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document.write('      <td colspan="2"><font color="#0082ff" face="Arial" size="2"><b>Kartenvorverkauf Formular</b></font></td>');
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document.write('      <td colspan="2"><font color="#e0f0ff" face="Arial" size="2">mit * gekennzeichnete Felder müssen ausgefüllt werden</font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Kartenart<br></b></font><font color="#e0f0ff" face="Arial" size="2">Ob normale oder VIP Karte</font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Vor- und Zuname *</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Straße *</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>E-Mail *</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Telefonnummer *</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Anzahl *</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Bezahlung *</b></font></td>');
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document.write('          <option value="0">Bar');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>MSN-ID</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>ICQ-Nummer</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Newsletter erwünscht?</b></font></td>');
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document.write('      <td><font color="#e0f0ff" face="Arial" size="2"><b>Nachricht</b></font></td>');
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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="135637">');
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('    <tr>');
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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