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document.write('<form method="post" action="http://72220.formmailer.onetwomax.de/">');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333" colspan="2"><font color="#FFFFCC" face="Verdana"><b>KONTAKT</b></font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333" colspan="2"><font color="#FFFFCC" face="Verdana">');
document.write('<BR>');
document.write('mit * gekennzeichnete Felder müssen ausgefüllt werden');
document.write('<BR>');
document.write('<BR>');
document.write('</font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana"><b>Name *</b></font></td>');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana">');
document.write('        <input style=" background-color: #333333; color: #FFFFCC; font-family: Verdana;" type="text" name="user_input[id3]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana"><b>E-Mail *</b></font></td>');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana">');
document.write('        <input style=" background-color: #333333; color: #FFFFCC; font-family: Verdana;" type="text" name="user_input[id4]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana"><b>Betreff *</b></font></td>');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana">');
document.write('        <input style=" background-color: #333333; color: #FFFFCC; font-family: Verdana;" type="text" name="user_input[id5]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#333333">');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana"><b>Nachricht *</b></font></td>');
document.write('      <td bgcolor="#333333"><font color="#FFFFCC" face="Verdana">');
document.write('        <textarea style=" background-color: #333333; color: #FFFFCC; font-family: Verdana;" name="user_input[id6]" style="width:100%" rows="7"></textarea>');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2" align="center" valign="middle">');
document.write('        <input type="hidden" name="mq" value="\'">');
document.write('        <input type="hidden" name="action" value="send_mail">');
document.write('        <input type="hidden" name="entry" value="72220">');
document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('        <input type="reset" name="reset" value="Zur&uuml;cksetzen">');
document.write('      </td>');
document.write('    </tr>');
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document.write('  </table>');
document.write('');