rendered paste body <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Kontakt per Email versenden</title>
<link rel="stylesheet" href="/vorlagen/layout/stylesheet.css" type="text/css">
<style type="text/css">
body {
padding: 20px;
}
</style>
</head>
<body>
<div style="padding: 0 15px 0 15px;">
<form name="MailFormular" action="/tools/kontakt_senden.php" method="post" >
<table width="100%" border="0">
<tr>
<td colspan="5">Gewnschte Datenfelder bitte auswhlen</td>
</tr>
<tr>
<td width="5">
<input type="checkbox" name="kontaktgruppen[22]" value="1" checked onclick="submitform();">
</td>
<td colspan="2">Jugend-Einrichtung</td>
<td colspan="2"> </td>
</tr>
<tr>
<td width="5">
<input type="checkbox" name="kontaktgruppen[23]" value="1" checked onclick="submitform();">
</td>
<td colspan="2">Jugend-Anbieter</td>
<td colspan="2"> </td>
</tr>
<tr>
<td colspan="5">Mehrfach Datenfelder</td>
</tr><tr>
<td>
<input type="checkbox" name="mehrfach[2] value="1" >
</td>
<td colspan="2">Anderes Minigolf </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[3] value="1" >
</td>
<td colspan="2">Anderes Eislaufen </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[4] value="1" >
</td>
<td colspan="2">Anderes Rodeln Rodelbahn </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[5] value="1" >
</td>
<td colspan="2">Anderes Rodeln Mondscheinrodeln </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[6] value="1" >
</td>
<td colspan="2">Fuball (ffentlich) Fuballplatz </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[7] value="1" >
</td>
<td colspan="2">Anderes Freiluft-Theater Sommerfestspiele Neukirchen </td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="mehrfach[8] value="1" >
</td>
<td colspan="2">Anderes Motorradevent Triumph Tridays Weekend </td>
<td colspan="2"> </td>
<tr>
<td colspan="5">Sonstige Zusatzfelder:</td>
</tr><tr>
<td>
<input type="checkbox" name="gruppegruppe[1] value="1" >
</td>
<td colspan="2">Angebotsthema</td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="gruppegruppe[2] value="1" >
</td>
<td colspan="2">Aktivittsart/Preise</td>
<td colspan="2"> </td>
<tr>
<td>
<input type="checkbox" name="gruppe[9] value="1" >
</td>
<td colspan="2">Marktforschung</td>
<td colspan="2"> </td>
<tr>
<td colspan="2"><!-- Beherbergungsinfo-->Kontaktinformationen senden an Adresse</td>
<td><input type="text" name="email" value="" /></td>
</tr>
<tr>
<td colspan="2"><input type="hidden" name="kontakt_id" value="55883" /></td>
<td><input type="submit" name="submit" value="senden" /></td>
</tr>
</table>
</form>
<script type="text/javascript">
function submitform() {
document.MailFormular.submit();
}
</script>
</div></body></html>