ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><title>Bestilling</title><style type="text/css"> <!-- body,td,th { font-family: Verdana, Arial, Helvetica, sans-serif; } .style1 {font-size: 12px} .style3 {font-size: 12px; font-weight: bold; } .style5 {font-size: 10px} --> </style><meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /></head> <body> <p class="style1">&nbsp;</p> <form action="contact.php" method="post"> <p class="style1"><br /> </p> <table width="960" border="0" cellpadding="0" cellspacing="0" bordercolor="#FFFFFF" bgcolor="#FFFFFF"> <tr> <td width="53">&nbsp;</td> <td width="271">&nbsp;</td> <td colspan="2"><div align="center"><span class="style3">BESTILLING</span></div></td> <td width="229">&nbsp;</td> <td width="62">&nbsp;</td> </tr> <tr> <td rowspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> <td colspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> </tr> <tr> <td colspan="2">&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td><span class="style1"><b>Navn:</b></span></td> <td colspan="2"><span class="style1"> <input name="navn" type="text" maxlength="60" /> </span></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td rowspan="2">&nbsp;</td> <td class="style1"><b>Mobil nummer:</b></td> <td colspan="2"><span class="style1"> <input name="nummer" type="text" maxlength="60" /> </span></td> <td rowspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> </tr> <tr> <td colspan="3" class="style1"><span class="style5">Hvis det er muligt, bedes du oplyse et mobilnummer, så vi kan kontakte dig på dagen om nødvendigt. Rundviseren venter max. 20 min. efter det aftalte tidspunkt. </span></td> </tr> <tr> <td>&nbsp;</td> <td class="style1"><b>E-mail:</b></td> <td colspan="2"><span class="style1"> <input name="email" type="text" maxlength="60" /> </span></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td class="style1"><b>Group type:</b></td> <td width="177"><span class="style1"> <input name="group" type="text" maxlength="60" /> </span></td> <td colspan="2"><span class="style5">F.eks. Skole, virksomhed, forening osv. </span></td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td><span class="style1">Klassetrin<b>:</b></span></td> <td><span class="style1"> <input type="text" name="klassetrin" /> </span></td> <td colspan="2" class="style5">Kun for Skoleklasser</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td class="style1"><b>Ønsket dato:</b></td> <td colspan="2"><span class="style1"> <input type="text" name="dato" /> </span></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td class="style1"><b>Ønsket tidspunkt:</b></td> <td><span class="style1"> <input type="text" name="tidspunkt" /> </span></td> <td colspan="2" class="style5">Der kan ikke bookes mandage før kl.11</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td class="style1"><b>Antal deltager:</b></td> <td><span class="style1"> <input type="text" name="deltager" /> </span></td> <td colspan="2" class="style5">Hvis det ikke er muligt at oplyse det præcise antal, oplys venligst et cirka antal.</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td class="style3">Vælg sprog</td> <td colspan="2"><select name="sprog"> <option value=""> -- Please select -- </option> <option>Dansk</option> <option>Engelsk</option> <option>Svensk</option> <option>Tysk</option> <option>Fransk</option> </select></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td colspan="2">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td colspan="3" class="style3">Ændringer i en eksisterende reservation:<br /> <span class="style5">Sidste frist for ændringer er fredag kl.18:00 ugen før. Vær venlig at oplyse bookingnummer!</span></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td rowspan="2">&nbsp;</td> <td>&nbsp;</td> <td colspan="2" rowspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> <td rowspan="2">&nbsp;</td> </tr> <tr> <td class="style3"><strong>Send bestilling </strong></td> </tr> <tr> <td>&nbsp;</td> <td><p> <input type="submit" name="Submit" value="Bestil"> </p></td> <td colspan="2">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td colspan="2">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td colspan="2">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td colspan="2">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </table> </form> </body> </html>