Anfrage

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000" background="044b85a3.jpg"> <div> <B>                           </B><B>Café Füürbeck Holzofen-Bäckerei Konditorei</B><FONT SIZE="6" COLOR="#FFCC66" FACE="Georgia" ><B> </B></FONT><FONT SIZE="4" COLOR="#FFCC66" FACE="Arial" ><B>    </B></FONT></div> <div> <FONT SIZE="4" COLOR="#0000CC" FACE="Arial" ><I><B>                </B></I></FONT><FONT SIZE="2" COLOR="#0000CC" FACE="Arial" ><I><B> </B></I><I><B>       </B></I></FONT><I><B>            </B></I><I><B>H</B></I><A HREF="default.htm" TARGET="_top" TITLE="Café Füürbeck HolzofenBäckerei Konditore"><I><B>ome</B></I></A><I><B>   |  </B></I><A HREF="caf_frbeck.htm" TARGET="_top" TITLE="Café Füürbeck"><I><B>Café Füürbeck</B></I></A><I><B>   |   </B></I><A HREF="id17.htm" TARGET="_top" TITLE=" über uns"><I><B> über uns</B></I></A><I><B>   |   </B></I><A HREF="id18.htm" TARGET="_top" TITLE="Brotbacken im Holzofen"><I><B>Brotbacken im Holzofen</B></I></A><I><B>   |   </B></I><A HREF="id19.htm" TARGET="_top" TITLE="Kontakt"><I><B>Kontakt</B></I></A><I><B>   |   </B></I><A HREF="id20.htm" TARGET="_top" TITLE="Rundgang"><I><B>Rundgang</B></I></A><I><B>   |   </B></I><A HREF="id21.htm" TARGET="_top" TITLE="Links"><I><B>Links</B></I></A><I><B>   |   </B></I><A HREF="id22.htm" TARGET="_top" TITLE="Produkte"><I><B>Produkte</B></I></A><I><B>   |   </B></I><I><B>Anfrage</B></I><I><B>   |   </B></I><A HREF="presse.htm" TARGET="_top" TITLE="Presse"><I><B>Presse</B></I></A><I><B>   |   </B></I><A HREF="cafkarte.html" TARGET="_top" TITLE="Cafékarte"><I><B>Cafékarte</B></I></A></div> <div> <B> <A NAME="anfrage_1_1"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="045d2b83.jpg"> <bR> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>Anfrage</B></I></div> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Anfrage*,Name*,Vorname*,Firma,Strasse*,PLZ Ort*,Telefon*,Fax,E-mail*,Woher kennen Sie die Holzofen-Bäckerei Füürbeck?,Bemerkung"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Vielen Dank für Ihre Anfrage."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A comment form was submitted"><input type="hidden" name="tlx_EmailTo" value="gubser@fueuerbeck.ch"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left"><font color="#0000ff">Anfrage*: <br> <select name="Anfrage*"> <option value="Nehmen Sie telefonisch mit mir Kontakt auf.">Nehmen Sie telefonisch mit mir Kontakt auf.</option><option value="Schicken Sie mir eine Offerte.">Schicken Sie mir eine Offerte.</option> </select> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Name*: <br> <input type="text" name="Name*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Vorname*: <br> <input type="text" name="Vorname*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Firma: <br> <input type="text" name="Firma" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Strasse*: <br> <input type="text" name="Strasse*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">PLZ Ort*: <br> <input type="text" name="PLZ Ort*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Telefon*: <br> <input type="text" name="Telefon*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Fax: <br> <input type="text" name="Fax" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">E-mail*: <br> <input type="text" name="E-mail*" size="30" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Woher kennen Sie die Holzofen-Bäckerei Füürbeck?: <br> <select name="Woher kennen Sie die Holzofen-Bäckerei Füürbeck?"> <option value="Auswahl">Auswahl</option><option value="als Kunde">als Kunde</option><option value="Freunde">Freunde</option><option value="Internet">Internet</option><option value="Zeitung">Zeitung</option><option value="andere">andere</option> </select> </font></td> </tr> <tr> <td align="left"><font color="#0000ff">Bemerkung: <br> <textarea name="Bemerkung" rows="5" cols="30"></textarea> </font></td> </tr> <tr> <td align="right"><font color="#0000ff"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </font></td> </tr> </table> </form>  </div> </td> </tr></table></body>