Tiffany Glascenter Stuttgart

Hafenbahnstrasse 22

D-70329 Stuttgart (Obertuerkheim)

Tel.: +49-(0) 711 – 32 22 11

Fax: +49-(0) 711 – 9325857

E-Mail: info(at)tiffany-glascenter.de 

 

Kontakt / Bestellformular

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<label for="mailformPLZ_Ort">PLZ Ort</label> <input type="text" name="PLZ_Ort" id="mailformPLZ_Ort" size="48" value="" />
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<label for="mailformTelefax">Telefax</label> <input type="text" name="Telefax" id="mailformTelefax" size="24" value="+049" />
<label for="mailformEMail">E-Mail</label> <input type="text" name="EMail" id="mailformEMail" size="50" value="" />
<label for="mailformInternet">Internet</label> <input type="text" name="Internet" id="mailformInternet" size="50" value="http://www." />
<label for="mailformRückruf">Rückruf</label> <input type="checkbox" value="1" name="Rückruf" id="mailformRückruf" class="csc-mailform-check" />
<label for="mailformNachricht">Ihre Nachricht</label> <textarea name="Nachricht" id="mailformNachricht" cols="45" rows="5"></textarea>
<input type="submit" name="formtype_mail" id="mailformformtype_mail" value="Senden" class="csc-mailform-submit" />