<form name="feedback" action="http://baseportal.de/cgi-bin/baseportal.pl?htx=/albert_schweitzer_chor/feedback&cmd=add">
<div align="center">
<table cool width="523" height="362" usegridx usegridy showgridx showgridy gridx="16" gridy="16" border="0" cellpadding="0" cellspacing="0">
<tr height="32">
<td width="224" height="32" align="left" xpos="0" content valign="top" csheight="32">
<div align="right">
<h3>Dein Name: </h3>
</div>
</td>
<td width="32" height="361" rowspan="6"></td>
<td width="256" height="32" valign="top" align="left" xpos="256"><input type="text" name="name:=" size="40" value="" tabindex="2"></td>
<td width="10" height="64" rowspan="2"></td>
<td width="1" height="32"><spacer type="block" width="1" height="32"></td>
</tr>
<tr height="32">
<td width="224" height="32" align="left" xpos="0" content valign="top" csheight="32">
<div align="right">
<h3>Deine Emailadresse:</h3>
</div>
</td>
<td width="256" height="32" valign="top" align="left" xpos="256"><input type="text" name="emailadresse:=" size="40" value="" tabindex="3"></td>
<td width="1" height="32"><spacer type="block" width="1" height="32"></td>
</tr>
<tr height="80">
<td width="224" height="80" align="left" xpos="0" content valign="top" csheight="51">
<div align="right">
<h3>Möchtest du etwas in unser Gästebuch schreiben?</h3>
</div>
</td>
<td width="266" height="80" colspan="2" valign="top" align="left" xpos="256"><textarea name="gaestebuch:=" cols="40" rows="4" tabindex="4" wrap="virtual"></textarea></td>
<td width="1" height="80"><spacer type="block" width="1" height="80"></td>
</tr>
<tr height="80">
<td width="224" height="80" align="left" xpos="0" content valign="top" csheight="51">
<div align="right">
<h3>Möchtest du eine Mitteilung an die Chormitglieder schreiben?</h3>
</div>
</td>
<td width="266" height="80" colspan="2" valign="top" align="left" xpos="256"><textarea name="mittteilung:=" cols="40" rows="4" tabindex="5" wrap="virtual"></textarea></td>
<td width="1" height="80"><spacer type="block" width="1" height="80"></td>
</tr>
<tr height="80">
<td width="224" height="80" align="left" xpos="0" content valign="top" csheight="63">
<div align="right">
<h3>Wenn du vor Konzerten eine Postkarte bekommen möchtest, dann hinterlasse uns hier deine Adresse:</h3>
</div>
</td>
<td width="266" height="80" colspan="2" valign="top" align="left" xpos="256"><textarea name="postadresse:=" cols="40" rows="4" tabindex="6"></textarea></td>
<td width="1" height="80"><spacer type="block" width="1" height="80"></td>
</tr>
<tr height="57">
<td width="224" height="57" align="left" xpos="0" content valign="top" csheight="49">
<div align="right">
<h3>Möchtest du nicht per Postkarte, sondern via Email über Konzerte informiert werden?</h3>
</div>
</td>
<td width="256" height="57" align="left" xpos="256" content valign="top" csheight="57">
<div align="left">
<h3><input type="radio" value="eintragen" name="email:=" tabindex="7"> ja bitte<br>
<input type="radio" value="loeschen" name="email:=" tabindex="8"> bitte nicht mehr (Eintrag löschen)</h3>
</div>
</td>
<td width="10" height="57"></td>
<td width="1" height="57"><spacer type="block" width="1" height="57"></td>
</tr>
<tr height="1" cntrlrow>
<td width="224" height="1"><spacer type="block" width="224" height="1"></td>
<td width="32" height="1"><spacer type="block" width="32" height="1"></td>
<td width="256" height="1"><spacer type="block" width="256" height="1"></td>
<td width="10" height="1"><spacer type="block" width="10" height="1"></td>
<td width="1" height="1"></td>
</tr>
</table>
<input type="hidden" value="jetzt" name="Datum:=">
Wenn du etwas in unser Gästebuch schreibst, so wird dort dein Name und deine Emailadresse erscheinen. Im Übrigen behalten wir deine Daten natürlich für uns. <p><input type="submit" name="submitButtonName" value="Abschicken" tabindex="9"> <input type="reset" tabindex="10"></p>
</div>
</form>