document.write('');
document.write('  <table align="center">');
document.write('<form method="post" action="http://87700.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2"><b>Kontaktformular,Form for contact,Formulaire de contact');
document.write('<BR>');
document.write('<BR>');
document.write(' </b></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2"><font size="-1">Mit * gekennzeichnete Felder müssen ausgefüllt werden.');
document.write('<BR>');
document.write('With * characterized fields must be filled out. ');
document.write('<BR>');
document.write('* Des champs marqués doivent être remplis.');
document.write('<BR>');
document.write('<BR>');
document.write('<BR>');
document.write('</font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font size="-1">Name*, Nom*</font></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id3]" value="" size="40">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font size="-1">E-Mail *</font></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id4]" value="" size="40">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font size="-1">Betreff *,Reference*,Objet*</font></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id5]" value="" size="40">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Nachricht*,Message*</td>');
document.write('      <td>');
document.write('        <textarea name="user_input[id6]" style="width:100%" rows="7"></textarea>');
document.write('      </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="87700">');
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>');
document.write('</form>');
document.write('  </table>');
document.write('');