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Contact form for I-Konto

For the purpose of the shortest possible solution indicate, kindly, also the following information

• What i wanted to do
  E.G. I wanted to open today´s offer
• What actually happened
  E.G. An empty page was displayed with error / pty site was displayed with error
• In case of the ticket complaint mention the wager no. / ntion the ticket / football coupon No.
  E.G. 1992154321234568.
• Possible erroneous message
  E.G. Fatal error: cannot connect to database server.
• Which is the complete oage address / site address
  E.G. http://www.ifortuna.cz/jnp/cz//Contacts/contact form
• Your type of viewer (with its version) and monitor definition
  E.G. Internet explorer 6.0.2900.2180. Definition 1024 by 768 pixels