Registration form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#336666" TEXT="#080000" background="006b85a3.jpg"> <div> <B>Mountaineering, Trekking, Adventure</B><FONT SIZE="5" COLOR="#FFFF00" FACE="Nuance" ><B> </B></FONT><FONT SIZE="1" COLOR="#000000" FACE="Arial" ><B>    </B></FONT><FONT SIZE="3" COLOR="#FFCC33" FACE="Arial" ><B> </B></FONT><FONT SIZE="2" COLOR="#FF9900" FACE="Arial" ><A HREF="index.html" TARGET="_top" TITLE="Climbing programs"><B><a onclick="this.style.behavior='url(#default#homepage)'; this.setHomePage('http://www.somkutin.hu/');" href=".">Set me to your homepage!</a></B></A></FONT></div> <DIV ALIGN="LEFT"></DIV> <div> <B>  <BODY> <SCRIPT LANGUAGE="JavaScript1.2">    </SCRIPT> </LEFT>        <BODY onLoad="clock()">   <span id="pendule" style="position:relative;left:0;top:0;"></span> <SCRIPT LANGUAGE="JavaScript">       </script>     </B></div> <div> </div> </td> </tr><tr> <td valign="top" width=250 BGCOLOR="#336666" TEXT="#080000" background="007fab83.jpg"> <div>  <a href="http://www.somkutin.hu/elozetes2" target="_top" csb-linktype="URL"><img src="HTMLobj-3980/o.jpg" alt="PREVIEW" border="0" align="bottom" csb-maintain-proportions="0" width="200" height="20" csb-button="Cap-Green" csb-font="Arial" csb-font-bold="True" csb-font-italic="False" csb-font-strikethrough="False" csb-font-underline="False" csb-font-size="8" csb-font-color-o="5855488" csb-font-color-h="0" csb-font-color-p="255" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="14" csb-font-top="0" csb-img-hover="1" csb-img-press="1" csb-img-preload="0" csb-img-backcolor="65535" onmouseout="javascript:this.src='HTMLobj-3980/o.jpg'" onmouseover="javascript:this.src='HTMLobj-3980/h.jpg'" onmouseup="javascript:this.src='HTMLobj-3980/h.jpg'" onmousedown="javascript:this.src='HTMLobj-3980/p.jpg'"></a>   <a href="http://www.somkutin.hu/prg2" target="_top" csb-linktype="URL"><img 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csb-font-color-p="255" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="11" csb-font-top="0" csb-img-hover="1" csb-img-press="1" csb-img-preload="0" csb-img-backcolor="65535" onmouseout="javascript:this.src='HTMLobj-3994/o.jpg'" onmouseover="javascript:this.src='HTMLobj-3994/h.jpg'" onmouseup="javascript:this.src='HTMLobj-3994/h.jpg'" onmousedown="javascript:this.src='HTMLobj-3994/p.jpg'"></a>  </div> <div> <A HREF="mailto:somkutinandor@t-online.hu" TARGET="_top" TITLE="mailto:somkutinandor@t-online.hu"><IMG SRC="04364280.png" border=0 width="100" height="40" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <bR> <div> <A HREF="http://www.somkutin.hu/oeav" TARGET="_top" TITLE="http://www.somkutin.hu/oeav"><IMG SRC="04977500.png" border=0 width="119" height="80" ALT="Claim of ALPENVEREIN clubcard." ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <bR> <bR> <div>  <COPYRIGHT UPDATE: 1. Copy the coding into the BODY of your HTML document -->  <BODY> <script type="text/javascript">     </script>  Nandor Somkuti</div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" background="00507073.jpg"> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="340" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="LEFT" HSPACE="0" VSPACE="0" BGCOLOR=#777777 > <tR> <tD VALIGN=CENTER HEIGHT= 26 WIDTH="334"><div> <B>Registration form</B></div> </tD> </tR> </TABLE></div> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="http://www.somkutin.hu/prg/id18.htm" TARGET="_top" TITLE="http://www.somkutin.hu/prg/id18.htm"><IMG SRC="d581f150.png" border=0 width="31" height="21" ALT="Magyar" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <bR> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">You are allowad to take part in our mountaineering programs if you have life insurance</div> <div> <B>especially applyed to extreme sport activities.</B></div> <div> <B>Existance of your valid life insurance and red cross parcel</B></div> <div> <B>are going to be supervised on the spot.</B></div> <div> You don't need this insurance on hungarian mountains</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800003300.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">You have to transfer <FONT SIZE="2" COLOR="#BF0000" FACE="Arial" ><B>the guiding-fee</B></FONT><FONT SIZE="2" COLOR="#000000" FACE="Arial" > to the following bank account:</FONT></div> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>(IBAN) HU07 1040 3136 3132 5079 0000 0000</B></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">You are requested to write the name of program, you are applying for, on the remmittance order as a remark.</div> <bR> <bR> <div> Please write the following information to your registration form:</div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">name(s)</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">address(es)</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">phone number(s)</div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c800009900.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">name of program you are applying for</B></div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">your experience in mountaineering, your results,</div> <div> (it is not necessary on hungarian mountains),</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">if you have equipments, what is missing,</div> <div> <IMG BORDER="0" SRC="Symb075c00b700c800000000.png" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">athers (eg. allergy, agoraphobic, medication, etc.)</div> <bR> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="344" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" ALIGN="RIGHT" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 38 WIDTH="338"><div> <B>Nandor Somkuti</B></div> <div> mountain guide</div> </tD> </tR> </TABLE></div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="88d300e0.png" border=0 width="560" height="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <B>Registration form:</B></div> <bR> <div>  <p>Please feel up the following Registration form:</p> <form action="http://api.weblap-tarhely.hu/formpost.php" method="POST"> <input type="hidden" name="mailto" value="somkutinandor@t-online.hu"> <input type="hidden" name="subject" value="Jelentkezés hegymászásra"> <input type="hidden" name="header" value="http://www.somkutin.hu/fejlec22.txt"> <input type="hidden" name="footer" value="http://www.somkutin.hu/lablec22.txt">  <div align="center"> <table style="background-color: #f5f5dc" width="75%" border="1"> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">Your name: </div> </td> <td style="background-color: #ffe4c4" width="35%"> <div align="left"><input type="text" size="25" name="Nev"></div> </td> <td width="30%"> <div align="center"><input type="radio" name="Sex" value="Female"><font size="1">Female</font><input type="radio" name="Sex" value="Male" checked="checked"><font size="1">Male</font></div> </td> </tr> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">Name of the program: </div> </td> <td style="background-color: #ffe4c4" width="65%"> <div align="left"><input type="text" size="25" name="Program"></div> </td> <td width="30%"> <div align="center"><font size="1">Your age: </font><select name="Age"> <option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option><option value="32">32</option><option value="33">33</option><option value="34">34</option><option value="35">35</option><option value="36">36</option><option value="37">37</option><option value="38">38</option><option value="39">39</option><option value="40">40</option><option value="41">41</option><option value="42">42</option><option value="43">43</option><option value="44">44</option><option value="45">45</option><option value="46">46</option><option value="47">47</option><option value="48">48</option><option value="49">49</option><option value="50">50</option><option value="51">51</option> <option value="52">52</option><option value="53">53</option><option value="54">54</option><option value="55">55</option><option value="56">56</option><option value="57">57</option><option value="58">58</option><option value="59">59</option><option value="60">60</option><option value="61">61</option><option value="62">62</option><option value="63">63</option><option value="64">64</option><option value="65">65</option><option value="66">66</option><option value="67">67</option><option value="68">68</option><option value="69">69</option><option value="70">70</option><option value="71">71</option><option value="72">72</option><option value="73">73</option><option value="74">74</option><option value="75">75</option><option value="76">76</option><option value="77">77</option><option value="78">78</option><option value="79">79</option><option value="80">80</option><option value="81">81</option><option value="82">82</option><option value="83">83</option><option value="84">84</option><option value="85">85</option> <option value="86">86</option><option value="87">87</option><option value="88">88</option><option value="89">89</option><option value="90">90</option><option value="91">91</option><option value="92">92</option><option value="93">93</option><option value="94">94</option><option value="95">95</option><option value="96">96</option><option value="97">97</option><option value="98">98</option><option value="99">99</option><option value="100">100</option> </div> </td> </tr> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">Your address: </div> </td> <td style="background-color: #ffe4c4" width="65%"> <div align="left"><font size="1" >Zip code: / City: / Country:</font></div> <div align="left"><input type="text" size="3" maxlength="4" name="Zip code"><input type="text" size="20" name="City"><input type="text" size="20" name="Country" value="Hungary"></div> <div align="left"><font size="1">Street, number, floor, door:</font></div> <input type="text" size="29" name="Street, Number"> </td> <td width="30%"> <div align="center"><font size="1">Do you have</font><br> <font size="1">a car?</font><br> <input type="radio" name="Car" value="Yes"><font size="1">Yes</font><input type="radio" name="Car" value="No" checked="checked"><font size="1">No</font></div> </td> </tr> </tr> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">E-mail address:</div> </td> <td style="background-color: #ffe4c4" width="65%"> <div align="left"><input type="text" size="25" name="Email"></div> </td> <td align="center" rowspan="3"> <font size="1">Number of persons</font><br> <font size="1">coming with you?</font><br><br> <select name="Party"> <option value="0 person">Nobody else</option> <option value="+1 person">+1 person</option> <option value="+2 persons">+2 persons</option> <option value="+3 persons">+3 persons</option> <option value="+4 persons">+4 persons</option> <option value="+5 persons">+5 persons</option> <option value="+6 persons">+6 persons</option> <option value="+7 persons">+7 persons</option> <option value="+8 persons">+8 persons</option> <option value="+9 persons">+9 persons</option> </select> </td> </tr> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">Phone number: </div> </td> <td style="background-color: #ffe4c4" width="65%"> <div align="left"><input type="text" size="25" name="Phone"></div> </td> </tr> <tr> <td style="background-color: #ffe4c4" width="35%"> <div align="right">Your physical fitness: </div> </td> <td style="background-color: #ffe4c4" width="65%"> <div align="center"><input type="radio" name="Fitness" value="Weak"><font size="1">Weak</font><input type="radio" name="Fitness" value="Satisfactory"><font size="1">Satisfactory</font><input type="radio" name="Fitness" value="Average"><font size="1">Average</font><input type="radio" name="Fitness" value="Above average"><font size="1">Above average</font><input type="radio" name="Fitness" value="Excellent"><font size="1">Excellent</font></div> </td> </tr> <tr> <td width="35%"> <div align="right">Equipments I have: </div> </td> <td width="35%"> <div align="left"><font size="1">Please click on the equipment you have already had:</font><br> <input type="checkbox" name="Rucksack" value="Yes"</input><font size="1">Rucksack</font><br> <input type="checkbox" name="Boot" value="Yes"</input><font size="1">Boot suitable for the actual season</font><br> <input type="checkbox" name="Helmet" value="Yes"</input><font size="1">Helmet</font><br> <input type="checkbox" name="Crampons" value="Yes"</input><font size="1">Crampons</font><br> <input type="checkbox" name="Ice axe" value="Yes"</input><font size="1">Ice axe</font><br> <input type="checkbox" name="Harness" value="Yes"</input><font size="1">Harness</font><br> <input type="checkbox" name="Rope" value="Yes"</input><font size="1">Rope</font><br> <input type="checkbox" name="Pruszik" value="Yes"</input><font size="1">Prusik string</font><br> <input type="checkbox" name="Headlamp" value="Yes"</input><font size="1">Headlamp</font><br> <input type="checkbox" name="Carabiners" value="Yes"</input><font size="1">Min. 3 pc. carabiners</font><br> <input type="checkbox" name="Via Ferrata set" value="Yes"</input><font size="1">Via ferrata set</font><br> <input type="checkbox" name="Red-cross-parcel" value="Yes"</input><font size="1">Red cross parcel</font><br> </div> </td> <td width="30%"> <div align="center"> <font size="1">Are you the member</font> <font size="1">of these alpine clubs?</font><br><br></div> <div align="center"><input type="radio" name="My club" value="Nincs" checked="checked"><font size="1">No</font> <div align="left"><input type="radio" name="My club" value="Oesterreichischer Alpenverein"><font size="1">OeAV</font> <div align="left"><input type="radio" name="My club" value="Deutscher Alpenverein"><font size="1">DAV</font></div> <div align="left"><input type="radio" name="My club" value="Schweizer Alpen-Club"><font size="1">SAC</font></div> <div align="left"><input type="radio" name="My club" value="Club Alpino Italiano"><font size="1">CAI</font></div> <div align="left"><input type="radio" name="My club" value="Club Alpin Francais"><font size="1">CAF</font></div> <div align="left"><input type="radio" name="My club" value="American Alpine Club"><font size="1">AAC</font></div> <div align="left"><input type="radio" name="My club" value="Japanese Alpine Club"><font size="1">JAC</font></div> <div align="left"><input type="radio" name="My club" value="Egyéb"><font size="1">Other</font></div> </td> </tr> <tr> <td width="35%"> <div align="right">Equipments I still</div> <div align="right">do not have:</div> </td> <td width="35%"> <div align="left"><font size="1">Please click on the equipment you still don't have but you are going to buy:</font><br> <input type="checkbox" name="Rucksack " value="No"</input><font size="1">Rucksack</font><br> <input type="checkbox" name="Boot " value="No"</input><font size="1">Boot suitable for the actual season</font><br> <input type="checkbox" name="Helmet " value="No"</input><font size="1">Helmet</font><br> <input type="checkbox" name="Crampons " value="No"</input><font size="1">Crampons</font><br> <input type="checkbox" name="Ice axe " value="No"</input><font size="1">Ice axe</font><br> <input type="checkbox" name="Harness " value="No"</input><font size="1">Harness</font><br> <input type="checkbox" name="Rope " value="No"</input><font size="1">Rope</font><br> <input type="checkbox" name="Pruszik " value="No"</input><font size="1">Prusik string</font><br> <input type="checkbox" name="Headlamp " value="No"</input><font size="1">Headlamp</font><br> <input type="checkbox" name="Carabiners " value="No"</input><font size="1">Min. 3 pc. carabiners</font><br> <input type="checkbox" name="Via Ferrata set " value="No"</input><font size="1">Via ferrata set</font><br> <input type="checkbox" name="Red-cross-parcel " value="No"</input><font size="1">Red cross parcel</font><br> </div> </td> </tr> <tr> <td height=100 width="35%"> <div align="right">Your results:</div> </td> <td height="100 width="65%"> <div align="left"><textarea name="Results" cols="50" rows="10"></textarea></div> </td> </tr> <tr> <td height=75 width="35%"> <div align="right">Other announcement:</div> </td> <td height="75 width="65%"> <div align="left"><font size="1">e.g. Agoraphobic, other illness, medication, etc. ...</font><br> <textarea name="Others" cols="50" rows="7"></textarea></div> </td> </tr> <tr> <td style="background-color: #f5f5dc" align="center" colspan="2"</td> <td valign="top"> <input type="submit" value="Sending"><input type="reset" value="Delete"> </tr> </table> </div> </form>  </div> <bR> <div> <IMG SRC="8eb09040.png" border=0 width="521" height="4" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <IMG SRC="aae59810.png" border=0 width="345" height="129" ALT="HEGYMÁSZÁS, TREKKING, KALANDTÚRASomkuti Nándor 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