mirror of
https://github.com/OpenXE-org/OpenXE.git
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70 lines
2.4 KiB
Smarty
70 lines
2.4 KiB
Smarty
<br><br><table id="paketmarketab" align="center">
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<tr>
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<td align="center">
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<br>
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<form action="" method="post">
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[ERROR]
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<h1>Paketmarken Drucker für [ZUSATZ]</h1>
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<br>
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<b>Empfänger</b>
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<br>
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<br>
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<table>
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<tr><td>
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<table style="float:left;">
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<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>
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<tr><td>Name 2:</td><td><input type="text" size="36" value="[NAME2]" name="name2"></td></tr>
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<tr><td>p. Adr.:</td><td><input type="text" size="36" value="[NAME3]" name="name3"></td></tr>
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<tr><td>Land:</td><td>[EPROO_SELECT_LAND]</td></tr>
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<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>
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<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>
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<tr><td>E-Mail:</td><td><input type="text" size="36" value="[EMAIL]" name="email"></td></tr>
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<tr><td>Telefon:</td><td><input type="text" size="36" value="[TELEFON]" name="telefon"></td></tr>
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</table>
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<table style="float:right;">
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[GEWICHT]
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<tr>
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<td>Höhe (in cm):</td>
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<td>
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<input type="text" size="10" value="[HEIGHT]" name="height">
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</td>
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</tr>
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<tr>
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<td>Breite (in cm):</td>
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<td>
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<input type="text" size="10" value="[WIDTH]" name="width">
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</td>
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</tr>
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<tr>
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<td>Länge (in cm):</td>
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<td>
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<input type="text" size="10" value="[LENGTH]" name="length">
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</td>
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</tr>
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</table>
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<div style="clear:both"></div>
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<!-- <br><br>
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<table align="center">
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<tr><td colspan="2"><b>Service</b></td></tr>
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<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>
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</table>-->
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<br><br>
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<center><input class="btnGreen" type="submit" value="Paketmarke drucken" name="drucken">
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[TRACKINGMANUELL]
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<input type="button" value="{|Andere Versandart auswählen|}" onclick="window.location.href='index.php?module=versanderzeugen&action=wechsel&id=[ID]'" name="anders">
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<!--<input type="button" value="Abbrechen">--></center>
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</td></tr></table>
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</form>
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<br><br>
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</td></tr></table>
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