mirror of
https://github.com/OpenXE-org/OpenXE.git
synced 2024-11-16 04:57:15 +01:00
70 lines
2.4 KiB
Smarty
70 lines
2.4 KiB
Smarty
|
<br><br><table id="paketmarketab" align="center">
|
||
|
<tr>
|
||
|
<td align="center">
|
||
|
<br>
|
||
|
<form action="" method="post">
|
||
|
[ERROR]
|
||
|
<h1>Paketmarken Drucker für [ZUSATZ]</h1>
|
||
|
<br>
|
||
|
<b>Empfänger</b>
|
||
|
<br>
|
||
|
<br>
|
||
|
<table>
|
||
|
<tr><td>
|
||
|
|
||
|
|
||
|
<table style="float:left;">
|
||
|
<tr><td>Name:</td><td><input type="text" size="36" value="[NAME]" name="name" id="name"><script type="text/javascript">document.getElementById("name").focus(); </script></td></tr>
|
||
|
<tr><td>Name 2:</td><td><input type="text" size="36" value="[NAME2]" name="name2"></td></tr>
|
||
|
<tr><td>p. Adr.:</td><td><input type="text" size="36" value="[NAME3]" name="name3"></td></tr>
|
||
|
|
||
|
|
||
|
<tr><td>Land:</td><td>[EPROO_SELECT_LAND]</td></tr>
|
||
|
<tr><td>PLZ/Ort:</td><td><input type="text" name="plz" size="5" value="[PLZ]"> <input type="text" size="30" name="ort" value="[ORT]"></td></tr>
|
||
|
<tr><td>Strasse/Hausnummer:</td><td><input type="text" size="30" value="[STRASSE]" name="strasse"> <input type="text" size="5" name="hausnummer" value="[HAUSNUMMER]"></td></tr>
|
||
|
|
||
|
<tr><td>E-Mail:</td><td><input type="text" size="36" value="[EMAIL]" name="email"></td></tr>
|
||
|
<tr><td>Telefon:</td><td><input type="text" size="36" value="[TELEFON]" name="telefon"></td></tr>
|
||
|
</table>
|
||
|
|
||
|
|
||
|
<table style="float:right;">
|
||
|
[GEWICHT]
|
||
|
<tr>
|
||
|
<td>Höhe (in cm):</td>
|
||
|
<td>
|
||
|
<input type="text" size="10" value="[HEIGHT]" name="height">
|
||
|
</td>
|
||
|
</tr>
|
||
|
<tr>
|
||
|
<td>Breite (in cm):</td>
|
||
|
<td>
|
||
|
<input type="text" size="10" value="[WIDTH]" name="width">
|
||
|
</td>
|
||
|
</tr>
|
||
|
<tr>
|
||
|
<td>Länge (in cm):</td>
|
||
|
<td>
|
||
|
<input type="text" size="10" value="[LENGTH]" name="length">
|
||
|
</td>
|
||
|
</tr>
|
||
|
</table>
|
||
|
|
||
|
<div style="clear:both"></div>
|
||
|
<!-- <br><br>
|
||
|
<table align="center">
|
||
|
<tr><td colspan="2"><b>Service</b></td></tr>
|
||
|
<tr><td>Nachnahme:</td><td><input type="checkbox" name="nachnahme" value="1" [NACHNAHME]> (Betrag: [BETRAG] EUR)<input type="hidden" name="betrag" value="[BETRAG]"></td></tr>
|
||
|
</table>-->
|
||
|
|
||
|
<br><br>
|
||
|
<center><input class="btnGreen" type="submit" value="Paketmarke drucken" name="drucken">
|
||
|
[TRACKINGMANUELL]
|
||
|
<input type="button" value="{|Andere Versandart auswählen|}" onclick="window.location.href='index.php?module=versanderzeugen&action=wechsel&id=[ID]'" name="anders">
|
||
|
<!--<input type="button" value="Abbrechen">--></center>
|
||
|
</td></tr></table>
|
||
|
</form>
|
||
|
|
||
|
<br><br>
|
||
|
</td></tr></table>
|