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document.write('      <td colspan="2"><font color="#000066" face="Verdana">Kontaktformular</font></td>');
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document.write('      <td colspan="2"><font color="#000066" face="Verdana">mit * gekennzeichnete Felder müssen ausgefüllt werden</font></td>');
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document.write('      <td><font color="#000066" face="Verdana">Name *</font></td>');
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document.write('      <td><font color="#000066" face="Verdana">E-Mail *</font></td>');
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document.write('      <td><font color="#000066" face="Verdana">Betreff *</font></td>');
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document.write('      <td><font color="#000066" face="Verdana">Nachricht *</font></td>');
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document.write('      <td><font color="#000066" face="Verdana">Wohnort *<br></font><font color="#000066" face="Verdana">wo sind Sie und Ihr vierbeiniger Liebling zu Hause?</font></td>');
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document.write('    <tr>');
document.write('      <td><font color="#000066" face="Verdana">Telefon<br></font><font color="#000066" face="Verdana">um Rückfragen zu erleichtern, geben Sie hier bitte Ihre Telefonnummer an und die Zeit, in der Sie am Besten zu erreichen sind</font></td>');
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document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#0000CC" face="Verdana">Werbestudie<br></font><font color="#0000CC" face="Verdana">Wir benötigen Ihre Mithilfe!');
document.write('<BR>');
document.write('Teilen Sie uns doch bitte für unsere Werbestudien mit, wie Sie auf unsere Seite gefunden haben!');
document.write('<BR>');
document.write('Vielen Dank für Ihre Mitarbeit; Sie haben uns geholfen!</font></td>');
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document.write('        <select style=" color: #0000CC; font-family: Verdana;" name="user_input[id7]">');
document.write('          <option value="0">keine Angaben');
document.write('</option>');
document.write('          <option value="1">durch Erzählung eines Bekannten');
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document.write('          <option value="2">mir wurde eine Empfehlung per Mail übersandt');
document.write('</option>');
document.write('          <option value="3">durch einen Autoaufkleber');
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document.write('          <option value="4">über Link einer anderen web-site');
document.write('</option>');
document.write('          <option value="5">selbst gefunden im www');
document.write('</option>');
document.write('          <option value="6">über Google-Suche');
document.write('</option>');
document.write('          <option value="7">andere Suchmaschine');
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document.write('          <option value="8">');
document.write('</option>');
document.write('          <option value="9"></option>');
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document.write('        <input type="hidden" name="action" value="send_mail">');
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document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('        <input type="reset" name="reset" value="Zur&uuml;cksetzen">');
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document.write('      <td colspan="2" align="center"><font size="-2">Powered by <a href="http://www.onetwomax.de" target="_blank">OneTwoMax</a> Formmailer Script</font></td>');
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