From: <Mit Windows Internet Explorer 8 gespeichert>
Subject: Renate Merkle Stiftung | Brotpatenschaft Formular
Date: Wed, 3 Aug 2011 11:31:58 +0200
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" =
"http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd">
<HTML xmlns=3D"http://www.w3.org/1999/xhtml"><HEAD><TITLE>Renate Merkle =
Stiftung | Brotpatenschaft Formular</TITLE>
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http-equiv=3DContent-Type><LINK=20
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        <TR>
          <TD class=3Dhead vAlign=3Dtop=20
            colSpan=3D2>Renate-Merkle-Stiftung:<BR>Formular =
Brotpatenschaft</TD></TR>
        <TR>
          <TD class=3Dcontent vAlign=3Dtop colSpan=3D2><STRONG=20
            class=3DheadSm><BR>Hiermit erteile ich eine =
Einzugserm=E4chtigung=20
            (jederzeit widerrufbar), erstmals nach Erteilung und danach =
j=E4hrlich=20
            zum</STRONG></TD></TR>
        <TR>
          <TD class=3Dcontent vAlign=3Dtop width=3D"20%">01. M=E4rz</TD>
          <TD class=3Dcontent width=3D"80%"><INPUT value=3Dradiobutton =
type=3Dradio=20
            name=3Dradiobutton> =
=8040,--&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <INPUT=20
            value=3Dradiobutton type=3Dradio name=3Dradiobutton> =
&nbsp;=80 <INPUT size=3D7=20
            name=3Dtextfield22> &nbsp;(zutreffendes bitte =
ankreuzen)<BR></TD></TR>
        <TR>
          <TD class=3Dcontent colSpan=3D2><STRONG class=3DheadSm>von =
meinem=20
            nachfolgend aufgef=FChrten Bankkonto=20
abzubuchen.</STRONG><BR><BR></TD></TR>
        <TR>
          <TD class=3Dcontent bgColor=3D#e8e1d7 align=3Dright>Konto =
Nr.:</TD>
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name=3Dtextfield2222>=20
          </TD></TR>
        <TR>
          <TD class=3Dcontent bgColor=3D#e8e1d7 align=3Dright>BLZ</TD>
          <TD class=3Dcontent bgColor=3D#eeeeee><INPUT size=3D9 =
name=3Dtextfield3222>=20
          </TD></TR>
        <TR>
          <TD class=3Dcontent bgColor=3D#e8e1d7 =
align=3Dright>Bankname:</TD>
          <TD class=3Dcontent bgColor=3D#eeeeee><INPUT =
name=3Dtextfield4222> </TD></TR>
        <TR>
          <TD class=3Dcontent bgColor=3D#e8e1d7 align=3Dright>Name/ =
Vorname</TD>
          <TD class=3Dcontent bgColor=3D#eeeeee><INPUT size=3D28 =
name=3Dtextfield5222>=20
          </TD></TR>
        <TR>
          <TD class=3Dcontent bgColor=3D#e8e1d7 vAlign=3Dtop=20
          align=3Dright>Anschrift:</TD>
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cols=3D30 name=3Dtextarea></TEXTAREA>=20
          </TD></TR>
        <TR>
          <TD class=3Dcontent align=3Dright>&nbsp;</TD>
          <TD class=3Dcontent>&nbsp;</TD></TR>
        <TR>
          <TD class=3Dcontent align=3Dright>Unterschrift:</TD>
          <TD class=3Dcontent>&nbsp;</TD></TR>
        <TR>
          <TD class=3Dcontent align=3Dright>&nbsp;</TD>
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false" value=3D"zum Unterschreiben ausdrucken" type=3Dbutton =
name=3DPrint222></TD></TR>
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          <TD class=3Dcontent align=3Dright>&nbsp;</TD>
          <TD class=3Dcontent><BR><BR></TD></TR>
        <TR>
          <TD class=3Dcontent colSpan=3D2><STRONG =
class=3DheadSm>Ausgedrucktes und=20
            unterschriebenes Formular bitte zufaxen=20
            an:<BR><BR><BR></STRONG>Faxnummer:<STRONG> 07665 - 4208-89=20
            <BR></STRONG>oder per Post an: <STRONG>Renate Merkle, =
Unterbirken 21,=20
            D-79252=20
Stegen</STRONG></TD></TR></TBODY></TABLE></FORM></TD></TR></TBODY></TABLE>=
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