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  1. <html>
  2. <head>
  3. <title>foisa de lucru formular</title>
  4. </head>
  5. <body background="back.jpg"><font color="blue">
  6. <center><h1 align=center>COMPLEX TURISTIC BRADUL<BR>
  7. Puteti rezerva locuri de cazare completand formularul</h1></center>
  8. <center><form action="mailto:sapacazma27@gmail.com" method="post">
  9. <table>
  10. <tr><td width="400px"><b><font color="blue">Nume:</b></td><td width="400px"><input type=text size="25"
  11. nume="nume"></td></tr>
  12. <tr><td><b><font color="blue">Prenume:</b></td><td><input type=text size="25"
  13. nume="prenume"></td></tr>
  14. <tr><td><b><font color="blue">Parola:</b></td><td><input type=password size="25"
  15. name="Proba_1"></td></tr>
  16. <tr><td><b><font color="blue">Doriti cazare la:
  17. <select name=cazare>
  18. <option value=vile>Vile
  19. <option value=casute>Casute
  20. <option value=hotel>Hotel
  21.  
  22. </select>
  23. </b></td>
  24. <td><b><font color="blue">Numele unitatii de cazare:
  25. <select name=unitate>
  26. <option value=Nord>Brad Nord
  27. <option value=Sud>Brad Sud
  28. <option value=Est>Brad Est
  29. <option value=Vest>Brad Vest
  30. </select>
  31. </td></tr>
  32. <tr><td><b><font color="blue">Numar de persoane: <input type=text size="3"
  33. nr_pers="nr persoane"></td>
  34. <td><b><font color="blue">Numar de zile: <input type=text size="3"
  35. nr_zile="nr zile"></td></tr></table><table>
  36.  
  37. <tr><td width="200px"><font color="blue">Mese incluse:
  38.  
  39. </td><td width="200px"><font color="blue">Mic dejun: <input type=checkbox size="3"
  40. name="mic_dejun">
  41.  
  42. </td><td width="200px"><font color="blue">Pranz: <input type=checkbox size="3"
  43. name="pranz">
  44.  
  45. </td><td width="200px"><font color="blue">Cina: <input type=checkbox size="3"
  46. name="cina"></td></tr>
  47.  
  48.  
  49.  
  50. <tr><td width="200px"><font color="blue">Modalitate de plata:
  51.  
  52. </td><td width="200px"><font color="blue">transfer bancar: <input type=radio size="3"
  53. name="trasfer bancar">
  54.  
  55. </td><td width="200px"><font color="blue">Carte de credit: <input type=radio size="3"
  56. name="credit">
  57.  
  58. </td><td width="200px"><font color="blue">Numerar: <input type=radio size="3"
  59. name="numerar"></td></tr></table><table>
  60. <tr><td width="400px"><center><input type=reset value="Anuleaza">
  61. </td><td width="400px"><center><input type=submit value="Trimite">
  62.  
  63. </table></form></body></html>
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