<form method="post" action="<?=$\_SERVER['PHP\_SELF']?>" enctype="multipart/form-data" accept-charset="UTF-8">
<table width="90%" border="0" align="center" cellpadding="6" cellspacing="0">
<tr>
<td>
<div align="right">
<label for="name">Name*</label>
</div>
</td>
<td>
<div align="left">
<input name="name" type="text" size="35" maxlength="50" value="<?=$str_Name?>" />
<?php
if (isset($\_POST['sent']))
{
if ($bln\_Name\_Empty == TRUE)
{
echo "<span style=\"color:red\">Name darf nicht leer sein!</span>";
}
if ($bln\_Name\_Error == TRUE)
{
echo "<span style=\"color:red\">Name darf nur aus Buchstaben bestehen! (mind. 2)</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<label for="vorname">Vorname*</label>
</div>
</td>
<td>
<div align="left">
<input name="vorname" type="text" size="35" maxlength="40" value="<?=$str_Vorname?>" />
<?php
if (isset($\_POST['sent']))
{
if ($bln\_Vorname\_Empty == TRUE)
{
echo "<span style=\"color:red\">Vorname darf nicht leer sein!</span>";
}
if ($bln\_Vorname\_Error == TRUE)
{
echo "<span style=\"color:red\">Vorname darf nur aus Buchstaben bestehen! (mind. 2)</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<label for="telefonnummer">Telefonnummer*</label>
</div>
</td>
<td>
<div align="left">
<input name="telefonnummer" type="text" size="35" maxlength="20" value="<?=$str_Telefonnummer?>" />
<?php
if (isset($\_POST['sent']))
{
if ($bln\_Telefonnummer\_Empty == TRUE)
{
echo "<span style=\"color:red\">Telefonnummer darf nicht leer sein!</span>";
}
if ($bln\_Telefonnummer\_Error == TRUE)
{
echo "<span style=\"color:red\">Telefonnummer darf keine Buchstaben enthalten!</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<label for="e-mail">E-mail*</label>
</div>
</td>
<td>
<div align="left">
<input name="e-mail" type="text" size="35" maxlength="256" value="<?=$str_Email?>" />
<?php
if (isset($\_POST['sent']))
{
if ($bln\_Email\_Empty == TRUE)
{
echo "<span style=\"color:red\">E-mail darf nicht leer sein!</span>";
}
if ($bln\_Email\_Error == TRUE)
{
echo "<span style=\"color:red\">Ungültige E-mail eingegeben!</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<label for="workshop">Workshop*</label>
</div>
</td>
<td>
<div align="left">
<select name="workshop">
<option selected>Bitte wählen Sie aus!</option>
<option>Ladies only</option>
<option>Men only</option>
<option>Couples (Paare)</option>
</select>
<select name="level">
<option selected>Bitte wählen Sie aus!</option>
<option>Schnupperworkshop 10.02</option>
<option>Schnupperworkshop 17.02</option>
<option>Schnupperworkshop 24.02</option>
<option>Anfänger</option>
<option>Fortgeschrittene 1</option>
<option>Fortgeschrittene 2</option>
<option>Fortgeschrittene 3</option>
<option>Fortgeschrittene 4</option>
<option>Fortgeschrittene 5</option>
<option>Fortgeschrittene 6</option>
<option>Specials</option>
</select>
<?php
if (isset($\_POST['sent']))
{
if ($bln\_Workshop\_Empty == TRUE && $bln\_Level\_Empty == TRUE)
{
echo "<span style=\"color:red\">Bitte wähle eine Workshop-Art und Level aus!</span>";
}
if ($bln\_Workshop\_Empty == TRUE && $bln\_Level\_Empty == FALSE)
{
echo "<span style=\"color:red\">Bitte wähle eine Workshop-Art aus!</span>";
}
if ($bln\_Workshop\_Empty == FALSE && $bln\_Level\_Empty == TRUE)
{
echo "<span style=\"color:red\">Bitte wähle einen Workshop-Level aus!</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<label for="nachricht">Nachricht</label>
</div>
</td>
<td>
<div align="left">
<textarea name="nachricht" cols="27" rows="5"><?=$str_Nachricht?></textarea>
</div>
</td>
</tr>
<tr>
<td>
<div align="right"></div>
</td>
<td>
<div align="left">
<input type="checkbox" name="checkbox" <?isset($_POST['checkbox']) ? print "checked" : ""?>/>
<label for="checkbox">Wollen Sie unseren Newsletter abonnieren?</label>
</div>
</td>
</tr>
<tr>
<td>
<div align="right"></div>
</td>
<td>
<div align="left">
<input type="checkbox" name="AGB" <?isset($_POST['AGB']) ? print "checked" : ""?>/>
<label for="checkbox"></label>*Ich akzeptiere die AGB
<?php
if (isset($_POST['AGB']))
{
if ($bln_AGB_Empty == TRUE)
{
echo "<span style="color:red">Bitte akzeptieren Sie unsere AGB´s!</span>";
}
}
?>
</div>
</td>
</tr>
<tr>
<td>
<div align="right">
<input type="hidden" value="1" name="sent">
</div>
</td>
<td>
<div align="left">
<input type="reset" name="Reset" value="Reset" />
<input name="Senden" type="submit" value="Senden" />
</div>
</td>
</tr>
</table>
</form>