<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<title>Container Handbook - Printed Book Order</title>

<link rel="stylesheet" type="text/css" href="../chb/include/css/styles_buchb.css">
<meta http-equiv="content-type" content="text/html; charset=UTF-8"> 

<script type="text/javascript">
function runde(x) {
  var e = Math.pow(10, 2);
  var k = (Math.round(x * e) / e).toString();
  if (k.indexOf('.') == -1) k += '.';
  k += e.toString().substring(1);
  return k.substring(0, k.indexOf('.') + 3);
}
function price_valid(t_quant)
{
	document.Bestellung.amount_disabled.value = runde(243.96 * t_quant);
	document.Bestellung.amount.value = runde(243.96 * t_quant);
}

String.prototype.trim=function(dir)
{
  switch(dir)
    {
      case 'r':
        return this.replace(/\s+$/g,'');
          break;
      case 'l':
        return this.replace(/^\s+/g,'');
          break;
      default:
        return this.replace(/(^\s+|\s+$)/g,'');
    }
}

function checkFormular()
{
 if( document.Bestellung.FirstName.value.trim() == "")  {
   alert("Please enter your first name.");
   document.Bestellung.FirstName.focus();
   return false;
  }
 if(document.Bestellung.LastName.value.trim() == "")  {
   alert("Please enter your last name.");
   document.Bestellung.LastName.focus();
   return false;
  }
 if((document.Bestellung.Street.value.trim() == "") || (document.Bestellung.Street.value.trim().length < 3)) {
   alert("Please enter your street name.");
   document.Bestellung.Street.focus();
   return false;
  }
 var chkZ = 1;
 if(document.Bestellung.ZIP.value.length !=5)
     chkZ = -1;	 	
 for(i=0;i<document.Bestellung.ZIP.value.length;++i)
   if(document.Bestellung.ZIP.value.charAt(i) < "0"
   || document.Bestellung.ZIP.value.charAt(i) > "9")
     chkZ = -1;
 if(chkZ == -1) {
   alert("Please enter your 5-digit ZIP code.");
   document.Bestellung.ZIP.focus();
   return false;
  }
 if(document.Bestellung.City.value.trim() == "") {
   alert("Please enter the city.");
   document.Bestellung.City.focus();
   return false;
  }
 if(document.Bestellung.Phone.value == "") {
   alert("Please enter your phone number.");
   document.Bestellung.Phone.focus();
   return false;
  }
 if(document.Bestellung.Email.value == "") {
   alert("Please enter your email address.");
   document.Bestellung.Email.focus();
   return false;
  }
 if(document.Bestellung.Email.value.indexOf('@') == -1) {
   alert("Please enter a valid email address.");
   document.Bestellung.Email.focus();
   return false;
  }
   
}
 
</script>
</head>
<body>

<table border="0" cellspacing="0" cellpadding="0" width="550">
<tr valign="top">
    <td rowspan="100"><img src="../pictures/leer.gif" width="25" height="1" border="0" alt=""></td>
    <td colspan="2"><a name="top"><img src="../pictures/leer.gif" width="495" height="10" border="0" alt=""></a></td>
</tr>
        <!--==============  Ueberschrift einfuegen  ==================-->
<tr valign="top">
        <td class="titelform" valign="bottom" width="520">Online order form</td>
        <td class="titel"><img src="../pictures/gdv_logo.png" width="300" height="92" alt="" border="0"></td>
</tr>
<tr>
<td>
		<br><div class="ueberschrift">Applicable for Customers in Germany</div>
</td>
</tr>
        <!--==============  ende  Ueberschrift  ==================--> <!--==============  abstand  ==================-->
<tr valign="top">
        <td colspan="2"><img src="../pictures/leer.gif" width="1" height="30" border="0" alt=""></td>
</tr>
        <!--==============  ende abstand  ==================--> <!--==============  inhalt anfang ==================-->
<tr valign="top">
		<td class="content" colspan="2">
 		<form  onsubmit="return checkFormular();" action="" name="Bestellung" method="post" accept-charset="UTF-8">
			<table border="0" cellspacing="0" cellpadding="0" bgcolor="#f4f4f4" width="100%">
			<tr>
				<td colspan="4" bgcolor="#e7e7e7" height="30">&nbsp;&nbsp;&nbsp;<strong>Billing address:</strong></td>
			</tr>
			<tr>
				<td colspan="4"><img src="../pictures/graupixel.gif" width="100%" height="1" alt="" border="0"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Title:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="Gender">
					<option value="Mr">Mr.</option>
					<option value="Ms">Ms.</option>
					<option value="Company">Company</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">First name*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="FirstName" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Last name*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="LastName" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Company (optional):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Company" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Street and number*:</td></td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Street" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">ZIP code*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="ZIP" value="" size="5" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">City*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="City" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Phone*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Phone" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Email address*:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="Email" value="" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Quantity*:</td>
				<td>&nbsp;</td>
				<td>
				<select name="Quantity" onchange="price_valid(this.form.Quantity.options[this.form.Quantity.selectedIndex].value);">
				<option value="1">1</option>
				<option value="2">2</option>
				<option value="3">3</option>
				<option value="4">4</option>
				<option value="5">5</option>
				<option value="6">6</option>
				<option value="7">7</option>
				<option value="8">8</option>
				<option value="9">9</option>
				<option value="10">10</option>
				</select></td>
				<td>
				Price:&nbsp;<input name="amount_disabled" style="text-align:right;" size="8" value="243.96" readonly="readonly" disabled="disabled">&nbsp;&euro;
				</td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">(* mandatory)</td>
				<td colspan="3"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			</table>
			<br><br>
			<table border="0" cellspacing="0" cellpadding="0" bgcolor="#f4f4f4" width="100%">
			<tr>
				<td colspan="4" bgcolor="#e7e7e7" height="30">&nbsp;&nbsp;&nbsp;<strong>Shipping address </strong>(if different from billing address):</td>
			</tr>
			<tr>
				<td colspan="4"><img src="../pictures/graupixel.gif" width="100%" height="1" alt="" border="0"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Title:</td>
				<td>&nbsp;</td>
				<td colspan="2">						
				<select name="lGender">
					<option value="Mr">Mr.</option>
					<option value="Ms">Ms.</option>
					<option value="Company">Company</option>
				</select></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">First name:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lFirstName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Last name:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lLastName" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Company (optional):</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lCompany" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Street and number:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lStreet" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">ZIP code:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lZIP" size="5" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">City:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lCity" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td align="right">Phone:</td>
				<td>&nbsp;</td>
				<td colspan="2"><input type="text" name="lPhone" size="30" maxlength="255"></td>
			</tr>
			<tr>
				<td colspan="4">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="4"><strong>&nbsp;&nbsp;&nbsp;TERMS OF DELIVERY: </strong> DAP (according to the <a href="http://www.tis-gdv.de/tis/bedingungen/incoterms/inhalt.htm" target="_blank" style="color:blue;">INCOTERMS 2010</a>)</td>
			</tr>
			</table><br><br>
			<table border="0" cellspacing="0" cellpadding="0" bgcolor="#f4f4f4" width="100%">
			<tr>
				<td colspan="3" bgcolor="#e7e7e7" height="30">&nbsp;&nbsp;&nbsp;<strong>Payment</strong>:</td>
			</tr>
			<tr>
				<td colspan="3"><img src="../pictures/graupixel.gif" width="100%" height="1" alt="" border="0"></td>
			</tr>
			<tr>
				<td colspan="3">&nbsp;</td>
			</tr>

			<tr>
				<td colspan="3">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="3">&nbsp;&nbsp;&nbsp;I agree to my data being stored for the purposes of completing this order.</td>
			</tr>
			<tr>
				<td colspan="3">&nbsp;</td>
			</tr>
			<tr>
				<td valign="middle">&nbsp;&nbsp;&nbsp;Click on this banner for <strong><br>&nbsp;&nbsp;&nbsp;normal bank wire transfer</strong>:<br><br></td>
				<td>&nbsp;</td>
				<td width="280"><input type="image" src="../pictures/button1.jpg" width="139" height="42" alt="" border="0" onclick="document.Bestellung.action = '../pr_invoice_ger.php'"><input type="hidden" name="price" value="24396"><input type="hidden" name="cb_currency" value="EUR"><input type="hidden" name="lang" value="en"><input type="hidden" name="cb_content_name_utf" value="Container Handbook"><input type="hidden" name="zahlart" value="ohnemwst"></td>		
			</tr>
			<tr>
				<td colspan="3">&nbsp;</td>
			</tr>
			</table><br><br>
		</form></td>
</tr>
        <!--==============  inhalt ende ==================-->
<tr valign="top">
        <td bgcolor="#c0c0c0" colspan="2"><img src="../../chb/images/leer.gif" width="1" height="1" alt="" border="0"></td>
</tr>
<tr valign="top">
        <td colspan="2"><img src="../../chb/images/leer.gif" width="1" height="4" alt="" border="0"></td>
</tr>
<tr>
	<td  class="fussform" colspan="2">&copy; GDV <script language="JavaScript">document.write((new Date()).getFullYear());</script>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="http://www.containerhandbook.de" target="_blank">Container Handbook</a>&nbsp;&nbsp;|&nbsp;&nbsp;<a href="mailto:b.kupfer@gdv.de">Contact</a></td>
</tr>
</table><br>


</body>
</html>