/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
 * Includes a Form with javascript
 * @param {Object} formId
 * @param {Object} initialHeight
 * @param {Object} iframeCode
 */
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
    this.formId = formId;
    this.initialHeight = initialHeight;
    this.iframeCode = iframeCode;
    this.frame = null;
    this.timeInterval= 200;
    this.appendTo = appendTo || false;
    
    // initialize function for object
    this.init = function(){
        this.createFrame();
        this.addFrameContent(this.iframeCode);
    };
    
    // Create the frame
    this.createFrame = function(){
        var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\"></if"+"rame>";
        if(this.appendTo === false){
            document.write(htmlCode);
        }else{
            var tmp = document.createElement('div');
            tmp.innerHTML = htmlCode;
            var a = this.appendTo;
            document.getElementById(a).appendChild(tmp.firstChild);            
        }
        // also get the frame for future use.
        this.frame = document.getElementById(this.formId);
        // set the time on the on load event of the frame
        this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
    };
    
    // add event function for different browsers
    this.addEvent = function( obj, type, fn ) {
        if ( obj.attachEvent ) {
            obj["e"+type+fn] = fn;
            obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
            obj.attachEvent( "on"+type, obj[type+fn] );
        }
        else{
            obj.addEventListener( type, fn, false );   
        }
    };
    
    this.addFrameContent = function (string){
        string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"></scr'+'ipt><'+'div id="recaptcha_div"><'+'/div>'+
                '<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
                '<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
                'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
                ' }<'+'/script>');
        string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
        var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
        frameDocument.document.open();
        frameDocument.document.write(string);
        setTimeout( function(){
            frameDocument.document.close();
            try{
                if('JotFormFrameLoaded' in window){
                    JotFormFrameLoaded();
                }
            }catch(e){}
        },200);
    };
    
    this.setTimer = function(){
        var self = this;
        this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
    };
    
    this.changeHeight = function (){
        var actualHeight = this.getBodyHeight();
        var currentHeight = this.getViewPortHeight();
        if(actualHeight === undefined){
            this.frame.style.height = "100%";
            if(!this.frame.style.minHeight){
                this.frame.style.minHeight = "300px";
            }
        }else if  (Math.abs(actualHeight - currentHeight) > 18){
            this.frame.style.height = (actualHeight)+"px";
        }
        this.setTimer();
    };
    
    this.bindMethod = function(method, scope) {
        return function() {
            method.apply(scope,arguments);
        };
    };
    
    this.getBodyHeight = function (){
        var height;
        var scrollHeight;
        var offsetHeight;
        try{  // Prevent IE from throw errors
            if (this.frame.contentWindow.document.height){
                
                height = this.frame.contentWindow.document.height;
                //Emre: to prevent "iframe height"  problem (61059)
                if (this.frame.contentWindow.document.body.scrollHeight){
                    height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
                }
                
                if (this.frame.contentWindow.document.body.offsetHeight){
                    height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
                }
                
            } else if (this.frame.contentWindow.document.body){
                
                if (this.frame.contentWindow.document.body.scrollHeight){
                    height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
                }
                
                if (this.frame.contentWindow.document.body.offsetHeight){
                    height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
                }
                
                if (scrollHeight && offsetHeight){
                    height = Math.max(scrollHeight, offsetHeight);
                }
            }            
        }catch(e){ }
        return height;
    };
    
    this.getViewPortHeight = function(){
        var height = 0;
        try{ // Prevent IE from throw errors
            if (this.frame.contentWindow.window.innerHeight)
            {
                height = this.frame.contentWindow.window.innerHeight - 18;
            }
            else if ((this.frame.contentWindow.document.documentElement) &&
                     (this.frame.contentWindow.document.documentElement.clientHeight))
            {
                height = this.frame.contentWindow.document.documentElement.clientHeight;
            }
            else if ((this.frame.contentWindow.document.body) &&
                     (this.frame.contentWindow.document.body.clientHeight))
            {
                height = this.frame.contentWindow.document.body.clientHeight;
            }            
        }catch(e){ }
        return height;
    };
    
    this.init();
}
FrameBuilder.get = [];
var i1715704137 = new FrameBuilder("1715704137", false, "", "<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>Form<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n    .form-label{\n        width:150px !important;\n    }\n    .form-label-left{\n        width:150px !important;\n    }\n    .form-line{\n        padding:10px;\n    }\n    .form-label-right{\n        width:150px !important;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:#FFFFFF;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:0px;\n        width:650px;\n        background:#FFFFFF;\n        color:Black !important;\n        font-family:Verdana;\n        font-size:12px;\n    }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n   JotForm.jsForm = true;\n\n   JotForm.init(function(){\n      JotForm.description('input_4', 'bitte ausf\u00fcllen');\n      $('input_9').hint('mail@beispiel.de');\n      JotForm.description('input_9', 'bitte ausf\u00fcllen');\n      JotForm.description('input_1', 'erlaubt sind:<br \/>jpg, jpeg, png, gif');\n      JotForm.totalCounter({\"input_14_1001\":{\"price\":\"8\"},\"input_14_1002\":{\"price\":\"10\"},\"input_14_1003\":{\"price\":\"15\"},\"input_14_1004\":{\"price\":\"50\"},\"input_14_1005\":{\"price\":\"60\"},\"input_14_1006\":{\"price\":\"75\"}});\n      JotForm.description('input_14', 'nur Ausf\u00fcllen bei Zahlung mit PayPal');\n      JotForm.setCalendar(\"15\");\n      JotForm.initCaptcha('input_16');\n   });\n\n   clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_1715704137\" id=\"1715704137\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"1715704137\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section\">\n      <li id=\"cid_3\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_3\" class=\"form-header\">\n            Anzeigenaufgabe\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_20\">\n        <div id=\"cid_20\" class=\"form-input-wide\">\n          <div id=\"text_20\" class=\"form-html\">\n            <p><span style=\"font-size: small; color: #ff0000;\">f&uuml;r Soloherren und Privatanzeigen mit finanziellen Interessen<\/span>\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_4\">\n        <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\">\n          Vor- und Zuname<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_4\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"10\" name=\"q4_vorUnd[first]\" id=\"first_4\" \/>\n            <label class=\"form-sub-label\" for=\"first_4\" id=\"sublabel_first\"> Vorname <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"15\" name=\"q4_vorUnd[last]\" id=\"last_4\" \/>\n            <label class=\"form-sub-label\" for=\"last_4\" id=\"sublabel_last\"> Nachname <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_24\">\n        <label class=\"form-label-left\" id=\"label_24\" for=\"input_24\">\n          Stra\u00dfe \/ Nr.<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_24\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_24\" name=\"q24_strae\" size=\"30\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_25\">\n        <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\">\n          PLZ<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_25\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_25\" name=\"q25_plz\" size=\"5\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_26\">\n        <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\">\n          Ort<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_26\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_26\" name=\"q26_ort\" size=\"30\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_6\">\n        <label class=\"form-label-left\" id=\"label_6\" for=\"input_6\"> Telefon <\/label>\n        <div id=\"cid_6\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox\" type=\"tel\" name=\"q6_telefon[area]\" id=\"input_6_area\" size=\"3\">\n            -\n            <label class=\"form-sub-label\" for=\"input_6_area\" id=\"sublabel_area\"> Vorwahl <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" type=\"tel\" name=\"q6_telefon[phone]\" id=\"input_6_phone\" size=\"8\">\n            <label class=\"form-sub-label\" for=\"input_6_phone\" id=\"sublabel_phone\"> Telefonnummer <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_9\">\n        <label class=\"form-label-left\" id=\"label_9\" for=\"input_9\">\n          E-mail<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_9\" class=\"form-input\">\n          <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_9\" name=\"q9_email9\" size=\"30\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_8\">\n        <label class=\"form-label-left\" id=\"label_8\" for=\"input_8\">\n          Anzeigentext<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_8\" class=\"form-input\">\n          <textarea id=\"input_8\" class=\"form-textarea validate[required]\" name=\"q8_anzeigentext\" cols=\"40\" rows=\"6\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_1\">\n        <label class=\"form-label-left\" id=\"label_1\" for=\"input_1\"> Bild hochladen (max. 2 MB) <\/label>\n        <div id=\"cid_1\" class=\"form-input\">\n          <input class=\"form-upload\" type=\"file\" id=\"input_1\" name=\"q1_bildHochladen\" file-accept=\"jpg, jpeg, png, gif\" file-maxsize=\"1000\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_7\">\n        <label class=\"form-label-left\" id=\"label_7\" for=\"input_7\">\n          bestehen finanzielle Interessen?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_7\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_7_0\" name=\"q7_bestehenFinanzielle\" value=\"ja\" \/>\n              <label for=\"input_7_0\"> ja <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_7_1\" name=\"q7_bestehenFinanzielle\" value=\"nein\" \/>\n              <label for=\"input_7_1\"> nein <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_17\">\n        <label class=\"form-label-left\" id=\"label_17\" for=\"input_17\">\n          Wie oft soll die Anzeige erscheinen?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_17\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_0\" name=\"q17_wieOft17\" value=\"1x Soloherr oder mit finanz Interessen ohne Foto - 8 Euro\" \/>\n              <label for=\"input_17_0\"> 1x Soloherr oder mit finanz Interessen ohne Foto - 8 Euro <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_1\" name=\"q17_wieOft17\" value=\"1x Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df - 10 Euro\" \/>\n              <label for=\"input_17_1\"> 1x Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df - 10 Euro <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_2\" name=\"q17_wieOft17\" value=\"1x Soloherr oder mit finanz. Interessen mit Foto farbig - 15 Euro\" \/>\n              <label for=\"input_17_2\"> 1x Soloherr oder mit finanz. Interessen mit Foto farbig - 15 Euro <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_3\" name=\"q17_wieOft17\" value=\"5x  mit Beleg Soloherr oder mit finanz. Interessen ohne Foto - 50 Euro\" \/>\n              <label for=\"input_17_3\"> 5x mit Beleg Soloherr oder mit finanz. Interessen ohne Foto - 50 Euro <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_4\" name=\"q17_wieOft17\" value=\"5x  mit Beleg Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df - 60 Euro\" \/>\n              <label for=\"input_17_4\"> 5x mit Beleg Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df - 60 Euro <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_17_5\" name=\"q17_wieOft17\" value=\"5x  mit Beleg Soloherr oder mit finanz. Interessen mit Foto farbig - 75 Euro\" \/>\n              <label for=\"input_17_5\"> 5x mit Beleg Soloherr oder mit finanz. Interessen mit Foto farbig - 75 Euro <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li id=\"cid_11\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h3 id=\"header_11\" class=\"form-header\">\n            Bankverbindung bei kostenpflichtigen Anzeigen ...\n          <\/h3>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_10\">\n        <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\"> Bank <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_10\" name=\"q10_bank\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_12\">\n        <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\"> Bankleitzahl <\/label>\n        <div id=\"cid_12\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_12\" name=\"q12_bankleitzahl\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_13\">\n        <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\"> Konto-Nummer <\/label>\n        <div id=\"cid_13\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_13\" name=\"q13_kontonummer\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_21\">\n        <label class=\"form-label-left\" id=\"label_21\" for=\"input_21\"> Konto-Inhaber <\/label>\n        <div id=\"cid_21\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_21\" name=\"q21_kontoinhaber\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li id=\"cid_18\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h3 id=\"header_18\" class=\"form-header\">\n            ... oder ausf\u00fcllen bei Zahlung mit Paypal\n          <\/h3>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_14\">\n        <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\"> nur bei Zahlung mit PayPal ausw\u00e4hlen: <\/label>\n        <div id=\"cid_14\" class=\"form-input\"><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1001\" name=\"q14_nurBei[][id]\" value=\"1001\" \/>\n            <label for=\"input_14_1001\">\n              1 Anzeige Soloherr oder mit finanz. Interessen ohne Foto<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">8.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1002\" name=\"q14_nurBei[][id]\" value=\"1002\" \/>\n            <label for=\"input_14_1002\">\n              1 Anzeige Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">10.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1003\" name=\"q14_nurBei[][id]\" value=\"1003\" \/>\n            <label for=\"input_14_1003\">\n              1 Anzeige Soloherr oder mit finanz. Interessen mit Foto Farbe<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">15.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1004\" name=\"q14_nurBei[][id]\" value=\"1004\" \/>\n            <label for=\"input_14_1004\">\n              5 Anzeigen mit Belegexemplar Soloherr oder mit finanz. Interessen ohne Foto<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">50.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1005\" name=\"q14_nurBei[][id]\" value=\"1005\" \/>\n            <label for=\"input_14_1005\">\n              5 Anzeigen mit Belegexemplar Soloherr oder mit finanz. Interessen mit Foto schwarz\/wei\u00df<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">60.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/><span class=\"form-product-item\"><input class=\"form-radio\" type=\"radio\" id=\"input_14_1006\" name=\"q14_nurBei[][id]\" value=\"1006\" \/>\n            <label for=\"input_14_1006\">\n              5 Anzeigen mit Belegexemplar Soloherr oder mit finanz. Interessen mit Foto Farbe<span class=\"form-product-details\"><b>\n                  &euro;<span id=\"\">75.00<\/span>\n                  EUR\n                <\/b><\/span>\n            <\/label><\/span>\n          <br \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_15\">\n        <label class=\"form-label-left\" id=\"label_15\" for=\"input_15\"> heutiges Datum <\/label>\n        <div id=\"cid_15\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"day_15\" name=\"q15_heutigesDatum[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"10\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"day_15\" id=\"sublabel_day\"> Tag <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"month_15\" name=\"q15_heutigesDatum[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"02\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"month_15\" id=\"sublabel_month\"> Monat <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"year_15\" name=\"q15_heutigesDatum[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"2012\" \/>\n            <label class=\"form-sub-label\" for=\"year_15\" id=\"sublabel_year\"> Jahr <\/label><\/span><span class=\"form-sub-label-container\"><div id=\"at_15\">\n              at\n            <\/div>\n            <label class=\"form-sub-label\" for=\"at_15\"> &nbsp;&nbsp;&nbsp; <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"hour_15\" name=\"q15_heutigesDatum[hour]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"03\" \/><span class=\"date-separate\">&nbsp;\/<\/span>\n            <label class=\"form-sub-label\" for=\"hour_15\" id=\"sublabel_hour\"> Stunde <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"min_15\" name=\"q15_heutigesDatum[min]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"05\" \/>\n            <label class=\"form-sub-label\" for=\"min_15\" id=\"sublabel_minutes\"> Protokoll <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown\" id=\"ampm_15\" name=\"q15_heutigesDatum[ampm]\">\n              <option value=\"AM\"> AM <\/option>\n              <option value=\"PM\"> PM <\/option>\n            <\/select>\n            <label class=\"form-sub-label\" for=\"ampm_15\"> &nbsp;&nbsp;&nbsp; <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_15_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n            <label class=\"form-sub-label\" for=\"input_15_pick\"> &nbsp;&nbsp;&nbsp; <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li id=\"cid_19\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h3 id=\"header_19\" class=\"form-header\">\n            Auftrag abschlie\u00dfen\n          <\/h3>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_16\">\n        <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\">\n          Sicherheitsabfrage<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_16\" class=\"form-input\">\n          <div class=\"form-captcha\">\n            <label for=\"input_16\"> <img alt=\"Captcha - Reload if it's not displayed\" id=\"input_16_captcha\" class=\"form-captcha-image\" style=\"background:url(http:\/\/www.jotform.com\/images\/loader-big.gif) no-repeat center;\" src=\"http:\/\/www.jotform.com\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n            <div style=\"white-space:nowrap;\">\n              <input type=\"text\" id=\"input_16\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" \/>\n              <img src=\"http:\/\/www.jotform.com\/images\/reload.png\" alt=\"Reload\" align=\"absmiddle\" style=\"cursor:pointer\" onclick=\"JotForm.reloadCaptcha('input_16');\" \/>\n              <input type=\"hidden\" name=\"captcha_id\" id=\"input_16_captcha_id\" value=\"0\">\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n            <button id=\"input_2\" type=\"submit\" class=\"form-submit-button\">\n              Formular absenden\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"1715704137\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1715704137-1715704137\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n");