ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head> <title>aufnahmeformular</title> <meta http-equiv="content-type" content="text/html; charset=utf-8"> <style type="text/css"> h1 { color:#FF9933; font-size:300%; font-family:'bookman old style',arial,serif,'sans-serif'; font-weight:bolder; font-stretch:wider; text-valign:top; text-align:center;} h2 {color:#cc3300; font-size:100%; font-family:'bookman old style',arial,serif,'sans-serif'; font-weight:bolder; font-stretch:wider; text-valign:top; text-align:center} p {color:#cc3300; font-size:medium; font-family: arial,serif,'sans-serif'; font-weight:normal;} p1 {color:#cc3300; font-size:small; font-family: arial,serif,'sans-serif'; font-weight:normal;} a:link { font-familiy:arial; text-decoration:none; font-weight:bold; color:#cc3300; } a:visited { font-familiy:arial; text-decoration:none; font-weight:bold; color:#cc3300; } a:hover {font-familiy:arial; text-decoration:underline; font-weight:bold; color:#cc3300;} td {text-align:center;background-repeat:no-repeat} </style> </head> <body> <div align="center"> <table border="0" cellspacing="5" cellpadding="5" width="900"> <tr> <td> <table border="0" cellspacing="5" cellpadding="5" width="900"bgcolor="#FF9933"> <tr> <td><a href="index.html">deutsch</a></td> <td><a href="indexru.html">@CAA:89</a></td> <td><a href="indexen.html">english</a></td> <td><a href="kontakt.html">kontakt</a></td> <td><a href="spenden.html">spenden</a></td> <td><a href="sponsoring.html">sponsoring</a></td> <td><a href="http://www.tscheburaschka-ev.de/cgi-bin/guestbook.php.cgi">gaestebuch</a></td> </tr> </table> </td> </tr> <tr> <td><img src="kopfcollage-struktur-rand3.jpg"> </td> </tr> <tr> <td> <table border="0" cellspacing="5" cellpadding="5" width="900" bgcolor="#cccccc"> <tr> <td><a href="verein.html">Über uns</a></td> <td><a href="aktuell.html">aktuelles</a></td> <td><a href="bilder.html">galerie</a></td> <td><a href="verweise.html">links</a></td> </tr> </table> </td> </tr> <!---------------------------------------------------------------------------------------------------------> <tr> <td align="center"> <h2>Aufnahmeantrag in den Tscheburaschka e.V.</h2> <FORM ACTION="/cgi-bin/mailmanager.pl" METHOD="POST"> <INPUT type=hidden name="recipient" value="info@tscheburaschka-ev.de"> <INPUT type=hidden name="subject" value="aufnahmeformular"> <INPUT type=hidden name="print_config" value="email,subject,realname"> <INPUT type=hidden name="redirect" value="http://www.tscheburaschka-ev.de/bestaetigung.html"> <table border="0" cellpadding="12" cellspacing="0" width=100%" height="100%"> <tr> <td><p>name:</p></td> <td><input name="name" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>vorname:</p></td> <td><input name="vorname" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>strasse:</p></td> <td><input name="strasse" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>plz:</p></td> <td><input name="plz" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>ort:</p></td> <td><input name="ort" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><h2>freiwillige Angaben</h2></td> </tr> <tr> <td><p>telefon:</p></td> <td><input name="telefon" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>e-mail:</p></td> <td><input name="e-mail" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p>geburtsdatum:</p></td> <td><input name="geburtsdatum" type="text" size="30" maxlength="30"></td> </tr> <tr> <td><p1>Die Satzung des Vereins erkenne ich an.<br> Meinen j&auml;hrlichen Mitgliedsbeitrag in Hoehe von <br>24,00 ¬ (2,00 ¬ pro Monat) &uuml;berweise ich auf das Konto :</p1></td> <td><p1>Tscheburaschka e.V.<br> Sparkasse Detmold <br> BLZ 47650130<br> Kontonr. 46212023</p1></td> </tr> <tr> <td><button type="reset" name="ruecksetzen"><p><img src="" alt="loeschen"></p></button></td> <td><button type="submit" name="senden"><p><img src="" alt="absenden"></p></button></td> </tr> </table> </form> </td> </tr> </table> </div> </body> </html>