<input
				type="text"
				class="mf-input mf-conditional-input"
				id="mf-input-text-184663a1"
				name="ad"
				placeholder="${ parent.decodeEntities(`Name Surname`) } "
									onInput=${parent.handleChange}
					onBlur=${parent.handleChange}
					aria-invalid=${validation.errors['ad'] ? 'true' : 'false'}
					ref=${el =>{
												parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)
					}}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="ad"
					as=${html``}
					/>
			<input 
				type="email" 
				defaultValue="" 
				class="mf-input mf-conditional-input" 
				id="mf-input-email-47e25ccc" 
				name="mf-email" 
				placeholder="${ parent.decodeEntities(`E-Mail`) } " 
				onBlur=${parent.handleChange} onFocus=${parent.handleChange} aria-invalid=${validation.errors['mf-email'] ? 'true' : 'false' } 
				ref=${el=> parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)}
							/>
						<${validation.ErrorMessage} 
				errors=${validation.errors} 
				name="mf-email" 
				as=${html``}
			/>
			<input
				type="tel"
				class="mf-input "
				id="mf-input-telephone-fa262e9" 
				name="mf-telephone"
				placeholder="${ parent.decodeEntities(`Phone`) } "
									onInput=${parent.handleChange}
					aria-invalid=${validation.errors['mf-telephone'] ? 'true' : 'false'}
					ref=${el => parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)}
								/>
							<${validation.ErrorMessage}
					errors=${validation.errors}
					name="mf-telephone"
					as=${html``}
					/>
							<button type="submit" id="">
					${ parent.decodeEntities(`SEND`) } 
									</button>