INSCRIPCIONES A CURSOS

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="02c285a1erlcgo.png"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>RAUM 4x4</B></FONT><B>  </B><B>   |     </B><A HREF="index.htm" TARGET="_top" TITLE="RAUM 4x4"><U><B>home</B></U></A></div> <div> <FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial" >                                                                </FONT> <B> Si</B> <B>deseas realizar un curso de CONDUCCIÓN 4X4 con nosotros solo tienes que rellenar este formulario</B>      </div> </td> </tr><tr> <td valign="top" width=250 BGCOLOR="#00FFFF" TEXT="#080000" background="02afac00egertu.png"> <div> <I><B>CURSOS 4X4</B></I></div> <bR> <div> <B> </B><A HREF="id166.htm" TARGET="_top" TITLE="Cursos 4x4"><U><B><IMG SRC="d467c550.jpg" border=0 width="124" height="85" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <bR> <div> <B> </B><FONT SIZE="2" COLOR="#BF0000" FACE="Arial" ><B>PRECIOS POR CURSO Y COCHE</B></FONT></div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="214" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> Básico Land Cruiser</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="64"><div> 60 €</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="131"><div> Básico RAV 4</div> </tD> <tD VALIGN=TOP WIDTH="64"><div> 60 €</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="131"><div> Avanzado </div> </tD> <tD VALIGN=TOP WIDTH="64"><div> 75 €</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> Zonas desérticas</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="64"><div> 60 €</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> Tecnicas Especiales</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="64"><div> 100 €</div> </tD> </tR> </TABLE></div> <div> <B> </B><FONT SIZE="2" COLOR="#000000" FACE="Arial" >(*) Maximo 2 personas por coche</FONT></div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="215" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="203"><div> <B>INGRESO EN C/C</B></div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 ><NOBR><div> <B>2038 1765 00 6000264123</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 33 WIDTH="203"><div> A nombre de ODADHARAUM 4x4 poniendo la matrícula del coche</div> </tD> </tR> </TABLE></div> <bR> <bR> <bR> <div>  </div> </td> <td valign="top" height=390 BGCOLOR="#C0DCC0" TEXT="#080000"> <div> <I>INSCRIPCIONES A CURSOS</I></div> <bR> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Ingresar la cantidad correspondiente en el número de cuenta indicado</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Rellenar y enviar el formulario adjunto</div> <div> <IMG BORDER="0" SRC="Symb075c00b700f000000000.png" HEIGHT="16" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Por E-mail se recibirá confirmación de la inscripción con punto de encuentro y hora</div> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Nombre,Apellidos,Email,Modelo de vehículo,Matricula,Fecha ingreso bancario,Telefono,Curso al que te inscribes,Comentarios"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="GRACIAS POR TU INSCRIPCIÓN"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="cursos 4x4"><input type="hidden" name="tlx_EmailTo" value="RAUMTT4X4@terra.es"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Nombre:<br> <input type="text" name="Nombre" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Apellidos:<br> <input type="text" name="Apellidos" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Modelo de Vehiculo:<br> <input type="text" name="Modelo de vehículo" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Matricula:<br> <input type="text" name="Matricula" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Fecha ingreso banacario:<br> <input type="text" name="Fecha ingreso bancario" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Telefono:<br> <input type="text" name="Telefono" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Curso al que te inscribes:<br> <textarea name="Curso al que te inscribes" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Comentarios:<br> <input type="text" name="Comentarios" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,MailingList"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="gracias"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="cursos 4x4"><input type="hidden" name="tlx_EmailTo" value="raum4x4@telefonica.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div>  <a href="HTMLobj-4290/DVD_SF.JPG"><img align="bottom" border="0" width="640" height="480" src="HTMLobj-4290/boton1.JPG"> <u>DVD_SF.JPG</u></a>  </div> </td> </tr></table></body>