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<html>
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<title>Bestellung Romatech AG / Präzisions-Dichtungen, Technische Gummi- und
Kunststoffprodukte </title>
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<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>
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<p>&nbsp;</p>
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<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/Bestellunggross.jpg" alt="Bestellung" WIDTH="558" HEIGHT="96"></td>
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<td width="560"><!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!--
function FrontPage_Form1_Validator(theForm)
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alert("Geben Sie mindestens 3 Zeichen in das Feld \"Name / Vorname\" ein.");
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//--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="_vti_bin/shtml.dll/Bestellung.htm" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--">
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</center></div><div align="center"><center><table cellspacing="2" cellpadding="2" border="0">
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<td ALIGN="right" valign="bottom"><div align="right"><h4><strong><font face="Arial"><em>Firma</em></font></strong></h4>
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<td valign="top"><input NAME="Firma" SIZE="35"> </td>
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<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Anrede</em></strong></font></h4>
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<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>
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<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>
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<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Strasse</em></strong></font></h4>
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<td valign="top"><input NAME="Adresse" SIZE="35"> </td>
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<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>
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<td ALIGN="right"><div align="right"><h4><font face="Arial"><strong><em>Ort</em></strong></font></h4>
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<td valign="top"><input NAME="Ort" SIZE="35"> </td>
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<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>
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<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>
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<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>
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</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="67" style="font-family: Arial">Sehr geehrte Damen und Herren
Wir möchten folgende Artikel bestellen:</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>
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<p>&nbsp;</p>
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<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>
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