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Fotoabzüge
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<table width="925" align="center" border="0" cellpadding="3"
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<td colspan="2" width="915"><h1>Fotoabzüge<br>
</h1></td>
</tr>
<tr>
<td colspan="2" width="915"><p><div align="left"></div>Bitte füllen sie das Formular mit Ihren Daten aus!
<div align="left"></div>Nachdem Ihre Bestellung bei mir eingegangen ist, erhalten Sie eine Rechnung per Mail mit Bankverbindung.
<div align="left"></div>Bitte überweisen Sie, die auf der Rechnung angegebene Summe auf das angegebene Konto.
<br>
</p></td>
</tr>
<tr>
<td colspan="2" align="left" height="40px" valign="bottom" width="915">Kunde:</td>
</tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Anrede:</td>
<td class="my" width="813">
<select name="Anrede" size=""><option>Herr</option>
<option>Frau</option>
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<tr><td align="right" valign="top" class="my" nowrap width="94">Vorname:</td>
<td class="my" width="813">
<input type="text" name="Vorname" value="" size="25" maxlength="100"> </td></tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Name:</td>
<td class="my" width="813">
<input type="text" name="Name" value="" size="25" maxlength="100"> </td></tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Straße / Nr.:</td>
<td class="my" width="813">
<input type="text" name="Strasse" value="" size="25" maxlength="100"> </td></tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">PLZ / Wohnort:</td>
<td class="my" width="813">
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<tr><td align="right" valign="top" class="my" nowrap width="94">Tel.:</td>
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<tr><td align="right" valign="top" class="my" nowrap width="94">E-Mail:</td>
<td class="my" width="813">
<input type="text" name="email" value="" size="25" maxlength="100"> </td></tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Kunden-Nr.:</td>
<td class="my" width="813">
<input type="text" name="KundenNr" value="" size="10" maxlength="100"> falls vorhanden</td></tr>
<tr>
<td colspan="2" align="left" height="40px" valign="bottom" width="915">Wann und Wo wurden Sie fotografiert ?</td>
</tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Wann:</td>
<td class="my" width="813">
<input type="text" name="Wann" value="" size="10" maxlength="100"> tt.mm.jjjj</td></tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Wo:</td>
<td class="my" width="813">
<input type="text" name="Wo" value="" size="20" maxlength="100"> z.B. zu Hause, Hebammenpraxis ...</td></tr>
<tr>
<td colspan="2" align="left" height="40px" valign="bottom" width="915">Ihre Bestellung:</td>
</tr>
<tr><td align="right" valign="top" class="my" nowrap width="94">Foto:</td>
<td class="my" width="813">
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<option value="9x13cm">9x13cm</option>
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<option value="sw">sw</option>
<option value="coloriert">coloriert</option>
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<td colspan="2" align="left" height="40px" valign="bottom" width="915">wie möchten Sie bezahlen?</td>
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<tr><td align="right" valign="top" class="my" nowrap width="94">Ich bezahle </td>
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<td colspan="2" align="left" height="40px" valign="bottom" width="915">Hiermit erkläre ich mich mit der AGB einverstanden.</td>
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<tr><td align="right" valign="top" class="my" nowrap width="94">AGB:</td>
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<tr>
<td colspan="2" width="915"><p class="my"></a><div align="center">Fotostudio-K</div><div align="center">Am Mühlenbach 22 - 46569 Hünxe</div><div align="center">Tel.: (02064) 621941 - Fax: (02064) 621942</div><div align="center">E-Mail:<a href="mailto:">info@fotostudio-k.de</a></div><div align="center">Geschäftsführer: Frank Kemper</div><div align="center">Umsatzsteuer-Nr.:DE238231620</div><div align="center"><br>
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<input type="reset" name="next" value="Zurücksetzen" >
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