Gumpens Utleie - Order form

<body bgcolor="#ffffff" text="#000000"> <link rel="stylesheet" type="text/css" media="all" href="https://www.gumpensutleie.no/wp-content/themes/iy8zzsodjy7ef5rvb4lt1192043/style.css" /> <center> <table cellspacing="0" cellpadding="0" border="0"> <tr> <td rowspan="2" height="35" bgcolor="#000000"></td> <td align="center" height="34"> <div class="overskrift">  ORDER FORM  </div></td> <td rowspan="2" height="35" bgcolor="#000000"></td> </tr> <tr> <td width="434" bgcolor="#000000" height="1"></td> </tr> </table>  <br class="eb8f0sodibjkaho7g"> <font size="2"><b>All fields that are underlined <u>must</u> be filled out!</b></font> <table width="486" height="100%"><tr><td valign="middle">  <center> <form action="http://www.activeisp.com/scripts/sendformmail.dll" method="POST" name="bestilling" onsubmit="return SjekkFelt(this)"> <input type="hidden" name="mail" value=""> <input type="hidden" name="mail-to" value="morten.grambo@moller.no"> <input type="hidden" name="mail-subject" value="Reservering/forespørsel fra webside (eng)"> <input type="hidden" name="mail-success" value="https://www.gumpensutleie.no/english/bestill_takk.asp"> <p class="eb8f0sodibjkaho7g"> <table cellspacing="0" cellpadding="2" border="1" bgcolor="#ffffcc" width="486"> <tr> <td colspan="2" align="center" bgcolor="#ffcc33"> <div class="skrift2"><b> IS THIS? </b></div></td> </tr> <tr><td class="skrift1" align="center"> <u>An order?</u> <input type="Radio" name="type______________" value="bestilling"> <u>An inquiry?</u> <input type="Radio" name="type______________" value="forespørsel"> </td></tr> <tr> <td colspan="2" align="center" bgcolor="#ffcc33"> <div class="skrift2"><b> PERSONALIA </b></div></td> </tr> <tr><td class="skrift1"> <table cellspacing="0" cellpadding="1" border="0" width="100%"> <tr> <td class="skrift1" width="50%"><u>Name</u></td> <td class="skrift1"><input class="skrift1" size="18" name="navn______________" maxlength="30" style="width: 185;" onfocus="window.status='[*] - Please give your full name!'; return true" onblur="window.status='';"></td> <td class="skrift1" width="50%"><u>Year of birth </u> </td> <td class="skrift1"><input class="skrift1" name="fødselsår_________" size="4" maxlength="4" style="width: 40;" onfocus="window.status='[*] - Please state your year of birth!'; return true" onblur="window.status='';"></td> </tr> <tr> <td class="skrift1"><u>Address</u></td> <td class="skrift1"><input class="skrift1" name="adresse___________" size="18" maxlength="30" style="width: 185;" onfocus="window.status='[*] - Please state your address'; return true" onblur="window.status='';"></td> <td class="skrift1"><u>Post code & City</u> </td> <td><table cellspacing="0" cellpadding="0" border="0"><tr><td class="skrift1"><input class="skrift1" name="postnr____________" size="4" maxlength="10" style="width: 40;" onfocus="window.status='[*] - Please state your post code'; return true" onblur="window.status='';"></td> <td class="skrift1"><input class="skrift1" name="poststed__________" size="11" maxlength="30" style="width: 90;" onfocus="window.status='[*] - Please state the right city'; return true" onblur="window.status='';"></td></tr></table></td> </tr> <tr> <td class="skrift1"><u>Telephone / Mobile</u></td> <td class="skrift1"> <table cellspacing="0" cellpadding="0" border="0"> <tr> <td class="skrift1"><input class="skrift1" name="telefon/mobil_____" size="7" maxlength="11" style="width: 83;" onfocus="window.status='[*] - Please give the number you usually can be contacted on'; return true" onblur="window.status='';"></td> <td class="skrift1">Fax </td> <td class="skrift1"><input class="skrift1" name="fax_______________" size="7" maxlength="11" style="width: 83;" onfocus="window.status='[*] - Please state fax number, if you want to be contacted on this'; return true" onblur="window.status='';"></td></tr></table></td> <td class="skrift1"><u>E-mail</u> </td> <td class="skrift1"><input class="skrift1" name="mail-from" size="16" maxlength="50" style="width: 130;" onfocus="window.status='[*] - Please give your current e-mail address'; return true" onblur="window.status='';"></td> </tr> </table> </td></tr> <tr> <td colspan="2" align="center" bgcolor="#ffcc33"> <div class="skrift2"><b> CAR / RENTAL DETAILS </b></div></td> </tr> <tr><td class="skrift1"> <table cellspacing="0" cellpadding="2" border="0" width="100%"> <tr> <td class="skrift1"></td> <td class="skrift1"></td> </tr> <tr> <td class="skrift1"><u>Collection date</u></td> <td class="skrift1"><table cellpadding="0" cellspacing="0" border="0"> <tr> <td class="skrift1"><select name="hente_dag_________" title="Hente Dag" onfocus="window.status='[*] - Please choose which day you want to collect the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="1">01</option> <option value="2">02</option> <option value="3">03</option> <option value="4">04</option> <option value="5">05</option> <option value="6">06</option> <option value="7">07</option> <option value="8">08</option> <option value="9">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select></td> <td class="skrift1"><select name="hente_maaned______" title="Hente Måned" onfocus="window.status='[*] - Please choose what month you want to collect the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="Januar">January</option> <option value="Februar">February</option> <option value="Mars">March</option> <option value="April">April</option> <option value="Mai">May</option> <option value="Juni">June</option> <option value="Juli">July</option> <option value="August">August</option> <option value="September">September</option> <option value="Oktober">October</option> <option value="November">November</option> <option value="Desember">December</option> </select></td> <td class="skrift1"><select name="hente_aar_________" title="Hente År" onfocus="window.status='[*] - Please choose which year you want to collect the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> </select></td> </tr> </table></td> </tr> <tr> <td class="skrift1"><u>Collection time / place</u></td> <td class="skrift1"><table cellpadding="0" cellspacing="0" border="0"> <tr> <td class="skrift1"><select name="hente_time________" title="Hente Time" onfocus="window.status='[*] - Please choose the time you want to collect the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="1">01</option> <option value="2">02</option> <option value="3">03</option> <option value="4">04</option> <option value="5">05</option> <option value="6">06</option> <option value="7">07</option> <option value="8">08</option> <option value="9">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12" selected>12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> </select></td> <td class="skrift1"><select name="hente_minutt______" title="Hente Minutt" onfocus="window.status='[*] - Please choose just about when you would collect the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="00">00</option> <option value="15">15</option> <option value="30">30</option> <option value="45">45</option> </select></td> <td class="skrift1"><select name="hente_sted________" title="Hente sted" onfocus="window.status='[*] - Please choose where you would like to collect the car'; return true" onblur="window.status='';" onchange="window.status=''; HenteHvor();" width="200" class="skrift1"> <option value="Ikke valgt">—– Please Choose —–</option> <option value="Gumpens Utleie">Gumpens Utleie as</option> <option value="Fergeterminalen">Kristiansand ferry terminal</option> <option value="Jernbanestasjonen">Kristiansand railway station</option> <option value="Kjevik flyplass">Kjevik airport</option> <option value="Annet">Other (please specify)</option> </select></td> </tr> </table></td> </tr> <tr> <td class="skrift1"><u>Delivery date</u></td> <td class="skrift1"><table cellpadding="0" cellspacing="0" border="0"> <tr> <td class="skrift1"><select name="leverings_dag_____" title="Leverings Dag" onfocus="window.status='[*] - Please choose which day you want to delievr the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select></td> <td class="skrift1"><select name="leverings_maaned__" title="Leverings Måned" onfocus="window.status='[*] - Please choose what month you want to deliver the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="Januar">January</option> <option value="Februar">February</option> <option value="Mars">March</option> <option value="April">April</option> <option value="Mai">May</option> <option value="Juni">June</option> <option value="Juli">July</option> <option value="August">August</option> <option value="September">September</option> <option value="Oktober">October</option> <option value="November">November</option> <option value="Desember">December</option> </select></td> <td class="skrift1"><select name="leverings_aar_____" title="Leverings År" onfocus="window.status='[*] - Please choose which year you want to deliver the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> </select></td> </tr> </table></td> </tr> <tr> <td class="skrift1"><u>Delivery time / place</u></td> <td class="skrift1"> <table cellpadding="0" cellspacing="0" border="0"> <tr> <td class="skrift1"><select name="leverings_time____" title="Leverings Time" onfocus="window.status='[*] - Please choose the time you want to deliver the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12" selected>12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> </select></td> <td class="skrift1"><select name="leverings_minutt__" title="Leverings Minutt" onfocus="window.status='[*] - Please choose just about when you would deliver the car'; return true" onblur="window.status='';" onchange="window.status='';" class="skrift1"> <option value="00">00</option> <option value="15">15</option> <option value="30">30</option> <option value="45">45</option> </select></td> <td class="skrift1"><select name="leverings_sted____" title="Leverings sted" onfocus="window.status='[*] - Please choose where you want to deliver the car'; return true" onblur="window.status='';" onchange="window.status=''; LevereHvor();" class="skrift1" width="200"> <option value="Ikke valgt">—– Please Choose —–</option> <option value="Gumpens Utleie">Gumpens Utleie as</option> <option value="Fergeterminalen">Kristiansand ferry terminal</option> <option value="Jernbanestasjonen">Kristiansand railway station</option> <option value="Kjevik flyplass">Kjevik airport</option> <option value="Annet">Other (please specify)</option> </select></td> </tr> </table></td> </tr> <tr> <td class="skrift1"><u>Car type</u>   <font size="1">(<u><a href="javascript:openGruppeWin(300)" data-onmouseover="window.status='[*] - Click here to see brief details about the different cars!'; return true" data-onmouseout="window.status='';">overview</a></u>)</font> </td> <td class="skrift1"><font size="1"> <select name="biltype___________" onfocus="window.status='[*] - Please chose the type of car you want'; return true" onblur="window.status='';" onchange="window.status='';openGruppeWin()" style="font-size : xx-small; width : 195;" width="200"> <option value="Ikke valgt">—– Please Choose —–</option>  <option value="Gruppe A">Group A (Small passenger car)</option> <option value="Gruppe B">Group B (Small/medium passenger car)</option> <option value="Gruppe C">Group C (Medium passenger car)</option> <option value="Gruppe D">Group D (Medium estate car)</option> <option value="Gruppe E">Group E (Large passenger car)</option> <option value="Gruppe F">Group F (Large estate car)</option> <option value="Gruppe J">Group J (7-seater)</option>   <option value="Gruppe K (6-seats)">Group K (Combicar 6-seats)</option>  <option value="Gruppe N">Group N (Minibus – 10 seats)</option> <option value="Gruppe P1">Group P1 (Small van)</option> <option value="Gruppe P">Group P (Small van)</option> <option value="Gruppe Q">Group Q (Large van)</option> <option value="Gruppe R">Group R (Lorry)</option> <option value="VW Beetle">SPECIAL: VW Beetle</option> </select> </td> </tr> <tr> <td class="skrift1">Equipment requests</td> <td class="skrift1"><table cellpadding="0" cellspacing="0" border="0"> <tr> <td class="skrift1">Roof rack <input type="Checkbox" name="utstyr____________" value="takgrind"></td> <td class="skrift1">Ski box <input type="Checkbox" name="utstyr____________" value="skiboks"></td> <td class="skrift1">Child seat <input type="Checkbox" name="utstyr____________" value="barnesete"></td> <td class="skrift1">Other</td> <td class="skrift1"><input type="Text" class="skrift1" name="annet utstyr______" value="" size="11" maxlength="50" onfocus="window.status='[*] - Ønsker du annet utstyr?'; return true" onblur="window.status='';" style="width: 100;"></td> </tr> </table></td> </tr> <tr> <td class="skrift1"><u>Approximately km</u></td> <td class="skrift1"><input type="Text" class="skrift1" name="ca. antall km_____" value="" size="5" maxlength="10" onfocus="window.status='[*] - Please state approximately how many kilometres you are likely to drive the car'; return true" onblur="window.status='';">         <font size="1">(<u><a href="javascript:openAvsWin()" data-onmouseover="window.status='[*] - Click here to see a table with different distances'; return true" data-onmouseout="window.status='';">distances</a></u>)</font> </td> </tr> <tr> <td class="skrift1"> Comments/ <br class="eb8f0sodibjkaho7g"> requests </td><td> <textarea name="andre kommentarer_" rows="2" cols="28" style="width: 335;" onfocus="window.status='[*] - Have you got other requests or comments, please state so here!'; return true" onblur="window.status='';" wrap="PHYSICAL" class="skrift1"></textarea> </center> </td> </tr> <tr> <td class="skrift1"><u>How would you like to<br class="eb8f0sodibjkaho7g"> have this confirmed</u></td> <td> <table cellspacing="0" cellpadding="0" border="0" width="100%"> <tr> <td width="50%"><table cellspacing="0" cellpadding="0" border="0"> <tr> <td class="skrift1">Telephone:</td> <td class="skrift1"><input type="Radio" name="bekrefelese på____" value="telefon"></td> <td class="skrift1">   </td> <td class="skrift1">Fax:</td> <td class="skrift1"><input type="Radio" name="bekrefelese på____" value="fax"></td> </tr> <tr> <td class="skrift1">E-mail:</td> <td class="skrift1"><input type="Radio" name="bekrefelese på____" value="e-post" checked></td> <td class="skrift1">   </td> <td class="skrift1"> </td> <td class="skrift1"> </td> </tr> </table></td> <td width="50%"> <table cellspacing="0" cellpadding="0" border="0" width="100%"><tr> <td class="skrift1" rowspan="2" width="50%"><u>Payment<br class="eb8f0sodibjkaho7g"> method</u></td> <td class="skrift1"> Credit card: </td> <td><input type="Radio" name="betalings måte____" value="bankkort"></td> </tr> <tr><td class="skrift1"> Cash: </td> <td><input type="Radio" name="betalings måte____" value="kontant" onclick="alert('https://www.gumpensutleie.no')"></td> </tr></table> </td> </tr> </table></td> </tr> </table> </td></tr> <tr> <td colspan="2" align="center" bgcolor="#ffcc33"> <font size="2" color="#FFFFFF"> <input type="Button" value="Conditions" data-onmouseover="window.status='[*] - Click here to see the terms and conditions about the rental!'; return true" data-onmouseout="window.status='';" onclick="openLeieWin()" class="skrift1"> <input type="submit" value="Send form" data-onmouseover="window.status='[*] - Click here to send the form!'; return true" data-onmouseout="window.status='';" class="skrift1"> <input type="Reset" value="Reset form" data-onmouseover="window.status='[*] - Click here to reset the form'; return true" data-onmouseout="window.status='';" class="skrift1"> </font></td> </tr> </table> <input type="hidden" name="mail_adr__________" value=""> </form> </center> <div class="skrift2"> <b>N.B!</b> The order must always be sent at least three hours before you need the car, and remember the orders will always be confirmed from us. If we are unavailable or out of the office for some considerable time, the order will not be confirmed until we are back. The same goes for orders placed out of office hours (07.00 – 16.00 Norwegian time), they will be confirmed next working day. </div>  <br class="eb8f0sodibjkaho7g"> </td></tr></table></body> </html>