function fx_1und1_domain_check(zanox_dll, zanox_param, ac) {
document.write('<form style=\"padding:0px;\" method=\"GET\" name=\"domainchecker4\" action=\"' + zanox_dll + '\" target=\"_blank\">');
document.write('<input type=\"hidden\" name=\"' + zanox_param + '\" value=\"http://hosting.1und1.de/dcjump?ac=' + ac +'\">');
document.write('<table width=\"160\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" bgcolor=\"#FFFFFF\">');
document.write('<tr>');
document.write('<td colspan=\"2\" width=\"160\"><img src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/160_headline.gif\" width=\"160\" height=\"31\"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td style=\"font-family: verdana,geneva,sans-serif; color:#000000; font-size:13px;\">www.<br>');
document.write('<input maxlength=\"500\" name=\"multicheck.Domain\" value=\"\" type=\"text\" style=\"width:108px;\">');
document.write('</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan=\"2\"><img src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/leer.gif\" width=\"1\" height=\"4\"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td style=\"font-family: verdana,geneva,sans-serif; color:#000000; font-size:13px;\">');
document.write('<select name=\"multicheck.Tlds\" style=\"width:76px;\">');
document.write('<option value=\"de\">de</option>');
document.write('<option value=\"com\">com</option>');
document.write('<option value=\"net\">net</option>');
document.write('<option value=\"org\">org</option>');
document.write('<option value=\"info\">info</option>');
document.write('<option value=\"biz\">biz</option>');
document.write('<option value=\"name\">name</option>');
document.write('<option value=\"us\">us</option>');
document.write('<option value=\"eu\">eu</option>');
document.write('</select>');
document.write('</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan=\"2\"><img src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/leer.gif\" width=\"1\" height=\"4\"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td>&nbsp;</td>');
document.write('<td><input src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/pruefen.gif\" alt=\"Abschicken\" name=\"submit\" type=\"image\" align=\"left\"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan=\"2\"><img src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/leer.gif\" width=\"1\" height=\"7\"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan=\"2\" ><img src=\"http://adimg.uimserv.net/1und1/Werbemittel/affiliate/domaincheck/1und1Label/160x130/leer.gif\" width=\"1\" height=\"4\"></td>');
document.write('</tr>');
document.write('</table>');
document.write('<input name=\"__sendingdata\" value=\"1\" type=\"hidden\">');
document.write('<input name=\"__pageflow\" value=\"Order\" type=\"hidden\">');
document.write('<input value=\"Prüfen\" name=\"__SBMT:d1e2775d0:\" type=\"hidden\" >');
document.write('<input name=\"__SYNT:d1e2775d0:__CMD[domaincheck]:SELWRP\" value=\"multicheck\" type=\"hidden\">');
document.write('<input name=\"__SBMT:d1e2775d0:.x\" type=\"hidden\" value=\"21\">');
document.write('<input name=\"__SBMT:d1e2775d0:.y\" type=\"hidden\" value=\"9\">');
document.write('</form>');
}