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//--></script><!--webbot BOT="GeneratedScript" endspan --><form action="http://www.xs4all.nl/cgi-bin/mail-a-form" method="post" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1">
    <INPUT TYPE="hidden" NAME="subject" VALUE="Aanmeldformulier ARV Achilles Clubrecord">

    <input type="hidden" name="to" value="clubrecords@arvachilles.nl"/>
  
 <!--  <input type="hidden" name="nextpage" value="http://www.xs4all.nl/~marschoo/ARVAchilles/bedankt.html"> -->
   
    <table id="table2" style="BORDER-COLLAPSE: collapse" cellspacing="0" cellpadding="0" width="100%" border="0">
        <tbody>
            <tr>
                <td bgcolor="#60c8ff">
                <p align="center"><b><font face="Arial" color="#2369aa" size="3">Aanmeldformulier
                ARV Achilles Clubrecord</font></b></p>
                </td>
            </tr>
            <tr>
                <td>
                Graag alle gegevens in vullen.&nbsp;Alleen volledig ingevulde formulieren worden
                  geaccepteerd.</td>
            </tr>
        </tbody>
    </table>
    <div align="left">
    <table id="table3" style="text-align: left; margin-left: 0px" cellspacing="0" cellpadding="0" width="698" align="left" border="1">
        <tbody>
            <tr>
                <td align="right" width="178">Voornaam:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;Voornaam&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="1" --><input tabindex="1" size="52" name="Voornaam"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Achternaam: </td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;Achternaam&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="2" --><input tabindex="2" size="52" name="Achternaam"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Geboortedatum:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation"
                  s-display-name="&quot;Geboortedatum&quot; (00-00-0000)"
                  s-data-type="String" b-allow-digits="TRUE"
                  s-allow-other-chars="-" b-value-required="TRUE"
                  i-minimum-length="10" i-maximum-length="10" --><input tabindex="3" maxlength="10" size="52" name="Geboortedatum" value="dd-mm-yyyy"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Wedstrijdlicentie nr.:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation"
                  S-Display-Name="&quot;WedstrijdLicentie nr.&quot;"
                  S-Data-Type="Integer" S-Number-Separators=","
                  B-Value-Required="TRUE" I-Minimum-Length="1"
                  I-Maximum-Length="15" --><input tabindex="103" maxlength="15" size="52" name="WedstrijdLicentienr"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">E-mailadres:</td>
                <td valign="top" width="514"><!--webbot bot="Validation"
                  S-Display-Name="&quot;e-mail&quot;" B-Value-Required="TRUE"
                  I-Minimum-Length="5" --><input Type="text" name="to" size="52" tabindex="20"></td>
            </tr>
            <tr>
                <td style="TEXT-ALIGN: right" valign="top" width="178">Categorie:</td>
                <td width="514"><select name="Categorie" size="1" tabindex="5">
                <option selected>D-Pupil</option>
                <option>C-Pupil</option>
                <option>B-Pupil</option>
                <option>A-Pupil 1e-jaars</option>
                    <option>A-Pupil 2e-jaars</option>
                <option>D-Junior</option>
                    <option>C-Junior</option>
                    <option>B-Junior</option>
                    <option>A-Junior</option>
                    <option>Senior</option>
                    <option>Master35-39</option>
                    <option>Master40-44</option>
                <option>Master45-49</option>
                <option>Master50-54</option>
                <option>Master55-59</option>
                <option>Master60-64</option>
                <option>Master65</option>
                  </select></td>
            </tr>
            <tr>
                <td align="right" width="178">Man/Vrouw:</td>
                <td valign="top" width="514"><select name="Geslacht" size="1" tabindex="6">
                <option selected>man</option>
                <option>vrouw</option>
                  </select></td>
            </tr>
            <tr>
                <td align="right" width="178">Onderdeel:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;Onderdeel&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="2" --><input tabindex="10" size="52" name="Onderdeel"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Tijd / Afstand:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;Tijd/Afstand&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="2" --><input tabindex="11" size="52" name="Tijd_Afstand"/></font></td>
            </tr>
            <tr>
                <td style="TEXT-ALIGN: right" valign="top" width="178">Tijdwaarneming:</td>
                <td width="514"><select name="Tijdwaarneming" size="1" tabindex="12">
                <option selected>Handtijd</option>
                <option>Electronische tijd</option>
                <option>nvt</option>
                  </select></td>
            </tr>
            <tr>
                <td align="right" width="178">Rugwind:</td>
                <td valign="top" width="514"><select name="Rugwind" size="1" tabindex="13">
                <option selected>&lt; 2m/sec</option>
                <option>&gt; 2m/sec</option>
                    <option>nvt</option>
                  </select></td>
            </tr>
            <tr>
                <td align="right" width="178">Wedstrijd naam:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;WedstrijdNaam&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="1" --><input tabindex="13" size="52" name="WedstrijdNaam"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Plaats wedstrijd: </td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;WedstrijdPlaats&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="2" --><input tabindex="14" size="52" name="WedstrijdPlaats"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Wedstrijd datum:</td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation"
                  S-Display-Name="&quot;WedstrijdDatum&quot; (00-00-0000)"
                  S-Data-Type="String" B-Allow-Digits="TRUE"
                  S-Allow-Other-Chars="-" B-Value-Required="TRUE"
                  I-Minimum-Length="10" I-Maximum-Length="10" --><input tabindex="15" maxlength="10" size="52" name="WedstrijdDatum" value="dd-mm-yyyy"/></font></td>
            </tr>
            <tr>
                <td align="right" width="178">Link naar uitslag: </td>
                <td valign="top" width="514"><font face="Arial" size="3"><!--webbot
                  bot="Validation" S-Display-Name="&quot;WedstrijdLink&quot;"
                  B-Value-Required="TRUE" I-Minimum-Length="2" --><input tabindex="16" size="52" name="WedstrijdLink" value="http://"/></font></td>
            </tr>
            <tr>
                <td style="TEXT-ALIGN: right" valign="top" width="178">&nbsp;</td>
                <td width="514">
                  <p align="right"><font size="2"><br/>
                  </font></p>
                </td>
            </tr>
            <tr>
                <td style="TEXT-ALIGN: right" valign="top" width="178">Bijzonderheden:</td>
                <td width="514"><font face="Arial" size="3"><textarea tabindex="20" name="Bijzonderheden" rows="10" cols="47">

</textarea></font></td>
            </tr>
            <tr>
                <td style="TEXT-ALIGN: right" valign="top" colspan="2" width="694">
                <p style="TEXT-ALIGN: left"><font face="Arial" size="3"><input type="reset" name="reset" value="Wissen" tabindex="22"/>&nbsp;&nbsp;&nbsp;
                <input tabindex="21" type="submit" value="Versturen"/></font></p>
                </td>
            </tr>
        </tbody>
    </table>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    <p>&nbsp;</p>
    </div>
    <p><!-- Hieronder kunt u een verborgen onderwerp voor het e-mailbericht meesturen --><input type="hidden" name="subject" value="aanmelding nieuw lid"/> <!-- Hieronder staan de knoppen om het bericht te wissen en/of te versturen -->&nbsp; </p>
</form>
<table>
<td width="30"></td>
&nbsp;