Wasserlauf NRW - Stiftung für Gewässerschutz und Wanderfische

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								<td class="text" width="90%" align="left" valign="top">
                 <img src="images/seiten/aktienkauf.jpg" >
                 <br><br>
                  Wählen Sie aus
                  <br><br>
                                     <table class="text">

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                                     <td>
                                     Surname:
                                     </td>
                                     <td>
                                     <input type="text" name="Name" size="40">
                                     </td>
                                     </tr>

<tr>
                                     <td>
                                     Lastname(s):
                                     </td>
                                     <td>
                                     <input type="text" name="Vorname" size="40">
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                                     </tr>

<tr>
                                     <td>
                                     Organisation:
                                     </td>
                                     <td>
                                     <input type="text" name="Firma" size="40">
                                     </td>
                                     </tr>

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                                     <td>
                                     Street/house number:
                                     </td>
                                     <td>
                                     <input type="text" name="Straße" size="40">
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<tr>
                                     <td>
                                     Postcode/zip:
                                     </td>
                                     <td>
                                     <input type="text" name="PLZ" size="40">
                                     </td>
                                     </tr>

<tr>
                                     <td>
                                     Telephone:
                                     </td>
                                     <td>
                                     <input type="text" name="Telefon" size="40">
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<tr>
                                     <td>
                                     e-mail:
                                     </td>
                                     <td>
                                     <input type="text" name="Email" size="40">
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                                     <td>
                                     Mention by name on website:
                                     </td>
                                     <td>
                                     <input type="checkbox" name="nennung" value="1">
                                     </td>
                                     </tr>

<tr>
                                     <td colspan="2">
                                     <b>Method of Payment</b>
                                     </td>
                                     </tr>

<tr>
                                     <td>Direct debit</td>
                                     <td><input type="radio" name="zahlung" value="2" onCLick="bank()" checked></td>
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                                     <td>Bank transfer</td>
                                     <td><input type="radio" name="zahlung" value="1" ></td>
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                                     <td>
                                     Account holder:
                                     </td>
                                     <td>
                                     <input type="text" name="Kontoinhaber" size="40">
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<tr>
                                     <td>
                                     Account number:
                                     </td>
                                     <td>
                                     <input type="text" name="Kontonummer" size="40">
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<tr>
                                     <td>
                                     Bank details:
                                     </td>
                                     <td>
                                     <input type="text" name="Bank" size="40">
                                     </td>
                                     </tr>

<tr>
                                     <td colspan="2">
                                     <br><br>
                                     Please select the shares you would like to order.<br><br>
                                     <table class="text">
                                     
                                     <tr>
                                     <td ><input type="checkbox" name="aal" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-aal.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-aal.jpg" width="50" style="border: 1px solid #000;"></a><br>Eel</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="finte" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-finte.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-finte.jpg" width="50" style="border: 1px solid #000;"></a><br>twait shad</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="flunder" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-flunder.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-flunder.jpg" width="50" style="border: 1px solid #000;"></a><br>Flounder</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="flussneuneauge" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-flussneunauge.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-flussneunauge.jpg" width="50" style="border: 1px solid #000;"></a><br>River lamprey</td>

</tr>

<tr>
                                     <td ><input type="checkbox" name="forelle" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-forelle.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-forelle.jpg" width="50" style="border: 1px solid #000;"></a><br>trout</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="lachs" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-lachs.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-lachs.jpg" width="50" style="border: 1px solid #000;"></a><br>Salmon</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="maifisch" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-maifisch.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-maifisch.jpg" width="50" style="border: 1px solid #000;"></a><br>Allis shad</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="flussneuneauge" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-meerneunauge.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-meerneunauge.jpg" width="50" style="border: 1px solid #000;"></a><br>Sea lamprey</td>

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                                     <td ><input type="checkbox" name="schnaepel" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-schnaepel.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-schnaepel.jpg" width="50" style="border: 1px solid #000;"></a><br>Vendace</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="stint" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-stint.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-stint.jpg" width="50" style="border: 1px solid #000;"></a><br>Smelt</td>

<td width="30"></td>
                                     <td><input type="checkbox" name="stoer" value="1"></td>
                                     <td><a href="#" onClick="window.open('bildanz.php?bild=aktie-stoer.jpg','remote','width=847,height=570')"><img src="images/aktien/aktie-stoer.jpg" width="50" style="border: 1px solid #000;"></a><br>Sturgeon</td>

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                                     <input type="submit" value="Bestellen">
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</form>
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