þÿ<html> <head> <meta http-equiv="content-type" content="text/html;charset=utf-16"> <title>Ansog om stadeplads</title> </head> <body bgcolor="#8ab5da" text="#000000" link="#ffffff" vlink="#ffffff" alink="#ffffff" topmargin="10"> <form id="Ansogning_stadeplads" action="http://www.vestkm.dk/cgi-bin/FormMail.pl" method="post" name="Ansogning_stadeplads" target="_self"> <div align="center"> <div style="position:relative;width:486px;height:696px;background-color:#fff;margin:auto;-adbe-g:p,5,5;"> <div style="position:absolute;top:20px;left:15px;width:459px;height:40px;-adbe-c:c"> <div align="center"> <font size="+2" face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><strong>Anmodning om stadeplads</strong></font></div> </div> <div style="position:absolute;top:80px;left:15px;width:454px;height:431px;"> <table width="454" border="0" cellspacing="2" cellpadding="0" align="center"> <tr> <td><font size="-1" face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif">E-mail adresse:</font></td> <td><input type="text" name="FraAdresse" size="50" tabindex="1"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Navn:</font></font></td> <td><input type="text" name="FraNavn" size="50" tabindex="2"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Firmanavn:</font></font></td> <td><input type="text" name="Firmanavn" size="50" tabindex="3"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Adresse:</font></font></td> <td><input type="text" name="Adresse" size="50" tabindex="4"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Postnr.:</font></font></td> <td><input type="text" name="Postnummer" size="4" maxlength="4" tabindex="5"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">By:</font></font></td> <td><input type="text" name="By" size="50" tabindex="6"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Telefon:</font></font></td> <td><input type="text" name="Telefon" size="24" tabindex="7"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Mobiltlf.:</font></font></td> <td><input type="text" name="Mobil" size="24" tabindex="8"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Fax:</font></font></td> <td><input type="text" name="Fax" size="24" tabindex="9"></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Hovedprodukt:</font></font></td> <td><textarea name="Hovedprodukt" rows="4" cols="45" tabindex="10"></textarea></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Øvrige produkter:</font></font></td> <td><textarea name="Øvrige produkter" rows="4" cols="45" tabindex="11"></textarea></td> </tr> <tr> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><font size="-1">Antal facademeter:</font></font></td> <td><input type="text" name="Antal facade meter" size="24" tabindex="12"></td> </tr> <tr> <td></td> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><input type="checkbox" name="Hjorneplads" value="Hjorne" tabindex="13"> Hjørne</font></td> </tr> <tr> <td></td> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><input type="checkbox" name="Privat" value="Privat" tabindex="14"> Privat</font></td> </tr> <tr> <td></td> <td><font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><input type="checkbox" name="Erhverv" value="Erhverv" tabindex="15"> Erhverv</font></td> </tr> </table> </div> <div style="position:absolute;top:60px;left:195px;width:12px;height:12px;"> <input type="hidden" name="Sidetitel" value="Tak for Deres anmodning"></div> <div style="position:absolute;top:60px;left:215px;width:12px;height:12px;"> <input type="hidden" name="subject" value="Anmodning om stadeplads"></div> <div style="position:absolute;top:60px;left:235px;width:12px;height:12px;"> <input type="hidden" name="AfsModtagMail" value="True"></div> <div style="position:absolute;top:60px;left:255px;width:12px;height:12px;"> <input type="hidden" name="AfsMailEmne" value="Tak for henvendelsen!"></div> <div style="position:absolute;top:60px;left:275px;width:12px;height:12px;"> <input type="hidden" name="AfsMailTxt" value="K&amp;#230;re Kr&amp;#230;mmer????Tak for din ans&amp;#248;gning.??Du er nu skrevet op p&amp;#229; vores venteliste.????Mvh.??Vestegnens Kr&amp;#230;mmermarked"></div> <div style="position:absolute;top:60px;left:295px;width:12px;height:12px;"> <input type="hidden" name="text_color" value="#000000"></div> <div style="position:absolute;top:60px;left:315px;width:12px;height:12px;"> <input type="hidden" name="bgcolor" value="#FFFFFF"></div> <div style="position:absolute;top:60px;left:335px;width:12px;height:12px;"> <input type="hidden" name="TilNavn" value="Vestegnens Kræmmermarked"></div> <div style="position:absolute;top:60px;left:355px;width:12px;height:12px;"> <input type="hidden" name="recipient" value="info@vestkm.dk"></div> <div style="position:absolute;top:60px;left:375px;width:12px;height:12px;"> <input type="hidden" name="Remotehost" value="pop.vestkm.dk"></div> <div style="position:absolute;top:60px;left:395px;width:12px;height:12px;"> <input type="hidden" name="redirect" value="http://www.vestkm.dk"></div> <div style="position:absolute;top:520px;left:223px;width:12px;height:12px;"> <input type="hidden" name="required" value="FraAdresse, FraNavn, Firmanavn, Adresse, Postnummer, By, Telefon, Mobil, Fax, Hovedprodukt, Øvrige produkter, Antal facade meter"></div> <div style="position:absolute;top:580px;left:140px;width:62px;height:24px;"> <input type="submit" name="SEND" value="SEND" tabindex="16"></div> <div style="position:absolute;top:580px;left:260px;width:83px;height:24px;"> <input type="reset" name="submitButtonName" value="SLET ALT"></div> <div style="position:absolute;top:665px;left:0px;width:485px;height:30px;"> <div style="position:relative;width:485px;height:30px;background-color:#000;-adbe-g:p;"> <div style="position:absolute;top:0px;left:96px;width:288px;height:24px;-adbe-c:c"> <font face="Helvetica, Geneva, Arial, SunSans-Regular, sans-serif"><strong><font size="+2" color="white"><a href="Kraemmere.html">Tilbage</a></font></strong></font></div> </div> </div> </div> </div> </form> </body> </html>