ÿþ<html> <head> <title>Untitled Document</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <STYLE TYPE="text/css"> .meuestil{font-family:Verdana, Arial, Helvetica, sans-serif;font-size:10px;color:#ffffff;} </STYLE> </head> <body bgcolor="#ffffff" leftmargin="0" topmargin="0" text="#000000" link="#ff9933" vlink="#ff9933" alink="#ff9933" marginwidth="0" marginheight="0"> <div class="meuestil"> <p align="left"><font size="2"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><b><font size="2"><font color="#ff9933" size="4"><i><font color="#9b4e00" face="Times New Roman, Times, serif" size="7"><img src="imatges/esquina.jpg" width="28" height="30"></font></i></font></font></b></font></b></font></b></font></p> <p align="center"><font size="2"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><b><font color="#000000"> </font></b></font></b></font><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <b><font size="2"><font color="#ff9933" size="4"><i><font color="#9b4e00" face="Times New Roman, Times, serif"> Mushing Llavaneres <font color="#000000"></font></font></i></font></font> </b></font> <br> <font face="Georgia, Times New Roman, Times, serif"><i><font face="Verdana, Arial, Helvetica, sans-serif" size="1"> <b><font size="2"><font color="#ff9933" size="4"><i><font color="#666666" face="Times New Roman, Times, serif" size="6"> Inscripciones</font></i></font></font></b></font></i></font></p> <hr> <blockquote> <p align="left"><font color="#000000">A través de este formulario os podeis inscribir en el encuentro de Mushing Llavaneres. </font> </p> </blockquote> </div> <blockquote> <div class="meuestil" align="left"> <p><font color="#000000">La inscripción es gratuíta para los mushers y canicrossistas e incluye la comida para ellos y para un acompañante.</font></p> <p><font color="#000000">Menores de 12 años comida gratuíta. Resto acompañantes 8 ¬ </font></p> <p><font color="#000000">Las inscripciones finalizan e&nbsp; <b>10 de Marzo de 2010</b>.</font></p> </div> <div class="meuestil" align="left"></div> </blockquote> <div align="left"><blockquote> <div class="meuestil"> <div class="meuestil" align="center"> <form action="../asp/enviar_inscripcion_llavaneres.asp" method="post"> <table width="90%" border="0"> <tr bgcolor="#9b4e00" bordercolor="#0"> <td colspan="2"> <div align="center"><font color="#000000"><b><font size="2" color="#ffffff"><a name="formulario"></a>Formulario de Inscripción</font></b></font></div> </td> </tr> <tr bgcolor="#ffe1c4"> <td colspan="2" bordercolor="#0"><font color="#000000" size="2"><b>Datos personales.</b></font></td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Nombre:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="NOMBRE" size="20" maxlength="20"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Apellidos:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="APELLIDOS" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Dirección:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="DIRECCION" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">C.Postal:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="CPOSTAL" size="5" maxlength="5"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Localidad:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="LOCALIDAD" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">País:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="PAIS" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Teléfono:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="TELEFONO" size="20" maxlength="20"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Móvil:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="MOVIL" size="20" maxlength="20"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Fax:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="FAX" size="20" maxlength="20"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">E-mail:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="EMAIL" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td colspan="2" bordercolor="#0"> <div align="right"><font color="#000000" size="1"></font></div> <div align="left"><font color="#000000" size="2"><b>Datos de inscripción.</b></font><font color="#000000" size="1"></font></div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Club:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="CLUB" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Categoría:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <select name="CATEGORIA"> <option value="*" selected></option> <option value="US">US</option> <option value="O">O</option> <option value="8S">8S</option> <option value="A">A</option> <option value="6S">6S</option> <option value="B1">B1</option> <option value="B2">B2</option> <option value="4S">4S</option> <option value="C1">C1</option> <option value="C2">C2</option> <option value="2S">2S</option> <option value="D1">D1</option> <option value="D2">D2</option> <option value="SM2">SM2</option> <option value="SW2">SW2</option> <option value="CM">CM</option> <option value="CW">CW</option> <option value="I">I</option> </select> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td width="18%" bordercolor="#0"> <div align="right"><font color="#000000" size="1">Sponsor/Equipo:</font></div> </td> <td width="82%"> <div align="left"><font color="#000000" size="1"> <input type="text" name="SPONSOR" size="50" maxlength="50"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td colspan="2" bordercolor="#0"> <div align="left"><font color="#000000" size="1">Núm.de perros que traerá:</font><font color="#000000" size="1"> <input type="text" name="NUMPERROS" size="2" maxlength="2"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td colspan="2" bordercolor="#0"> <div align="left"><font color="#000000" size="1">Num.de acompañantes para la comida: </font> <font color="#000000" size="1"><input type="text" name="NUMACOMPANANTES" size="2" maxlength="2"> </font> </div> </td> </tr> <tr bgcolor="#ffe1c4"> <td colspan="2" bordercolor="#0" height="30"> <div align="center"><font color="#000000" size="1"><strong><br> (*) e-mail obligatorio</strong><strong><font color="#ff0000"><br> AL ENVIAR EL FORMULARIO ESPERE UNOS INSTANTES<br> HASTA QUE SE COMPLETE LA OPERACIÓN DE REGISTRO DE LA INSCRIPCIÓN.</font></strong><br> <br> <input type="submit" name="Submit" value="Enviar" id="Submit1"> </font> </div> </td> </tr> </table> </form> </div> </div> <div align="center"><blockquote> <div class="meuestil"> <div class="meuestil" align="left"> <p>&nbsp;</p> </div> </div> </blockquote> </div> </blockquote> </div> </body> </html>