document.write('');
document.write('  <table bgcolor="#E3DBC1" style="border: 1px solid #FFFFFF">');
document.write('<form method="post" action="http://74291.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2"><font color="#585858" size="2"><b><i>Kontaktformular</i></b></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2"><font color="#585858" size="1"><i>mit * gekennzeichnete Felder müssen ausgefüllt werden</i></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#585858" size="1"><i>Name *</i></font></td>');
document.write('      <td><font color="#585858" size="1"><i>');
document.write('        <input style=" color: #585858; font-style: italic;" type="text" name="user_input[id3]" value="" size="20">');
document.write('      </i></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#585858" size="1"><i>E-Mail *</i></font></td>');
document.write('      <td><font color="#585858" size="1"><i>');
document.write('        <input style=" color: #585858; font-style: italic;" type="text" name="user_input[id4]" value="" size="20">');
document.write('      </i></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#585858" size="1"><i>Betreff *</i></font></td>');
document.write('      <td><font color="#585858" size="1"><i>');
document.write('        <input style=" color: #585858; font-style: italic;" type="text" name="user_input[id5]" value="" size="20">');
document.write('      </i></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#585858" size="1"><i>Nachricht *</i></font></td>');
document.write('      <td><font color="#585858" size="1"><i>');
document.write('        <textarea style=" color: #585858; font-style: italic;" name="user_input[id6]" style="width:100%" rows="7"></textarea>');
document.write('      </i></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="74291">');
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('');