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<title>Kundenanlage Aktivbank</title>
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<script language=javaScript>
function chkFormular()
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if(window.document.Kundenanlage.Name1.value == "") {
alert("Bitte Kundennamen eintragen");
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alert("Bitte Straße eintragen, Danke!");
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}
if(window.document.Kundenanlage.PLZ.value.length <4) {
alert("Bitte mind. 4-stellige PLZ eintragen, Danke!");
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}
if(window.document.Kundenanlage.Ort.value == "") {
alert("Bitte Ort eintragen, Danke!");
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if(window.document.Kundenanlage.Preislistenmatrix.value == "keines") {
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if(window.document.Kundenanlage.Preisfindung.value == "keines") {
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if(window.document.Kundenanlage.Lieferbedingung.value == "keines") {
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if(window.document.Kundenanlage.Lieferart.value == "keines") {
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<body marginwidth="0" marginheight="0" style="background-color: #D9ECFF" topmargin="0" leftmargin="0" rightmargin="0" bottommargin="0" >
<div align="center">
<form name="Kundenanlage" action="Mailto:XXXXX@XXXX.net?subject=Kundenanlage Aktivbank" method=POST enctype="text/plain" onSubmit="return chkFormular()">
<div align="left">
<table border="0" width="61%">
<!-- MSTableType="nolayout" -->
<tr>
<td>
<p align="center"><font size="5" color="#0000FF" face="Tahoma">Kundenanlagen</font></td>
</tr>
</table>
<table width="61%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Vorab-<br>
info</font></td>
<td class="farbig" width="92%"><font size="1">
<textarea wrap=physical name="Vorabinfo" cols="65" rows="2"></textarea></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
</td>
<td class="farbig" width="92%">
<p align="center"><u><font size="4" color="#FF0000">Rechnungsanschrift</font></u></td>
</tr>
</table>
<table width="56%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Name 1</font></td>
<td class="farbig" width="42%"><font size="1"><input type="text" name="Name1" value="" size="40" MaxLength="40"></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">Mitgl.-Nr.</font></td>
<td class="farbig" height="31" width="25%"><font size="1"><input type="text" name="Name2" value="" size="40" MaxLength="40"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Deb.-<br>
Gruppe.</font>:</td>
<td class="farbig" width="42%"><font size="1"><select size="1" name="Debitorengruppe">
<option selected>INL59 - bank</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">Währung</font>:</td>
<td class="farbig" height="31" width="25%"><font size="1"><select size="1" name="Waehrung">
<option selected>EUR - Euro</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Angeb.-<br>
Sprache:</font></td>
<td class="farbig" width="42%"><font size="1"><select size="1" name="Angebotssprache">
<option selected>de - Deutsch (Standard)</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<span style="font-size: 8pt">Gesperrt</span></td>
<td class="farbig" height="38" width="25%"><select size="1" name="Gesperrt">
<option selected>Nein</option>
</select></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Straße</font></td>
<td class="farbig" width="42%"><font size="1"><input type="text" name="Strasse" value="" size="34" MaxLength="34"></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">PLZ</font></td>
<td class="farbig" height="31" width="25%"><font size="1"><input type="text" name="PLZ" value="" size="5" MaxLength="5"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Ort</font></td>
<td class="farbig" width="42%"><font size="1"><input type="text" name="Ort" value="" size="35" MaxLength="35"></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">Land</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<select name="Land" size="1">
<option>DE - Deutschland</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Telefon</font></td>
<td class="farbig" width="42%"><font size="1"><input type="text" name="Telefon" value="" size="30" MaxLength="30"></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">Mobil:</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<input type="text" name="Mobil" value="" size="30" MaxLength="30"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Fax-Nr.</font></td>
<td class="farbig" width="42%">
<font size="1"><input type="text" name="Fax" value="" size="30" MaxLength="30"></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">E-Mail</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<input type="text" name="eMail" value="" size="40" MaxLength="40"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Web</font></td>
<td class="farbig" width="42%">
<font size="1">
<input type="text" name="Web" value="" size="30" MaxLength="30"></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">Ansprechp</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<input type="text" name="Ansprechpartner" value="" size="30" MaxLength="30"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">BTV</font></td>
<td class="farbig" width="42%">
<select size="1" name="Zuschlaege">
<option selected>BTV</option>
</select></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">RE-Rabatt</font></td>
<td class="farbig" height="46" width="25%"><font size="1"> <input type="text" name="Rechnungsrabatt" value="" size="2" MaxLength="2">%</font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<font size="1">Zentral-<br>
Regulierer</font></td>
<td class="farbig" width="42%">
<select size="1" name="Zentralregulierer">
<option selected>Ja</option>
</select></td>
<td class="farbig" align="right" width="5%">
<font size="1">RE-<br>
ILN-Nr.</font></td>
<td class="farbig" height="46" width="25%">
<font size="1"><input type="text" name="ILN" value="" size="13" MaxLength="13"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<font size="1">Liefer.-Nr.<br>
beim Kd.</font></td>
<td class="farbig" width="42%">
<span style="font-size: 9pt"><select size="1" name="LieferantenNummer">
<option selected>XXXX</option>
</select></span></td>
<td class="farbig" align="right" width="5%">
</td>
<td class="farbig" height="46" width="25%">
</td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Preislist.-<br>
Matrix</font></td>
<td class="farbig" width="42%"><font size="1"><select size="1" name="Preislistenmatrix">
<option selected value="keines">Bitte Preislistenmatrix auswählen</option>
<option>001 - C1 Kunden</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">Preisfind.</font></td>
<td class="farbig" height="38" width="25%"><font size="1"><select size="1" name="Preisfindung">
<option selected value="keines">Bitte Preisfindung auswählen</option>
<option>Nur Preisfindung</option>
<option>Manuelle Auswahl innerhalb der Matrix</option>
<option>Manuelle Preislistenauswahl</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Anliefer-<br>
info</font></td>
<td class="farbig" width="42%"><font size="1"><select size="1" name="Anlieferinfo">
<option>Vorkasse</option>
<option>Prospektauftrag</option>
<option selected value="keines">Bitte Anlieferinfo auswählen</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
</td>
<td class="farbig" height="31" width="25%"> </td>
</tr>
<tr>
<td class="farbig" align="right" width="7%">
<font size="1">Zahl.-Meth.</font></td>
<td class="farbig" width="42%">
<font size="1">
<select name="Zahlungsmethode" size="1">
<option selected>DTAU59 - bank</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">Skonto</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<select size="1" name="Skonto">
<option selected>30T0% - Zahlung binnen 30 Tage - 0%</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Zahlung</font></td>
<td class="farbig" width="42%">
<font size="1">
<select size="1" name="Zahlungsbedingungen">
<option selected>N31 - Netto 31 Tage</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<span style="font-size: 8pt">Valuta</span></td>
<td class="farbig" height="31" width="25%">
<input type="text" name="Valuta" size="7"></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Liefer-<br>
bed..</font></td>
<td class="farbig" width="42%">
<font size="1">
<select size="1" name="Lieferbedingung">
<option selected>FH - Frei Haus</option>
<option value="keines">Bitte Lieferbedingung auswählen</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<p align="right"><font size="1">Lieferart:</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<select size="1" name="Lieferart">
<option selected>LKW - LKW</option>
<option value="keines">Bitte Lieferart auswählen</option>
<option>LF - Luftfracht</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">MwSt.-<br>
Grp.</font></td>
<td class="farbig" width="42%">
<font size="1">
<select size="1" name="Mehrwertsteuergruppe">
<option selected>D-INL - Debitor Inland</option>
</select></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">Steuerart</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<input type="radio" name="Steuerart" value="Steuernummer"> Steuernummer Finanzamt<br>
<input type="radio" name="Steuerart" value="Ust-Id-Nr"> Ust-Id-Nummer<br>
<input type="radio" name="Steuerart" value="Beides"> Beides</font></td>
</tr>
<tr>
<td class="farbig" align="right" width="7%"><font size="1">Steuer-Nr.</font></td>
<td class="farbig" width="42%">
<font size="1">
<input type="text" name="Steuernummer" value="" size="30" MaxLength="30"></font></td>
<td class="farbig" align="right" width="5%">
<font size="1">Ust-Id-Nr.:</font></td>
<td class="farbig" height="31" width="25%">
<font size="1">
<input type="text" name="UstIdNr" value="" size="30" MaxLength="30"></font></td>
</tr>
</table>
<table width="88%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="5%"><font size="1">Konzern-<br>
struktur</font></td>
<td class="farbig" height="31" width="94%">
<font size="1">
<select size="1" name="Konzernstruktur" style="font-size: 9pt; font-weight: bold">
<option>184 - bank</option>
</select></font></td>
</tr>
</table>
<table width="74%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="6%"><font size="1">BLZ</font></td>
<td class="farbig" width="34%"><font size="1"><input type="text" name="Bankleitzahl" value="" size="8" MaxLength="8"></font></td>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Kont.-Nr.</font></td>
<td class="farbig" height="31" width="51%"><font size="1"><input type="text" name="Kontonummer" value="" size="30" MaxLength="30"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Verkaufs-<br>
Leiter</font></td>
<td class="farbig" width="34%">
<font size="1">
<select name="Verkaufsleiter" size="1">
<option value="keiner">Bitte Verkaufsleiter auswählen
<option>test</option>
<option>tes2</option>
<option>test3</option>
<option>test4</option>
</select></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">Gebiets-<br>
Leiter</font></td>
<td class="farbig" height="38" width="51%">
<font size="1">
<select name="Gebietsleiter" size="1">
<option value="keiner">Bitte Gebietsleiter auswählen
<option>test1</option>
<option>test2</option>
<option>test3</option>
<option>test4</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><span style="font-size: 8pt">Vertreter<br>
vor Ort:</span></td>
<td class="farbig" width="34%">
<font size="1">
<select name="VertretervorOrt" size="1">
<option value="keiner">Bitte Vertreter auswählen
<option>test1</option>
<option>test2</option>
<option>test3</option>
<option>test4</option>
</select></font></td>
<td class="farbig" align="right" width="7%">
</td>
<td class="farbig" height="38" width="51%">
</td>
</tr>
</table>
<table width="73%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right"><span style="font-size: 8pt">Rechnung</span></td>
<td class="farbig" width="203">
<select size="1" name="Rechnung">
<option value="keines">Bitte Formular auswählen</option>
<option selected>Re</option>
<option>Re_alt</option>
<option>RE_Real</option>
</select></td>
<td class="farbig" width="54">
<span style="font-size: 8pt">Anzahl</span></td>
<td class="farbig" width="46">
<input type="text" name="T5" size="3" value="2"></td>
<td class="farbig" align="right" width="7%">
<p align="left"><span style="font-size: 8pt">Formular</span>:</td>
<td class="farbig" height="38" width="467" nowrap>
<select size="1" name="Abrechnung">
<option selected>16 - Abrechnung über Aktivbank</option>
</select></td>
</tr>
</table>
<p class="pBreak"></p>
<table width="74%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="7%"> </td>
<td class="farbig" width="91%">
<p align="center"><u><font size="4" color="#FF0000">Versandanschrift</font></u></td>
</tr>
</table>
<table width="76%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Name 1</font></td>
<td class="farbig" width="33%"><font size="1"><input type="text" name="VsaName1" value="" size="40" MaxLength="40"></font></td>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Name2</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaName2" value="" size="40" MaxLength="40"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%">
<span style="font-size: 8pt">Markt-Nr.</span></td>
<td class="farbig" width="33%"><font size="1">
<input type="text" name="VsaMarktnummer" value="" size="40" MaxLength="40"></font></td>
<td class="farbig" align="right" width="7%">
</td>
<td class="farbig" height="31" width="53%"> </td>
</tr>
<tr>
<td class="farbig" align="right" width="6%">
<p align="right"><font size="1">Straße</font></td>
<td class="farbig" width="33%"><font size="1"><input type="text" name="VsaStrasse" value="" size="40" MaxLength="40"></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">PLZ</font></td>
<td class="farbig" height="31" width="53%"><font size="1"><input type="text" name="VsaPostleitzahl" value="" size="5" MaxLength="5"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%">
<p align="right"><font size="1">Ort</font></td>
<td class="farbig" width="33%"><font size="1"><input type="text" name="VsaOrt" value="" size="35" MaxLength="35"></font></td>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">Land:</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<select name="VsaLand" size="1">
<option value="keines">Bitte Land auswählen
<option>AT -Österreich</option><option>BE - Belgien</option><option>BEL - Belgien-Luxemburg</option><option>BOH - Bos. Herzegowina</option>
<option>USA - USA</option>
<option>VIE - Vietnam</option>
</select></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Versand-<br>
ILN</font></td>
<td class="farbig" width="33%"><font size="1">
<input type="text" name="VsaILN0" value="" size="13" MaxLength="13"></font></td>
<td class="farbig" align="right" width="7%">
<span style="font-size: 8pt">Betriebs-Nr.</span></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaBetriebsnummer0" value="" size="13" MaxLength="13"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Telefon</font></td>
<td class="farbig" width="33%"><font size="1"><input type="text" name="VsaTelefon" value="" size="20" MaxLength="20"></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">Mobil</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaMobil" value="" size="20" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%">
<p align="right"><font size="1">Fax´</font></td>
<td class="farbig" width="33%">
<font size="1"><input type="text" name="VsaFax" value="" size="30" MaxLength="30"></font></td>
<td class="farbig" align="right" width="7%">
<p align="right"><font size="1">E-Mail</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaEmail" value="" size="20" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%">
<p align="right"><font size="1">Web</font></td>
<td class="farbig" width="33%">
<font size="1">
<input type="text" name="VsaWeb" value="" size="20" MaxLength="20"></font></td>
<td class="farbig" align="right" width="7%">
<span style="font-size: 8pt">Kontaktpers.</span></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaKontaktperson" value="" size="38" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Anliefer-<br>
info</font></td>
<td class="farbig" width="33%">
<font size="1">
<input type="text" name="VsaAnlieferinfo1" value="" size="38" MaxLength="20"></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">Paletten-<br>
info</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaPaletteninfo1" value="" size="38" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Anliefer-<br>
info</font></td>
<td class="farbig" width="33%">
<font size="1">
<input type="text" name="VsaAnlieferinfo2" value="" size="38" MaxLength="20"></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">Paletten-<br>
info</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaPaletteninfo2" value="" size="38" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Anliefer-<br>
info</font></td>
<td class="farbig" width="33%">
<font size="1">
<input type="text" name="VsaAnlieferinfo3" value="" size="38" MaxLength="20"></font></td>
<td class="farbig" align="right" width="7%">
<font size="1">Paletten-<br>
info</font></td>
<td class="farbig" height="31" width="53%">
<font size="1">
<input type="text" name="VsaPaletteninfo3" value="" size="38" MaxLength="20"></font></td>
</tr>
<tr>
<td class="farbig" align="right" width="6%"><font size="1">Info</font></td>
<td class="farbig" width="33%">
<font size="1">
<textarea wrap=physical name="VsaInfo" cols="19" rows="2"></textarea></font></td>
<td class="farbig" align="right" width="7%">
</td>
<td class="farbig" height="31" width="53%">
<p><font face="Microsoft Sans Serif" size="3">Unterschrift: __________________</font></td>
</tr>
</table>
<table width="100%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td class="farbig" align="right" width="5%">
<p align="left"><font size="1">
<input type="submit" name="next" value="Abschicken und Ausdrucken"></font></td>
<td class="farbig" width="14%">
<font size="1">
<input type="reset" name="next0" value="Zurücksetzen"></font></td>
<td class="farbig" height="31" width="16%">
<font size="1"><font face="OCR A Extended"> </font> </font></td>
<td class="farbig" height="31" width="36%" nowrap>
</td>
</tr>
<tr>
<td width="5%"></td>
<td width="14%"></td>
<td width="56%" colspan="2"></td>
<td width="0"></td>
<td height="-1" width="9%"></td>
</tr>
</table>
</div>
</form>
</div>
<table width="100%" cellspacing="1" style="float: left">
<!-- MSTableType="nolayout" -->
<tr>
<td width="5%"></td>
<td width="25%"></td>
<td width="1%"></td>
<td width="0"></td>
<td height="-1" width="46%"></td>
</tr>
</table>
<body oncontextmenu="return false" oncontext="return false" style="background-color: #D9ECFF" topmargin="0" leftmargin="0" rightmargin="0" bottommargin="0">
</body>
</html>