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- <table class="tborder" border="0" cellspacing="0" cellpadding="5">
- <tbody>
- <tr>
- <td class="thead" colspan="8">
- <div original-title="">
- <strong><center>Wypełnij Pola</center></strong>
- </div>
- </td>
- </tr>
- <tr>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Imię</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Data Urodzenia</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Nick Steam</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Link Steam</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Link Ets2Mp</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Posiadane DLC</strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Zatwierdzenie</strong></span></td>
- </tr>
- <tr>
- <div class="form-group col-md-4">
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
- <label></label>
- <input type="text" name="Imię" class="form-control" required="">
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
- <label></label>
- <input type="text" name="Data" class="form-control" required="">
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
- <label></label>
- <input type="text" name="Nick" class="form-control" required="">
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
- <label></label>
- <input type="text" name="Steam" class="form-control" required="">
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
- <label></label>
- <input type="text" name="Ets2mp" class="form-control" required="">
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-6">
- <input type="checkbox" name="dlc[]" value=" DLC Skandynawia"> DLC Skandynawia<br>
- <input type="checkbox" name="dlc[]" value=" Ekspansja Polska"> Ekspansja Polska<br>
- <span class="help-block with-errors"></span></strong></span></td>
- <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>
- <input type="submit" class="button" name="submit" value="Wyślij"></strong></span></td></td>
- </form>
- </tr>
- </tbody>
- </table>
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