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<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<title>Tilbud</title>
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<body><input type="hidden" value="tilbud fra danval-side" name="subject">
<input type="hidden" value="
http://www.danvalmurerfirma.dk/tak.html" name="redirect">
<input type="hidden" value="REMOTE_HOST, HTTP_USER_AGENT, REMOTE_ADDR" name="env_report">
<p><i><b>Tilbud:</b></i></p>
<table width="550" align="left" border="0">
<tr>
<td colSpan="2" width="248">
<input type="checkbox" value="Ja" name="NYBYGGERI"> Badeværelser</td>
<td width="292"><input type="checkbox" value="Ja" name="TAGARBEJDE"> Total
Entreprise</td>
</tr>
<tr>
<td colSpan="2" width="248">
<input type="checkbox" value="Ja" name="TILBYGNING"> Tilbygning</td>
<td width="292"><input type="checkbox" value="Ja" name="FACADEARBEJDE">
Facadearbejde</td>
</tr>
<tr>
<td colSpan="2" width="248">
<input type="checkbox" value="Ja" name="OMBYGNING"> Ombygning </td>
<td width="292"><input type="checkbox" value="Ja" name="MURERARBEJDE">
Diverse Tømmer opgaver</td>
</tr>
<tr>
<td colSpan="2" width="248">
<input type="checkbox" value="Ja" name="MURERREPARATIONER">
Murerreparationer </td>
<td width="292"><input type="checkbox" value="Ja" name="BAD"> Kirke
Renoveringer</td>
</tr>
<tr>
<td colSpan="2" width="248">
<input type="checkbox" value="Ja" name="KAELDERVAEGGE"> Tagarbejde</td>
<td width="292"><input type="checkbox" value="Ja" name="Andet"> Andet
<input size="27" name="Andet"> </td>
</tr>
<tr>
<td colSpan="3" width="544"><font size="2">Jeg overvejer at få udført
arbejde i den/de afkrydsede kategorier og ønsker i den sammenhæng at:</font></td>
</tr>
<tr>
<td colSpan="2" width="248"> </td>
<td width="292"><input type="checkbox" value="Ja" name="Ringet_Op">
Opringning af murermesteren.</td>
</tr>
<tr>
<td width="68">Navn: </td>
<td colSpan="2" width="472"><input size="22" name="Navn"> </td>
</tr>
<tr>
<td width="68">Adresse: </td>
<td colSpan="2" width="472"><input size="22" name="Adresse"> </td>
</tr>
<tr>
<td width="68">Postnr.:</td>
<td colSpan="2" width="472"><input maxLength="4" size="3" name="Postnr"> By:
<input size="13" name="By"> </td>
</tr>
<tr>
<td width="68">Tlf.: </td>
<td width="176"><input size="22" name="Tlf"> </td>
<td width="292"> </td>
</tr>
<tr>
<td width="68">E-mail: </td>
<td width="176"><input size="22" name="Email"> </td>
<td width="292">
<div align="center">
<a href="mailto:info@emmurer.dk?subject=Tilbud">
<input type="image" src="indsend.gif" value="Send ind" name="Submit" width="86" height="31"></a>
</div>
</td>
</tr>
</table></body>
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