<body bgcolor="#000000">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td>
<!--
© Ellen Baitinger, artmedic webdesign, http://www.artmedic.de
--> <form name="form1" method="post" action="mailform.php">
<table width="319" border="0" cellspacing="2" cellpadding="2">
<tr>
<td colspan="2"> <font size="2" face="Arial,
Helvetica, sans-serif"><strong> Mail </strong></font></td>
</tr>
<tr>
<td width="55" align="right" valign="top"><font
color="#FFFFFF" size="2" face="Arial, Helvetica, sans-serif">Name</font></td>
<td width="250"><input name="Name" type="text"
class="inputtext" size="40"></td>
</tr>
<tr>
<td align="right" valign="top"><font color="#FFFFFF"
size="2" face="Arial, Helvetica, sans-serif">E-Mail</font></td>
<td><input name="Email" type="text" class="inputtext"
id="Email" size="40"></td>
</tr>
<tr>
<td align="right" valign="top"><font color="#FFFFFF"
size="2" face="Arial, Helvetica, sans-serif">Telefon</font></td>
<td><input name="Telefon" type="text" class="inputtext"
id="Telefon" size="40"></td>
</tr>
<tr>
<td align="right" valign="top"><font color="#FFFFFF"
size="2" face="Arial, Helvetica, sans-serif">Betreff</font></td>
<td><input name="Betreff" type="text" class="inputtext"
size="40"></td>
</tr>
<tr>
<td align="right" valign="top"><font color="#FFFFFF"
size="2" face="Arial, Helvetica, sans-serif">Nachricht</font></td>
<td><textarea name="Nachricht" cols="40" rows="8"
class="inputtextarea"></textarea></td>
</tr>
<tr>
<td align="right"><input name="kopie" type="checkbox"
id="kopie" value="checkbox"></td>
<td> <font color="#FFFFFF" size="2"
face="Arial, Helvetica, sans-serif">*Kopiehabenwill*</font></td>
</tr>
<tr>
<td> </td>
<td>
<input type="submit" class="inputbutton"
value="und weg...">
<input name="ausgefllt" type="hidden" id="ausgefllt"
value="1">
</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
</body>
</html>
