document.write('');
document.write('  <table>');
document.write('<form method="post" action="http://94443.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2">Mit * gekennzeichnete Felder müssen ausgefüllt werden. Schicken Sie die ausgefüllte Nachricht mit dem Betreff &quot;Ausgefüllt&quot; zurück an daten@wyland-hoppers.ch.</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Name</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id3]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Vorname</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id4]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Strasse und Nr.</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id5]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>PLZ und Ort</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id6]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>E-Mail Adresse</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id8]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Spielernummer</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id9]" value="" size="5">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Falls eine @wyland-hoppers.ch - Adresse gewünscht, bitte folgendes ausfüllen:</td>');
document.write('      <td></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>gewünschte Adresse<br>z.B. &quot;hans.mustermann@wyland-hoppers.ch&quot;</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id11]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>gewünschtes Passwort</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id12]" value="" size="20">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Posteingangs-Server POP3: mail.wyland-hoppers.ch');
document.write('<BR>');
document.write('Postausgangs-Server SMTP: mail.wyland-hoppers.ch');
document.write('<BR>');
document.write('<BR>');
document.write('Name: GANZE @wyland-hoppers.ch Adresse!!');
document.write('<BR>');
document.write('Passwort: Ihr Passwort');
document.write('<BR>');
document.write('<BR>');
document.write('Webmail: webmail.wyland-hoppers.ch');
document.write('<BR>');
document.write('</td>');
document.write('      <td></td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2" align="center" valign="middle">');
document.write('        <input type="hidden" name="mq" value="\'">');
document.write('        <input type="hidden" name="action" value="send_mail">');
document.write('        <input type="hidden" name="entry" value="94443">');
document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('        <input type="reset" name="reset" value="Zur&uuml;cksetzen">');
document.write('      </td>');
document.write('    </tr>');
document.write('</form>');
document.write('  </table>');
document.write('');