<![CDATA[
<body bgcolor="#FFCC99" topmargin="0" leftmargin="0">
<form method="POST" action="../_vti_bin/shtml.exe/kontakt/index.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
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<div align="center">
<center>
<table border="0" cellpadding="0" cellspacing="0" width="547">
<tr>
<td width="15"><img border="0" src="../images/leer.gif" width="20" height="20"></td>
<td width="518" colspan="2" valign="top"><div align="left"><span class="ueberschrift"> <br>
Kontaktformular</span><br>
<img border="0" src="../images/leer.gif" width="430" height="20"></div>
</td>
</tr>
<tr>
<td width="15"></td>
<td width="296"></td>
<td width="220"></td>
</tr>
<tr>
<td width="15"><img border="0" src="../images/leer.gif" width="5" height="5"></td>
<td colspan="2" valign="middle" align="left" width="518"><font color="#666666">Bitte
geben Sie den Grund Ihrer Mitteilung an:<br>
<input type="radio" name="NachrichtenTyp" value="Anfrage" checked>Anfrage <input type="radio" name="NachrichtenTyp" value="Kommentar">Kommentar<input type="radio" name="NachrichtenTyp" value="Beschwerde">Beschwerde
<input type="radio" name="NachrichtenTyp" value="Problem">Problem </font>
<p><input type="checkbox" name="Informationsmaterial" value="Ja"><font color="#666666">Wünschen Sie Informationsmaterial?<br>
</font><input type="checkbox" name="Kontakt" value="Ja"><font color="#666666">
Möchten Sie, dass wir Sie kontaktieren?
</font></td>
</tr>
<tr>
<td width="15"><img border="0" src="../images/leer.gif" width="5" height="5"></td>
<td width="296"><img border="0" src="../images/leer.gif" width="5" height="5"><img border="0" src="../images/leer.gif" width="5" height="5"></td>
<td width="220">
<br>
</td>
</tr>
<tr>
<td width="15"><img border="0" src="../images/leer.gif" width="5" height="5"></td>
<td width="296"><input type="text" name="firma" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">
Firma</td>
</tr>
<tr>
<td width="15"></td>
<td width="296"><font color="#666666">
<input type="text" name="anrede" size="36" maxlength="30">
</font></td>
<td width="220" class="uebersicht">Anrede</td>
</tr>
<tr>
<td width="15"></td>
<td width="296"><font color="#666666">
<input type="text" name="vorname" size="36" maxlength="30">
</font></td>
<td width="220" class="uebersicht">Vorname</td>
</tr>
<tr>
<td width="15"></td>
<td width="296"><b>
<input type="text" name="nachname" size="36" maxlength="30">
</b></td>
<td width="220" class="uebersicht">Nachname</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input type="text" name="email" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">eMail</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input type="text" name="Telefon" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">Telefon</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input type="text" name="Fax" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">Fax</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input type="text" name="adresse" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">Adresse</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input type="text" name="Ort" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">Ort</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input name="postleitzahl" size="10" maxlength="10">
</td>
<td width="220" class="uebersicht">Postleitzahl</td>
</tr>
<tr>
<td width="15"></td>
<td width="296">
<input name="land" size="36" maxlength="30">
</td>
<td width="220" class="uebersicht">Land</td>
</tr>
<tr>
<td width="15">
</td>
<td width="296">
<p align="center"></p>
</td>
<td width="220" class="uebersicht"></td>
</tr>
<tr>
<td width="15" height="35"></td>
<td width="296" height="35"><textarea rows="5" name="kommentar" cols="27"></textarea></td>
<td width="220" height="35" class="uebersicht">Ihre
Mitteilung</td>
</tr>
<tr>
<td width="15" height="18"></td>
<td width="296" height="18"></td>
<td width="220" height="18">
</td>
</tr>
<tr>
<td width="15" height="18"></td>
<td width="296" align="center">
<p><input type="reset" value="Zurücksetzen" name="B2" style="font-family: Verdana; font-size: 8pt; color: #666666"></p>
</td>
<td width="220" align="center">
<div align="left">
<p><input type="submit" value="Abschicken" name="B1" style="font-family: Verdana; font-size: 8pt; color: #666666"></p>
</div>
</td>
</tr>
<tr>
<td width="15"></td>
<td width="296"></td>
<td width="220"></td>
</tr>
<tr>
<td width="15"></td>
<td width="296"></td>
<td width="220"><img border="0" src="../images/leer.gif" width="20" height="20"></td>
</tr>
</table>
</center>
</div>
</form>
</body>
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