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document.write('  <table align="left">');
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document.write('      <td align="center"><font color="#E0E0F3" face="Arial" size="1">Name</font></td>');
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document.write('    <tr>');
document.write('      <td align="center"><font color="#E0E0F3" face="Arial" size="1">eMail</font></td>');
document.write('      <td><font color="#E0E0F3" face="Arial" size="1"><b>');
document.write('        <input class="Eingabe" style=" border: 1px solid #8080FF; background-color: #000000; color: #FFFFFF; font-family: Arial;" type="text" name="email" value="" size="10">');
document.write('      </b></font></td>');
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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="add">');
document.write('        <input type="hidden" name="entry" value="40347">');
document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td colspan="2" align="center"><font size="-2">Powered by <a href="http://www.onetwomax.de" target="_blank">OneTwoMax</a> Newsletter Script</font></td>');
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