<div class="eaKeep"><SCRIPT src="../../../third-parties/yav/js_compact/yav.js"> </SCRIPT> <SCRIPT src="../../../third-parties/yav/js_compact/yav-config-de.js"> </SCRIPT> <SCRIPT>
var rules=new Array();
rules[0]='email|required|E-mail';
rules[1]='name|required|Name';
rules[2]='nachname|required|Nachname';
rules[3]='telefon|required|Telefon';
rules[4]='zimmer|required|Zimmer';
rules[5]='anreisedatum|required|Anreisedatum';
rules[6]='abreisedatum|required|Abreisedatum';
function swapDisplay (id){
if (getStyleObject(id).display=='block'){
hideCompById(id);
} else {
showCompById(id);
}
}
</SCRIPT>
<form class="fckForm" style="margin: 0pt;" onsubmit="return performCheck('contactForm', rules, 'classic');" action="../../../iw/core/main/sendForm.jsp" name="contactForm">
<table width="460" class="fckTable">
<tbody>
<tr>
<th colspan="4">Buchungsformular</th>
</tr>
<tr>
<td colspan="4"><strong>Persönliche<br />
</strong></td>
</tr>
<tr>
<td width="80">Name*</td>
<td> <input type="text" style="width: 150px;" name="name" /></td>
<td width="80">Nachname*</td>
<td> <input type="text" style="width: 150px;" name="nachname" /></td>
</tr>
<tr>
<td width="80">Stadt</td>
<td> <input type="text" style="width: 150px;" name="stadt" /></td>
<td width="80">Staatsangehörigkeit</td>
<td> <input type="text" style="width: 150px;" name="staatsangehörigkeit" /></td>
</tr>
<tr>
<td width="80">Telefon*</td>
<td> <input type="text" style="width: 150px;" name="telefon" /> </td>
<td width="80">Handy</td>
<td> <input type="text" style="width: 150px;" name="handy" /></td>
</tr>
<tr>
<td width="80">Fax</td>
<td> <input type="text" style="width: 150px;" name="fax" /></td>
<td width="80">E-mail*</td>
<td> <input type="text" style="width: 150px;" name="email" /></td>
</tr>
</tbody>
</table>
<table width="460" class="fckTable">
<tbody>
<tr>
<td colspan="2"><strong>Buchungsformular<br />
</strong></td>
</tr>
<tr>
<td width="150">Zimmer*</td>
<td><select name="zimmer">
<option selected="" value="select...">Auswahl...</option>
<option value="einzeln">einzeln</option>
<option value="doppelt">doppelt</option>
<option value="dreibett">dreibett</option>
</select></td>
</tr>
<tr>
<td width="150">Anreisedatum*</td>
<td><input type="text" style="width: 150px;" name="anreisedatum" /> (tt/mm/jjjj)</td>
</tr>
<tr>
<td width="150">Abreisedatum*</td>
<td><input type="text" style="width: 150px;" name="abreisedatum" /></td>
</tr>
<tr>
<td colspan="2">Bemerkungen</td>
</tr>
<tr>
<td colspan="2"><input type="text" style="width: 500px; height: 100px;" name="bemerkungen" /> <input type="hidden" value="Buchungsformular" name="formTitle" /></td>
</tr>
<tr>
<td colspan="4">
<p>Die Buchung ist erst ab genauer Überprüfung der eingegebenen Daten und telefonischer Bestätigung unsererseits gültig.</p>
</td>
</tr>
<tr>
<td colspan="4"><input type="submit" style="float: right;" value="Senden" /></td>
</tr>
</tbody>
</table>
</form>
</div>
