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Current File : /var/www/canary-commercial-property/public_html/fr-booking.html
<!-- saved from url=(0022)http://internet.e-mail -->
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
	<HTML>
		<head>
			<title>Eurocottage Ltd, Castlebar enquiry/booking form</title>
			<LINK REL="STYLESHEET" HREF="http://www.castlebar.ie/styles/accomstyle.css" CHARSET="ISO-8859-1" TYPE="text/css">
		    <style type="text/css">
<!--
.style10 {font-size: 36px}
-->
            </style>
</head>
		<body bgcolor=#ECFFEC>
		<div align="center"><table>
			<tr>
				<td><div align="center"><b><font size="+3" color="#008000">Eurocottage formulaire de<font size="4"> r<strong><span class="style10">&eacute;</span></strong>servation</font></font></b></div></td>

			</tr>
		</table>
		</div>
		<hr>
		<FORM action="http://www.castlebar.ie/cgi-bin/formhandlercgi/120307_fm.pl" method="get">
	    <input type="hidden" name="recipient" value="mansgeerinck@hotmail.com">
  <div align="center">
                  <H4></h4>
                  <TABLE BORDER=0 CELLSPACING=1 WIDTH=500>

                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>Informations personnelles</TD>
                       <TD VALIGN=top WIDTH=300>
                        </TD></TR>

                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>
                           <P ALIGN=RIGHT><font color="#008000">Nom&nbsp;</font>                        </TD><TD VALIGN=top WIDTH=300>
                           <P><INPUT TYPE="text" NAME="Name" SIZE=40>
                        </TD></TR>
                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>
                           <P ALIGN=RIGHT><font color="#008000">E-mail:&nbsp;</font>
                        </TD><TD VALIGN=top WIDTH=300>
                           <P><INPUT TYPE="text" NAME="Email" SIZE=40>

                        </TD></TR>
                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>
                           <P ALIGN=RIGHT><font color="#008000">Adresse&nbsp;</font>
                        </TD><TD VALIGN=top WIDTH=300>
                           <P>
						   <INPUT TYPE="text" NAME="Address1" SIZE=40><BR>


                           <INPUT TYPE="text" NAME="Address2" SIZE=40><BR>


                           <INPUT TYPE="text" NAME="Address3" SIZE=40><BR>


                           <INPUT TYPE="text" NAME="Address4" SIZE=40>

                        </TD></TR>

                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>
                     <P ALIGN=RIGHT><font color="#008000">T&eacute;l&eacute;phone:&nbsp;</font>                        </TD><TD VALIGN=top WIDTH=300>
                           <P><INPUT TYPE="text" NAME="Telephone" SIZE=40>

                        </TD></TR>

                     <TR>
                        <TD VALIGN=top align="left" WIDTH=200>
                           <P align="right">
                     <font color="#008000">Je voudrais faire:</font>                        </TD><TD VALIGN=top WIDTH=300>
                           <font color="#008000"><SELECT NAME="EnquiryOrBooking">
                             <option>une demande
                             <option>un reservation
                       </SELECT></font>

                        </TD></TR>

                  </TABLE><TABLE BORDER=0 CELLSPACING=1
                  WIDTH=498 height="259">
                     <TR>
                        <TD COLSPAN=2 WIDTH=498 height="57">
						   <P ALIGN=left>&nbsp;
					    <P ALIGN=left><b><font color="#000080">Dur&eacute;e:</font></b>                        </TD></TR>
                     <TR>
                        <TD WIDTH=147 align="right" height="22">
                        <P ALIGN=RIGHT><font color="#008000">Date d'arriv&eacute;e:&nbsp;</font>                        </TD><TD WIDTH=351 height="22">
                           <P><font color="#008000"><SELECT NAME="ArrivalMonth">
                             <option>Janvier
                             <option>F&eacute;vrier 
                             <option>Mars
                             <option>Avril
                             <option>Mai
                             <option>Juin
                             <option>Juillet
                             <option>Ao&ucirc;t 
                             <option>Septembre
                             <option>Octobre
                             <option>Novembre
                             <option>D&eacute;cembre
                             </SELECT>
                             &nbsp; Jour&nbsp;
                             <INPUT TYPE="text" NAME="ArrivalDay" VALUE="?" SIZE=2 MAXLENGTH=2>
&nbsp;                           Ann&eacute;e&nbsp;
                           <!--webbot bot="Validation"
                           B-Value-Required="TRUE" -->
                           <select name="ArrivalYear" size="1">
                             <option>2015</option>
                             <option>2016</option>
                             <option>2017</option>
                                                      </select>
                    </font>                        </TD></TR>
                     <TR>
                        <TD WIDTH=147 align="right" height="25">
                        <P ALIGN=RIGHT><font color="#008000">Date de d&eacute;part:&nbsp;</font>                        </TD><TD WIDTH=351 height="25">
                           <P><font color="#008000"><SELECT NAME="DepartureMonth">
                             <option>Janvier
                             <option>F&eacute;vrier 
                             <option>Mars
                             <option>Avril
                             <option>Mai
                             <option>Juin
                             <option>Juillet
                             <option>Ao&ucirc;t 
                             <option>Septembre
                             <option>Octobre
                             <option>Novembre
                             <option>D&eacute;cembre
                             </SELECT>
                             &nbsp;Jour&nbsp;
                             <INPUT TYPE="text" NAME="DepartureDate" VALUE="?" SIZE=2 MAXLENGTH=2> 
                             &nbsp;
                           Ann&eacute;e&nbsp;
                           <select name="DepartureYear" size="1">
                             <option>2015</option>
                             <option>2016</option>
                             <option>2017</option>
                                                      </select>
                    </font>                        </TD></TR>
                     <TR>
                        <TD COLSPAN=2 WIDTH=498 height="57">
                           &nbsp;
                    <p><font color="#000080"><b>Logement:</b></font>                        </TD></TR>
                     <TR>
                        <TD WIDTH=196 align="right" height="25">
                            <P align="right"><font color="#008000">Type de logement
                       :</font>                        </TD>
                    <TD WIDTH=302 height="25"><font color="#008000">
                          <select name="AccomType1" size="1">
                            <option>Cottage 2 chambres </option>
                            <option>Cottage 3 chambres</option>
                            <option>les 2 cottages</option>                            
                      </select>
                        </font></TD>
                    </TR>
                     <TR>
                        <TD WIDTH=196 align="right" height="25">
                        <p align="right"><font color="#008000">Nombre de personnes:&nbsp;</font>                        </TD>
                        <TD WIDTH=302 height="25">
                           <font color="#008000"><INPUT TYPE="text" NAME="NumAdultsAccom1" VALUE="?" SIZE=2 MAXLENGTH=2>
                           <!--<font color="#D31A14">Number of Children</font> <INPUT TYPE="text" NAME="NumChildrenRoom1" VALUE="?" SIZE=2 MAXLENGTH=2></P>-->
                        </font>                        </TD></TR>
                  </TABLE>


    <P>&nbsp;</P>
    <P><font color="#008000">S'Veuillez  remplir le cadre ci-dessous pour toute demande d'information: -</font></P>

    <P><CENTER><TEXTAREA NAME="RequestFurtherInfo" ROWS=13
                  COLS=57></TEXTAREA></CENTER></P>

                  <P><CENTER>
                  <font size="3">
                  <input type="submit" name="envoi" value="Submit">
                  <INPUT TYPE="hidden" NAME="sort" VALUE="order:Name,Address1,Address2,Address3,Address4,Email,Telephone,EnquiryorBooking,ArrivalYear,ArrivalMonth,ArrivalDay,DepartureYear,DepartureMonth,DepartureDate,RoomType1,AccomType1,NumAdultsAccom1,AccomType2,NumAdultsAccom2,RequestFurtherInfo">
                  &nbsp;&nbsp; <INPUT TYPE="reset" VALUE="Start over">
                  </font>
    </CENTER></P>



         <P>&nbsp;</P>
                  <div align="center"><a href="http://www.eurocottage.ie/"><font color="#008000">Back to Eurocottage Main Page</font></a></div><div align="center"><!--<a href="http://www.castlebar.ie">Visit the local towns Web page</a>--></div>
 </div>




</FORM>


</BODY>
</HTML>

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