<img src=http://www.webseite.de/bilder/online.gif>
<perl>
if ($cmd eq "addOnline")
{
out "<br><br><font color=#3366ff><b>Vielen Dank für Ihr Interesse. <br>Sie werden nun in der Bewerberliste geführt.<b></ul></font>";
}
</perl>
<p><b>Bewerbung um einen Bauplatz<br>
Bitte tragen Sie sich in dieses Formular ein.</b></p>
<table>
<form action="baseportal.pl?htx=$htx&cmd=addOnline" method="post" enctype="multipart/form-data" onsubmit="return formcheck()"><input type=hidden name="htx=" value="$htx"><input type=hidden name="cmd=" value="addOnline"> <tr><td>
<table border="0" bgcolor="#FFCC66">
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Name:</font></td>
<td width="160"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Name:=" size=20 value="">
</font></td>
<td width="56">
<div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Vorname:</font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Vorname:=" size=20 value="">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Strasse:</font></td>
<td width="160"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Strasse:=" size=20 value="">
</font></td>
<td width="56">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"></font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="160"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="56">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"></font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">PLZ:</font></td>
<td width="160"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="PLZ:=" size=10 value="">
</font></td>
<td width="56">
<div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Ort:</font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Stadt:=" size=20 value="">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="160"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="56">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"></font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Telefon:</font></td>
<td width="160"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Telefon:=" size=20 value="">
</font></td>
<td width="56">
<div align="right"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Fax:</font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Fax:=" size=20 value="">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="160"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td width="56">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"></font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Email:</font></td>
<td width="160"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="Email:=" size=30 value="">
</font></td>
<td width="56">
<div align="right"><font face="Verdana, Arial, Helvetica, sans-serif"></font></div>
</td>
<td width="172"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td align=right width="84"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Anmerkungen:</font></td>
<td colspan="3">
<div align="right"></div>
<font size="2" face="Verdana, Arial, Helvetica, sans-serif">
<textarea name="Anmerkungen:=" cols=45 rows=3 wrap=virtual>
</textarea>
</font></td>
</tr>
<tr bgcolor="#FFcc66">
<td width="84" height="55"><font face="Verdana, Arial, Helvetica, sans-serif"></font></td>
<td nowrap colspan="3" height="55"> <font face="Verdana, Arial, Helvetica, sans-serif">
<input type=submit value="Absenden" name="submit">
<input type=reset value="Zurücksetzen" name="reset">
</font>
<div align="right"> </div>
</td>
</tr>
</table>
<perl>
if ($cmd eq "addOnline")
{
put undef,"deinedatenbank";
$inhalt="Sehr geehrte Damen und Herren,\n\nvielen Dank für Ihre Interesse an einem Bauplatz.\n\nIhre Eingaben waren:\n\nName: $Vorname $Name\n\nStraße: $Strasse\n\nOrt: $PLZ $Stadt\n\nTelefon: $Telefon Fax: $Fax\n\nE-Mail: $Email \n\nAnmerkungen: $Anmerkungen\n\n\nSie werden nun in unserer Bewerberliste geführt.\n\nMit freundlichen Grüßen\nIhre Stadtverwaltung Bürstadt\n\nBauverwaltungsamt\nRathausstr. 2\n68642 Bürstadt\nTel.:06206/ 701-294\nE-Mail: dein\@email.de\nhttp://www.deinewebseite.de";