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<html>
<head>
<meta NAME="description" CONTENT="Romatech AG, Kriens, Präzisions-Dichtungen, Technische Gummi- und Kunststoffprodukte">
<meta NAME="keywords" CONTENT="romatech, Romatech, Kriens, Luzern, Schweiz, Switzerland, Präzisionsdichtungen,
Präzisions-Dichtungen, praezisions-dichtungen, praezisionsdichtungen, Technische Gummiprodukte,
Kunststoffprodukte, Alpenstrasse, RMT, rmt, Dichtungen, Ringe, packungen, platten, bänder, bahnen,
teile, verbindungen, Radialdichtungen, Gleitringdichtungen, präzisions-o-ringe, O-Ringe, Hydraulikdichtungen,
Pneumatikdichtungen, Hydraulik, Pneumatik, Stopfbüchsenpackung, statisch, Spezialdichtungen,
Dichtungsplatten, Dichtungsbänder, Profile, Gleitbahnen, Formteile, Gummi, Metall, Antriebsriemen,
Zubehör, Schläuche, Schlauch, Armatur, Armaturen, Halbfabrikate, Tschümperlin, ">
<title>Anfrage Romatech AG / Präzisions-Dichtungen, Technische Gummi- und
Kunststoffprodukte </title>
<meta name="Microsoft Border" content="none"></head>
<body bgcolor="#FFFFFF">
<table border="0" width="715" cellspacing="0" cellpadding="0">
<tr>
<td width="100%"><p align="right"><a href="default.htm"><img src="images/logo.jpg" alt="Romatech AG, Kriens" border="0" WIDTH="285" HEIGHT="79"></a></td>
</tr>
</table>
<p align="center">&nbsp;</p>
<table border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="155" rowspan="2" valign="top">&nbsp;<p>&nbsp;</p>
<p><a href="firmenpr.htm"><img src="images/firmenprofil.jpg" alt="Firmenprofil" border="0" WIDTH="152" HEIGHT="49"></a><br>
<a href="produkte.htm"><img src="images/Produkte.jpg" alt="Produkte" border="0" WIDTH="152" HEIGHT="49"></a><br>
<a href="kontakt.htm"><img src="images/Kontakt.jpg" alt="Kontakt" border="0" WIDTH="152" HEIGHT="49"></a><br>
<a href="highligh.htm"><img src="images/Highlights.jpg" alt="Highlights" border="0" WIDTH="152" HEIGHT="50"></a></td>
<td width="560" valign="top"><p align="right"><img src="images/Anfragegross.jpg" alt="Anfrage" WIDTH="558" HEIGHT="96"></td>
</tr>
<tr>
<td width="560"><!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!--
function FrontPage_Form1_Validator(theForm)
{
if (theForm.Kontaktperson.value == "")
{
alert("Geben Sie einen Wert in das Feld \"Name / Vorname\" ein.");
theForm.Kontaktperson.focus();
return (false);
}
if (theForm.Kontaktperson.value.length < 3)
{
alert("Geben Sie mindestens 3 Zeichen in das Feld \"Name / Vorname\" ein.");
theForm.Kontaktperson.focus();
return (false);
}
return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="_vti_bin/shtml.dll/Anfragen.htm" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" U-File="_private/form_results.txt" S-Format="HTML/PRE" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Builtin-Fields="Date Time REMOTE_NAME REMOTE_USER" S-Form-Fields="Firma Anrede Kontaktperson Adresse Postleitzahl Ort Telephon Fax EMail Bemerkungen Formularsenden " U-Confirmation-Url="Bestaetigung.htm" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><input type="hidden" name="recipients" value="verkauf@romatech.ch"><input type="hidden" name="subject" value="Anfrage"><input type="hidden" name="thanks" value="http://www.romatech.ch/Bestaetigung.htm"><div align="center"><center><p>&nbsp;</p>
</center></div><div align="center"><center><table cellspacing="2" cellpadding="2">
<tr>
<td ALIGN="right" valign="bottom"><div align="right"><h4><strong><font face="Arial"><em>Firma</em></font></strong></h4>
</div></td>
<td valign="top"><input NAME="Firma" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Anrede</em></strong></font></h4>
</div></td>
<td valign="top">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<strong>&nbsp;&nbsp; <font face="Arial"><input TYPE="RADIO" NAME="Anrede" VALUE="r Herr" CHECKED> Herr
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input TYPE="RADIO" NAME="Anrede" VALUE=" Frau"> Frau </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Kontaktperson</em></strong></font></h4>
</div></td>
<td valign="top"><!--webbot bot="Validation" S-Display-Name="Name / Vorname" S-Data-Type="String" B-Value-Required="TRUE" I-Minimum-Length="3" --><input NAME="Kontaktperson" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Strasse</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="Adresse" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Postleitzahl</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="Postleitzahl" SIZE="35" MAXLENGTH="15"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Ort</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="Ort" SIZE="35"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Telephon-Nr.</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="Telephon" SIZE="35" MAXLENGTH="25"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Fax-Nr.</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="Fax" SIZE="35" MAXLENGTH="25"> </td>
</tr>
<tr>
<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>E-Mail</em></strong></font></h4>
</div></td>
<td valign="top"><input NAME="EMail" SIZE="35"> </td>
</tr>
</table>
</center></div><div align="center"><center><p><strong><font face="Arial"><br>
Bemerkungen :</font></strong></p>
</center></div><div align="center"><center><p><strong><font face="Arial"><textarea rows="13" name="Bemerkungen" cols="70" style="font-family: Arial">Sehr geehrte Damen und Herren
Bitte offerieren Sie uns folgende Artikel:</textarea></font></strong></p>
</center></div><div align="center"><center><p><strong><font face="Arial"><small><input type="submit" value="Formular senden" name="Formularsenden">&nbsp; </small><input type="reset" value="Formularinhalt löschen" name="Formularinhaltlöschen"></font></strong></p>
</center></div>
</form>
</td>
</tr>
</table>
<p>&nbsp;</p>
<table border="0" width="720" cellspacing="0" cellpadding="0">
<tr>
<td width="100%"><p align="center">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<a href="default.htm"><img src="images/startseiteklein.jpg" alt="zurück zur Startseite" border="0" WIDTH="149" HEIGHT="39"></a></td>
</tr>
</table>
</body>
</html>