea>
        </p>

        <p>
            <label for="first_name">Vorname</label>
            <input name="first_name" id="first_name" type="text" value="" />
        </p>

        <p>
            <label for="last_name">Nachname</label>
            <input name="last_name" id="last_name" type="text" value="" />
        </p>

        <p>
            <label for="email">E-Mail-Adresse</label>
            <input name="email" id="email" class="required" type="email" value="" />
        </p>

        <p>
            <label for="password">Passwort</label>
            <input name="password" id="password" class="required" type="password" />
        </p>

        <p>
            <label for="password_again">Passwort wiederholen</label>
            <input name="password_confirm" id="password_again" class="required" type="password" />
        </p>

        <p>
            <label for="position">Position</label>
            <input name="position" id="position" type="text" placeholder="z.B.: Labormanager" />
        </p>

        <p>
            <label for="company">Unternehmen</label>
            <input name="company" id="company" type="text" value="" />
        </p>

        <p>
            <label for="customer_code">Kundennummer</label>
            <input name="customer_code" id="customer_code" type="text" />
        </p>

        <p>
            <label for="country">Land</label>
            <select name="country" id="country">
                <option value="" disabled selected>Bitte auswählen</option>
                                <option value="afghanistan">Afghanistan</option>
                                <option value="albania">Albanien</option>
                                <option value="algeria">Algerien</option>
                                <option value="american_samoa">Amerikanisch-Samoa</option>
                                <option value="andorra">Andorra</option>
                                <option value="angola">Angola</option>
                                <option value="anguilla">Anguilla</option>
                                <option value="antigua_and_barbuda">Antigua und Barbuda</option>
                                <option value="argentina">Argentinien</option>
                                <option value="armenia">Armenien</option>
                                <option value="aruba">Aruba</option>
                                <option value="australia">Australien</option>
                                <option value="austria">Österreich</option>
                                <option value="azerbaijan">Aserbaidschan</option>
                                <option value="bahamas">Bahamas</option>
                                <option value="bahrain">Bahrain</option>
                                <option value="bangladesh">Bangladesch</option>
                                <option value="barbados">Barbados</option>
                                <option value="belarus">Weißrussland</option>
                                <option value="belgium">Belgien</option>
                                <option value="belize">Belize</option>
                                <option value="benin">Benin</option>
                                <option value="bermuda">Bermuda</option>
                                <option value="bhutan">Bhutan</option>
                                <option value="bolivia">Bolivien</option>
                                <option value="bosnia-herzegovina">Bosnien-Herzegovina</option>
                                <option value="botswana">Botswana</option>
                                <option value="bouvet_island">Bouvet Insel</option>
                                <option value="brazil">Brasilien</option>
                                <option value="brunei">Brunei</option>
                                <option value="bulgaria">Bulgarien</option>
                                <option value="burkina_faso">Burkina Faso</option>
                                <option value="burundi">Burundi</option>
                                <option value="cambodia">Kambodscha</option>
                                <option value="cameroon">Kamerun</option>
                                <option value="canada">Kanada</option>
                                <option value="cape_verde">Kap Verde</option>
                                <option value="cayman_islands">Kaiman Inseln</option>
                                <option value="central_african_republic">Zentralafrikanische Republik</option>
                                <option value="chad">Tschad</option>
                                <option value="chile">Chile</option>
                                <option value="china">China</option>
                                <option value="christmas_island">Weihnachtsinsel</option>
                                <option value="cocos_(keeling)_islands">Kokosinseln</option>
                                <option value="colombia">Kolumbien</option>
                                <option value="comoros">Komoren</option>
                                <option value="congo,_democratic_republic_of_the_(zaire)">Demokratische Republik Kongo</option>
                                <option value="congo,_republic_of">Kongo, Republik</option>
                                <option value="cook_islands">Cook-Inseln</option>
                                <option value="costa_rica">Costa Rica</option>
                                <option value="croatia">Kroatien</option>
                                <option value="cuba">Kuba</option>
                                <option value="cyprus">Zypern</option>
                                <option value="czech_republic">Tschechien</option>
                                <option value="denmark">Dänemark</option>
                                <option value="djibouti">Dschibuti</option>
                                <option value="dominica">Dominika</option>
                                <option value="dominican_republic">Dominikanische Republik</option>
                                <option value="ecuador">Ecuador</option>
                                <option value="egypt">Ägypten</option>
                                <option value="el_salvador">El Salvador</option>
                                <option value="equatorial_guinea">Äquatorialguinea</option>
                                <option value="eritrea">Eritrea</option>
                                <option value="estonia">Estland</option>
                                <option value="ethiopia">Äthiopien</option>
                                <option value="falkland_islands">Falklandinseln</option>
                                <option value="faroe_islands">Färöer Inseln</option>
                                <option value="fiji">Fidschi</option>
                                <option value="finland">Finnland</option>
                                <option value="france">Frankreich</option>
                                <option value="french_guiana">Französisch-Guayana</option>
                                <option value="gabon">Gabun</option>
                                <option value="gambia">Gambia</option>
                                <option value="georgia">Georgien</option>
                                <option value="germany">Deutschland</option>
                                <option value="ghana">Ghana</option>
                                <option value="gibraltar">Gibraltar</option>
                                <option value="greece">Griechenland</option>
                                <option value="greenland">Grönland</option>
                                <option value="grenada">Grenada</option>
                                <option value="guadeloupe_(french)">Guadeloupe (Französisch)</option>
                                <option value="guam_(usa)">Guam</option>
                                <option value="guatemala">Guatemala</option>
                                <option value="guinea">Guinea</option>
                                <option value="guinea_bissau">Guinea-Bissau</option>
                                <option value="guyana">Guyana</option>
                                <option value="haiti">Haiti</option>
                                <option value="holy_see"> Holy See</option>
                                <option value="honduras">Honduras</option>
                                <option value="hong_kong">Hongkong</option>
                                <option value="hungary">Ungarn</option>
                                <option value="iceland">Island</option>
                                <option value="india">Indien</option>
                                <option value="indonesia">Indonesien</option>
                                <option value="iran">Iran</option>
                                <option value="iraq">Irak</option>
                                <option value="ireland">Irland</option>
                                <option value="israel">Israel</option>
                                <option value="italy">Italien</option>
                                <option value="ivory_coast_(cote_d`ivoire)">Elfenbeinküste (Cote d’Ivoire)</option>
                                <option value="jamaica">Jamaika</option>
                                <option value="japan">Japan</option>
                                <option value="jordan">Jordanien</option>
                                <option value="kazakhstan">Kasachstan</option>
                                <option value="kenya">Kenia</option>
                                <option value="kiribati">Kiribati</option>
                                <option value="kuwait">Kuwait</option>
                                <option value="kyrgyzstan">Kirgisistan</option>
                                <option value="laos">Laos</option>
                                <option value="latvia">Lettland</option>
                                <option value="lebanon">Libanon</option>
                                <option value="lesotho">Lesotho</option>
                                <option value="liberia">Liberia</option>
                                <option value="libya">Libyen</option>
                                <option value="liechtenstein">Liechtenstein</option>
                                <option value="lithuania">Litauen</option>
                                <option value="luxembourg">Luxemburg</option>
                                <option value="macau">Macao</option>
                                <option value="macedonia">Mazedonien</option>
                                <option value="madagascar">Madagaskar</option>
                                <option value="malawi">Malawi</option>
                                <option value="malaysia">Malaysia</option>
                                <option value="maldives">Malediven</option>
                                <option value="mali">Mali</option>
                                <option value="malta">Malta</option>
                                <option value="marshall_islands">Marshallinseln</option>
                                <option value="martinique_(french)">Martinique (Französisch)</option>
                                <option value="mauritania">Mauretanien</option>
                                <option value="mauritius">Mauritius</option>
                                <option value="mayotte">Mayotte</option>
                                <option value="mexico">Mexiko</option>
                                <option value="micronesia">Mikronesien</option>
                                <option value="moldova">Moldawien</option>
                                <option value="monaco">Monaco</option>
                                <option value="mongolia">Mongolei</option>
                                <option value="montenegro">Montenegro</option>
                                <option value="montserrat">Montserrat</option>
                                <option value="morocco">Marokko</option>
                                <option value="mozambique">Mosambik</option>
                                <option value="myanmar">Myanmar</option>
                                <option value="namibia">Namibia</option>
                                <option value="nauru">Nauru</option>
                                <option value="nepal">Nepal</option>
                                <option value="netherlands">Niederlande</option>
                                <option value="netherlands_antilles">Niederländische Antillen</option>
                                <option value="new_caledonia_(french)">Neukaledonien (Französisch)</option>
                                <option value="new_zealand">Neuseeland</option>
                                <option value="nicaragua">Nicaragua</option>
                                <option value="niger">Niger</option>
                                <option value="nigeria">Nigeria</option>
                                <option value="niue">Niue</option>
                                <option value="norfolk_island">Norfolkinsel</option>
                                <option value="north_korea">Nordkorea</option>
                                <option value="northern_mariana_islands">Nördliche Marianen</option>
                                <option value="norway">Norwegen</option>
                                <option value="oman">Oman</option>
                                <option value="pakistan">Pakistan</option>
                                <option value="palau">Palau</option>
                                <option value="panama">Panama</option>
                                <option value="papua_new_guinea">Papua-Neuguinea</option>
                                <option value="paraguay">Paraguay</option>
                                <option value="peru">Peru</option>
                                <option value="philippines">Philippinen</option>
                                <option value="pitcairn_island">Weihnachtsinsel</option>
                                <option value="poland">Polen</option>
                                <option value="polynesia_(french)">Guadeloupe (Französisch)</option>
                                <option value="portugal">Portugal</option>
                                <option value="puerto_rico">Puerto Rico</option>
                                <option value="qatar">Katar</option>
                                <option value="reunion">Réunion</option>
                                <option value="romania">Rumänien</option>
                                <option value="russia">Russland</option>
                                <option value="rwanda">Rwanda</option>
                                <option value="saint_helena">St. Helena</option>
                                <option value="saint_kitts_and_nevis">St. Kitts und Nevis</option>
                                <option value="saint_lucia">Sankt Lucia</option>
                                <option value="saint_pierre_and_miquelon">Saint-Pierre und Miquelon</option>
                                <option value="saint_vincent_and_grenadines">St. Vincent und die Grenadinen</option>
                                <option value="samoa">Samoa</option>
                                <option value="san_marino">San Marino</option>
                                <option value="sao_tome_and_principe">São Tomé und Príncipe</option>
                                <option value="saudi_arabia">Saudi-Arabien</option>
                                <option value="senegal">Senegal</option>
                                <option value="serbia">Serbien</option>
                                <option value="seychelles">Seychellen</option>
                                <option value="sierra_leone">Sierra Leone</option>
                                <option value="singapore">Singapur</option>
                                <option value="slovakia">Slowakei</option>
                                <option value="slovenia">Slowenien</option>
                                <option value="solomon_islands">Salomonen</option>
                                <option value="somalia">Somalia</option>
                                <option value="south_africa">Südafrika</option>
                                <option value="south_georgia_and_south_sandwich_islands">Südgeorgien und Südliche Sandwichinseln</option>
                                <option value="south_korea">Südkorea</option>
                                <option value="south_sudan">Südsudan</option>
                                <option value="spain">Spanien</option>
                                <option value="sri_lanka">Sri Lanka</option>
                                <option value="sudan">Sudan</option>
                                <option value="suriname">Suriname</option>
                                <option value="svalbard_and_jan_mayen_islands">Svalbard und Jan Mayen Inseln</option>
                                <option value="swaziland">Swasiland</option>
                                <option value="sweden">Schweden</option>
                                <option value="switzerland">Schweiz</option>
                                <option value="syria">Syrien</option>
                                <option value="taiwan">Taiwan</option>
                                <option value="tajikistan">Tadschikistan</option>
                                <option value="tanzania">Tansania</option>
                                <option value="thailand">Thailand</option>
                                <option value="timor-leste_(east_timor)">Timor-Leste (Osttimor)</option>
                                <option value="togo">Togo</option>
                                <option value="tokelau">Tokelau</option>
                                <option value="tonga">Tonga</option>
                                <option value="trinidad_and_tobago">Trinidad und Tobago</option>
                                <option value="tunisia">Tunesien</option>
                                <option value="turkey">Türkei</option>
                                <option value="turkmenistan">Turkmenistan</option>
                                <option value="turks_and_caicos_islands">Turks- und Caicosinseln</option>
                                <option value="tuvalu">Tuvalu</option>
                                <option value="uganda">Uganda</option>
                                <option value="ukraine">Ukraine</option>
                                <option value="united_arab_emirates">Vereinigte Arabische Emirate</option>
                                <option value="united_kingdom">Grossbritannien (Vereinigtes Königreich)</option>
                                <option value="united_states">USA</option>
                                <option value="uruguay">Uruguay</option>
                                <option value="uzbekistan">Usbekistan</option>
                                <option value="vanuatu">Vanuatu</option>
                                <option value="venezuela">Venezuela</option>
                                <option value="vietnam">Vietnam</option>
                                <option value="virgin_islands">Jungferninseln (US)</option>
                                <option value="wallis_and_futuna_islands">Wallis und Futuna Inseln</option>
                                <option value="yemen">Jemen</option>
                                <option value="zambia">Sambia</option>
                                <option value="zimbabwe">Simbabwe</option>
                            </select>
        </p>

        <p>
            <label for="city">Stadt</label>
            <input name="city" id="city" type="text" />
        </p>

        <p>
            <input type="hidden" name="sign_me_up" value="now_please" />
            <input type="hidden" name="register_nonce" value="d3fd4cbeb8" />
            <input type="submit" value="Register Your Account" class="btn btn-primary" />
        </p>
    </fieldset>
</form>
<br />
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