document.write('');
document.write('  <table bgcolor="#FFFFFF">');
document.write('<form method="post" action="http://46854.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2">|||');
document.write('<BR>');
document.write('<BR>');
document.write('.</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Name *</b></td>');
document.write('      <td>');
document.write('        <input style=" font-weight: bold;" type="text" name="user_input[id3]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>E-Mail *</b></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id4]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Homepage</b></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id7]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Betreff *</b></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id5]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Nachricht *</b></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">Mit * gezeichnete Felder müssen ausgefüllt werden!');
document.write('<BR>');
document.write('.');
document.write('<BR>');
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="46854">');
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('');