mirror of
https://github.com/OpenXE-org/OpenXE.git
synced 2024-11-15 12:37:14 +01:00
45 lines
1.9 KiB
Smarty
45 lines
1.9 KiB
Smarty
<form action="" method="post" name="eprooform">
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<br>
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<table class="tableborder" border="0" cellpadding="3" cellspacing="0" width="100%">
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<tbody>
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<tr classname="orange1" class="orange1" bordercolor="" align="" bgcolor="" height="" valign="">
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<td colspan="3" bordercolor="" class="" align="" bgcolor="" height="" valign=""><br></td>
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</tr>
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<tr valign="top" colspan="3">
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<td>
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<fieldset><legend>{|Zustand / Kosten|}</legend>
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<table width="100%">
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<tr valign="top"><td>Zustand der Verpackung:</td><td><select name="verpackungszustand"><option value="1">In Ordnung</option><option value="0">beschädigt</option></select></td>
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<td> </td><td>Bemerkung:</td><td><textarea name="bemerkung" rows="5" cols="40"></textarea></td></tr>
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<tr><td>Annahmekosten:</td><td><select name="zahlung"><option value="keine">keine</option><option value="nachnahme">Nachnahme</option>
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<option value="zoll">Zoll</option><option value="porto">Porto</option></select></td>
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<td> </td><td>Betrag in EUR:</td><td><input type="text" name="betrag" size="10"></td></tr>
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</table>
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</fieldset>
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<fieldset><legend>{|Gewicht / Foto |}</legend>
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<table width="100%" border="0">
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<tr valign="top"><td>[MELDUNG]
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<br><br>Gewicht in Gramm: <input type="text" name="gewicht" size="10" value="[GEWICHT]">
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</td>
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<td align="right" width="400">[LIVEFOTO]<input type="hidden" name="foto" value="[FOTO]"></td></tr>
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</table>
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</fieldset>
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</td>
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</tr>
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<tr valign="" height="" bgcolor="" align="" bordercolor="" class="klein" classname="klein">
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<td width="" valign="" height="" bgcolor="" align="center" colspan="3" bordercolor="" classname="orange2" class="orange2">
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<input type="button" onclick="window.location.reload();" value="Foto nochmal schießen">
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<input type="submit" name="submit"
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value="Weiter" /></td>
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</tr>
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</tbody>
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</table>
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</form>
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