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Sep 11th, 2014
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  1. <html>
  2. <body>
  3. <br>
  4. <form action="send_form_email.php" method="post" name="contactform">
  5. <table border="0" width="500">
  6.  
  7. <tr>
  8. <td valign="top"><label for="hotel"><font face="verdana" size="2">Do you want to book your hotel
  9. through our agent?</font></label> </td>
  10. <td valign="top">
  11. <input type="radio" name="hotel" value="yes">Yes<br>
  12. <input type="radio" name="hotel" value="no">No<br>
  13. </td>
  14. </tr>
  15. <tr>
  16. <td valign="top"><label for="hotel_pref"><font face="verdana" size="2">Hotel preference</font></label> <select
  17. name="hotel_pref" size="1">
  18. <option value="Dorpat Superior Single 77EUR">Dorpat Superior Single 77EUR</option>
  19. <option value="Dorpat Superior twin 93EUR">Dorpat Superior twin 93EUR</option>
  20. </select> </td>
  21. </tr>
  22. <tr>
  23. <tr>
  24. <td valign="top"><label for="hotel_BLA"><font face="verdana" size="2">Hotel BLA</font></label> <select
  25. name="hotel_BLA" size="1">
  26. <option value="bla1">bla1</option>
  27. <option value="bla2">bla2</option>
  28. </select> </td>
  29. </tr>
  30. <tr>
  31. <td colspan="2" style="text-align:center"><input
  32. type="submit" value="Submit"> </td>
  33. </tr>
  34. </table>
  35. </form>
  36. </body>
  37. </html>
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