Formulier invullen

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=245 BGCOLOR="#006699" TEXT="#080000"> <div> <U>Zo Werkt  Het</U></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f0ffffff00.gif" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Vul het advertentie </div> <div> formulier in ! </div> <div> Click dan op  "<B>Submit"  </B></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f0ffffff00.gif" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">U zult vervolgens naar een pagina worden geleid om hetgeen u  hebt ingevoerd te bekijken.  </div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f0ffffff00.gif" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Indien u akkoord daarmee gaat kunt u vervolgens op "<B>Continue" </B>clicken. </div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f0ffffff00.gif" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Hierna krijgt u de melding : </div> <div> <B>    Your Data has been sent.</B> </div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f0ffffff00.gif" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Ter bevestiging dat wij uw data hebben ontvangen kunt U </div> <div> <B>helemaal</B> aan de <B>onderkant </B>van die pagina op </div> <div> <B>Return to Website </B>clicken. </div> <bR> <div> Uw advertentie wordt na verrificatie een week lang op onze site geplaatst.</div> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000"> <div>  <form method="post" enctype="multipart/form-data" action="http://pub32.bravenet.com/emailfwd/senddata.php" accept-charset="utf-8"> <input type="hidden" name="usernum" value="2674145626"> <input type="hidden" name="cpv" value="2">  <table border="0" cellpadding="0" cellspacing="0" align="center"> <tr> <td><h3 style="border-bottom:1px solid black;">Gratis adverteren</h3></td> </tr> <tr> <td> <label for="Email" style="display:block;margin-bottom:5px;">Uw Email adres</label><input type="text" name="Email" id="Email" value="" maxlength="" style="width:150px;"><div style="clear:left;height:20px;"> </div> <label style="display:block;margin-bottom:5px;" for="Categorie">Kies Uw Categorie</label><select name="Categorie" id="Categorie"><option value="Onroerend">Onroerend goed</option><option value="Muziek">Muziek</option><option value="Transport">Transport</option><option value="Computers">Computers</option><option value="Dienstverlening">Dienstverlening</option><option value="Huisraad">Huisraad</option></select><div style="clear:left;height:20px;"> </div> <label for="Advertentie" style="display:block;margin-bottom:5px;">Uw Advertentie Hieronder </label><input type="text" name="Advertentie" id="Advertentie" value="" maxlength="90" style="width:200px;"><div style="clear:left;height:20px;"> </div> <label for="thankyou" style="display:none;">hidden field</label><input type="hidden" name="thankyou" id="thankyou" value="http://www.rttn.com/gratisadverteren/id15.htm"><div style="clear:left;height:20px;display:none;"> </div> </td> <tr> <td align="right">  <input type="submit" value=" Submit "> <input type="reset" value=" Reset "> </td> </tr> </table> </form>  </div> </td> </tr></table></body>