<tab><div id="c478" class="csc-default" ><b>Sie möchten unseren Newsletter bestellen?</b> <br>

<form method="post" action="http://www.wolanski.de/nl/nl.php">
<input type="hidden" name="MailingListId" value="1" />
<input type="hidden" name="FormId" value="1" />
<input type="hidden" name="FormEncoding" value="iso-8859-1" />
<br />
<table width="180" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="80" align="left" >
E-Mail *
 </td>
<td width="108">
<input name="u_EMail" type="text" size="18"  maxlength="255" />
</td>
</tr>
<tr>
  <td align="left" > Anrede</td>
  <td>
    <label>
      <input type="radio" name="u_Salutation" value="Frau" id="u_Salutation_0">
      Frau</label>
    <label>
      <input type="radio" name="u_Salutation" value="Herr" id="u_Salutation_1">
      Herr</label></td>
</tr>
<tr>
  <td align="left" >Titel</td>
  <td><input name="u_Profession" type="text" size="18" maxlength="255" /></td>
</tr>
<tr>
  <td align="left" > Vorname *
    </td>
  <td>
    <input name="u_FirstName" type="text" size="18" maxlength="255" />
    </td>
</tr>
<tr>
  <td align="left" > Name&nbsp;* </td>
  <td><input name="u_LastName" type="text" size="18"  maxlength="255" /></td>
</tr>

<tr>
  <td colspan="2">
  <hr noshade="noshade" style="width: 100%; border:dotted #BABABA 1px; " />
  </td>
</tr>
<tr>
  <td colspan="2" valign="top" ><input type="radio" name="Action" value="subscribe" checked="checked" />
     Anmelden&nbsp;
    <br>
    <input type="radio" name="Action" value="unsubscribe" />
    Abmelden<br />  </td>
  </tr>

<tr>
<td colspan="2">
<input type="submit" value="Absenden" />
</td>
</tr>
</tbody>
</table>
</form>
</div></tab>