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http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="
http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Unbenanntes Dokument</title>
</head>
<body>
<p>An diese 3 E-Mail Adressen soll das unten stehende Formular als PDF verschickt werden.</p>
<p>Email 1
<label>
<input type="text" name="Email 1" id="Email 1" />
</label>
</p>
<p>Email 2
<label>
<input type="text" name="Email 2" id="Email 2" />
</label>
</p>
<p>Email 3
<label>
<input type="text" name="Email 3" id="Email 3" />
</label>
</p>
<form id="form1" name="form1" method="post" action="">
<p>Frage 1 </p>
<p>
<label>
<input type="text" name="Frage 1" id="Frage 1" />
</label>
</p>
<p>Frage 2</p>
<p>
<label>
<input type="text" name="Frage 2" id="Frage 2" />
</label>
</p>
<p>Frage 3</p>
<p>
<label>
<input type="text" name="Frage 3" id="Frage 3" />
</label>
</p>
<p>Frage 4</p>
<p>
<label>
<input type="text" name="Frage 4" id="Frage 4" />
</label>
</p>
<p>Frage 5</p>
<p>
<label>
<input type="text" name="Frage 5" id="Frage 5" />
</label>
</p>
<p>Frage 6</p>
<p>
<label>
<input type="text" name="Frage 6" id="Frage 6" />
</label>
</p>
<p>Frage 7</p>
<p>
<label>
<input type="text" name="Frage 7" id="Frage 7" />
</label>
</p>
<p> </p>
<p>
<input type="submit" value="Senden" />
<input type="reset" value="Zurücksetzen" />
</p>
</form>
</body>
</html>