152 lines
5.2 KiB
HTML
152 lines
5.2 KiB
HTML
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
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<html lang="de">
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<head>
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<title>REGISTRIERUNG</title>
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<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
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<meta name="description" content="votian"> <meta name="keywords" content="votian">
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<link rel="stylesheet" type="text/css" href="../css/phoenix.css">
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<!-- BEGIN register -->
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<script type="text/javascript">
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<!--
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var statusMessage = "{statusMessage}";
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function displayStatusMessage() {
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if (statusMessage != "") {
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alert(statusMessage);
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}
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};
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-->
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</script>
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<noscript>
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<center>
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<b><br>JavaScript ist nicht verfügbar. Bitte aktivieren Sie JavaScript<br><br>
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in Ihrem Browser, damit diese Seite ordnungsgemäß funktioniert!</b><br><br>
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</center>
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</noscript>
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</head>
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<body bgcolor="#FFFFFA" leftmargin="1" topmargin="1" marginwidth="0" marginheight="0" link="#990000" vlink="#990000" alink="#990000" onLoad="displayStatusMessage();">
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<table border="0" height=100% width="100%" align="center" cellspacing="0" cellpadding="0" vspace="0" hspace="0">
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<tr>
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<td width=20%><img src="../images/empty.gif" width="1" height="10" alt=" "></td>
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<td width=60% align=center valign=top><img src="../images/thinkwarelogistics.jpg" alt="votian"></td>
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<td width=20%><img src="../images/empty.gif" width="1" height="10" alt=" "></td>
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</tr>
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<tr>
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<td width=20%> </td>
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<td width=60% align=center>
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<table border="0" width=100% height=100% align=center cellspacing=0 cellpadding=0 vspace=0 hspace=0>
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<tr>
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<td colspan=10 valign="top">
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<table border="0" align=center cellspacing="5" cellpadding="5">
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<form action="register.php" method="POST">
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<tr>
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<td colspan=2 align="center">
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<img src="../images/spacer.jpg" border="0" height="1" width="100%">
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<div class=headline1><b>Registrieren</b></div>
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</td>
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</tr>
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<tr>
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<td>
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Firma*:
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</td>
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<td>
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<input type="text" size="30" maxlength="50" value="{f_cs_comp}" name="f_cs_comp" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Noch Firma:
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</td>
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<td>
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<input type="text" size="30" maxlength="50" value="{f_cs_comp2}" name="f_cs_comp2" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Straße*, Hausnummer*:
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</td>
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<td>
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<input name="f_cs_street" type="text" value="{f_cs_street}" size="38" maxlength="50" class="input">
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<input name="f_cs_hsno" type="text" value="{f_cs_hsno}" size="3" maxlength="10" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Plz*, Ort*:
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</td>
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<td>
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<input name="f_cs_zipcode" type="text" value="{f_cs_zipcode}" size="7" maxlength="10" class="input">
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<input name="f_cs_city" type="text" value="{f_cs_city}" size="34" maxlength="50" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Anmeldename des Hauptbenutzers*:
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</td>
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<td>
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<input type="text" size="30" maxlength="50" value="{f_emp_name}" name="f_emp_name" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Passwort*:<br> <br>(zur Bestätigung bitte wiederholen)*
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</td>
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<td>
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<input type="password" size="20" maxlength="20" value="" name="f_emp_password" class="input"><br>
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<input type="password" size="20" maxlength="20" value="" name="f_emp_password_check" class="input">
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</td>
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</tr>
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<tr>
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<td>
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Telefon*, Telefax:
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</td>
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<td>
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<input type="text" size="20" maxlength="20" value="{f_emp_phone}" name="f_emp_phone" class="input">
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<input type="text" size="20" maxlength="20" value="{f_emp_fax}" name="f_emp_fax" class="input">
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</td>
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</tr>
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<tr>
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<td>
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E-Mail*:
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</td>
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<td>
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<input type="text" size="30" maxlength="50" value="{f_emp_email}" name="f_emp_email" class="input">
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</td>
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</tr>
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<tr>
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<td colspan="2" align="center">
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<input type="submit" title="Abbrechen ALT+a" name="f_submit" value="Abbrechen" accesskey="a">
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<input type="submit" title="Senden ALT+s" name="f_submit" value="Senden" accesskey="s">
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<br>
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<img src="../images/spacer.jpg" border="0" height="1" width="100%">
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<br>
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Die Angabe der mit einem * gekennzeichneten Felder ist erforderlich!
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</td>
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</tr>
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<!-- END register -->
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</form>
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</table>
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</td>
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</tr>
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</form>
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</table>
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</td>
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<td width=20%> </td>
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</tr>
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<tr>
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<td><img src="../images/empty.gif" width="1" height="10" alt=" "></td>
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<td><img src="../images/empty.gif" width="1" height="1" alt=" "></td>
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<td><img src="../images/empty.gif" width="1" height="10" alt=" "></td>
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</tr>
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</table>
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</body>
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</html>
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