<html> <head> <meta http-equiv="content-type" content="text/html;charset=iso-8859-1"> <title>Rezerviranje: apartmani, sobe u la Casa di Elisa</title> <script language="JavaScript" src="scripts/formtest.js"></script> <script language="JavaScript" src="scripts/rightclick.js"></script> </head> <body bgcolor="#000035" alink="#99ccff" text="white" vlink="#708090" link="#aaddee" onkeydown="handleCtrlV('hr',window.event)" oncontextmenu="return false;"> <table border="0" cellpadding="2" cellspacing="0" width="100%"> <tr> <td><center> <font color="FF0000" size="5" face="Arial,Verdana,Courier New Roman"><b><i> Da bi rezervirali svoj boravak u la Casa di Elisa :<br><br></i></b></font> </center></td> </tr> <tr> <td width="50%"><p><font face="Arial,Verdana" size="4"><img src="images/puce_rouge.gif" width="12" height="7" border="0"> Rezervirajte odmah online:<br> <font face="Arial,Verdana" size="4" color="#99CCFF"><i>( rezervacija stranica&nbsp;&nbsp;<img src="images/booking_logo.jpg" alt="booking.com"> )</i></font> </td> <td width="50%" align="left"> <form name="sendmail" target="_self" method="post" action="sendmessage.php"> <input type="hidden" name="language" value="hr"> <input type="hidden" name="origin" value="norm"> <input type="image" src="//aff.bstatic.com/images/affiliate/330843/booknow_en.gif" alt="Rezervirajte sada" style="border: 0;" onclick="window.open('http://www.booking.com/hotel/hr/la-casa-di-elisa.html?aid=330843;lang=hr')"> </form> </td> </tr> <tr> <td><p align="center"><font face="Arial,Verdana" size="5" color="red"><br> <b><i>Ili: </i></b></font></p></td> </tr> <tr> <td> <font size="4" face="Arial,Verdana,Courier New Roman"> <IMG SRC="images/puce_rouge.gif" WIDTH=12 HEIGHT=7> Ispunite ovaj obrazac i po&#154;aljite nam ga.<br> <IMG SRC="images/puce_rouge.gif" WIDTH=12 HEIGHT=7> Prema Va&#154;em zahtjevu, obavijestit &#263;emo Vas o popunjenosti kapaciteta.<br> <IMG SRC="images/puce_rouge.gif" WIDTH=12 HEIGHT=7> Tada Vas molimo da po&#154;aljete e-mail ili faks da potvrdite.<br> <IMG SRC="images/puce_rouge.gif" WIDTH=12 HEIGHT=7> Kada ga primimo, potvr&#273;ujemo Va&#154;u rezervaciju. </font> <p><font face="Arial,Verdana" size="2" color="#99CCFF"><i>( Polja ozna&#269;ena * su obavezna )</i></font></p> </td> </tr> </table> <br> <I><FONT FACE="Verdana,Times New Roman" SIZE="5"> <P ALIGN="center"><A HREF="tarifs_hr.htm">Natrag</A></I></FONT></P> <center> <p> <form name="formulaire" target="_self" method="post" action="formsend.php"><br> <table border="0" cellpadding="4" cellspacing="0" bgcolor="#336699" width="660"> <tr> <td colspan="2" valign="bottom"> <div align="left"> <font size="2" face="Arial,Verdana,Courier New Roman" color="#99ccff"> Molimo Vas za slijede&#263;e informacije</font></div> </td> <td><input type=hidden name="language" value="hr"></td> <tr><font face="Arial,Verdana ,Courier New Roman" size="2"> <td><div align="right">*Ime</div></td> <td><input type="text" id="nom" name="nom" size="27" onblur="setId(this.id)"></td> <td><font color="#336699">_</font></td> <td><div align="right">*Prezime</div></td> <td><input type="text" id="prenom" name="prenom" size="27" onblur="setId(this.id)"></td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td><div align="right">Ulica</div></td> <td><input type="text" id="rue" name="rue" size="27" onblur="setId(this.id)"></td> <td><font color="#336699">_</font></td> <td><div align="right">br.</div></td> <td><input type="text" id="numero" name="numero" size="3" onblur="setId(this.id)"> po&#154;t.broj <input type="text" id="codepostal" name="codepostal" size="8" onblur="setId(this.id)"></td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td><div align="right">Grad</div></td> <td><input type="text" id="ville" name="ville" size="27" onblur="setId(this.id)"></td> <td><font color="#336699">_</font></td> <td><div align="right">Dr&#158;ava</div></td> <td><input type="text" id="pays" name="pays" size="27" onblur="setId(this.id)"></td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td><div align="right">Tel.</div></td> <td><input type="text" id="tel" name="tel" size="27" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></td> <td bgcolor="#336699"><font color="#336699">_</font></td> <td><div align="right">Fax</font></div></td> <td><input type="text" id="fax" name="fax" size="27" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td><div align="right">mobitel</font></div></td> <td><input type="text" id="portable" name="portable" size="27" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></td> <td bgcolor="#336699"><font color="#336699">_</font></td> <td><div align="right">*Email</font></div></td> <td><input type="text" id="email" name="email" size="27" onblur="setId(this.id)"></td> </font></tr> <tr height="6"> <td height="6"></td> <td height="6"></td> <td height="6"></td> <td height="6"></td> <td height="6"></td> </tr> </table> <br> <table border="0" cellpadding="4" cellspacing="0" bgcolor="#336699" width="660"> <tr> <td colspan="2" valign="bottom"> <div align="left"> <font size="2" face="Arial,Verdana,Courier New Roman" color="#99ccff"> Va&#154; boravak:</font></div> </td> </tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td height="20" colspan="2" valign="bottom">Datumi:</td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td> <div align="right">*Od</font></div> </td> <td><select name="du" size="1"> <option selected value="?">??</option> <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> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> <select name="mois1" size="1"> <option selected value="??????">??????</option> <option value="Janvier">Sije&#269;anj</option> <option value="Fevrier">Velja&#269;a</option> <option value="Mars">O&#158;ujak</option> <option value="Avril">Travanj</option> <option value="Mai">Svibanj</option> <option value="Juin">Lipanj</option> <option value="Juillet">Srpanj</option> <option value="Aout">Kolovoz</option> <option value="Septembre">Rujan</option> <option value="Octobre">Listopad</option> <option value="Novembre">Studeni</option> <option value="Decembre">Prosinac</option> </select> <select name="annee1" size="1"> <option selected value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> </select></td> <td><font color="#336699">_</font></td> <td> <div align="right">*do</font></div> </td> <td><select name="au" size="1"> <option selected value="?">??</option> <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> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> <select name="mois2" size="1"> <option selected value="??????">??????</option> <option value="Janvier">Sije&#269;anj</option> <option value="Fevrier">Velja&#269;a</option> <option value="Mars">O&#158;ujak</option> <option value="Avril">Travanj</option> <option value="Mai">Svibanj</option> <option value="Juin">Lipanj</option> <option value="Juillet">Srpanj</option> <option value="Aout">Kolovoz</option> <option value="Septembre">Rujan</option> <option value="Octobre">Listopad</option> <option value="Novembre">Studeni</option> <option value="Decembre">Prosinac</option> </select> <select name="annee2" size="1"> <option selected value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> </select></td> </font></tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td valign="bottom"> <div align="right">t.j. :</div> </td> <td valign="bottom"><input type="text" id="nuits" name="nombre_nuits" maxlength="3" size="3" onblur="setId(this.id)" onkeypress="return checknumeric(event)"> *noi</td> </font></tr> </table> <table border="0" cellpadding="4" cellspacing="0" bgcolor="#336699" width="660"> <tr> <td colspan="2" valign="bottom"> <div align="left"> <font size="2" face="Arial,Verdana,Courier New Roman" color="#99ccff"> Broj osoba:</font></div> </td> </tr> <tr><font face="Arial,Verdana,Courier New Roman" size="2"> <td width="50"><div align="right">*Odrasli</div></td> <td width="50" valign="middle"><input type="text" id="adultes" name="adultes" maxlength="3" size="3" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></td> <td width="50"><div align="right">Djeca</div></td> <td width="50"><div align="left"><input type="text" id="enfants" name="enfants" maxlength="3" size="3" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></div></td> <td width="180"><div align="right">*Broj apartmana ili soba</div></td> <td><input type="text" id="nombre_chambres" name="nombre_chambres" maxlength="3" size="3" onblur="setId(this.id)" onkeypress="return checknumeric(event)"></td> </tr> </table> <br> <table border="0" cellpadding="4" cellspacing="0" bgcolor="#336699" width="660"> <tr> <td colspan="2" valign="bottom"> <div align="left"> <font size="2" face="Arial,Verdana,Courier New Roman" color="#99ccff"> Napomene:</font></div> </td> </tr> <tr> <td> <center> <font face="Arial,Verdana,Courier New Roman" size="1"><textarea id="remarques" name="remarques" rows="6" cols="60" onblur="setId(this.id)"></textarea></font> </center> </td> </tr> <tr height="60"> <td valign="bottom" height="60"> <center> <font color="#336699"><input type="reset" value="Poni&#154;ti">......... <input type="button" value="Po&#154;alji" name="Envoi" onclick="formtest('hr')"></font> </center> </td> </tr> </table> </form> </p> </center> </body< </html>