document.write('');
document.write('  <table align="center">');
document.write('<form method="post" action="http://70624.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2"><font face="Verdana">Kontaktformular schoried.ch</font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2">mit * gekennzeichnete Felder duerfen nicht leer bleiben</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font face="Verdana"><b>Grund Ihrer e-mail *</b></font></td>');
document.write('      <td>');
document.write('        <select name="user_input[id7]">');
document.write('          <option value="0">Fotobestellung');
document.write('</option>');
document.write('          <option value="1" selected>Website');
document.write('</option>');
document.write('          <option value="2">Werbung');
document.write('</option>');
document.write('          <option value="3">Newsletter');
document.write('</option>');
document.write('          <option value="4">Suchfunktion');
document.write('</option>');
document.write('          <option value="5">Agenda');
document.write('</option>');
document.write('          <option value="6">Links');
document.write('</option>');
document.write('          <option value="7">Vereine');
document.write('</option>');
document.write('          <option value="8">Mailkonto');
document.write('</option>');
document.write('          <option value="9">Anderes</option>');
document.write('        </select>');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font face="Verdana">Name *</font></td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id3]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Mailadresse<br>Bestellung eines e-mail-Kontos</td>');
document.write('      <td></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font face="Verdana">E-Mail *</font></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><font face="Verdana">Betreff</font></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>Hier ist Platz fuer ihren Kommentar</td>');
document.write('      <td>');
document.write('        <textarea name="user_input[id9]" style="width:100%" rows="5"></textarea>');
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="70624">');
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('');