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aingel
Δημοσιεύσεις: 70
Εγγραφή: 28 Απρ 2008 21:11
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cgi-bin

Δημοσίευση από aingel » 12 Αύγ 2008 20:30

paidia poy mporv na bro ayto to arxeio kai poc mporo na to cindeco
thn parakato forma epikoinoniaw

Κώδικας: Επιλογή όλων

<form action="http&#58;//www.atlantidavillas.net/cgi-bin/atlantida.cgi" method="post" name="form1" id="form1" onsubmit="return validateForm&#40;theForm&#41;">
                      <input name="hiddenField" type="hidden" value="info@atlantidavillas.com" />
                      <input name="hiddenField2" type="hidden" value="Message for ATLANTIDA VILLAS &#40; www.atlantidavillas.net &#41;" />
                                                            <span class="title-form"><u><b>Hotel Contact and Reservation Form</b></u></span>
                                                            <br />
                                                            <br />
                                                            <table width="100%">
                                                              <tr>
                                                                <td width="215"><b>Full Name&#58;</b> <font id="formtd_small">&#40;required&#41;</font></td>
                                                                <td colspan="4"><b>E-mail</b> address&#58; <font id="formtd_small">&#40;required&#41;</font></td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <input name="Full Name" type="text" class="textfield" id="Full Name" size="35" maxlength="50" />
                                                                </label></td>
                                                                <td colspan="4"><label>
                                                                  <input name="E-mail" type="text" class="textfield" id="E-mail" size="35" maxlength="50" />
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td><b>Full Address&#58;</b><br />
                                                                  <font id="formtd_small">&#40;enter city, zip code, state/country&#41;</font></td>
                                                                <td colspan="4"><b>Phone</b> / <b>Fax&#58;</b><br />
                                                                  <font id="formtd_small">&#40;please include area - country codes&#41;</font></td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <input name="textfield3" type="text" class="textfield" size="35" maxlength="50" />
                                                                </label></td>
                                                                <td colspan="4"><label>
                                                                  <input name="textfield4" type="text" class="textfield" size="35" maxlength="50" />
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td><b>Arrival&#58; </b>&#40;required&#41;</td>
                                                                <td colspan="4"><b>Departure&#58; </b>&#40;required&#41;</td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <select name="select" class="textfield">
                                                                    <option>date&#58;</option>
                
                                                  <option>01</option>
                                                                  <option>02</option>
                                                                  <option>03</option>
                                                                  <option>04</option>
                                                                  <option>05</option>
                                                                  <option>06</option>
                                                                  <option>07</option>
                                                                  <option>08</option>
                                                                  <option>09</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>
                                                                </select>
                                                                </label>
                                                                  <label>
                                                                  <select name="select2" class="textfield">
                                                                    <option>month&#58;</option>
                
                                                  <option>January</option>
                                                                  <option>February</option>
                                                                  <option>March</option>
                                                                  <option>April</option>
                                                                  <option>May</option>
                                                                  <option>June</option>
                                                                  <option>July</option>
                                                                  <option>August</option>
                                                                  <option>September</option>
                                                                  <option>October</option>
                                                                  <option>November</option>
                                                                  <option>December</option>
                                                                  </select>
                                                                </label>
                                                                  <label>
                                                                  <input name="textfield" type="text" class="textfield" value="year" size="6" maxlength="4" />
                                                                  </label></td>
                                                                <td colspan="4"><label>
                                                                  <select name="select4" class="textfield">
                                                                    <option selected="selected">date&#58;</option>
                
                                                  <option>01</option>
                                                                  <option>02</option>
                                                                  <option>03</option>
                                                                  <option>04</option>
                                                                  <option>05</option>
                                                                  <option>06</option>
                                                                  <option>07
                                                                  <option>08
                                                                  <option>09
                                                                  <option>10
                                                                  <option>11
                                                                  <option>12
                                                                  <option>13
                                                                  <option>14
                                                                  <option>15
                                                                  <option>16
                                                                  <option>17
                                                                  <option>18
                                                                  <option>19
                                                                  <option>20
                                                                  <option>21
                                                                  <option>22
                                                                  <option>23
                                                                  <option>24
                                                                  <option>25
                                                                  <option>26
                                                                  <option>27
                                                                  <option>28
                                                                  <option>29
                                                                  <option>30
                                                                  <option>31
                                                                </select>
                                                                </label>
                                                                  <label>
                                                                  <select name="select5" class="textfield">
                                                                    <option>month&#58;</option>
                
                                                  <option>January</option>
                                                                  <option>February</option>
                                                                  <option>March</option>
                                                                  <option>April</option>
                                                                  <option>May</option>
                                                                  <option>June</option>
                                                                  <option>July</option>
                                                                  <option>August</option>
                                                                  <option>September</option>
                                                                  <option>October</option>
                                                                  <option>November</option>
                                                                  <option>December</option>
                                                                  </select>
                                                                </label>
                                                                  <label>
                                                                  <input name="textfield2" type="text" class="textfield" value="year" size="6" maxlength="4" />
                                                                  </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td>Number of <b>Units</b>&#58;</td>
                                                                <td colspan="4">Type of <b>Accommodation</b>&#58;</td>
                                                              </tr>
                                                              <tr>
                                                                <td><label></label><label>
                                                                  <select name="select8" class="textfield">
                                                                    <option>number of units&#58;</option>
																	<option>1 unit</option>
																	<option>2 units</option>
																	<option>3 units</option>
																	<option>4 units</option>
																	<option>5 units</option>
																	<option>6 units</option>
																	<option>7 units</option>
																	<option>8 units</option>
																	<option>9 units</option>
																	<option>10 units</option>
																	<option>more</option>
                                                                </select>
                                                                </label></td>
                                                                <td colspan="4"><label>
                                                                  <select name="select9" class="textfield">
                                                                    <option>Selections&#58;</option>
                                                                  <option>Double room for 2 persons</option>
                                                   <option>Apartment for 2 persons</option>
                                                  <option>Apartment for 3 persons</option>
                                                  <option>Apartment for 4 persons</option>
                                                   <option>Apartment for 5 persons</option>
                                                  <option>Standard Suite for 2 persons</option>
                                                  <option>junior studio for 2 persons</option>
                                                                  </select>
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td>Number of <b>Persons</b>&#58;</td>
                                                                <td colspan="4">Age of the <b>children</b>&#58;</td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <select name="select10" class="textfield">
                                                                    <option>adults&#58;</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>Group </option>
                                                                </select>
                                                                </label>
                                                                  <label>
                                                                  <select name="select10" class="textfield">
                                                                    <option>children&#58;</option>
                                                                  
                                                                    <option>none </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>
                                                                  </select>
                                                                  </label></td>
                                                                <td colspan="4"><label>
                                                                  <input name="textfield9" type="text" class="textfield" size="35" />
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td><b>Credit card&#58;</b>
                                                                  <label></label>&nbsp;</td>
                                                                <td colspan="4">
                                                                    <label></label>
                                                               &nbsp;<b>Expire date&#58;</b> </td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <input name="textfield5" type="text" class="textfield" size="35" maxlength="16" />
                                                                </label></td>
                                                                <td colspan="4"><label>
                                                                  <input name="textfield6" type="text" class="textfield" size="35" maxlength="10" />
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td><b>Additional Comments&#58;</b></td>
                                                                <td colspan="4">&nbsp;</td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="5"><label>
                                                                  <textarea name="textfield7" cols="92" rows="5" class="textfield"></textarea>
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td>&nbsp;</td>
                                                                <td colspan="4">&nbsp;</td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="5"><div>
                                                                  <hr class="hr" />
                                                                </div></td>
                                                              </tr>
                                                              <tr>
                                                                <td><b>Details of the arrival</b>&#58; </td>
                                                                <td colspan="4"><table width="100%">
                                                                  <tr>
                                                                    <td width="7%" bordercolor="#FFFFFF" bgcolor="#FFFFFF">&nbsp;</td>
                                                                    <td width="93%"><b>Transfer arrangement - hotels</b>&#58;</td>
                                                                  </tr>
                                                                </table></td>
                                                              </tr>
                                                              <tr>
                                                                <td><label>
                                                                  <textarea name="textfield8" cols="49" rows="3" class="textfield"></textarea>
                                                                </label></td>
                                                                <td width="18" align="left" valign="middle">&nbsp;</td>
                                                                <td width="72" align="left" valign="middle"><b>YES &#58;</b> 
                                                                <input name="YES" type="checkbox" id="YE" /></td>
                                                                <td width="59" align="left" valign="middle"><b>NO &#58; </b>
                                                                  <label>
                                                                  <input name="NO" type="checkbox" id="NO" value="checkbox" />
                                                                </label></td>
                                                                <td width="62" align="left" valign="middle"><b>NONE &#58;</b>
                                                                  <label>
                                                                  <input type="checkbox" name="checkbox" value="checkbox" />
                                                                </label></td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="5" align="center" valign="middle">&nbsp;</td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="5" align="center" valign="middle"><label>
                                                                <input name="Submit" type="submit" class="textfield" onclick="MM_validateForm&#40;'Full Name','','R','E-mail','','RisEmail'&#41;;return document.MM_returnValue" value="Submit" />
                                                                <img src="small photos and logos/white pace of the hotel.png" alt="" width="10" height="10" style="background-color&#58; #FFFFFF" />
                                                                <input name="Submit2" type="reset" class="textfield" value="Reset" />
                                                                </label></td>
                                                              </tr>
                                                            </table>
                    </form>

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