Feltet kommer nok ikke lige, der hvor du gerne vil have det, men det kan du formentlig sagtens selv tilpasse? Scriptet virker efter hensigten i hvert fald :-) Håber det er nok! *SS*
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<meta http-equiv="reply-to" content="admin@brogaarden-fc.dk">
<meta name="Author" content="Mads Graugaard Hansen">
<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
<meta name="Owner" content="Brogaardens Fritidscenter">
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<title>Band Tilmelding</title>
<link rel="stylesheet" type="text/css" href="../css/style.css">
</head>
<body>
<h1>Band Tilmelding</h1>
<p align="center"><a href="java script:history.back()">Tilbage</a></p>
<form name="rock" method="POST" action="../aktiviteter/musik/rock/tilmelding/tilmeld.asp">
<table width="90%" align="center">
<tr>
<td id="formhead" align="center" width="100%">Kontaktoplysninger</td>
</tr>
</table>
<table width="90%" align="center">
<tr>
<td align="center"><font size="2" color="#FF0000">Alle felter markeret med *
<b>SKAL</b> udfyldes<br>
Betalingsoplysninger findes nederst på siden<br>
Tilmelding koster <b> kr. 50,-</b> Pr. Band</font></td>
</tr>
</table>
<table width="90%" align="center">
<tr>
<td align="right" width="19%">Band Navn: </td>
<td align="left" width="28%"><input id="entry" type="text" name="Bnavn" size="25"><font size="2" color="#FF0000"> *</font></td>
<td align="right" width="23%">Genre: </td>
<td align="left" width="30%">
<select size="1" name="Genre" id="entry" onchange="if(document.rock.Genre.value=='Andet'){document.all.indtast.style.visibility='visible'}else{document.all.indtast.style.visibility='hidden'}">
<option selected value="Pop/Rock">Pop/Rock</option>
<option value="Pop">Pop</option>
<option value="Rock">Rock</option>
<option value="Metal">Metal</option>
<option value="Funk">Funk</option>
<option value="Cover">Cover</option>
<option value="Egne Numre">Egne Numre</option>
<option value="Andet">Andet..</option>
</select><font size="2" color="#FF0000">*</font></td>
</tr>
<tr>
<td align="right" width="19%">Adresse: </td>
<td align="left" width="28%"><input id="entry" type="text" name="Adresse" size="25"><font size="2" color="#FF0000"> *</font></td>
<td align="right" width="23%"><input name="indtast" style="visibility:hidden"></td>
Adresse 1: </td>
<td align="left" width="30%"><input id="entry" type="text" name="Adresse1" size="25"><font size="2" color="#FF0000"> *</font></td>
</tr>
<tr>
<td align="right" width="19%">Post Nr.: </td>
<td align="left" width="28%"><input id="entry" type="text" name="PostNr" size="25"><font size="2" color="#FF0000"> *</font></td>
<td align="right" width="23%">By: </td>
<td align="left" width="30%"><input id="entry" type="text" name="By" size="25"><font size="2" color="#FF0000"> *</font></td>
</tr>
<tr>
<td align="right" width="19%">Kontaktperson: </td>
<td align="left" width="28%"><input id="entry" type="text" name="Kperson" size="25"><font size="2" color="#FF0000"> *</font></td>
<td align="right" width="23%">Telefonnummer: </td>
<td align="left" width="30%"><input id="entry" type="text" name="TlfNr" size="25"><font size="2" color="#FF0000"> *</font></td>
</tr>
</table>
<br>
<table width="90%" align="center">
<tr>
<td id="formhead" align="center" width="100%">Band Oplysninger</td>
</tr>
</table>
<table width="95%" align="center">
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn1" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument1">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">
<p align="right">Synger: <font size="2" color="#FF0000">x
ved ja </font></p>
</td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang1" value="Ja"></p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn2" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument2">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang2" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn3" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument3">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2" color="#FF0000">x
ved ja </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang3" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn4" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument4">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang4" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn5" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument5">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang5" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn6" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument6">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang6" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn7" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument7">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang7" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn8" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument8">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang8" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn9" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument9">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang9" value="Ja"> </p>
</td>
</tr>
<tr>
<td align="right" width="10%">Navn: </td>
<td align="left" width="17%"><input type="text" name="Navn10" size="20" id="entry"></td>
<td align="right" width="25%">Instrument: </td>
<td align="left" width="19%"><select size="1" name="Instrument10">
<option></option>
<option>Vokal</option>
<option value="Trommer">Trommer</option>
<option value="Bas">Bas</option>
<option value="Guitar">Guitar</option>
<option value="Keyboard">Keyboard</option>
<option value="Percussion">Percussion</option>
<option value="Trompet">Trompet</option>
<option value="Saxofon">Saxofon</option>
<option>Andet..</option>
</select></td>
<td align="right" width="50%">Synger: <font color="#FF0000"> </font><font size="2"><font
color="#FF0000">x
ved ja</font> </font> </td>
<td align="left" width="29%">
<p align="left"><input type="checkbox" name="Sang10" value="Ja"> </p>
</td>
</tr>
</table>
<table id="table" width="73%" align="center">
<tr>
<td align="right" width="92%">
<p align="left">Venstrehåndet Trommeslager: <font size="2" color="#FF0000">x ved JA</font></p>
</td>
<td align="center" width="8%"><input type="checkbox" name="Vhand" value="Ja"></td>
</tr>
</table>
<table id="table" width="73%" align="center">
<tr>
<td align="right" width="68%">
<p align="left">Hvilken dag kan i spille<font size="2"> <font
color="#FF0000"> gerne x i begge dage</font> </font></p>
</td>
<td align="center" width="32%">
<p align="left"><font size="2">Lørdag: <input type="checkbox"
name="saturday" value="Ja"> Søndag: <input type="checkbox"
name="sunday" value="Ja"> </font></p>
</td>
</tr>
</table>
<table id="table" width="73%" align="center">
<tr>
<td align="right" width="92%">
<p align="left">Ønsker videooptagelse af bandet <font size="2"><b>(</b></font><b><font size="2">kr.</font></b> <font size="2"><b>
100,- )</b> </font> <font size="2" color="#FF0000">x ved JA</font></p>
<td align="center" width="8%"><input type="checkbox" name="Video" value="Ja"></td>
</tr>
</table>
<br>
<table width="90%" align="center">
<tr>
<td id="formhead" align="center" width="100%">Betalings Oplysninger</td>
</tr>
</table>
<table width="90%" align="center">
<tr>
<td align="center"><font color="#FF0000"><font size="2">Husk at anføre <b>Band
Navn</b> på Girokortet.<br>
Ved betaling med check, anføres dette på bagsiden.</font> </font>
<p><font color="#FF0000" size="2"><b>OBS! </b>Tilmeldingen er først gyldig
når Brogaarden har modtaget betalingen.</font></p>
</td>
</tr>
</table>
<table id="table" width="50%" align="center">
<tr>
<td align="left" width="90%">Indbetales på giro <b>045 65 27 </b>: </td>
<td align="left" width="10%"><input type="radio" name="Betaling" value="Giro"></td>
</tr>
</table>
<table id="table" width="50%" align="center">
<tr>
<td align="left" width="90%">Check sendes til Brogaarden :</td>
<td align="left" width="10%"><input type="radio" name="Betaling" value="Check"></td>
</tr>
</table>
<table width="20%" align="center">
<tr>
<td align="Right" width="42%"><input id="entry1" type="submit" value="Tilmeld"></td>
<td align="left" width="58%"><input id="entry1" type="reset" value="Fortryd Indtastning"</td>
</table>
</form>
</body>
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