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| - | {{Biotec_Dresden/Header}}
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| - | <html>
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| - | <head>
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| - | <link rel="stylesheet" type="text/css" href="http://www.emailmeform.com/builder/styles/dynamic.php?t=post">
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| - | </head>
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| - | <body>
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| - | <div id="content_prim">
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| - | <div id="respond">
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| - | <form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/qyG4aU5J702K4hCBbz8rnjd" name="emf-form">
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| - | <p>
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| - | <input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text">
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| - | <label for="name"><small>Name (required)</small></label>
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| - | </p>
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| - | <p>
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| - | <input id="element_1" name="element_1" class="validate[required,custom[email]]" value="" size="30" type="text">
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| - | <label for="name"><small>Mail (required)</small></label>
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| - | </p>
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| - | <p>
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| - | <input id="element_2" name="element_2" value="" size="30" class="validate[required]" type="text">
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| - | <label for="email"><small>Subject (required)</small></label>
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| - | </p>
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| - | <p>
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| - | <textarea id="element_3" name="element_3" cols="60" rows="10" class="validate[required]"></textarea>
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| - | <label style="display: none;" for="comment"><small>Message (required)</small></label>
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| - | </p>
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| - |
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| - | <input name="element_counts" value="4" type="hidden">
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| - | <input value="Send message" type="submit" id="submit" class="button" name="submit">
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| - | <input value="Clear" type="reset" tabindex="5" id="reset" class="button" name="reset">
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| - | </form>
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| - | </div>
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| - | </div>
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| - | <script type="text/javascript">
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| - | $(function(){$("#emf-form").validationEngine({validationEventTriggers:"blur",scroll:false});$('.datepicker').datepicker({showOn: 'button',buttonImage: base_url+'images/calendar.png',buttonImageOnly: true,onSelect: function(dateText, inst) {var selectedDate = new Date(dateText);$('#'+inst.id+'year').val(selectedDate.getFullYear()).trigger('blur');$('#'+inst.id+'year-mm').val(((selectedDate.getMonth()+1)>9)?(selectedDate.getMonth()+1):('0'+(selectedDate.getMonth()+1))).trigger('blur');$('#'+inst.id+'year-dd').val(selectedDate.getDate()>9?selectedDate.getDate():'0'+selectedDate.getDate()).trigger('blur');},changeMonth: true,changeYear: true});if(document.getElementById('captcha_image')!=null){get_valid_captcha();}});if(document.getElementById('captcha_image')!=null){var isSafari = (/Safari/.test(navigator.userAgent));var firstTimeSession = 0;function process_captcha(){$('a#captcha_code_refresh').trigger('click');get_valid_captcha();}function safari_submit_session_form() {if (firstTimeSession == 0) {firstTimeSession = 1;$("#safari_sessionform").submit();setTimeout('process_captcha()',2000);}}if(isSafari){$("body").append('<iframe id="safari_sessionframe" name="safari_sessionframe" onload="safari_submit_session_form();" src="http://www.emailmeform.com/get_safari_cookies.php" style="display:none;"><\/iframe><form id="safari_sessionform" enctype="application/x-www-form-urlencoded" action="http://www.emailmeform.com/get_safari_cookies.php" target="safari_sessionframe" action="post"><\/form>');}}
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| - | </script></body>
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| - | </html>
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| - | {{Biotec_Dresden/Bottom}}
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