<div class="eaKeep">
<SCRIPT src="../../../third-parties/yav/js_compact/yav.js"> </SCRIPT>
<SCRIPT src="../../../third-parties/yav/js_compact/yav-config.js"> </SCRIPT>
<SCRIPT>
var rules=new Array();
rules[0]='email|required|e-mail';
rules[1]='email|email|';
rules[2]='name|required|Name';
rules[3]='lastname|required|LastName';
rules[4]='phone|required|Phone';
rules[5]='room|required|Room';
rules[6]='arrivaldate|required|ArrivalDate';
rules[7]='departuredate|required|DepartureDate';
function swapDisplay (id){
if (getStyleObject(id).display=='block'){
hideCompById(id);
} else {
showCompById(id);
}
}
</SCRIPT> <style type="text/css">
<!--
.inputError { border:#FF8000 1px solid; background-color: #FFFFD7; }
.contactTable { margin-top:10px; border:#999999 1px solid;}
.contactTable th { background-color:#DDDDDD; font-weight:bold; text-align:left }
.contactTable ol { padding-left:15px }
-->
</style>
<form name="contactForm" action="../../../iw/core/main/sendForm.jsp" onsubmit="return performCheck('contactForm', rules, 'classic');" style="margin: 0pt;" class="fckForm">
<table width="460" class="fckTable">
<tbody>
<tr>
<th colspan="4">Booking form</th>
</tr>
<tr>
<td colspan="4"><strong>Personal data</strong></td>
</tr>
<tr>
<td width="80">First name*</td>
<td> <input type="text" name="name" style="width: 150px;" /></td>
<td width="80">Last Name*</td>
<td> <input type="text" name="lastname" style="width: 150px;" /></td>
</tr>
<tr>
<td width="80">City</td>
<td> <input type="text" name="city" style="width: 150px;" /></td>
<td width="80">Nationality</td>
<td> <input type="text" name="nationality" style="width: 150px;" /></td>
</tr>
<tr>
<td width="80">Phone*</td>
<td> <input type="text" name="phone" style="width: 150px;" /> </td>
<td width="80">Mobile Phone</td>
<td> <input type="text" name="cellphone" style="width: 150px;" /></td>
</tr>
<tr>
<td width="80">Fax</td>
<td> <input type="text" name="fax" style="width: 150px;" /></td>
<td width="80">E-mail*</td>
<td> <input type="text" name="email" style="width: 150px;" /></td>
</tr>
</tbody>
</table>
<table width="460" class="fckTable">
<tbody>
<tr>
<td colspan="2"><strong>Booking data</strong></td>
</tr>
<tr>
<td width="150">Room*</td>
<td><select name="room" size="1">
<option value="single">single</option>
<option value="double">double</option>
<option value="triple">triple</option>
</select></td>
</tr>
<tr>
<td width="150">Arrival date*</td>
<td><input type="text" name="arrivaldate" style="width: 150px;" /></td>
</tr>
<tr>
<td width="150">Departure date*</td>
<td><input type="text" name="departuredate" style="width: 150px;" /></td>
</tr>
<tr>
<td colspan="2">Notes</td>
</tr>
<tr>
<td colspan="2"><textarea style="width: 500px; height: 100px;" name="Notes"></textarea> <input type="hidden" name="formTitle" value="Booking" /></td>
</tr>
<tr>
<td colspan="4">Fields marked with (*) are mandatory.</td>
</tr>
<tr>
<td colspan="4"><input type="submit" value="send" style="float: right;" /></td>
</tr>
</tbody>
</table>
</form>
</div>