<![CDATA[
<body onload="MM_preloadImages('back2.jpg')" background="img/mainback.gif" bgcolor="#FFFFCC" link="#FFF9E2" vlink="#FFF9E2" alink="#FFF9E2" leftmargin="5" topmargin="8">
<script language="JavaScript">
<!--
function checkform ( form )
{
if (form.firma.value == "") {
alert( "U bent uw firmanaam vergeten in te vullen." );
form.firma.focus();
return false ;
}
if (form.naam.value == "") {
alert( "U bent uw naam vergeten in te vullen." );
form.naam.focus();
return false ;
}
if (form.email.value == "") {
alert( "U bent uw email adres vergeten in te vullen." );
form.email.focus();
return false ;
}
}
//-->
</script>
<script language="JavaScript">
<!--
<!--
function MM_reloadPage(init) { //reloads the window if Nav4 resized
if (init==true) with (navigator) {if ((appName=="Netscape")&&(parseInt(appVersion)==4)) {
document.MM_pgW=innerWidth; document.MM_pgH=innerHeight; onresize=MM_reloadPage; }}
else if (innerWidth!=document.MM_pgW || innerHeight!=document.MM_pgH) location.reload();
}
MM_reloadPage(true);
// -->
function MM_swapImgRestore() { //v3.0
var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc;
}
function MM_preloadImages() { //v3.0
var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}
function MM_findObj(n, d) { //v4.0
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
if(!x && document.getElementById) x=document.getElementById(n); return x;
}
function MM_swapImage() { //v3.0
var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array; for(i=0;i<(a.length-2);i+=3)
if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc) x.oSrc=x.src; x.src=a[i+2];}
}
//-->
</script>
<base target="_self">
<form id="informatieaanvraag" action="http://213.160.218.41/cgi-bin/mail.php" method="post" name="informatieaanvraag" onsubmit="return checkform(this);">
<input type="HIDDEN" name="redirect" value="http://www.zbhetbastion.nl/site/goed.htm"> <input type="HIDDEN" name="email_onderwerp" value="Informatie aanvraag ZBhetBastion"> <input type="HIDDEN" name="recipient" value="info@zbhetbastion.nl">
<table width="95%" border="0" cellpadding="0" align="left" height="103">
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Firma :<br>
<input style="font-size: 8pt; font-family: Arial; background-color: #FFF9E2; border: 1 solid #008000" name="firma" size="39" maxlength="80"> *</font></td>
</tr>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Naam :<br>
<input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="naam" size="39" maxlength="80"> *</font></td>
</tr>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Adres :<br>
<input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="adres" size="39" maxlength="80"> </font></td>
</tr>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">PC <font color="#000000">/</font> Plaats :<font color="#008000"><br>
<input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="pc " size="5" maxlength="7"> <input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="plaats" size="27" maxlength="80"> </font></font></td>
</tr>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Telefoon<font color="#000000"> / </font>Fax :<font color="#008000"><br>
<input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="telefoon" size="11" maxlength="15"> <input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="fax" size="11" maxlength="15"> </font></font></td>
</tr>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Email :<br>
<input style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="email" size="39" maxlength="80"> *</font></td>
</tr>
<td align="left" valign="top" width="50%" height="1"><font size="1" face="Arial">Uw vraag en/of commentaar :<br>
<textarea style="font-family: Arial; font-size: 8pt; background-color: #FFF9E2; border: 1 solid #008000" name="tekst" rows="5" cols="41"></textarea> </font></td>
<tr>
<td align="left" valign="top" width="50%" height="10"><font size="1" face="Arial">Ik zou graag een brochure ontvangen:<br>
<input style="background-color: #FFF9E2; border: 0 solid #008000" type="radio" name="Brochure" value="Ja"> Ja <br>
<input style="background-color: #FFF9E2" type="radio" name="Brochure" value="Nee" checked> Nee</font></td>
</tr>
<td align="right" valign="top" width="50%" height="0"><font size="1" face="Arial"><input id="verzend" style="color: #008000; font-size: 8pt; font-family: Arial; background-color: #FFF9E2; border: 1 solid #008000" type="submit" name="verzend" value="» Verzenden"> <input id="wissen" style="color: #008000; font-size: 8pt; font-family: Arial; background-color: #FFF9E2; border: 1 solid #008000" type="reset" name="wissen" value="» Wissen"><br>
* = Deze velden zijn verplicht om in te vullen</font></td>
</table>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
<p> </p>
</form>
</body>
]]>