Untitled

<html>
<head>
<title>foisa de lucru formular</title>
</head>
<body background="back.jpg"><font color="blue">
<center><h1 align=center>COMPLEX TURISTIC BRADUL<BR>
Puteti rezerva locuri de cazare completand formularul</h1></center>
<center><form action="mailto:sapacazma27@gmail.com" method="post">
<table>
<tr><td width="400px"><b><font color="blue">Nume:</b></td><td width="400px"><input type=text size="25"
nume="nume"></td></tr>
<tr><td><b><font color="blue">Prenume:</b></td><td><input type=text size="25"
nume="prenume"></td></tr>
<tr><td><b><font color="blue">Parola:</b></td><td><input type=password size="25"
name="Proba_1"></td></tr>
<tr><td><b><font color="blue">Doriti cazare la:
<select name=cazare>
<option value=vile>Vile
<option value=casute>Casute
<option value=hotel>Hotel

</select>
</b></td>
<td><b><font color="blue">Numele unitatii de cazare:
<select name=unitate>
<option value=Nord>Brad Nord
<option value=Sud>Brad Sud
<option value=Est>Brad Est
<option value=Vest>Brad Vest
</select>
</td></tr>
<tr><td><b><font color="blue">Numar de persoane: <input type=text size="3"
nr_pers="nr persoane"></td>
<td><b><font color="blue">Numar de zile: <input type=text size="3"
nr_zile="nr zile"></td></tr></table><table>

<tr><td width="200px"><font color="blue">Mese incluse:

</td><td width="200px"><font color="blue">Mic dejun: <input type=checkbox size="3"
name="mic_dejun">

</td><td width="200px"><font color="blue">Pranz: <input type=checkbox size="3"
name="pranz">

</td><td width="200px"><font color="blue">Cina: <input type=checkbox size="3"
name="cina"></td></tr>


<tr><td width="200px"><font color="blue">Modalitate de plata:

</td><td width="200px"><font color="blue">transfer bancar: <input type=radio size="3"
name="trasfer bancar">

</td><td width="200px"><font color="blue">Carte de credit: <input type=radio size="3"
name="credit">

</td><td width="200px"><font color="blue">Numerar: <input type=radio size="3"
name="numerar"></td></tr></table><table>
<tr><td width="400px"><center><input type=reset value="Anuleaza">
</td><td width="400px"><center><input type=submit value="Trimite">

</table></form></body></html>