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document.write('<form method="post" action="http://151055.formmailer.onetwomax.de/">');
document.write('    <tr>');
document.write('      <td colspan="2"><font size="+1"><b>Bestellformular für Bücher im Ventura Verlag');
document.write('<BR>');
document.write('Bitte lesen Sie die allgemeinen Geschäftsbedingungen</b></font></td>');
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document.write('    <tr>');
document.write('      <td colspan="2"><i>mit * gekennzeichnete Felder müssen ausgefüllt werden');
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document.write('</i></td>');
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document.write('    <tr>');
document.write('      <td>Name *</td>');
document.write('      <td align="center" valign="middle">');
document.write('        <input type="text" name="user_input[id3]" value="" size="50">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Lieferadresse*</td>');
document.write('      <td>');
document.write('        <textarea name="user_input[id6]" style="width:100%" rows="5"></textarea>');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>E-Mail*</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><b>Annelie van der Linden:');
document.write('<BR>');
document.write('&quot;Melek. Engel strahlen&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-00-4');
document.write('<BR>');
document.write('Kinderbuch');
document.write('<BR>');
document.write('Hardcover, 52 Seiten');
document.write('<BR>');
document.write('farbig, illustriert');
document.write('<BR>');
document.write('€ 18,90</td>');
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document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id5]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>B-Project Behr und mehr:');
document.write('<BR>');
document.write('&quot;Alltagschaos. Der ganz normale Wahnsinn&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-02-8');
document.write('<BR>');
document.write('Anthologie');
document.write('<BR>');
document.write('Paperback, 144 Seiten');
document.write('<BR>');
document.write('illustriert');
document.write('<BR>');
document.write('€ 9,95</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id10]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Magnus See/Christian Huppert:');
document.write('<BR>');
document.write('&quot;Wege in die spontane Erfolglosigkeit&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-01-1');
document.write('<BR>');
document.write('satirische Kurzgeschichten');
document.write('<BR>');
document.write('Paperback, 300 Seiten');
document.write('<BR>');
document.write('illustriert');
document.write('<BR>');
document.write('€ 14,90');
document.write('<BR>');
document.write('</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id12]" value="" size="1">');
document.write('      </td>');
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document.write('      <td><b>Kirsten Ließmann:');
document.write('<BR>');
document.write('&quot;Wenn Fuppermann vom Schrank fliegt&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-03-5');
document.write('<BR>');
document.write('Kurzgeschichten');
document.write('<BR>');
document.write('Paperback, 180 Seiten');
document.write('<BR>');
document.write('illustriert');
document.write('<BR>');
document.write('€ 10,90</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id14]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>B-Project Behr und mehr:');
document.write('<BR>');
document.write('&quot;Älter werden. Beißen kann ich noch&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-04-2');
document.write('<BR>');
document.write('Anthologie');
document.write('<BR>');
document.write('Paperback, 112 Seiten');
document.write('<BR>');
document.write('€ 9,95</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id16]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>B-Project Behr und mehr:');
document.write('<BR>');
document.write('&quot;Beziehungskisten. Irren ist menschlich&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-07-3');
document.write('<BR>');
document.write('Anthologie');
document.write('<BR>');
document.write('Paperback, 136 Seiten');
document.write('<BR>');
document.write('€ 9,95</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id22]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
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document.write('      <td><b>Herbert Heidtmann: ');
document.write('<BR>');
document.write('&quot;Die Platanenbörse&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-06-6');
document.write('<BR>');
document.write('Paperback, 432 Seiten,');
document.write('<BR>');
document.write('€ 14,90</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id18]" value="" size="1">');
document.write('      </td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td><b>Theo Schuetter (Hrsg.):');
document.write('<BR>');
document.write('Feldpostbriefe/ Kriegstagebuch</b></td>');
document.write('      <td>ISBN 978-3-940853-05-9');
document.write('<BR>');
document.write('Paperback, 150 Seiten,');
document.write('<BR>');
document.write('€ 8,95</td>');
document.write('    </tr>');
document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id20]" value="" size="1">');
document.write('      </td>');
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document.write('    <tr>');
document.write('      <td><b>Beate Bergau: ');
document.write('<BR>');
document.write('&quot;Quirin. Die Schwerter der Prophezeiung&quot;</b></td>');
document.write('      <td>ISBN 978-3-940853-08-0');
document.write('<BR>');
document.write('390 Seiten, ');
document.write('<BR>');
document.write('Taschenbuch € 14,90 oder');
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document.write('Hardcover € 29,90 </td>');
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document.write('    <tr>');
document.write('      <td>Ausgabe<br>Hardcover (29,90 EUR), Softcover (14,90 EUR) </td>');
document.write('      <td>');
document.write('        <select name="user_input[id25]">');
document.write('          <option value="0">Hardcover (29,90 EUR)');
document.write('</option>');
document.write('          <option value="1">Softcover (14,90 EUR) </option>');
document.write('        </select>');
document.write('      </td>');
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document.write('    <tr>');
document.write('      <td>Anzahl</td>');
document.write('      <td>');
document.write('        <input type="text" name="user_input[id24]" value="" size="1">');
document.write('      </td>');
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document.write('      <td>Ich akzeptiere die AGB*</td>');
document.write('      <td>');
document.write('        <input type="checkbox" name="user_input[id7]" value="1" >');
document.write('      </td>');
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