document.write('');
document.write('  <table align="center" bgcolor="#FF9900" cellpadding="5">');
document.write('<form method="post" action="http://33483.formmailer.onetwomax.de/">');
document.write('    <tr bgcolor="#FF9900">');
document.write('      <td bgcolor="#FF9900" colspan="2"><font color="#FFFF00" face="Tahoma"><b>Kontaktformular</b></font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#FF9900">');
document.write('      <td bgcolor="#FF9900" colspan="2"><font color="#FFFF00" face="Tahoma"><b>mit * gekennzeichnete Felder müssen ausgefüllt werden</b></font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#FF9900">');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>Name *</b></font></td>');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>');
document.write('        <input style=" border: 1px solid #FFFF00; background-color: #FF9900; color: #FFFF00; font-family: Tahoma; font-weight: bold;" type="text" name="user_input[id3]" value="" size="60">');
document.write('      </b></font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#FF9900">');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>E-Mail *</b></font></td>');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>');
document.write('        <input style=" border: 1px solid #FFFF00; background-color: #FF9900; color: #FFFF00; font-family: Tahoma; font-weight: bold;" type="text" name="user_input[id4]" value="" size="60">');
document.write('      </b></font></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><font color="#FFFF00" face="Tahoma"><b>Betreff</b></font></td>');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>');
document.write('        <select style=" border: 1px solid #FFFF00; background-color: #FF9900; color: #FFFF00; font-family: Tahoma; font-weight: bold;" name="user_input[id7]">');
document.write('          <option value="0">Anfrage');
document.write('</option>');
document.write('          <option value="1">Reservierung');
document.write('</option>');
document.write('          <option value="2">Gutschein');
document.write('</option>');
document.write('          <option value="3">Lanzarote-Tour');
document.write('</option>');
document.write('          <option value="4">Incentives');
document.write('</option>');
document.write('          <option value="5">Verkauf');
document.write('</option>');
document.write('          <option value="6">Tourguide Mike');
document.write('</option>');
document.write('          <option value="7">Sonstiges</option>');
document.write('        </select>');
document.write('      </b></font></td>');
document.write('    </tr>');
document.write('    <tr bgcolor="#FF9900">');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>Nachricht *</b></font></td>');
document.write('      <td bgcolor="#FF9900"><font color="#FFFF00" face="Tahoma"><b>');
document.write('        <textarea style=" border: 1px solid #FFFF00; background-color: #FF9900; color: #FFFF00; font-family: Tahoma; font-weight: bold;" name="user_input[id6]" style="width:100%" rows="14"></textarea>');
document.write('      </b></font></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="33483">');
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('');