mirror of
https://github.com/OpenXE-org/OpenXE.git
synced 2024-11-16 13:07:14 +01:00
59 lines
2.8 KiB
Smarty
59 lines
2.8 KiB
Smarty
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<form action="" method="post" name="eprooform">
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<br>
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<table class="tableborder" border="0" cellpadding="3" cellspacing="0" width="100%">
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<tbody>
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<tr valign="top" colspan="3">
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<td>
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<br><br>
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<table width="60%" style="background-color: #fff; border: solid 1px #000;" align="center">
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<tr>
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<td align="center">
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<br>
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<b>[NAME]</b>
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<br>[STRASSE]
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<br>[LAND]-[PLZ] [ORT]
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<br>
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<br>
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</td>
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</tr>
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</table>
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<br><br>
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<!--
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<table width="100%">
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<tr><td>Kundennummer:</td><td><input type="text" name="kundeadressid" size="20" value="[KUNDENNUMMER]"></td>
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<td> </td><td>Lieferantenummer:</td><td><input type="text" name="lieferantadressid" size="20" value="[LIEFERANTENNUMMER]">
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</td></tr>
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<tr><td>Name/Firma:</td><td><input type="text" name="name" size="20" value="[NAME]"></td>
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<td> </td>
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<td>Vorname:</td><td><input type="text" name="vorname" size="20" value="[VORNAME]"></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" value="[UNTERABTEILUNG]" size="20"></td></tr>
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<tr><td>Strasse:</td><td><input type="text" name="strasse" size="20" value="[STRASSE]"></td>
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<td> </td>
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<td>Adresszusatz:</td><td><input type="text" name="adresszusatz" size="20" value="[ADRESSZUSATZ]"></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]<input type="hidden" name="land"></td>
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</tr>
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<tr><td>USt-ID:</td><td><input type="text" name="ustid" size="20" value="[USTID]"></td><td> </td>
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<td>E-Mail:</td><td><input type="text" name="email" size="20" value="[EMAIL]"></td></tr>
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<tr><td>Telefon:</td><td><input type="text" name="telefon" size="20" value="[TELEFON]"></td><td> </td>
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<td>Telefax:</td><td><input type="text" name="telefax" size="20" value="[TELEFAX]"></td></tr>
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</table>
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-->
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</td>
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</tr>
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<tr valign="" height="" bgcolor="" align="" bordercolor="" class="klein" classname="klein">
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<td width="" valign="" height="" bgcolor="" align="center" colspan="3" bordercolor="" classname="orange2" class="orange2">
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<input type="submit" name="zurueck"
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value="Nein, doch nicht" />
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<input type="submit" name="submit"
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value="{|Weiter|}" /></td>
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</tr>
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</tbody>
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</table>
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</form>
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