ANMÄLAN

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#808080" TEXT="#080000" background="053b8573.jpg"> <div> <FONT SIZE="6" COLOR="#A6CAF0" FACE="Arial Narrow" ><B>RJD Lanteknik AB</B></FONT><FONT SIZE="6" COLOR="#3333CC" FACE="Arial Narrow" ><B> </B></FONT><B>   </B><B> |    </B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial Narrow" ><B> </B></FONT><FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial Narrow" ><A HREF="index.htm" TARGET="_top" TITLE="RJD Lanteknik AB">STARTSIDAN</A></FONT></div> <div> ANMÄLAN   |   <A HREF="pdf.htm" TARGET="_top" TITLE="TRÅDLÖST NÄTVERK">TRÅDLÖST NÄTVERK</A></div> <DIV ALIGN="LEFT"></DIV> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#808080" TEXT="#080000" background="054d2083.jpg"> <bR> <div> <IMG SRC="04e7d270.gif" border=0 width="125" height="39" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <bR> <bR> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" background="05505053.jpg"> <div> <I>ANMÄLAN</I></div> <bR> <bR> <bR> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Namn,Adress,Antal trappor,Lagenhetsnummer,Telefonnummer,Mobil,E-post,Trådbundet alternativ,Trådlöst alternativ,Skriv nedan i vilken rum skall bredbandsuttaget installeras"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Tack för anmälan, svar kommer snart"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="postmaster@rjdlanteknik.se"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left"><font color="000099">Namn: <br> <input type="text" name="Namn" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">Adress: <br> <input type="text" name="Adress" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">Antal trappor: <br> <input type="text" name="Antal trappor" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">Lagenhetsnummer: <br> <input type="text" name="Lagenhetsnummer" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">Telefonnummer: <br> <input type="text" name="Telefonnummer" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">Mobil: <br> <input type="text" name="Mobil" size="50" maxlength="100"> </font></td> </tr> <tr> <td align="left"><font color="000099">E-post: <br> <input type="text" name="E-post" size="50" maxlength="100"> </font></td> </tr> <tr> <td><font color="000099"> <input type="checkbox" name="Trådbundet alternativ" value="yes"> Trådbundet alternativ</font></td> </tr> <tr> <td><font color="000099"> <input type="checkbox" name="Trådlöst alternativ" value="yes"> Trådlöst alternativ</font></td> </tr> <tr> <td align="left"><font color="000099">Skriv nedan i vilken rum skall bredbandsuttaget installeras: <br> <textarea name="Skriv nedan i vilken rum skall bredbandsuttaget installeras" rows="20" cols="60"></textarea> </font></td> </tr> <tr> <td align="right"><font color="000099"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </font></td> </tr> </table> </form>  </div> <bR> <bR> </td> </tr></table></body>