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Jan 5th, 2016
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  1. <table class="tborder" border="0" cellspacing="0" cellpadding="5">
  2. <tbody>
  3. <tr>
  4. <td class="thead" colspan="8">
  5. <div original-title="">
  6. <strong><center>Wypełnij Pola</center></strong>
  7. </div>
  8. </td>
  9. </tr>
  10. <tr>
  11. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Imię</strong></span></td>
  12. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Data Urodzenia</strong></span></td>
  13. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Nick Steam</strong></span></td>
  14. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Link Steam</strong></span></td>
  15. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Link Ets2Mp</strong></span></td>
  16. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Posiadane DLC</strong></span></td>
  17. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>Zatwierdzenie</strong></span></td>
  18. </tr>
  19. <tr>
  20. <div class="form-group col-md-4">
  21. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
  22. <label></label>
  23. <input type="text" name="Imię" class="form-control" required="">
  24. <span class="help-block with-errors"></span></strong></span></td>
  25. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
  26. <label></label>
  27. <input type="text" name="Data" class="form-control" required="">
  28. <span class="help-block with-errors"></span></strong></span></td>
  29. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
  30. <label></label>
  31. <input type="text" name="Nick" class="form-control" required="">
  32. <span class="help-block with-errors"></span></strong></span></td>
  33. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
  34. <label></label>
  35. <input type="text" name="Steam" class="form-control" required="">
  36. <span class="help-block with-errors"></span></strong></span></td>
  37. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-4">
  38. <label></label>
  39. <input type="text" name="Ets2mp" class="form-control" required="">
  40. <span class="help-block with-errors"></span></strong></span></td>
  41. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong><div class="form-group col-md-6">
  42. <input type="checkbox" name="dlc[]" value=" DLC Skandynawia"> DLC Skandynawia<br>
  43. <input type="checkbox" name="dlc[]" value=" Ekspansja Polska"> Ekspansja Polska<br>
  44. <span class="help-block with-errors"></span></strong></span></td>
  45. <td align="center" class="tcat"><span class="smalltext" original-title=""><strong>
  46. <input type="submit" class="button" name="submit" value="Wyślij"></strong></span></td></td>
  47. </form>
  48. </tr>
  49. </tbody>
  50. </table>
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