Hauptseite | Alphabetische Liste | Auflistung der Klassen | Auflistung der Dateien | Klassen-Elemente | Datei-Elemente

contactformular_en.php

gehe zur Dokumentation dieser Datei
00001 <?php 00006 ?> 00007 <table border="0" cellpadding="0" cellspacing="0" width="80%"> 00008 <tr> 00009 <td valign="middle"> 00010 <center> 00011 <h1>Write us</h1> 00012 </center> 00013 <p> 00014 </td> 00015 </tr> 00016 <tr> 00017 <td valign="top"> 00018 <table cols="2" border="0"> 00019 <tr valign="top"> 00020 <form action="/cgi-bin/FormMail2.pl" method="POST"> 00021 <input type="hidden" name="recipient" value="mailto@juelich-bonn.com"><input type="hidden" name="subject" value="Formular, Englisch"><input type="hidden" name="redirect" value="http://www.juelich-bonn.de/site/contact/confirmation/index_en.html"><input type="hidden" name="env_report" value="REMOTE_HOST,HTTP_USER_AGENT"><input type="hidden" name="print_blank_fields" value="1"><input type="hidden" name="required" value="Name,Strasse,Ort,PLZ,email"> 00022 <td colspan="2" valign="top"> 00023 <center> 00024 <h3><font size="3" face="Helv">You can use the following form in order to send us a Mail.</font></h3> 00025 </center> 00026 </td> 00027 <td width="9%"></td> 00028 </tr> 00029 <tr height="24"> 00030 <td colspan="2" height="24"> 00031 <h5>(with * charecterized fields must be filled out!)</h5> 00032 </td> 00033 <td rowspan="12" width="9%" valign="top"></td> 00034 </tr> 00035 <tr height="25"> 00036 <td width="15%" height="25"> 00037 <address>Company:</address> 00038 </td> 00039 <td width="53%" height="25"><input type="text" size="46" maxlength="200" name="Firma"></td> 00040 </tr> 00041 <tr height="25"> 00042 <td width="15%" height="25"> 00043 <address>Last name, first name*:</address> 00044 </td> 00045 <td width="53%" height="25"><input type="text" size="46" maxlength="100" name="Name"></td> 00046 </tr> 00047 <tr height="25"> 00048 <td width="15%" height="25"> 00049 <address>Street*:</address> 00050 </td> 00051 <td width="53%" height="25"><input type="text" size="46" maxlength="100" name="Strasse"></td> 00052 </tr> 00053 <tr height="25"> 00054 <td width="15%" height="25"> 00055 <address>Postal zip code*:</address> 00056 </td> 00057 <td width="53%" height="25"><input type="text" size="6" maxlength="5" name="PLZ"></td> 00058 </tr> 00059 <tr height="25"> 00060 <td width="15%" height="25"> 00061 <address>City*:</address> 00062 </td> 00063 <td width="53%" height="25"><input type="text" size="46" maxlength="100" name="Ort"></td> 00064 </tr> 00065 <tr height="25"> 00066 <td width="15%" height="25"> 00067 <address>Telephone:</address> 00068 </td> 00069 <td width="53%" height="25"><input type="text" size="46" maxlength="50" name="Telefon"></td> 00070 </tr> 00071 <tr height="25"> 00072 <td width="15%" height="25"> 00073 <address>Telefax:</address> 00074 </td> 00075 <td width="53%" height="25"><input type="text" size="46" maxlength="50" name="Telefax"></td> 00076 </tr> 00077 <tr height="25"> 00078 <td width="15%" height="25"> 00079 <address>e-mail*:</address> 00080 </td> 00081 <td width="53%" height="25"><input type="text" size="46" maxlength="100" name="email"></td> 00082 </tr> 00083 <tr height="100"> 00084 <td width="15%" height="100" valign="top"> 00085 <address>Your request:</address> 00086 </td> 00087 <td width="53%" height="100"><textarea rows="5" cols="62" name="Anmerkung"></textarea></td> 00088 </tr> 00089 <tr> 00090 <td width="15%"><br> 00091 </td> 00092 <td width="53%"><br> 00093 </td> 00094 </tr> 00095 <tr> 00096 <td colspan="2">Thank you very much for your interest. We will take up contact soon with you!</td> 00097 </tr> 00098 <tr> 00099 <td colspan="2" valign="top"><input type="submit" value="Submit"><input type="reset" value="Reset"></td> 00100 <td width="9%"></td> 00101 </tr> 00102 </form> 00103 00104 <tr> 00105 <td width="15%"></td> 00106 <td width="53%"></td> 00107 <td width="9%"></td> 00108 </tr> 00109 </table>

Erzeugt am Sun May 14 02:49:08 2006 für JuelichWeb von doxygen 1.3.8