ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML4.01 Transitional//EN"> <html> <head> <title>Formulaire d'inscription de location de VTT</title> <link rel="stylesheet" href="../mtb.css" type="text/css"> <meta content="Rando VTT, Circuits VTT, Raids VTT, mountain bike tours, aventure, single tracks, raid vtt maroc, raid VTT, VTT sud Maroc, maroc circuit mountain bike, mountain bikes, tours" name="KEYWORDS"> <meta content="Formulaire d'inscription de location de VTT" name="DESCRIPTION" /> <style type="text/css"> <!-- body { scrollbar-arrow-color:#363636; scrollbar-face-color:#CD853F; scrollbar-3dlight-color:#363636; } --> </style> </head> <body> <table border=0 cellspacing=0 style="margin-left:3.0em"> <tr class="topregel"> <td height="25" width="857" colspan="3"> TransAtlas Bike, Elburg, Hollande</td> </tr> <tr> <td colspan="3" style="width: 856px; height: 100px;"> <h1> Formulaire d'inscription de location de VTT</h1> </td> </tr> <tr> <td class="linkkolom" valign="top" style="width:128px; padding-top:5.5em; height: 1124px;"> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="index-circuits-vtt-maroc-francais.html"> Accueil</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="nos-circuits-vtt-maroc.html"> Nos circuits <br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;VTT</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp;<a href="../albums/hogeatlas/index.html" target="_blank"> Galerie Photos<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;raids VTT</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="qui-sommes-nous.html"> Qui sommes-<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;nous</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="location-vtt-maroc.html"> Location de<br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; VTT</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="autres-informations.html"> Autre info</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="conditions.html"> Conditions</a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="mailto:info@atlas-mountainbiking.com"> Contact </a> <p> </p> <img src="../website_mtb_fotos/button_rood.gif"; border=0 />&nbsp;&nbsp; <a href="liens.html"> Liens</a> </td> <td valign="top" class="hoofdvak" style="width:731px; height: 1124px;"> <br/> <form name="MTB-verhuur-boekingsformulier" method="post" ACTION = "http://www.wsgate.net/formmail/index.cgi"> <input type=hidden name="recipient" value="info@atlas-mountainbiking.com" /> <input type=hidden name="subject" value="Boeking vwb huur MTB" /> <input type=hidden name="redirect" value="http://www.atlas-mountainbiking.com/website_frans/confirmation.html" /> <div style="color:#0000cc; font-size:12pt;"> Oui, je souhaite louer un VTT: </div> <br /> <div style="color:#0000cc;"> Information concernant le client:</div> <p> </p> Nom: <input type="text" id="Text1" name="realname" style="z-index: 101; width: 400px; left: 323px; position: absolute;"/> <p> </p> Prénom: <input type="text" id="Text2" name="Voornamen" style="z-index:102; width: 400px; left: 323px; position: absolute;"/> <p> </p> Adresse: <input type="text" id="Text3" name="Adres" style="z-index:103; width: 400px; left: 323px; position: absolute;"/> <p> </p> Code Postal: <input type="text" id="Text4" name="Postcode" style="z-index:104; width: 80px; left: 323px; position: absolute;"/> <p> </p> Ville: <input type="text" id="Text5" name="Woonplaats" style="z-index:105; width: 400px; left: 323px; position: absolute;"/> <p> </p> Pays: <input type="text" id="Text17" name="Telefoon" style="z-index:106; width: 200px; left: 323px; position: absolute;"/> <p> </p> Téléphone: <input type="text" id="Text6" name="Telefoon" style="z-index:107; width: 200px; left: 323px; position: absolute;"/> <p> </p> Mobiel: <input type="text" id="Text7" name="Mobiel" style="z-index:108; width: 200px; left: 323px; position: absolute;"/> <p> </p> Email: <input type="text" id="Text8" name="email" style="z-index:109; width: 200px; left: 323px; position: absolute;"/> <p> </p> Date de naissance: <input type="text" id="Text9" name="Geboortedatum" style="z-index:110; width: 80px; left: 323px; position: absolute;"/> <p> </p> Nationalité: <input type="text" id="Text10" name="Nationaliteit" style="z-index:111; width: 80px; left: 323px; position: absolute;"/> <p> </p> <br /> <div style="color:#0000cc;">Information concernant la location:</div> <p> </p> Du: <input type="text" id="Text11" name="Huur van datum" style="z-index:112; width: 80px; left: 323px; position: absolute;"/> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Au (inclus): <input type="text" id="Text12" name="Huur tot en met datum" style="z-index:113; width: 80px; left: 593px; position: absolute;"/> <br /> <p> </p> Nombre de VTT: <input type="text" id="Text13" name="Aantal MTB's" style="z-index:114; width: 80px; left: 323px; position: absolute;"/> <br /> <p> </p> Nombre de Vélos <br /> de Trekking: <input type="text" id="Text14" name="Aantal Trekkingfietsen" style="z-index:115; width: 80px; left: 323px; position: absolute;"/> <br /> <p> </p> Taille des <textarea id="TextArea1" cols="36" rows="3" name="Lichaamslengten" style="z-index: 116; left: 323px; position: absolute;"> </textarea> <br /> clients: <br /> <br /> <br /> <!-- Location du véhicule logistique (¬ 110 /jour): <br /> Du: <input type="text" id="Text14" name="Assistentie auto van datum" style="z-index:120; width: 80px; left: 323px; position: absolute;"/> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Au (inclus): <input type="text" id="Text15" name="Assistentie auto tot en met datum" style="z-index:121; width: 80px; left: 593px; position: absolute;"/> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(3 jours minimum) <br /> <p> </p> --> Location de casque-vélo ( 2¬ / par casque et par jour): <br /> Nombre: <input type="text" id="Text16" name="Aantal helmen" style="z-index:122; width: 80px; left: 323px; position: absolute;"/> <br /> <p> </p> Livraison à <select id="Select1" name="Aflevering te" style="z-index: 123; left: 323px; position: absolute;"> <option selected="selected"> Fes</option> <option selected="selected"> Casablanca </option> <option selected="selected"> Marrakech </option> </select> <p> </p> J accepte les conditions de location: <select id="Select2" name="akkoord huurvoorwaarden" style="z-index: 124; left: 473px; position: absolute;"> <option selected="selected"> Oui</option> <option selected="selected"> Non</option> </select> <p> </p> <div style="color:#0000cc"> <br /> Dès que nous recevrons votre réservation, nous vous enverrons une facture. <br /> Les 25% d acompte sont à verser le plus tôt possible. <br /> Dès réception de votre acompte, votre réservation est confirmée.<br /> </div> <p> </p> &nbsp;&nbsp;<br /> &nbsp; &nbsp; <br /> <input id="Reset2" style="z-index: 125; left: 323px; width: 105px; position: absolute;" type=reset value="Effacer" /> <input id="Submit1" style="z-index: 126; left: 466px; width: 105px; position: absolute;" type=submit name="submit" value="Envoyer" /> <p> </p> &nbsp; </form> </td> </tr> </table> </body> </html>