<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<title>Container Handbook - Printed Book Order</title>

<link rel="stylesheet" type="text/css" href="../chb/include/css/styles_buchb.css">
<meta http-equiv="content-type" content="text/html; charset=UTF-8"> 

<script type="text/javascript">
function runde(x) {
  var e = Math.pow(10, 2);
  var k = (Math.round(x * e) / e).toString();
  if (k.indexOf('.') == -1) k += '.';
  k += e.toString().substring(1);
  return k.substring(0, k.indexOf('.') + 3);
}
function price_valid(t_quant)
{
	document.Bestellung.amount_disabled.value = runde(250.00 * t_quant);
	document.Bestellung.amount.value = runde(250.00 * t_quant);
}
function checkFormular()
{
 if(document.Bestellung.FirstName.value == "")  {
   alert("Please enter your first name.");
   document.Bestellung.FirstName.focus();
   return false;
  }
 if(document.Bestellung.LastName.value == "")  {
   alert("Please enter your last name.");
   document.Bestellung.LastName.focus();
   return false;
  }
 if(document.Bestellung.Street.value == "") {
   alert("Please enter your street name.");
   document.Bestellung.Street.focus();
   return false;
  }
 if(document.Bestellung.City.value == "") {
   alert("Please enter the city.");
   document.Bestellung.City.focus();
   return false;
  }
 if(document.Bestellung.Nation.value == "") {
   alert("Please select your country.");
   document.Bestellung.Nation.focus();
   return false;
  }
 if(document.Bestellung.Phone.value == "") {
   alert("Please enter your phone number.");
   document.Bestellung.Phone.focus();
   return false;
  }
 if(document.Bestellung.Email.value == "") {
   alert("Please enter your email adress.");
   document.Bestellung.Email.focus();
   return false;
  }
 if(document.Bestellung.Email.value.indexOf('@') == -1) {
   alert("Email address must be in the proper format: e.g. sam@company.com ");
   document.Bestellung.Email.focus();
   return false;
  }
}
 
</script>
</head>
<body>

<table border="0" cellspacing="0" cellpadding="0" width="600">
<tr valign="top">
    <td rowspan="100"><img src="../pictures/leer.gif" width="25" height="1" border="0" alt=""></td>
    <td colspan="2"><a name="top"><img src="../pictures/leer.gif" width="495" height="10" border="0" alt=""></a></td>
</tr>
        <!--==============  Ueberschrift einfuegen  ==================-->
<tr valign="top">
        <td class="titelform" valign="bottom" width="520">Online order form</td>
        <td><img src="../pictures/gdv_logo.png" width="300" height="92" alt="" border="0"></td>
</tr>
<td>
		<br><div class="ueberschrift">Applicable for Customers outside the European Union</div>
</td>
        <!--==============  ende  Ueberschrift  ==================--> <!--==============  abstand  ==================-->
<tr valign="top">
        <td colspan="2"><img src="../pictures/leer.gif" width="1" height="30" border="0" alt=""></td>
</tr>
        <!--==============  ende abstand  ==================--> <!--==============  inhalt anfang ==================-->
<tr valign="top">
		<td class="content" colspan="2">
 		<form  onsubmit="return checkFormular();" action="" name="Bestellung" method="post" accept-charset="UTF-8">
			<table border="0" cellspacing="0" cellpadding="0" bgcolor="#f4f4f4" width="100%">
			<tr>
				<td colspan="4" bgcolor="#e7e7e7" height="30">&nbsp;&nbsp;&nbsp;<strong>Billing address:</strong></td>
			</tr>
			<tr>
				<td colspan="4"><img src="../pictures/graupixel.gif" width="100%" height="1" alt="" border="0"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Title:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="Gender">
					<option value="Mr">Mr.</option>
					<option value="Ms">Ms.</option>
					<option value="Company">Company</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">First Name*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="FirstName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Last Name*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="LastName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Company:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Company" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Address (line 1)*:</td></td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Street" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Address (line 2):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Apartment" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">City*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="City" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">State/Province:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="State" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">ZIP/Postal Code:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="ZIP" size="20" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Country*:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="Nation">
				<option value="">Please select...</option>
				<option value="Afghanistan">Afghanistan</option>
				<option value="Albania">Albania</option>
			    <option value="Algeria">Algeria</option>
			    <option value="American Samoa">American Samoa</option>
			    <option value="Andorra">Andorra</option>
			    <option value="Anguill">Anguilla</option>
			    <option value="Antarctica">Antarctica</option>
			    <option value="Antigua And Barbuda">Antigua And Barbuda</option>
			    <option value="Argentina">Argentina</option>
			    <option value="Armenia">Armenia</option>
			    <option value="Aruba">Aruba</option>
			    <option value="Australia">Australia</option>
			    <option value="Austria">Austria</option>
			    <option value="Azerbaijan">Azerbaijan</option>
			    <option value="Bahamas">Bahamas</option>
			    <option value="Bahrain">Bahrain</option>
			    <option value="Bangladesh">Bangladesh</option>
			    <option value="Barbados">Barbados</option>
			    <option value="Belarus">Belarus</option>
			    <option value="Belgium">Belgium</option>
			    <option value="Belize">Belize</option>
			    <option value="Benin">Benin</option>
			    <option value="Bermuda">Bermuda</option>
			    <option value="Bhutan">Bhutan</option>
			    <option value="Bolivia">Bolivia</option>
			    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
			    <option value="Botswana">Botswana</option>
			    <option value="Bouvet Island">Bouvet Island</option>
			    <option value="Brazil">Brazil</option>
			    <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
			    <option value="Brunei Darussalam">Brunei Darussalam</option>
			    <option value="Bulgaria">Bulgaria</option>
			    <option value="Burkina Faso">Burkina Faso</option>
			    <option value="Burundi">Burundi</option>
			    <option value="Cambodia">Cambodia</option>
			    <option value="Cameroon">Cameroon</option>
			    <option value="Canada">Canada</option>
			    <option value="Cape Verde">Cape Verde</option>
			    <option value="Cayman Islands">Cayman Islands</option>
			    <option value="Central African Republic">Central African Republic</option>
			    <option value="Chad">Chad</option>
			    <option value="Chile">Chile</option>
			    <option value="China">China</option>
			    <option value="Christmas Island">Christmas Island</option>
			    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
			    <option value="Colombia">Colombia</option>
			    <option value="Comoros">Comoros</option>
			    <option value="Congo">Congo</option>
			    <option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
			    <option value="Cook Islands">Cook Islands</option>
			    <option value="Costa Rica">Costa Rica</option>
			    <option value="Cote d'Ivoire">Cote d'Ivoire</option>
			    <option value="Cyprus">Cyprus</option>
			    <option value="Czech Republic">Czech Republic</option>
			    <option value="Denmark">Denmark</option>
			    <option value="Djibouti">Djibouti</option>
			    <option value="Dominica">Dominica</option>
			    <option value="Dominican Republic">Dominican Republic</option>
			    <option value="East Timor">East Timor</option>
			    <option value="Ecuador">Ecuador</option>
			    <option value="Egypt">Egypt</option>
			    <option value="El Salvador">El Salvador</option>
			    <option value="England">England</option>
			    <option value="Equatorial Guinea">Equatorial Guinea</option>
			    <option value="Eritrea">Eritrea</option>
			    <option value="Espana">Espana</option>
			    <option value="Estonia">Estonia</option>
			    <option value="Ethiopia">Ethiopia</option>
			    <option value="Falkland Islands">Falkland Islands</option>
			    <option value="Faroe Islands">Faroe Islands</option>
			    <option value="Fiji">Fiji</option>
			    <option value="Finland">Finland</option>
			    <option value="France">France</option>
			    <option value="French Guiana">French Guiana</option>
			    <option value="French Polynesia">French Polynesia</option>
			    <option value="French Southern Territories">French Southern Territories</option>
			    <option value="Gabon">Gabon</option>
			    <option value="Gambia">Gambia</option>
			    <option value="Georgia">Georgia</option>
			    <option value="Germany">Germany</option>
			    <option value="Ghana">Ghana</option>
			    <option value="Gibraltar">Gibraltar</option>
			    <option value="Great Britain">Great Britain</option>
			    <option value="Greece">Greece</option>
			    <option value="Greenland">Greenland</option>
			    <option value="Grenada">Grenada</option>
			    <option value="Guadeloupe">Guadeloupe</option>
			    <option value="Guam">Guam</option>
			    <option value="Guatemala">Guatemala</option>
			    <option value="Guinea">Guinea</option>
			    <option value="Guinea-Bissau">Guinea-Bissau</option>
			    <option value="Guyana">Guyana</option>
			    <option value="Haiti">Haiti</option>
			    <option value="Heard and Mc Donald Islands">Heard and Mc Donald Islands</option>
			    <option value="Honduras">Honduras</option>
			    <option value="Hong Kong">Hong Kong</option>
			    <option value="Hungary">Hungary</option>
			    <option value="Iceland">Iceland</option>
			    <option value="India">India</option>
			    <option value="Indonesia">Indonesia</option>
			    <option value="Ireland">Ireland</option>
			    <option value="Israel">Israel</option>
			    <option value="Italy">Italy</option>
			    <option value="Jamaica">Jamaica</option>
			    <option value="Japan">Japan</option>
			    <option value="Jordan">Jordan</option>
			    <option value="Kazakhstan">Kazakhstan</option>
			    <option value="Kenya">Kenya</option>
			    <option value="Kiribati">Kiribati</option>
			    <option value="Korea, Republic of">Korea, Republic of</option>
			    <option value="Korea (South)">Korea (South)</option>
			    <option value="Kuwait">Kuwait</option>
			    <option value="Kyrgyzstan">Kyrgyzstan</option>
			    <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
			    <option value="Latvia">Latvia</option>
			    <option value="Lebanon">Lebanon</option>
			    <option value="Lesotho">Lesotho</option>
			    <option value="Liberia">Liberia</option>
			    <option value="Libya">Libya</option>
			    <option value="Liechtenstein">Liechtenstein</option>
			    <option value="Lithuania">Lithuania</option>
			    <option value="Luxembourg">Luxembourg</option>
			    <option value="Macau">Macau</option>
			    <option value="Macedonia">Macedonia</option>
			    <option value="Madagascar">Madagascar</option>
			    <option value="Malawi">Malawi</option>
			    <option value="Malaysia">Malaysia</option>
			    <option value="Maldives">Maldives</option>
			    <option value="Mali">Mali</option>
			    <option value="Malta">Malta</option>
			    <option value="Marshall Islands">Marshall Islands</option>
			    <option value="Martinique">Martinique</option>
			    <option value="Mauritania">Mauritania</option>
			    <option value="Mauritius">Mauritius</option>
			    <option value="Mayotte">Mayotte</option>
			    <option value="Mexico">Mexico</option>
			    <option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
			    <option value="Moldova, Republic of">Moldova, Republic of</option>
			    <option value="Monaco">Monaco</option>
			    <option value="Mongolia">Mongolia</option>
			    <option value="Montenegro">Montenegro</option>
				<option value="Montserrat">Montserrat</option>
			    <option value="Morocco">Morocco</option>
			    <option value="Mozambique">Mozambique</option>
			    <option value="Myanmar">Myanmar</option>
			    <option value="Namibia">Namibia</option>
			    <option value="Nauru">Nauru</option>
			    <option value="Nepal">Nepal</option>
			    <option value="Netherlands">Netherlands</option>
			    <option value="Netherlands Antilles">Netherlands Antilles</option>
			    <option value="New Caledonia">New Caledonia</option>
			    <option value="New Zealand">New Zealand</option>
			    <option value="Nicaragua">Nicaragua</option>
			    <option value="Niger">Niger</option>
			    <option value="Nigeria">Nigeria</option>
			    <option value="Niue">Niue</option>
			    <option value="Norfolk Island">Norfolk Island</option>
			    <option value="Northern Ireland">Northern Ireland</option>
			    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
			    <option value="Norway">Norway</option>
			    <option value="Oman">Oman</option>
			    <option value="Pakistan">Pakistan</option>
			    <option value="Palau">Palau</option>
			    <option value="Panama">Panama</option>
			    <option value="Papua New Guinea">Papua New Guinea</option>
			    <option value="Paraguay">Paraguay</option>
			    <option value="Peru">Peru</option>
			    <option value="Philippines">Philippines</option>
			    <option value="Pitcairn">Pitcairn</option>
			    <option value="Poland">Poland</option>
			    <option value="Portugal">Portugal</option>
			    <option value="Puerto Rico">Puerto Rico</option>
			    <option value="Qatar">Qatar</option>
			    <option value="Reunion">Reunion</option>
			    <option value="Romania">Romania</option>
			    <option value="Russia">Russia</option>
			    <option value="Russian Federation">Russian Federation</option>
			    <option value="Rwanda">Rwanda</option>
			    <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
			    <option value="Saint Lucia">Saint Lucia</option>
			    <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
			    <option value="Samoa (Independent)">Samoa (Independent)</option>
			    <option value="San Marino">San Marino</option>
			    <option value="Sao Tome and Principe">Sao Tome and Principe</option>
			    <option value="Saudi Arabia">Saudi Arabia</option>
			    <option value="Scotland">Scotland</option>
			    <option value="Senegal">Senegal</option>
			    <option value="Serbia">Serbia</option>
			    <option value="Seychelles">Seychelles</option>
			    <option value="Sierra Leone">Sierra Leone</option>
			    <option value="Singapore">Singapore</option>
			    <option value="Slovakia">Slovakia</option>
			    <option value="Slovenia">Slovenia</option>
			    <option value="Solomon Islands">Solomon Islands</option>
			    <option value="Somalia">Somalia</option>
			    <option value="South Africa">South Africa</option>
			    <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
			    <option value="South Korea">South Korea</option>
			    <option value="Spain">Spain</option>
			    <option value="Sri Lanka">Sri Lanka</option>
			    <option value="St. Helena">St. Helena</option>
			    <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
			    <option value="Suriname">Suriname</option>
			    <option value="Svalbard and Jan Mayen Island">Svalbard and Jan Mayen Islands</option>
			    <option value="Swaziland">Swaziland</option>
			    <option value="Sweden">Sweden</option>
			    <option value="Switzerland">Switzerland</option>
			    <option value="Taiwan">Taiwan</option>
			    <option value="Tajikistan">Tajikistan</option>
			    <option value="Tanzania">Tanzania</option>
			    <option value="Thailand">Thailand</option>
			    <option value="Togo">Togo</option>
			    <option value="Tokelau">Tokelau</option>
			    <option value="Tonga">Tonga</option>
			    <option value="Trinidad">Trinidad</option>
			    <option value="Trinidad and Tobago">Trinidad and Tobago</option>
			    <option value="Tunisia">Tunisia</option>
			    <option value="Turkey">Turkey</option>
			    <option value="Turkmenistan">Turkmenistan</option>
			    <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
			    <option value="Tuvalu">Tuvalu</option>
			    <option value="Uganda">Uganda</option>
			    <option value="Ukraine">Ukraine</option>
			    <option value="United Arab Emirates">United Arab Emirates</option>
			    <option value="United Kingdom">United Kingdom</option>
			    <option value="United States">United States</option>
			    <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
			    <option value="Uruguay">Uruguay</option>
			    <option value="USA">USA</option>
			    <option value="Uzbekistan">Uzbekistan</option>
			    <option value="Vanuatu">Vanuatu</option>
			    <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
			    <option value="Venezuela">Venezuela</option>
			    <option value="Viet Nam">Viet Nam</option>
			    <option value="Virgin Islands (British)">Virgin Islands (British)</option>
			    <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
			    <option value="Wales">Wales</option>
			    <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
			    <option value="Western Sahara">Western Sahara</option>
			    <option value="Yemen">Yemen</option>
			    <option value="Zambia">Zambia</option>
			    <option value="Zimbabwe">Zimbabwe</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Phone*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Phone" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Email address*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Email" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Quantity*:</td>
				<td>&nbsp;</td>
				<td>
				<select name="Quantity" onchange="price_valid(this.form.Quantity.options[this.form.Quantity.selectedIndex].value);">
				<option value="1">1</option>
				<option value="2">2</option>
				<option value="3">3</option>
				<option value="4">4</option>
				<option value="5">5</option>
				<option value="6">6</option>
				<option value="7">7</option>
				<option value="8">8</option>
				<option value="9">9</option>
				<option value="10">10</option>
				</select>
				</td>
				<td>
				Price:&nbsp;<input name="amount_disabled" style="text-align:right;" size="8" value="250.00" readonly="readonly" disabled>&nbsp;&euro;
				</td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">(* mandatory)</td>
				<td colspan="3"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			</table><br><br>
			<table border="0" cellspacing="0" cellpadding="0" bgcolor="#f4f4f4" width="100%">
			<tr>
				<td colspan="4" bgcolor="#e7e7e7" height="30">&nbsp;&nbsp;&nbsp;<strong>Shipping address </strong>(if different from billing address):</td>
			</tr>
			<tr>
				<td colspan="4"><img src="../pictures/graupixel.gif" width="100%" height="1" alt="" border="0"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Title:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="lGender">
					<option value="Mr">Mr.</option>
					<option value="Ms">Ms.</option>
					<option value="Company">Company</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">First name:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lFirstName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Last name:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lLastName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Company (optional):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lCompany" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Address (line 1):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lStreet" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Address (line 2):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lApartment" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">City:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lCity" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">State/Province:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lState" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">ZIP/Postal code:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lZIP" size="20" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Country:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="lNation">
				<option value="">Please select...</option>
				<option value="Afghanistan">Afghanistan</option>
				<option value="Albania">Albania</option>
			    <option value="Algeria">Algeria</option>
			    <option value="American Samoa">American Samoa</option>
			    <option value="Andorra">Andorra</option>
			    <option value="Anguill">Anguilla</option>
			    <option value="Antarctica">Antarctica</option>
			    <option value="Antigua And Barbuda">Antigua And Barbuda</option>
			    <option value="Argentina">Argentina</option>
			    <option value="Armenia">Armenia</option>
			    <option value="Aruba">Aruba</option>
			    <option value="Australia">Australia</option>
			    <option value="Austria">Austria</option>
			    <option value="Azerbaijan">Azerbaijan</option>
			    <option value="Bahamas">Bahamas</option>
			    <option value="Bahrain">Bahrain</option>
			    <option value="Bangladesh">Bangladesh</option>
			    <option value="Barbados">Barbados</option>
			    <option value="Belarus">Belarus</option>
			    <option value="Belgium">Belgium</option>
			    <option value="Belize">Belize</option>
			    <option value="Benin">Benin</option>
			    <option value="Bermuda">Bermuda</option>
			    <option value="Bhutan">Bhutan</option>
			    <option value="Bolivia">Bolivia</option>
			    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
			    <option value="Botswana">Botswana</option>
			    <option value="Bouvet Island">Bouvet Island</option>
			    <option value="Brazil">Brazil</option>
			    <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
			    <option value="Brunei Darussalam">Brunei Darussalam</option>
			    <option value="Bulgaria">Bulgaria</option>
			    <option value="Burkina Faso">Burkina Faso</option>
			    <option value="Burundi">Burundi</option>
			    <option value="Cambodia">Cambodia</option>
			    <option value="Cameroon">Cameroon</option>
			    <option value="Canada">Canada</option>
			    <option value="Cape Verde">Cape Verde</option>
			    <option value="Cayman Islands">Cayman Islands</option>
			    <option value="Central African Republic">Central African Republic</option>
			    <option value="Chad">Chad</option>
			    <option value="Chile">Chile</option>
			    <option value="China">China</option>
			    <option value="Christmas Island">Christmas Island</option>
			    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
			    <option value="Colombia">Colombia</option>
			    <option value="Comoros">Comoros</option>
			    <option value="Congo">Congo</option>
			    <option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
			    <option value="Cook Islands">Cook Islands</option>
			    <option value="Costa Rica">Costa Rica</option>
			    <option value="Cote d'Ivoire">Cote d'Ivoire</option>
			    <option value="Croatia">Croatia</option>
			    <option value="Cyprus">Cyprus</option>
			    <option value="Czech Republic">Czech Republic</option>
			    <option value="Denmark">Denmark</option>
			    <option value="Djibouti">Djibouti</option>
			    <option value="Dominica">Dominica</option>
			    <option value="Dominican Republic">Dominican Republic</option>
			    <option value="East Timor">East Timor</option>
			    <option value="Ecuador">Ecuador</option>
			    <option value="Egypt">Egypt</option>
			    <option value="El Salvador">El Salvador</option>
			    <option value="England">England</option>
			    <option value="Equatorial Guinea">Equatorial Guinea</option>
			    <option value="Eritrea">Eritrea</option>
			    <option value="Espana">Espana</option>
			    <option value="Estonia">Estonia</option>
			    <option value="Ethiopia">Ethiopia</option>
			    <option value="Falkland Islands">Falkland Islands</option>
			    <option value="Faroe Islands">Faroe Islands</option>
			    <option value="Fiji">Fiji</option>
			    <option value="Finland">Finland</option>
			    <option value="France">France</option>
			    <option value="French Guiana">French Guiana</option>
			    <option value="French Polynesia">French Polynesia</option>
			    <option value="French Southern Territories">French Southern Territories</option>
			    <option value="Gabon">Gabon</option>
			    <option value="Gambia">Gambia</option>
			    <option value="Georgia">Georgia</option>
			    <option value="Germany">Germany</option>
			    <option value="Ghana">Ghana</option>
			    <option value="Gibraltar">Gibraltar</option>
			    <option value="Great Britain">Great Britain</option>
			    <option value="Greece">Greece</option>
			    <option value="Greenland">Greenland</option>
			    <option value="Grenada">Grenada</option>
			    <option value="Guadeloupe">Guadeloupe</option>
			    <option value="Guam">Guam</option>
			    <option value="Guatemala">Guatemala</option>
			    <option value="Guinea">Guinea</option>
			    <option value="Guinea-Bissau">Guinea-Bissau</option>
			    <option value="Guyana">Guyana</option>
			    <option value="Haiti">Haiti</option>
			    <option value="Heard and Mc Donald Islands">Heard and Mc Donald Islands</option>
			    <option value="Honduras">Honduras</option>
			    <option value="Hong Kong">Hong Kong</option>
			    <option value="Hungary">Hungary</option>
			    <option value="Iceland">Iceland</option>
			    <option value="India">India</option>
			    <option value="Indonesia">Indonesia</option>
			    <option value="Ireland">Ireland</option>
			    <option value="Israel">Israel</option>
			    <option value="Italy">Italy</option>
			    <option value="Jamaica">Jamaica</option>
			    <option value="Japan">Japan</option>
			    <option value="Jordan">Jordan</option>
			    <option value="Kazakhstan">Kazakhstan</option>
			    <option value="Kenya">Kenya</option>
			    <option value="Kiribati">Kiribati</option>
			    <option value="Korea, Republic of">Korea, Republic of</option>
			    <option value="Korea (South)">Korea (South)</option>
			    <option value="Kuwait">Kuwait</option>
			    <option value="Kyrgyzstan">Kyrgyzstan</option>
			    <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
			    <option value="Latvia">Latvia</option>
			    <option value="Lebanon">Lebanon</option>
			    <option value="Lesotho">Lesotho</option>
			    <option value="Liberia">Liberia</option>
			    <option value="Libya">Libya</option>
			    <option value="Liechtenstein">Liechtenstein</option>
			    <option value="Lithuania">Lithuania</option>
			    <option value="Luxembourg">Luxembourg</option>
			    <option value="Macau">Macau</option>
			    <option value="Macedonia">Macedonia</option>
			    <option value="Madagascar">Madagascar</option>
			    <option value="Malawi">Malawi</option>
			    <option value="Malaysia">Malaysia</option>
			    <option value="Maldives">Maldives</option>
			    <option value="Mali">Mali</option>
			    <option value="Malta">Malta</option>
			    <option value="Marshall Islands">Marshall Islands</option>
			    <option value="Martinique">Martinique</option>
			    <option value="Mauritania">Mauritania</option>
			    <option value="Mauritius">Mauritius</option>
			    <option value="Mayotte">Mayotte</option>
			    <option value="Mexico">Mexico</option>
			    <option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
			    <option value="Moldova, Republic of">Moldova, Republic of</option>
			    <option value="Monaco">Monaco</option>
			    <option value="Mongolia">Mongolia</option>
			    <option value="Montenegro">Montenegro</option>
			    <option value="Montserrat">Montserrat</option>
			    <option value="Morocco">Morocco</option>
			    <option value="Mozambique">Mozambique</option>
			    <option value="Myanmar">Myanmar</option>
			    <option value="Namibia">Namibia</option>
			    <option value="Nauru">Nauru</option>
			    <option value="Nepal">Nepal</option>
			    <option value="Netherlands">Netherlands</option>
			    <option value="Netherlands Antilles">Netherlands Antilles</option>
			    <option value="New Caledonia">New Caledonia</option>
			    <option value="New Zealand">New Zealand</option>
			    <option value="Nicaragua">Nicaragua</option>
			    <option value="Niger">Niger</option>
			    <option value="Nigeria">Nigeria</option>
			    <option value="Niue">Niue</option>
			    <option value="Norfolk Island">Norfolk Island</option>
			    <option value="Northern Ireland">Northern Ireland</option>
			    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
			    <option value="Norway">Norway</option>
			    <option value="Oman">Oman</option>
			    <option value="Pakistan">Pakistan</option>
			    <option value="Palau">Palau</option>
			    <option value="Panama">Panama</option>
			    <option value="Papua New Guinea">Papua New Guinea</option>
			    <option value="Paraguay">Paraguay</option>
			    <option value="Peru">Peru</option>
			    <option value="Philippines">Philippines</option>
			    <option value="Pitcairn">Pitcairn</option>
			    <option value="Poland">Poland</option>
			    <option value="Portugal">Portugal</option>
			    <option value="Puerto Rico">Puerto Rico</option>
			    <option value="Qatar">Qatar</option>
			    <option value="Reunion">Reunion</option>
			    <option value="Romania">Romania</option>
			    <option value="Russia">Russia</option>
			    <option value="Russian Federation">Russian Federation</option>
			    <option value="Rwanda">Rwanda</option>
			    <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
			    <option value="Saint Lucia">Saint Lucia</option>
			    <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
			    <option value="Samoa (Independent)">Samoa (Independent)</option>
			    <option value="San Marino">San Marino</option>
			    <option value="Sao Tome and Principe">Sao Tome and Principe</option>
			    <option value="Saudi Arabia">Saudi Arabia</option>
			    <option value="Scotland">Scotland</option>
			    <option value="Senegal">Senegal</option>
			    <option value="Serbia">Serbia</option>
			    <option value="Seychelles">Seychelles</option>
			    <option value="Sierra Leone">Sierra Leone</option>
			    <option value="Singapore">Singapore</option>
			    <option value="Slovakia">Slovakia</option>
			    <option value="Slovenia">Slovenia</option>
			    <option value="Solomon Islands">Solomon Islands</option>
			    <option value="Somalia">Somalia</option>
			    <option value="South Africa">South Africa</option>
			    <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
			    <option value="South Korea">South Korea</option>
			    <option value="Spain">Spain</option>
			    <option value="Sri Lanka">Sri Lanka</option>
			    <option value="St. Helena">St. Helena</option>
			    <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
			    <option value="Suriname">Suriname</option>
			    <option value="Svalbard and Jan Mayen Island">Svalbard and Jan Mayen Islands</option>
			    <option value="Swaziland">Swaziland</option>
			    <option value="Sweden">Sweden</option>
			    <option value="Switzerland">Switzerland</option>
			    <option value="Taiwan">Taiwan</option>
			    <option value="Tajikistan">Tajikistan</option>
			    <option value="Tanzania">Tanzania</option>
			    <option value="Thailand">Thailand</option>
			    <option value="Togo">Togo</option>
			    <option value="Tokelau">Tokelau</option>
			    <option value="Tonga">Tonga</option>
			    <option value="Trinidad">Trinidad</option>
			    <option value="Trinidad and Tobago">Trinidad and Tobago</option>
			    <option value="Tunisia">Tunisia</option>
			    <option value="Turkey">Turkey</option>
			    <option value="Turkmenistan">Turkmenistan</option>
			    <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
			    <option value="Tuvalu">Tuvalu</option>
			    <option value="Uganda">Uganda</option>
			    <option value="Ukraine">Ukraine</option>
			    <option value="United Arab Emirates">United Arab Emirates</option>
			    <option value="United Kingdom">United Kingdom</option>
			    <option value="United States">United States</option>
			    <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
			    <option value="Uruguay">Uruguay</option>
			    <option value="USA">USA</option>
			    <option value="Uzbekistan">Uzbekistan</option>
			    <option value="Vanuatu">Vanuatu</option>
			    <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
			    <option value="Venezuela">Venezuela</option>
			    <option value="Viet Nam">Viet Nam</option>
			    <option value="Virgin Islands (British)">Virgin Islands (British)</option>
			    <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
			    <option value="Wales">Wales</option>
			    <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
			    <option value="Western Sahara">Western Sahara</option>
			    <option value="Yemen">Yemen</option>
			    <option value="Zambia">Zambia</option>
			    <option value="Zimbabwe">Zimbabwe</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Phone:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lPhone" size="30" maxlength="255"></td>
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				<td colspan="4">&nbsp;</td>
			</tr>
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				<td colspan="4"><strong>&nbsp;&nbsp;&nbsp;TERMS OF DELIVERY: </strong> DAP (according to the <a href="http://www.tis-gdv.de/tis/bedingungen/incoterms/inhalt.htm" target="_blank" style="color:blue;">INCOTERMS 2010</a>)</td>
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				<td valign="middle">&nbsp;&nbsp;&nbsp;Click on this banner for <strong><br>&nbsp;&nbsp;&nbsp;normal bank wire transfer</strong>:<br><br></td>
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	<td  class="fussform" colspan="2">&copy; GDV <script language="JavaScript">document.write((new Date()).getFullYear());</script>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="http://www.containerhandbook.de" target="_blank">Container Handbook</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="mailto:b.kupfer@gdv.de">Contact</a></td>
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