mirror of
https://github.com/OpenXE-org/OpenXE.git
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29 lines
1.6 KiB
Smarty
29 lines
1.6 KiB
Smarty
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<table>
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<tr>
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<td>Typ:</td><td><select name="typ">
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<option value="person">Person</option><option value="firma">Firma</option></select></td>
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<td> </td>
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<td> </td>
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<td> </td>
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</tr>
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<tr><td>Name/Firma:</td><td><input type="text" name="name" size="20" rule="notempty" msg="Pflichtfeld!" value="[NAME]"></td>
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<td> </td>
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<td>Ansprechpartner:</td><td><input type="text" name="ansprechpartner" size="20" value="[ANSPRECHPARTNER]"></td></tr>
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<tr><td>Abteilung:</td><td><input type="text" name="abteilung" size="20" value="[ABTEILUNG]"></td><td> </td>
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<td>Unterabteilung:</td><td><input type="text" name="unterabteilung" size="20"></td></tr>
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<tr><td>Strasse:</td><td><input type="text" name="strasse" size="20" rule="notempty" msg="Pflichtfeld!"></td>
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<td> </td>
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<td>Adresszusatz:</td><td><input type="text" name="adresszusatz" size="20"></td></tr>
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<tr><td>PLZ:</td><td><input type="text" name="plz" size="20"></td><td> </td>
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<td>Ort:</td><td><input type="text" name="ort" size="20"></td></tr>
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<tr><td>Land:</td><td colspan="3">[EPROO_SELECT_LAND]</td>
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</tr>
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<tr><td>USt-ID:</td><td><input type="text" name="ustid" size="20"></td><td> </td>
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<td>E-Mail:</td><td><input type="text" name="email" size="20"></td></tr>
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<tr><td>Telefon:</td><td><input type="text" name="telefon" size="20"></td><td> </td>
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<td>Telefax:</td><td><input type="text" name="telefax" size="20"></td></tr>
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</table>
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