<form name="kontakt" method="post" action="fileadmin/scripts/sendmail_icr.php">
Ihr Anliegen |
<select name="warum" size="1" class="text">
<option value="nichts gewählt">bitte auswählen</option>
<option value="weitere Firmeninformationen">> weitere Firmeninformationen</option>
<option value="Angebot">• Angebot</option>
<option value="E-Mail an Hr. Ritter">> E-Mail an Herrn Ritter</option>
<option value="E-Mail an Hr. Cordts">> E-Mail an Herrn Cordts</option>
<option value="allgemeine Mail">> allgemeine Mail</option>
</select>
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Firma: |
<input type="text" name="Firma" maxlength="30" size="38" class="text" >
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Anrede: |
<input type=radio name="Anrede" value="Herr">Herr
<input type=radio name="Anrede" value="Frau">Frau |
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Ihr Name: |
<input type="text" name="Name" maxlength="30" size="38" class="text"> |
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E-Mail: |
<input type="text" name="Email" maxlength="30" size="38" class="text" >
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Telefon: |
<input type="text" name="Telefon" maxlength="30" size="38" class="text" >
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Text:
<input type="submit" name="Button" value="senden" class="text"> |
<textarea name="Textfeld" cols="40" rows="4" class="text"></textarea>
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