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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Unbenanntes Dokument</title>
<style type="text/css">
<!--
.Stil1 {
font-family: Verdana, Arial, Helvetica, sans-serif;
font-size: 12px;
}
.Stil2 {
font-size: 14px;
font-family: Verdana, Arial, Helvetica, sans-serif;
font-weight: bold;
}
.Stil3 {font-size: 12px}
-->
</style>
<script type="text/javascript">
<!--
function MM_validateForm() { //v4.0
if (document.getElementById){
var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=document.getElementById(args[i]);
if (val) { nm=val.name; if ((val=val.value)!="") {
if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
} else if (test!='R') { num = parseFloat(val);
if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
min=test.substring(8,p); max=test.substring(p+1);
if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
} } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
} if (errors) alert('The following error(s) occurred:\n'+errors);
document.MM_returnValue = (errors == '');
} }
//-->
</script>
</head>
<body>
<form id="form1" name="form1" method="post" action="">
<label></label>
<table width="510" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="161"><label><span class="Stil1">Anrede</span></label></td>
<td width="324">
<div align="right">
<select name="Anrede" size="1" id="Anrede">
<option selected="selected">Herr</option>
<option>Frau</option>
<option>Firma</option>
</select>
</div></td>
<td width="25" colspan="4" rowspan="22"> </td>
</tr>
<tr>
<td><span class="Stil1">Name: </span></td>
<td><div align="right">
<input name="Name2" type="text" id="Name2" size="30" />
</div></td>
</tr>
<tr>
<td><span class="Stil1">Firma:</span></td>
<td><div align="right">
<input name="Firma2" type="text" id="Firma2" size="30" />
</div></td>
</tr>
<tr>
<td><span class="Stil1">Straße:</span></td>
<td><div align="right">
<input name="Straße2" type="text" id="Straße2" size="30" />
</div></td>
</tr>
<tr>
<td><span class="Stil1">PLZ / Ort</span>:</td>
<td><div align="right">
<input name="PLZ2" type="text" id="PLZ2" size="30" />
</div></td>
</tr>
<tr>
<td><span class="Stil1">Telefon:</span></td>
<td><div align="right">
<input name="Telefon2" type="text" id="Telefon2" size="30" />
</div></td>
</tr>
<tr>
<td><span class="Stil1">Fax:</span></td>
<td><div align="right">
<input type="text" name="FAX2" id="FAX2" size="30"/>
</div></td>
</tr>
<tr>
<td><span class="Stil1">Bemerkung:</span></td>
<td><div align="right">
<textarea name="Bemerkungen2" cols="28
" rows="5" id="Bemerkungen2"></textarea>
</div></td>
</tr>
<tr>
<td height="28"><span class="Stil2 Stil3">Anfrage:</span></td>
<td> </td>
</tr>
<tr>
<td height="31"><span class="Stil1">Objekt:</span></td>
<td><div align="right">
<select name="Objekt" id="Objekt">
<option selected="selected">Auswahl</option>
<option>Briefbogen</option>
<option>Briefhüllen</option>
<option>Visitenkarten</option>
<option>Faltblätter</option>
<option>Flyer</option>
<option>Plakate</option>
<option>Broschüren</option>
<option>Plakate</option>
<option>SD-Sätze</option>
<option>Blöcke</option>
<option>Textildruck</option>
<option>Fahnen, Banner</option>
<option>KFZ-Werbung</option>
<option>Werbeschilder</option>
<option>Aufkleber</option>
<option>Stempel</option>
</select>
</div></td>
</tr>
<tr>
<td height="28"><span class="Stil1">Umfang:</span></td>
<td><div align="right">
<select name="Umfang1" id="Umfang1">
<option selected="selected">Auswahl</option>
<option>Einseitig</option>
<option>Zweiseitig</option>
<option>sonstiges</option>
</select>
</div></td>
</tr>
<tr>
<td height="28"><span class="Stil1">Umfang bei SD-Sätzen:</span></td>
<td><div align="right">
<select name="Umfang" id="Umfang">
<option>Auswahl</option>
<option>2-Blatt</option>
<option>3-Blatt</option>
<option>4-Blatt</option>
<option>5-Blatt</option>
</select>
</div></td>
</tr>
<tr>
<td height="27"><span class="Stil1">Umfang bei Blöcken:</span></td>
<td><div align="right">
<select name="Umfang2" id="Umfang2">
<option selected="selected">Auswahl</option>
<option>a´10 Blatt</option>
<option>a´25 Blatt</option>
<option>a´50 Blatt</option>
<option>a´100 Blatt</option>
</select>
</div></td>
</tr>
<tr>
<td height="27"><span class="Stil1">Farbigkeit:</span></td>
<td><div align="right">
<select name="Farbigkeit" id="Farbigkeit">
<option selected="selected">Auswahl</option>
<option>4/0 farbig, Skala</option>
<option>4/1 farbig, Skala + HKS,Pantone</option>
<option>1/0 farbig, HKS/Pantone</option>
<option>2/0 farbig, HKS/Pantone</option>
<option>3/0 farbig, HKS/Pantone</option>
<option>4/0 farbig, HKS/Pantone</option>
<option>4/1 farbig, HKS/Pantone</option>
<option>sonstiges</option>
</select>
</div></td>
</tr>
<tr>
<td height="28"><span class="Stil1">Lack:</span></td>
<td><div align="right">
<select name="Lack" id="Lack">
<option selected="selected">Auswahl</option>
<option>Lack matt</option>
<option>Lack glänzend</option>
<option>sonstiges</option>
</select>
</div></td>
</tr>
<tr>
<td height="26"><span class="Stil1">Verarbeitung:</span></td>
<td> </td>
</tr>
<tr>
<td height="30"> </td>
<td><span class="Stil1">
<input type="checkbox" name="Schneiden" id="Schneiden" />
schneiden
<label>
<input type="checkbox" name="lochen" id="lochen" />
2-fach gelocht</label>
<label>
<input type="checkbox" name="lochen2" id="lochen2" />
4-fach gelocht</label>
</span></td>
</tr>
<tr>
<td height="31"> </td>
<td><span class="Stil1">
<label>
<input type="checkbox" name="heften" id="heften" />
heften
<input type="checkbox" name="perforieren" id="perforieren" />
perforieren
<input type="checkbox" name="nuten" id="nuten" />
nuten, rillen </label>
</span></td>
</tr>
<tr>
<td height="30"> </td>
<td><span class="Stil1">
<label>
<input type="checkbox" name="ableimen" id="ableimen" />
ableimen</label>
<label>
<input type="checkbox" name="satz" id="satz" />
als Satz</label>
<label>
<input type="checkbox" name="block" id="block" />
als Block</label>
</span></td>
</tr>
<tr>
<td height="29"><span class="Stil1">Material:</span></td>
<td><div align="right"><span class="Stil1">
<select name="Material" id="Material">
<option selected="selected">Auswahl</option>
<option>80g, Premium Offset</option>
<option>90g, Premium Offset</option>
<option>135g Bilderdruck glänzend</option>
<option>135g mattgestrichen</option>
<option>170g Bilderdruck glänzend</option>
<option>170g mattgestrichen</option>
<option>250g Diplomatenkarton</option>
<option>300g mattgestrichen</option>
<option>350g mattgestrichen</option>
</select>
</span></div></td>
</tr>
<tr>
<td height="28"><span class="Stil1">Material, sonstiges:</span></td>
<td><div align="right"><span class="Stil1">
<input name="sonstiges" type="text" id="sonstiges" value="" size="30" />
</span></div></td>
</tr>
<tr>
<td height="62"> </td>
<td><div align="center"><span class="Stil1">
<input type="submit" name="Abschicken" id="Abschicken" value="Formular senden"onclick="javascript:abschicken();MM_validateForm('Name2','','R','Firma2','','R','Straße2','','R','PLZ2','','R','Telefon2','','R','FAX2','','R');return document.MM_returnValue" />
</span></div></td>
</tr>
</table>
</form>
</body>
</html>