Kolingasse 10
LadenKonzept OG
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Gerichtstand Wien
FN 367154h
ATU66697407
1090 Wien
Cornelia Bock +43/699/108 48 860
Ingrid Klecatsky +43/660/341 30 32
Kontakt/Impressum:
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') css (' color ',' # 000000 ');. } }); }); / /]]> </ script> < Form name = Aktion "frm_127895 '=' http://www.form2go.com/publish/publish_form/127895 'method =' post 'id =' form2go_form 'enctype =' multipart / form-data"> <input type = ' versteckte "name = 'form_id' value = '127895 '/> <input type='hidden' name='captcha_hidden' value='1' /> <div class = 'Form-main-Fehler "style =" display: none , '> Bitte füllen Sie alle Felder aus! </ div> <ul class='actual-fields'> <li id='li-f52b44007d2891' rel='Tag8'> <div class='single-field'> <div class='actual-fields-label'> <span class='actual_label'> Vollständiger Name </ span> <span class='fld-required' style='display:none'> * </ span> </ div> <table border='0' cellpadding='0' cellspacing='0' width='315px' style='float:left'> <tr> <td class='hide-prefix actual-prefix'> <div style = 'position: relative'> <span class='sub-label-container'> <input type='text' size='3' name='f52b44007d2891_1' id='f52b44007d2891_1' value='' /> <label class = "fn-Präfix Sublabel '> Präfix </ label> </ span> </ div> </ td> <td> <div style='position:relative'> <span class = "Sub-Label- Behälter '> <input type='text' size='16' name='f52b44007d2891_2' id='f52b44007d2891_2' value='' /> <label class='fn-first-name sub-label'> Erste Name </ label> </ span> </ div> </ td> <td class='hide-middle actual-middle'> <div style='position:relative'> <span class='sub-label-container'> < input type = 'text' size = '14 'name =' Wert f52b44007d2891_3 'id =' f52b44007d2891_3 '='' /> <label class='fn-middle-name sub-label'> Mittel Name </ label> </ span> </ div> </ td> <td> <div style='position:relative'> <span class='sub-label-container'> <input type = 'text' size = '16 'name =' Wert f52b44007d2891_4 'id =' f52b44007d2891_4 '='' /> <label class='fn-last-name sub-label'> Letzte Name </ label> </ span> </ div> </ td> </ tr> </ table> <div style='clear:both'> <! ----> </ div> </ div> </ li> <li id='li-f52b440260ffd0' rel='Tag7'> <div class = "single-field '> <div class='actual-fields-label'> <span class='actual_label'> E-Mail-Adresse </ span> <span class = "fld-required" style = "display: none" > * </ span> </ div> <div class='email-field-container'> <div style='position:relative'> <span class='sub-label-container'> <input type = 'text 'class =' Wert fld-Medium 'name =' f52b440260ffd0 'id =' f52b440260ffd0 '='' /> <label class='sub-label'> zB. johndoe@mail.com </ label> </ span> < / div> </ div> <div style='clear:both'> ! <----> </ div> </ div> </ li> <li style = "list-style: none; display: inline "> <script type="text/javascript"> / / <! [CDATA [ (function ($) { $ (document) ready (function () {. }); }) (jQuery); / /]]> </ script> </ li> <li> <div class='actual-fields-label'> <span class='actual_label'> Sicherheits-Code </ span> <span class='fld-required'> * </ span> </ div> <img src='http://www.form2go.com/publish/get_captcha/1' class='fltlft captcha-img' /> <input type = 'text' class = 'fltlft "-Stil = 'width: 71px; "Autocomplete =" aus "name = "Captcha-Text" /> <p class='clear'> </ p> </ li> <li style = "list-style: none; display: inline "> <div class='form-main-error' style='display:none;'> Bitte füllen Sie alle Felder aus! </ div> <script type="text/javascript"> / / < ! [CDATA [ document.write ('<input type=\'hidden\' name=\'CurrURL\' value='+window.location+'>') / /]]> </ script> </ li> < li style = 'position: static'> <div class='formBtnContainerPreview fltlft'> <span class='dont-move'> Taste <type = "submit" id = 'form2go_submit "style =" float: none; "class = 'form2go_button submitBtn'> <span class='dont-move'> Anmeldung </ span> </ button> </ span> </ div> <p class='clear'> </ p> </ li> </ ul> <div class='footer-compulsory'> <a style = "text-decoration: keine wichtig, Farbe: # 000000 wichtig," title = "Angetrieben durch Form2go" href = "http://www . form2go.com / 'name =' form2go_link_in_footer "id = "form2go_compulsory"> Powered by Form2go </ a> </ div> </ form> </ div> </ div> </ body> </ html> </body> </html>