C6600"></td>
<td valign="top">

 <table border="0" cellpadding="0" cellspacing="0" width="653">
 <tr>
 <tD>

  <table>
  <tr>
  <td width="10"><br></td>
  						<td valign="top" width="521"> <font face="arial" size="-1"> <b><em>Download-Registrierung</em></b> 
								<p>




<form action="/kontakt_de/kontakt.php4" method="post">
<input type="hidden" name="action" value="senden">
<input type="hidden" name="an" value="info@wilmers.com">
  <table><tr>
    <td><font face="arial" size="-1">Name</font></td>
    <td><input name="name" value=""></td>
  </tr>
<tr>
    <td><font face="arial" size="-1">Vorname</font></td>
    <td><input name="vorname" value=""></td>
  </tr>
<tr>
    <td><font face="arial" size="-1">Firma</font></td>
    <td><input name="firma" value=""></td>
  </tr>
  <tr>
    <td><font face="arial" size="-1">Straße</font></td>
    <td><input name="strasse" value=""></td>
  </tr>
  <tr>
    <td><font face="arial" size="-1">Nr.</font></td>
    <td><input name="nr" value=""></td>
  </tr>
  <tr>
    <td><font face="arial" size="-1">PLZ</font></td>
    <td><input name="plz" value=""></td>
  </tr>
  <tr>
    <td><font face="arial" size="-1">Ort</font></td>
    <td><input name="ort" value=""></td>
  </tr>
  <tr>
    <td><font face="arial" size="-1">Land</font></td>
    <td><input name="land" value=""></td>
  </tr>
<tr>
    <td><font face="arial" size="-1">Telefon</font></td>
    <td><input name="telefon" value=""></td>
  </tr>
<tr>
    <td><font face="arial" size="-1">Telefax</font></td>
    <td><input name="fax" value=""></td>
  </tr>
<tr>
    <td><font face="arial" size="-1">eMail</font></td>
    <td><input name="von" value=""></td>
  </tr>

<tR>
<td valign="top"><font face="arial" size="-1">Kommentar</font></td>
<tD><textarea name="inhalt" cols="30" rows="5"></textarea></td>
</tr>
<tr>
    <td> </td>
    <td><input type="reset" value="Löschen"> <input type="submit" value="Abschicken"></td>
  </tr>
</table></form>


</font>
								<p><font face="arial" size="-1"> <font size="-2">Bitte f&uuml;llen 
									Sie das Registrationsformular aus. Ihr Benutzername und das 
									Passwort werden Ihnen anschlie&szlig;end per eMail zugesandt.</font><br>
									</font> <font size="-2">&copy Copyright by Wilmers Me&szlig;technik, 
									Hamburg. Alle Rechte vorbehalten.</font> 
							</td>
  
  </tr>
  </table>

 </td>
 </tr>
 </table>

</td>


</center>