Contact form

Dear visitors,

please use this form to send us your messages. We will take care of the matter immediately.

Please understand that any anonymous messages will be deleted at once.

Reference:Ref.:

</fieldset>
<fieldset style="WIDTH: 509px; HEIGHT: 728px"><legend>Your details</legend><label for="Mitteilung">Your details:</label><textarea style="WIDTH: 20.29em; HEIGHT: 154px" name="Mitteilung" rows="10" cols="34"/>
<fieldset style="WIDTH: 468px; HEIGHT: 264px"><legend>Ihre Daten</legend><label for="Firma">Company</label> <input id="Firma" maxlength="100" size="40" name="Firma"/><br>
<label for="Anrede">Title</label> <select size="1" name="Anrede">
<option value="Please select" selected="selected">Please select</option>
<option value="Herr">Herr</option>
<option value="Frau">Frau</option>
</select><br>
<label for="Vorname">First name*</label> <input id="Vorname" maxlength="100" size="40" name="Vorname"/><br>
<label for="Nachname">Sur name*</label> <input id="Nachname" maxlength="100" size="40" name="Nachname"/><br>
<label for="Strasse">Street / house no.*</label> <input id="Strasse" maxlength="100" size="40" name="Strasse"/><br>
<label for="PLZ">Postcode* /Town / part of town*</label> <input id="PLZ" maxlength="5" size="5" name="PLZ"/> <input id="Ort" maxlength="100" size="42" name="Ort"/><br>
<label for="Telefon">Telephone*</label> <input id="Telefon" maxlength="100" size="40" name="Telefon"/><br>
<label for="Mobil">Mobil phone</label> <input id="Mobil" maxlength="100" size="40" name="Mobil"/><br>
<label for="FAX">Telefax</label> <input id="FAX" maxlength="100" size="40" name="FAX"/><br>
<label for="Email">Email*</label> <input id="Email" maxlength="100" size="40" name="Email"/></fieldset>
<fieldset style="WIDTH: 468px; HEIGHT: 107px"><legend>Answer by</legend>
<div class="KontaktFormCbx"><label for="EMail">Email</label><input type="checkbox" value="Antwort per E-Mail" name="AntwortEMail"/><br>
<label for="Fax">Telefax</label><input type="checkbox" value="Antwort per Fax" name="AntwortFax"/><br>
<label for="Telefon">Telephone</label><input type="checkbox" value="Antwort per Telefon" name="AntwortTelefon"/><br>
<label for="Brief">Letter</label><input type="checkbox" value="Antwort per Brief" name="AntwortBrief"/></div>
</fieldset>
<div class="KontaktFormTxt">
<p>All fields marked with * are required fields; in order to gain access, please complete all fields.</p>
<p><br>
 </p>
<p><input class="AnfrageSenden" type="submit" value="Send enquiry"/>  <input class="FelderLoeschen" type="reset" value="delete contents" name="Reset"/></p>
<p> </p>
</div>
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</form>
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