// JavaScript Document
document.write("<div id='l1'>");
document.write("<div onclick='layeraus(\"l1\",ve);' class='close'></div><div class='layer_top'></div><div class='layer_center'><span class='text1' class='text2'>KONTAKTIEREN SIE UNS -</span><br/><span class='text3' class='text3'>WIR MELDEN UNS UMGEHEND BEI IHNEN</span><form action=\"http://www.citylasik.com/layer/form_contact.php\" method=\"post\" name=\"Eingabeformular2\"><fieldset class=\"csc-mailform\"><input type=\"text\" name=\"Name\" id=\"mailformName\" size=\"20\" value=\"Name\" onfocus=\"if (this.value==this.defaultValue) this.value=''\" onblur=\" if (this.value=='') this.value='Name'\"/><input type=\"text\" name=\"Telefonnummer\" id=\"mailformTelefon2\" size=\"20\" value=\"Telefonnummer*\" onfocus=\"if (this.value==this.defaultValue) this.value=''\" onblur=\" if (this.value=='') this.value='Telefonnummer*'\" /><input type=\"text\" name=\"email\" id=\"mailformemail\" size=\"20\" value=\"E-Mail*\" onfocus=\"if (this.value==this.defaultValue) this.value=''\" onblur=\" if (this.value=='') this.value='E-Mail*'\"/><textarea name=\"Nachricht\" id=\"mailformNachricht\" cols=\"20\" rows=\"4\" onfocus=\"if (this.value==this.defaultValue) this.value=''\" onblur=\" if (this.value=='') this.value='Nachricht...'\">Nachricht...</textarea><span class=\"sterntext floatR\"><!--<a href=\"http://www.citylasik.com/datenschutz.php\">Datenschutz</a>--> <a target=\"popup\" onclick=\"window.open('http://www.citylasik.com/bilder/Datenschutz-CityLasik.jpg', 'popup', 'width=580,height=450,scrollbars=no,toolbar=no,status=no,resizable=yes,menubar=no,location=no,directories=no,top=10,left=10'); return false;\" href=\"http://citylasik.com/datenschutz.php\">Datenschutz</a></span><input type=\"image\" src=\"http://www.citylasik.com/bilder/send_layer.gif\" name=\"formtype_mail\" class=\"form_submit\" onClick=\"return EingabenUeberpruefen();\" /></fieldset></form></div><div class='layer_bottom'></div>");
document.write("</div>");