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<span class="kapitel">Kontaktadresse:</span>
<ul class="form">
<li><span class="fett">Firma</span><input name="firma" type="text"></li>
<li><span class="fett">Name</span><input name="name" type="text"></li>
<li><span class="fett">Vorname</span><input name="vorname" type="text"></li>
<li><span class="fett">Strasse</span><input name="strasse" type="text"></li>
<li><span class="fett">PLZ</span><input name="plz" type="text"></li>
<li><span class="fett">Ort</span><input name="ort" type="text"></li>
<li><span class="fett">Land</span><input name="land" type="text"></li>
<li><span class="fett">Telefon</span><input name="telefon" type="text"></li>
<li><span class="fett">Telefax</span><input name="telefax" type="text"></li>
<li><span class="fett">E-Mail</span><input name="email" type="text"></li>
<li><span class="fett">Anmerkung</span><textarea rows="6" cols="26" name="anmerkung"></TEXTAREA></li>
</ul>
<input type="submit" value="abschicken">
</form>
</div>
<table class="tbl-hintergrund"><tr><td></td></tr></table>
<?php
// gültige Empfänger Adresse
$email_to = "emfaenger@xyz.de";
// gültige Absende Adresse
$email_from = "absender@xyz.de";
// Mail Betreff
$betreff = "Info";
// Datum (+deutsche Tage)
$name_tag[0] = "Sonntag";
$name_tag[1] = "Montag";
$name_tag[2] = "Dienstag";
$name_tag[3] = "Mittwoch";
$name_tag[4] = "Donnerstag";
$name_tag[5] = "Freitag";
$name_tag[6] = "Samstag";
$num_tag = date( "w");
$day =$name_tag[$num_tag];
$year = date( "Y");
$n = date( "d");
$month = date( "m");
$time = (date("H:i"));
// Var zuordnen
$date = "Informationsanfrage vom $day, den $n.$month.$year - $time Uhr\n";
$fima = $_POST['firma'];
$name= $_POST['name'];
$vname= $_POST['vonname'];
$strasse= $_POST['strasse'];
$plz= $_POST['plz'];
$ort= $_POST['ort'];
$land= $_POST['land'];
$tel= $_POST['telefon'];
$fax= $_POST['telefax'];
$email= $_POST['email'];
$nachricht = $_POST['anmerkung'];
// Mail schreiben
$header = "From: " . $vorname . " " . $name . "<" . $email . ">\n";
$mailtext .= $date;
$mailtext .= "Firma: " . $fima . "\n";
$mailtext .= "Name: " . $vorname . " " . $name . "\n";
$mailtext .= "Strasse: " . $strasse . "\n";
$mailtext .= "PLZ, Ort: " . $plz . " " . $ort . "\n";
$mailtext .= "Land: " . $land . "\n";
$mailtext .= "Telefon: " . $tel . "\n";
$mailtext .= "Fax: " . $fax . "\n";
$mailtext .= "Email: " . $email . "\n";
$mailtext .= "Nachricht:\n" . $nachricht . "\n";
mail("$email_to", "$betreff", "$mailtext", "$header");
?>
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