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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Vor und Nachname *<br></font><font color="#ffffff">First name and Last name</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Postleitzahl und Wohnort<br></font><font color="#ffffff" face="Times New Roman">Zip and town</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Land*<br></font><font color="#ffffff" face="Times New Roman">Country</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">E-Mail *</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Geschlecht*<br></font><font color="#ffffff" face="Times New Roman">Gender (male/female)</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Geburtsdatum*<br></font><font color="#ffffff" face="Times New Roman">Date of birth (dd-mm-yyyy)</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Mitgliedsname bzw. Nickname<br></font><font color="#ffffff" face="Times New Roman">Membername / username</font></td>');
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document.write('      <td bgcolor="#666666"><font color="#ffffff" face="Times New Roman">Bewerbung*<br></font><font color="#ffffff" face="Times New Roman">Application</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="send_mail">');
document.write('        <input type="hidden" name="entry" value="140890">');
document.write('        <input type="submit" name="submit" value="Abschicken">');
document.write('        <input type="reset" name="reset" value="Zur&uuml;cksetzen">');
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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> Formmailer Script</font></td>');
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