Anfang

<body><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td> <table border="1" cellpadding="4" cellspacing="4" width="98%" height="35"> <tr> <td width="100%" height="17" align="right"> <p align="center"><script Language="JavaScript" Type="text/javascript"></script><form method="POST" action="_derived/nortbots.htm" onsubmit="location.href='_derived/nortbots.htm';return false;" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--" language="JavaScript" webbot-onSubmit="return FrontPage_Form1_Validator(this)"> <input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"> <p align="center"><font color="#00FF00"><b><u>Ich reserviere gerne wie folgt:</u></b></font></p> <table border="1" cellpadding="4" cellspacing="4" width="100%"> <tr> <td width="39%" height="18" align="right"><b><font color="#FFFF00" size="2"> Name (evtl. Firma, Verein)</font></b></td> <td width="61%" height="18"><font color="#00FF00"><input type="text" name="Name" size="40" tabindex="1"></font></td> </tr> <tr> <td width="39%" height="18" align="right"><b><font color="#FFFF00" size="2">Vorname</font></b></td> <td width="61%" height="18"><font color="#00FF00"><input type="text" name="Vorname" size="40" tabindex="2"></font></td> </tr> <tr> <td width="39%" height="18" align="right"><b><font color="#FFFF00" size="2">Adresse</font></b></td> <td width="61%" height="18"><font color="#00FF00"><input type="text" name="Adresse" size="40" tabindex="3"></font></td> </tr> <tr> <td width="39%" height="18" align="right"><b><font color="#FFFF00" size="2">PLZ Ort</font></b></td> <td width="61%" height="18"><font color="#00FF00"><input type="text" name="PLZORT" size="40" tabindex="4"></font></td> </tr> <tr> <td width="39%" height="18" align="right"><b><font color="#FFFF00" size="2">zuständig (bei Firma, Verein):</font></b></td> <td width="61%" height="18"><font color="#00FF00"><input type="text" name="zustaendig" size="40" tabindex="5"></font></td> </tr> <tr> <td width="39%" height="37" align="right"><font color="#FFFF00" size="2"><b>E-Mail Adresse:</b></font></td> <td width="61%" height="37"> <font color="#00FF00"><input type="text" name="EMail" size="40" tabindex="6"></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><font color="#FFFF00" size="2"><b>Tel.Nr.:</b></font></td> <td width="61%" height="37"> <font color="#00FF00"><input type="text" name="Tel" size="40" tabindex="7"></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><font color="#FFFF00" size="2"><b>Anlass:</b></font></td> <td width="61%" height="37"> <font color="#00FF00"><input type="text" name="Anlass" size="40" tabindex="8"></font> </td> </tr> <tr> <td width="39%" height="21" align="right"><input type="text" name="DatumAnlass" size="20" tabindex="9"></td> <td width="61%" height="21"> <font color="#FFFF00" size="2"><b>Datum des Anlasses</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Abholung" size="20" tabindex="10"></td> <td width="61%" height="37"> <font color="#FFFF00" size="2"><b>Datum Abholung</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Retour" size="20" tabindex="11"></td> <td width="61%" height="37"> <font color="#FFFF00" size="2"><b>Datum Rücklieferung</b></font> </td> </tr> <tr> <td width="100%" height="1" align="right" colspan="2"></td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="GastroKM" size="20" tabindex="12"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Gastro-Kaffeemaschine (nur zusammen mit Kaffee)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="HaushaltKM" size="20" tabindex="13"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Haushaltkaffeemaschine (nur zusammen mit Kaffee)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="NOVOREX" size="20" tabindex="14"></td> <td width="61%" height="37"> <font size="2" color="#00FF00"><b>Filterkaffeemaschine (NOVOREX)<br> inkl. je 2 Krüge und Filterpapier(nur zusammen mit Kaffee)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Waermebehaelter" size="20" tabindex="15"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Wärmebehälter, beheizbar ca. 35lt (Stromanschluss notwendig)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Kaffeeglaeser" size="20" tabindex="16"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Kaffeegläser (20,40,60,80 etc.)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Tassen" size="20" tabindex="17"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Kaffeetassen (20,40,60,80 etc.)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Kaffeeloeffel" size="20" tabindex="18"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Kaffeelöffel (100,200 etc.)</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Henkelbecher" size="20" tabindex="19"></td> <td width="61%" height="37"> <b><font color="#00FF00" size="2">Kaffeetassen mit Henkel, Plastik</font></b> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Automatenbecher" size="20" tabindex="21"></td> <td width="61%" height="37"> <b><font color="#00FF00" size="2">Automatenbecher 1,8dl     </font><font size="3" color="#FF0000">1)</font></b> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Ruehrstaebchen_box" size="20" tabindex="22"></td> <td width="61%" height="37"> <b><font color="#00FF00" size="2">Isolierbecher, 1.8dl     </font><font size="3" color="#FF0000">1)</font></b> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Ruehrstaebchen_Box" size="20" tabindex="23"></td> <td width="61%" height="37"> <b><font color="#00FF00" size="2">Rührstäbchen, Box (à 1000)</font></b> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Concerto80" size="20" tabindex="24"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b><u>Portionen</u> Kaffee Concerto für NOVOREX à 80g, </b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="kgKaffee" size="20" tabindex="25"></td> <td width="61%" height="37"> <b><font color="#00FF00" size="2">kg Kaffee  </font><font size="3" color="#FF0000"> 1) </font></b><select size="1" name="KaffeeVermietung" tabindex="26"> <option>bitte wählen Sie die Kaffeesorte aus</option> <option value="ANSARO miràcolo">ANSARO miràcolo</option> <option value="ANSARO Mocca">ANSARO Mocca</option> <option value="ANSARO Märchler Mischung">ANSARO Märchler Mischung</option> <option value="ROSCA Ambiente">ROSCA Ambiente</option> </select><font color="#00FF00" size="2"><b>  <br> </b></font><input type="checkbox" name="250g" value="ON" tabindex="27"><font color="#00FF00" size="2"><b>à 250g,</b></font><input type="checkbox" name="1kg" value="ON" tabindex="28"> <font color="#00FF00" size="2"><b>à 1kg</b></font> </td> </tr> <tr> <td width="39%" height="37" align="right"><input type="text" name="Instant" size="20" tabindex="29"></td> <td width="61%" height="37"> <font color="#00FF00" size="2"><b>Instantkaffee, à 250g</b></font> </td> </tr> <tr> <td width="39%" height="17" align="right"><input type="text" name="Kaffeerahm_Karton" size="20" tabindex="30"></td> <td width="61%" height="17"> <b><font color="#00FF00" size="2">Kaffeerahm, Karton à 200 Port. </font></b> </td> </tr> <tr> <td width="39%" height="17" align="right"><input type="text" name="Zuckerportionen" size="20" tabindex="31"></td> <td width="61%" height="17"> <b><font color="#00FF00" size="2">Zuckerportionen     </font><font size="3" color="#FF0000">1)</font></b> </td> </tr> </table> <p align="center"><b><font size="3" color="#FF0000">1)  </font></b><font size="2" color="#00FF00">ungefähr angenommene Anzahl, wir geben immer etwas mehr mit: Sie können den Rest (ganze Einheiten) zurückgeben. Wir verrechnen Ihnen die verbrauchten und angefangenen Einheiten)</font> <p align="center"><font color="#00FF00"><u><b>Bemerkungen</b></u></font> <p align="center"><textarea rows="8" name="Bemerkungen" cols="85" tabindex="32"></textarea> <p align="center"><font color="#00FF00"><input type="submit" value="Abschicken" name="BestellenVermietung" tabindex="33">  </font><input type="reset" value="Zurücksetzen" name="Zuruecksetzen" tabindex="34"> </form> </td> </tr> </table> <p align="center"><b><a href="Index1.htm"><font color="#00FF00">Zurück </font><img border="0" src="images/b-pfeil.gif" width="32" height="28"></a></b></p> </td></tr></table><table dir="ltr" border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td valign="top" width="1%"> <p> </p> </td><td valign="top" width="24"></td><td valign="top"> <p>Diese Seite verwendet Frames. 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