document.write('');
document.write('  <table align="center" bgcolor="#322D2B" style="border: 1px solid #DFDFDF">');
document.write('<form method="post" action="http://69977.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2"><font color="#FFFFFF">mit * gekennzeichnete Felder müssen ausgefüllt werden</font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#660099">');
document.write('      <td colspan="2"><font color="#FFFFFF">Bitte füllen Sie unser Kontaktformular aus.</font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#FFFFFF">Name *</font></td>');
document.write('      <td><font color="#FFFFFF">');
document.write('        <input style=" border: 1px solid #DFDFDF;" type="text" name="user_input[id3]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#FFFFFF">E-Mail *</font></td>');
document.write('      <td><font color="#FFFFFF">');
document.write('        <input style=" border: 1px solid #DFDFDF;" type="text" name="user_input[id4]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#FFFFFF">Betreff *</font></td>');
document.write('      <td><font color="#000000">');
document.write('        <input style=" border: 1px solid #DFDFDF; color: #000000;" type="text" name="user_input[id5]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#FFFFFF">Nachricht *</font></td>');
document.write('      <td><font color="#FFFFFF">');
document.write('        <textarea style=" border: 1px solid #DFDFDF; color: #000000;" name="user_input[id6]" style="width:100%" rows="5"></textarea>');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#DFDFDF">');
document.write('      <td><font color="#1F0000">10,oo€  für &quot;ein`STEiN&quot;</font></td>');
document.write('      <td>');
document.write('        <select style=" border: 1px solid #DFDFDF; background-color: #003030; color: #FFFFFF;" name="user_input[id7]">');
document.write('          <option value="0">ja');
document.write('</option>');
document.write('          <option value="1">nein</option>');
document.write('        </select>');
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="69977">');
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('');