her er koden
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<HEAD>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="da">
<TITLE>Brugerregistrering</TITLE></HEAD>
<BODY>
<H1>Registrer dig som deltager</H1>
<HR>
<P>
Du vil blive kontaktet omkring dine indtastede oplysninger...</P>
<FORM METHOD="POST" ACTION="
http://www.chr4rotarygolf.dk/cgi-bin/FormMail.pl"><input type="hidden" name="recipient" value="tilmeld@chr4rotarygolf.dk">
<input type="hidden" name="subject" value="Tilmelding fra chr4rotarygolf.dk">
<input type="hidden" name="redirect" value="
http://chr4rotarygolf.dk/index.php?page=ok"><input type=hidden name="missing_fields_redirect" value="
http://www.chr4rotarygolf.dk/index.php?page=fejl"><input type=hidden name="required" value="FuldtNavn,email,Adresse,By,Postnummer,Privattelefon,Deltager1,DGU1,HCP1"><P>
Angiv følgende kontaktoplysninger:<br></P>
<font color="red">felter angivet med * skal udfyldes!</font>
<BLOCKQUOTE>
<TABLE>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>Navn</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="FuldtNavn" SIZE=35></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>Adresse</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Adresse" SIZE=35></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Adresse (forts.)</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Adresse2" SIZE=35></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>By</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="By" SIZE=35></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>Postnummer</EM></TD>
<TD>
<INPUT TYPE="numeric" NAME="Postnummer" SIZE=4 MAXLENGTH=4></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Telefon (arbejde)</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Arbejdstelefon" SIZE=14 MAXLENGTH=11></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>Telefon (privat)</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Privattelefon" SIZE=14 MAXLENGTH=11></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM><font color="red">*</font>E-mail</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="email" SIZE=25></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Firma Navn</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Firmanavn" SIZE=25></TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Firma Adresse</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="firmaadresse" SIZE=25></TD>
</TR>
</TABLE>
</BLOCKQUOTE>
<P>Indtast hold oplysninger:</P>
<TABLE width="492">
<TR>
<TD width="80" ALIGN="right"><em><font color="red">*</font>Deltager 1</em></TD>
<TD width="414"><input name="Deltager1" type="text" value="" size="20" id="Deltager1">
DGUnr
<input name="DGU1" type="text" id="DGU" value="" size="5" maxlength="5">
-
<input name="DGU1" type="text" id="DGU" value="" size="5" maxlength="5">
HCP
<input name="HCP1" type="text" id="HCP" value="" size="5" maxlength="5"></TD>
</TR>
</TABLE>
<TABLE width="492">
<TR>
<TD width="80" ALIGN="right"><em>Deltager 2</em></TD>
<TD width="414"><input name="Deltager2" type="text" value="" size="20" id="Deltager2">
DGUnr
<input name="DGU2" type="text" id="DGU" value="" size="5" maxlength="5">
-
<input name="DGU2" type="text" id="DGU" value="" size="5" maxlength="5">
HCP
<input name="HCP2" type="text" id="HCP" value="" size="5" maxlength="5"></TD>
</TR>
</TABLE>
<TABLE width="492">
<TR>
<TD width="80" ALIGN="right"><em>Deltager 3</em></TD>
<TD width="414"><input name="Deltager3" type="text" value="" size="20" id="Deltager3">
DGUnr
<input name="DGU3" type="text" id="DGU" value="" size="5" maxlength="5">
-
<input name="DGU3" type="text" id="DGU" value="" size="5" maxlength="5">
HCP
<input name="HCP3" type="text" id="HCP" value="" size="5" maxlength="5"></TD>
</TR>
</TABLE>
<TABLE width="492">
<TR>
<TD width="80" ALIGN="right"><em>Deltager 4</em></TD>
<TD width="414"><input name="Deltager4" type="text" value="" size="20" id="Deltager4">
DGUnr
<input name="DGU4" type="text" id="DGU" value="" size="5" maxlength="5">
-
<input name="DGU4" type="text" id="DGU" value="" size="5" maxlength="5">
HCP
<input name="HCP4" type="text" id="HCP" value="" size="5" maxlength="5"></TD>
</TR>
</TABLE>
<P>Samlet pris 4000,- kr pr. hold</P>
<P>Du kan også hente tilmeldingsblanketten <a href="../images/Tilmeldblank08.pdf">her</a> og udskrive den </P>
<P><BR>
</P>
<BLOCKQUOTE> </BLOCKQUOTE>
<INPUT TYPE=SUBMIT VALUE="Send formular">
<INPUT TYPE=RESET VALUE="Nulstil formular">
</FORM>
<HR>
<H5>
ALG<br>Copyright © 2007 Christian .4 Rotary Klub Hillerød. Alle rettigheder forbeholdes. <BR>
Senest opdateret:
04.02.2008</H5>
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