Dette skulle gerne gøre det:
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<title>Ansøgning om leje</title></head>
<body>
<SCRIPT LANGUAGE="JavaScript" TYPE="text/javascript">
<!--
function send()
{
if(window.confirm("Banketten sendes nu, du vil høre fra din repræsentant"))
{
document.FrontPage_Form1.submit()
}
}
//-->
</SCRIPT>
<form method="POST" action="
http://www.feriefondenmidtvest.dk/cgi-bin/FormMail.pl" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1">
<input type="hidden" name="redirect" value="
http://www.feriefondenmidtvest.dk/test.html"><p align="center">
<input type="hidden" name="subject" value="Ansøgning om leje af sommerhus">
<font face="Comic Sans MS" size="6">Ansøgning om leje<br>
</font><font face="Comic Sans MS" size="3">Udfyld nedenstående
ansøgningsskema og send den med knappen forneden</font>
<p align="center"> </p>
<p align="left"><font face="Comic Sans MS" size="3">Sommerhus /
periodeoplysninger</font></p>
<table border="0" width="787">
<tr>
<td width="112"><font face="Comic Sans MS" size="3">Sommerhus:</font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3">
1. prioritet</font></td>
<td width="117" align="right"><font face="Comic Sans MS" size="3"><select size="1" name="Prioritet_1">
<option>---</option>
<option>aalbæk</option>
<option>Vigen</option>
<option>Arrild</option>
</select></font></td>
<td width="107" align="right"><font face="Comic Sans MS" size="3"> 2. prioritet</font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3"> <select size="1" name="Prioritet_2">
<option>---</option>
<option>aalbæk</option>
<option>Vigen</option>
<option>Arrild</option>
</select></font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3"> 3. prioritet </font></td>
<td width="113" align="right"><font face="Comic Sans MS" size="3"><select size="1" name="Prioritet_3">
<option>---</option>
<option>aalbæk</option>
<option>Vigen</option>
<option>Arrild</option>
</select></font></td>
</tr>
<tr>
<td width="112"><font face="Comic Sans MS" size="3">Ugenummer:</font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3">
i uge</font></td>
<td width="117" align="right">
<p align="right"><font face="Comic Sans MS" size="3"><select size="1" name="Prioritet_1_uge">
<option value>-</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
<option>32</option>
<option>33</option>
<option>34</option>
<option>35</option>
<option>36</option>
<option>37</option>
<option>38</option>
<option>39</option>
<option>40</option>
<option>41</option>
<option>42</option>
<option>43</option>
<option>44</option>
<option>45</option>
<option>46</option>
<option>47</option>
<option>48</option>
<option>49</option>
<option>50</option>
<option>51</option>
<option>52</option>
<option>53</option>
</select></font></td>
<td width="107" align="right"><font face="Comic Sans MS" size="3">
i uge</font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3"><select size="1" name="Prioritet_2_uge">
<option>-</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
<option>32</option>
<option>33</option>
<option>34</option>
<option>35</option>
<option>36</option>
<option>37</option>
<option>38</option>
<option>39</option>
<option>40</option>
<option>41</option>
<option>42</option>
<option>43</option>
<option>44</option>
<option>45</option>
<option>46</option>
<option>47</option>
<option>48</option>
<option>49</option>
<option>50</option>
<option>51</option>
<option>52</option>
<option>53</option>
</select></font></td>
<td width="112" align="right"><font face="Comic Sans MS" size="3">
i uge</font></td>
<td width="113" align="right"><font face="Comic Sans MS" size="3"><select size="1" name="Prioritet_3_uge">
<option>-</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
<option>32</option>
<option>33</option>
<option>34</option>
<option>35</option>
<option>36</option>
<option>37</option>
<option>38</option>
<option>39</option>
<option>40</option>
<option>41</option>
<option>42</option>
<option>43</option>
<option>44</option>
<option>45</option>
<option>46</option>
<option>47</option>
<option>48</option>
<option>49</option>
<option>50</option>
<option>51</option>
<option>52</option>
<option>53</option>
</select></font></td>
</tr>
<tr>
<td width="505" colspan="3"><font face="Comic Sans MS" size="3">Leje week-end eller anden
periode angiv perioden: </font></td>
<td width="395" align="right" colspan="4">
<p align="left"><font face="Comic Sans MS" size="3"> <input type="text" name="Anden_lejeperiode" size="53"></font></td>
</tr>
</table>
<table border="0" width="787">
<tr>
<td width="193"></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="3">Lejer oplysninger:</font></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Navn:</font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="Navn" size="35">
</font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Adresse: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="Adresse" size="35"> </font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Postnr/by:</font></td>
<td width="27"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="Postnummer" size="5"></font></td>
<td width="167"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="By" size="27">
</font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193"></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Ansættelseskommune: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><select size="1" name="Ansaettelseskommune">
<option>--</option>
<option>Aulum-Haderup</option>
<option>Vinderup</option>
<option>Thyholm</option>
<option>Trehøje</option>
</select> </font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Telefon
privat: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="Privat_telefon" size="10">
</font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="1">(*) </font><font face="Comic Sans MS" size="3">Telefon
arbejde: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><!--webbot
bot="Validation" B-Value-Required="TRUE" --><input type="text" name="Telefon_arbejde" size="10">
</font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="3">E-mail
Adresse: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><input type="text" name="E_mail_adresse" size="38"></font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193" align="right"><font face="Comic Sans MS" size="3">Bemærkninger: </font></td>
<td width="194" colspan="2"><font face="Comic Sans MS" size="3"><input type="text" name="Bemaerkninger" size="35">
</font></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193"><font face="Comic Sans MS" size="3">(*) = felter skal
udfyldes
</font></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193"><input type="reset" value="Nulstil ansøgning" name="B3"></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
<tr>
<td width="193"></td>
<td width="194" colspan="2"></td>
<td width="238"></td>
<td width="136"></td>
</tr>
</table>
<table border="0" width="786">
<tr>
<BR>
<table>
<td width="323"><font face="Comic Sans MS" size="3">Vælg modtageren i
rammen og tryk på send:</font></td>
<td width="233"><!--webbot bot="Validation" B-Value-Required="TRUE" --><select size="1" name="recipient">
<option value="---" </option>
<option value="trehoje@feriefondenmidtvest.dk">trehoje@feriefondenmidtvest.dk</option>
<option value="aulum@feriefondenmidtvest.dk">aulum@feriefondenmidtvest.dk</option>
<option value="vinderup@feriefondenmidtvest.dk">vinderup@feriefondenmidtvest.dk</option>
<option value="thyholm@feriefondenmidtvest.dk">thyholm@feriefondenmidtvest.dk</option>
</select>
</td>
<td width="208"><input type="button" name="B1" value="Send" onClick="send()"></td>
</table>
<p align="left"><font face="Comic Sans MS" size="3">
<br>
</font></p>
<p align="left"><font face="Comic Sans MS" size="3"> </font></p>
<p align="left"><font face="Comic Sans MS" size="3">
</font></p>
<p align="left"><font face="Comic Sans MS" size="3"><br>
</font></p>
<p align="left"> </p>
<p> </p>
<p> </p>
<p> </p>
</form>
</body>