document.write('');
document.write('  <table>');
document.write('<form method="post" action="http://157822.formmailer.onetwomax.de/">');
document.write('    <tr bgcolor="#E0E0E0">');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">Name *</font></td>');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">');
document.write('        <input style=" border: 1px solid #E0E0E0; background-color: #E0E0E0; color: #6F6F6F;" type="text" name="user_input[id3]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#E0E0E0">');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">E-Mail *</font></td>');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">');
document.write('        <input style=" border: 1px solid #E0E0E0; background-color: #E0E0E0; color: #6F6F6F;" type="text" name="user_input[id4]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#E0E0E0">');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">Betreff *</font></td>');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">');
document.write('        <input style=" border: 1px solid #E0E0E0; background-color: #E0E0E0; color: #6F6F6F;" type="text" name="user_input[id5]" value="" size="20">');
document.write('      </font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#E0E0E0">');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">Nachricht *</font></td>');
document.write('      <td bgcolor="#E0E0E0"><font color="#6F6F6F">');
document.write('        <textarea style=" border: 1px solid #E0E0E0; background-color: #E0E0E0; color: #6F6F6F;" name="user_input[id6]" style="width:100%" rows="7"></textarea>');
document.write('      </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="157822">');
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('    <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>');
document.write('    </tr>');
document.write('</form>');
document.write('  </table>');
document.write('');