<div class="eaKeep"><SCRIPT src="../../../third-parties/yav/js_compact/yav.js"> </SCRIPT> <SCRIPT src="../../../third-parties/yav/js_compact/yav-config-it.js"> </SCRIPT> <SCRIPT>
var rules=new Array();
rules[0]='email|required|e-mail';
rules[1]='email|email|e-mail: deve essere un indirizzo valido';
rules[2]='AutorizezPrelucrareaDatelor|required|AutorizezPrelucrareaDatelor';
rules[3]='prenome|required|Prenome';
rules[4]='nume|required|Nume';
rules[5]='telefon|required|Telefon';
rules[6]='camera|required|Camera';
rules[7]='datasosirii|required|datasosirii';
rules[8]='dataparasirii|required|DataParasirii';
function swapDisplay (id){
if (getStyleObject(id).display=='block'){
hideCompById(id);
} else {
showCompById(id);
}
}
</SCRIPT> <style type="text/css">
<!--
.inputError { border:#FF8000 1px solid; background-color: #FFFFD7; }
.contactTable { margin-top:10px; border:#999999 1px solid;}
.contactTable th { background-color:#DDDDDD; font-weight:bold; text-align:left }
.contactTable ol { padding-left:15px }
-->
</style>
<form class="fckForm" style="margin: 0pt;" onsubmit="return performCheck('contactForm', rules, 'classic');" action="../../../iw/core/main/sendForm.jsp" name="contactForm">
<table width="460" class="fckTable">
<tbody>
<tr>
<th colspan="4">Formular de rezervare</th>
</tr>
<tr>
<td colspan="4"><strong>Date personale</strong></td>
</tr>
<tr>
<td width="80">Prenume*</td>
<td> <input type="text" style="width: 150px;" name="prenume" /></td>
<td width="80">Nume*</td>
<td> <input type="text" style="width: 150px;" name="nume" /></td>
</tr>
<tr>
<td width="80">Oras</td>
<td> <input type="text" style="width: 150px;" name="oras" /></td>
<td width="80">Nationalitate</td>
<td> <input type="text" style="width: 150px;" name="nationalitate" /></td>
</tr>
<tr>
<td width="80">Telefon*</td>
<td> <input type="text" style="width: 150px;" name="telefon" /> </td>
<td width="80">Mobil</td>
<td> <input type="text" style="width: 150px;" name="mobil" /></td>
</tr>
<tr>
<td width="80">Fax</td>
<td> <input type="text" style="width: 150px;" name="fax" /></td>
<td width="80">E-mail*</td>
<td> <input type="text" style="width: 150px;" name="email" /></td>
</tr>
</tbody>
</table>
<table width="460" class="fckTable">
<tbody>
<tr>
<td colspan="2"><strong>Dati de rezervare</strong></td>
</tr>
<tr>
<td width="150">Camera*</td>
<td><select size="1" name="camera">
<option value="singura">singura</option>
<option value="dubla">dubla</option>
<option value="tripla">tripla</option>
</select></td>
</tr>
<tr>
<td width="150">Data sosirii*</td>
<td><input type="text" style="width: 150px;" name="datasosirii" /></td>
</tr>
<tr>
<td width="150">Data parasirii*</td>
<td><input type="text" style="width: 150px;" name="dataparasirii" /></td>
</tr>
<tr>
<td colspan="2">Note</td>
</tr>
<tr>
<td colspan="2"><textarea name="Note" style="width: 500px; height: 100px;"></textarea> <input type="hidden" value="Rezervare" name="formTitle" /></td>
</tr>
<tr>
<td colspan="4">Campurile marcate cu asterisc (*) sunt obligatorii.</td>
</tr>
<tr>
<td colspan="4"> Rezervarea este valida decat supa ce ati confermat telefonic datele.</td>
</tr>
<tr>
<td colspan="4">
<div style="border-bottom: 1px solid rgb(153, 153, 153); font-size: 9px;"><a href="/iw/ecom/main/showDisclaimers.jsp" target="disclaimer">
citeste notificarea prelucrarii datelor cu caracter personal </a> <br />
<input type="checkbox" checked="" value="1" style="vertical-align: middle;" name="Autorizez prelucrarea datelor"/> Autorizzo il trattamento dei miei dati personali  <br />
<input type="checkbox" checked="" value="1" style="vertical-align: middle;" name="AutorizzazioneTrattamentoDatiUsoCommerciale" />Autorizez prelucrarea datelor mele cu caracter personal pentru primirea mesajelor comerciale</div>
<input type="trimite" style="float: right;" value="trimite" /></td>
</tr>
</tbody>
</table>
</form>
</div>
