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12 lines
811 B
Smarty
12 lines
811 B
Smarty
<table width="100%">
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<tr><td>Name/Firma:</td><td><input type="text" name="liefername" size="20" value="[LIEFERNAME]"></td>
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<td> </td>
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<td>Vorname:</td><td><input type="text" name="liefervorname" size="20" value="[LIEFERVORNAME]"></td></tr>
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<tr><td>Packstation:</td><td><input type="text" name="lieferabteilung" size="20" value="[LIEFERABTEILUNG]"></td><td> </td>
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<td>PostIdentNummer:</td><td><input type="text" name="lieferunterabteilung" size="20" value="[LIEFERUNTERABTEILUNG]"></td></tr>
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<tr><td>PLZ:</td><td><input type="text" name="lieferplz" size="20" value="[LIEFERPLZ]"></td><td> </td>
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<td>Ort:</td><td><input type="text" name="lieferort" size="20" value="[LIEFERORT]"></td></tr>
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</table>
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<br><br>
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