52 lines
1.8 KiB
PHP
52 lines
1.8 KiB
PHP
<html>
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<form method="post">
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<fieldset>
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<legend>Teilnehmer erfassen</legend>
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<ul>
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<li>
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<label for="tnummer">Teilnehmernummer:</label>
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<input type="text" name="tnummer" id="tnummer" value="AUTO" disabled>
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</li>
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<li>
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<label for="name">Name:</label>
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<input type="text" name="name" id="name">
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</li>
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<li>
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<label for="vname">Vorname:</label>
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<input type="text" name="vname" id="vname">
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</li>
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<li>
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<label for="plz">Postleitzahl:</label>
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<input type="text" name="plz" id="plz">
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</li>
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<li>
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<label for="ort">Ort:</label>
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<input type="text" name="ort" id="ort">
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</li>
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<li>
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<label for="strasse">Strasse</label>
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<input type="text" name="strasse" id="strasse">
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</li>
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<li>
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<label for="hausnr">Nr.:</label>
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<input type="text" name="hausnr" id="hausnr">
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</li>
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<li>
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<label for="telefon1">Telefon 1:</label>
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<input type="text" name="telefon1" id="telefon1">
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</li>
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<li>
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<label for="telefon2">Telefon2</label>
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<input type="text" name="telefon2" id="telefon2">
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</li>
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<li>
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<label for="email">E-Mail:</label>
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<input type="text" name="email" id="email">
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</li>
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</ul>
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<p>
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<input type="submit" value="Teilnehmer Speichern">
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</p>
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</fieldset>
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</form>
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</html> |