/*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 i81513829103 = new FrameBuilder("81513829103", 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?3.0.2622\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n    .form-label{\n        width:175px !important;\n    }\n    .form-label-left{\n        width:175px !important;\n    }\n    .form-line{\n        padding:5px;\n    }\n    .form-label-right{\n        width:175px !important;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:white;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:0px;\n        width:475px;\n        background:white;\n        color:black !important;\n        font-family:Verdana;\n        font-size:10px;\n    }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2622\" 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_10', 'Name');\n      JotForm.description('input_11', 'Telefon');\n      JotForm.description('input_12', 'email');\n      JotForm.description('input_14', 'Gesellschaft');\n      JotForm.setCalendar(\"15\");\n      JotForm.description('input_15', 'Beginn');\n      JotForm.setCalendar(\"16\");\n      JotForm.description('input_16', 'Ablauf');\n      JotForm.setCalendar(\"28\");\n      JotForm.description('input_34', 'Beitragszahlung');\n      JotForm.description('input_17', 'Dynamik ja\/nein');\n      JotForm.description('input_18', 'Dynamik%');\n      JotForm.description('input_29', 'erster Monatsbeitrag');\n      JotForm.description('input_20', 'R\u00fcckkaufswert');\n      JotForm.description('input_35', 'Ablaufleistung');\n      JotForm.description('input_25', 'Mitteilung');\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\" name=\"form_81513829103\" id=\"81513829103\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"81513829103\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section\">\n      <li id=\"cid_8\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_8\" class=\"form-header\">\n            Ihre LV Online Diagnose startet hier:\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_10\">\n        <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\">\n          Vor- und Zuname:<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_10\" name=\"q10_vorUnd\" size=\"30\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_11\">\n        <label class=\"form-label-left\" id=\"label_11\" for=\"input_11\">\n          Ihre Telefonnummer:<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_11\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_11\" name=\"q11_ihreTelefonnummer\" size=\"30\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_12\">\n        <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\">\n          Ihre E-Mail Adresse:<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_12\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required, Email]\" id=\"input_12\" name=\"q12_ihreEmail\" size=\"30\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_13\">\n        <div id=\"cid_13\" class=\"form-input-wide\">\n          <div id=\"text_13\" class=\"form-html\">\n            Egal, ob Ihre Lebensversicherung noch l\u00e4uft, oder Sie sie bereits vor einiger Zeit gek\u00fcndigt haben. Ihr Geld ist nicht verloren.\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_14\">\n        <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\"> Bei welcher Versicherungsgesellschaft haben \/ hatten Sie Ihre Police? <\/label>\n        <div id=\"cid_14\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_14\" name=\"q14_beiWelcher\" size=\"30\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_39\">\n        <label class=\"form-label-left\" id=\"label_39\" for=\"input_39\">\n          Versicherungsnummer<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_39\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_39\" name=\"q39_versicherungsnummer39\" size=\"30\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_15\">\n        <label class=\"form-label-left\" id=\"label_15\" for=\"input_15\">\n          Wann war der Beginn der Lebensversicherung?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_15\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"day_15\" name=\"q15_wannWar15[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"22\" \/><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 validate[required]\" id=\"month_15\" name=\"q15_wannWar15[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 validate[required]\" id=\"year_15\" name=\"q15_wannWar15[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\"><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 class=\"form-line\" id=\"id_16\">\n        <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\">\n          Wann l\u00e4uft Ihre Lebensversicherung ab, bzw. zu wann wurde sie gek\u00fcndigt?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_16\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"day_16\" name=\"q16_wannLauft16[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"22\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"day_16\" id=\"sublabel_day\"> Tag <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"month_16\" name=\"q16_wannLauft16[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"02\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"month_16\" id=\"sublabel_month\"> Monat <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"year_16\" name=\"q16_wannLauft16[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"2012\" \/>\n            <label class=\"form-sub-label\" for=\"year_16\" id=\"sublabel_year\"> Jahr <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_16_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n            <label class=\"form-sub-label\" for=\"input_16_pick\"> &nbsp;&nbsp;&nbsp; <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_26\">\n        <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\"> Ist die Versicherung beitragsfrei? <\/label>\n        <div id=\"cid_26\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_26_0\" name=\"q26_istDie\" value=\"JA\" \/>\n              <label for=\"input_26_0\"> JA <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_26_1\" name=\"q26_istDie\" value=\"NEIN\" \/>\n              <label for=\"input_26_1\"> NEIN <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_28\">\n        <label class=\"form-label-left\" id=\"label_28\" for=\"input_28\"> Wenn ja, seit wann? <\/label>\n        <div id=\"cid_28\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"day_28\" name=\"q28_wennJa[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"22\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"day_28\" id=\"sublabel_day\"> Tag <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"month_28\" name=\"q28_wennJa[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"02\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"month_28\" id=\"sublabel_month\"> Monat <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"year_28\" name=\"q28_wennJa[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"2012\" \/>\n            <label class=\"form-sub-label\" for=\"year_28\" id=\"sublabel_year\"> Jahr <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_28_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n            <label class=\"form-sub-label\" for=\"input_28_pick\"> &nbsp;&nbsp;&nbsp; <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_33\">\n        <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\">\n          Wie hoch ist oder war Ihr letzter Beitrag?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_33\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_33\" name=\"q33_wieHoch\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_34\">\n        <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\"> Ihre Beitragszahlungsweise <\/label>\n        <div id=\"cid_34\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_34_0\" name=\"q34_ihreBeitragszahlungsweise[]\" value=\"monatlich\" \/>\n              <label for=\"input_34_0\"> monatlich <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_34_1\" name=\"q34_ihreBeitragszahlungsweise[]\" value=\"j\u00e4hrlich\" \/>\n              <label for=\"input_34_1\"> j\u00e4hrlich <\/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          Hat die Lebensversicherung eine Dynamik, d.h. erh\u00f6ht sich der Beitrag regelm\u00e4\u00dfig?<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_hatDie17\" value=\"JA\" \/>\n              <label for=\"input_17_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_17_1\" name=\"q17_hatDie17\" value=\"NEIN\" \/>\n              <label for=\"input_17_1\"> NEIN <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_18\">\n        <label class=\"form-label-left\" id=\"label_18\" for=\"input_18\"> Wenn \"JA\", wieviel %? <\/label>\n        <div id=\"cid_18\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_18\" name=\"q18_wennja\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_29\">\n        <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> Bei Versicherungen mit Dynamik: Wie hoch war der erste Monatsbeitrag? <\/label>\n        <div id=\"cid_29\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_29\" name=\"q29_beiVersicherungen\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_20\">\n        <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\"> Wie hoch ist der aktuelle R\u00fcckkaufswert, bzw. wieviel Geld haben Sie zur\u00fcckbekommen? <\/label>\n        <div id=\"cid_20\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_20\" name=\"q20_wieHoch20\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_21\">\n        <div id=\"cid_21\" class=\"form-input-wide\">\n          <div id=\"text_21\" class=\"form-html\">\n            <p><span style=\"color: #003366;\"><strong><span style=\"font-family: verdana,geneva; font-size: xx-small;\">Bitte setzen Sie hier den Betrag aus der letzten Wertmitteilung Ihrer Gesellschaft ein - sollten Sie keine Wertmitteilung vorliegen haben nehmen Sie bitte den Wert aus der Tabelle in Ihrem Versicherungsschein.<\/span>\n                <\/strong><\/span>\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_35\">\n        <label class=\"form-label-left\" id=\"label_35\" for=\"input_35\">\n          Wie hoch ist die Ablaufleistung (garantiert \/ prognostiziert)?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_35\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_35\" name=\"q35_wieHoch35\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_38\">\n        <div id=\"cid_38\" class=\"form-input-wide\">\n          <div id=\"text_38\" class=\"form-html\">\n            <p>\n              <strong><span style=\"font-family: verdana,geneva; font-size: x-small; color: #003366;\">Um gezielter auf unsere Interessenten eingehen zu k&ouml;nnen, ist es uns wichtig, zu wissen, wie Sie auf unsere Seite oder unser Angebot aufmerksam wurden. Haben Sie z.B. in \"Google\" gesucht? Oder sind Sie &uuml;ber eine Werbeanzeige auf diese Seite gelangt? Dann schreiben Sie einfach in das Feld unten \"&uuml;ber Werbeanzeige auf xyz.htm\". Vielen Dank.<\/span>\n              <\/strong>\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_37\">\n        <label class=\"form-label-left\" id=\"label_37\" for=\"input_37\">\n          Wie wurden Sie auf unsere Seite aufmerksam?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_37\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_37\" name=\"q37_wieWurden\" size=\"50\" maxlength=\"1\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_25\">\n        <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\"> Ihre Mitteilung an uns, falls gew\u00fcnscht: <\/label>\n        <div id=\"cid_25\" class=\"form-input\">\n          <textarea id=\"input_25\" class=\"form-textarea\" name=\"q25_ihreMitteilung25\" cols=\"30\" rows=\"2\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_22\">\n        <div id=\"cid_22\" class=\"form-input-wide\">\n          <div style=\"margin-left:181px\" class=\"form-buttons-wrapper\">\n            <button id=\"input_22\" type=\"submit\" class=\"form-submit-button\">\n              senden\n            <\/button>\n            &nbsp;\n            <button id=\"input_reset_22\" type=\"reset\" class=\"form-submit-reset\">\n              Clear Form\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=\"81513829103\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"81513829103-81513829103\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n");