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Path : /var/lib/ntp/var/lib/ntp/proc/self/root/srv/www/vhosts/bubbagump/eshop/
File Upload :
Current File : //var/lib/ntp/var/lib/ntp/proc/self/root/srv/www/vhosts/bubbagump/eshop/zakaznik_registrace.php

<?
if (($eshopZaregistrovano == "1") && ($eshopRegistraceOdeslano != "0")):
?>
<p style="line-height: 1.4em;">Děkujeme za Vaši registraci.
</p>
<?

else:

	if ($eshopRegistraceOdeslano == "0"):
?>
<div class="eshopChyba">
	<p><? echo $eshopRegistraceChyby; ?></p>
</div>
<?
	endif;
?>
<p><strong>Tučně</strong> vyznačená políčka jsou povinná.</p>

<form action="eshop/scripty/zpracovani_dat.php" name="formRegistraceZakaznik" method="post" onsubmit="return kontrolaVyplneniReg (this);">
    <input type="hidden" name="kamZpet" value="<? echo URLEncode (EReg_Replace ("([^?]*)\?.*", "\\1", $_SERVER["REQUEST_URI"])); ?>" />
    <input type="hidden" name="eshopZakaznikRegistrace" value="1">

	<table class="eshopForm">

       	<tr>
			<td class="labelPole"><b>Login</b></td>
			<td><input class="male" type="text" name="login" value=""></td>
		</tr>
  		<tr>
			<td class="labelPole"><b>Heslo</b></td>
			<td><input class="male" type="password" name="heslo" value=""></td>
		</tr>
		<tr>
			<td class="labelPole"><b>Heslo znovu</b></td>
			<td><input class="male" type="password" name="hesloOpak" value=""></td>
		</tr>
    
        <tr>
		    <td colspan="2">
				<h2>Fakturační údaje</h2>
			</td>
		</tr>


		<tr>
			<td class="labelPole"><b>Jméno / firma</b></td>
			<td><input class="stredni" type="text" name="firma" value="<? echo $firma; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">IČ</td>
			<td><input class="stredni" type="text" name="ic" value="<? echo $ic; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">DIČ</td>
			<td><input class="stredni" type="text" name="dic" value="<? echo $dic; ?>"></td>
		</tr>
  		<tr>
			<td class="labelPole"><b>Adresa</b></td>
			<td><input class="stredni" type="text" name="adresa" value="<? echo $adresa; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole"><b>Město</b></td>
			<td><input class="stredni" type="text" name="mesto" value="<? echo $mesto; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole"><b>PSČ</b></td>
			<td><input class="male" type="text" name="psc" value="<? echo $psc; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole"><b>Kontaktní osoba</b></td>
			<td><input class="stredni" type="text" name="kontaktniOsoba" value="<? echo $kontaktniOsoba; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole"><b>Telefon</b></td>
			<td><input class="male" type="text" name="telefon" value="<? echo $telefon; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">Fax</td>
			<td><input class="male" type="text" name="fax" value="<? echo $fax; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole"><b>E-mail</b></td>
			<td><input class="stredni" type="text" name="email" value="<? echo $email; ?>"></td>
		</tr>
		<tr class="s">
			<td class="label"><span class="povinne">*</span> Email2:</td>
			<td><input class="stredni" type="text" name="email2" value="" /></td>
		</tr>

        <tr>
		    <td colspan="2">
				<h2>Dodací adresa</h2>
   				<p id="vyplnitDodAdr"><a href="javascript:vyplnDodaciAdresu (document.formRegistraceZakaznik);">Vyplnit podle fakturační adresy</a></p>

			</td>
		</tr>

		<tr>
			<td class="labelPole">Jméno / firma</td>
			<td><input class="stredni" type="text" name="Dfirma" value="<? echo $Dfirma; ?>"></td>
		</tr>
  		<tr>
			<td class="labelPole">Adresa</td>
			<td><input class="stredni" type="text" name="Dadresa" value="<? echo $Dadresa; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">Město</td>
			<td><input class="stredni" type="text" name="Dmesto" value="<? echo $Dmesto; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">PSČ</td>
			<td><input class="male" type="text" name="Dpsc" value="<? echo $Dpsc; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">Kontaktní osoba</td>
			<td><input class="stredni" type="text" name="DkontaktniOsoba" value="<? echo $DkontaktniOsoba; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">Telefon</td>
			<td><input class="male" type="text" name="Dtelefon" value="<? echo $Dtelefon; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">Fax</td>
			<td><input class="male" type="text" name="Dfax" value="<? echo $Dfax; ?>"></td>
		</tr>
		<tr>
			<td class="labelPole">E-mail</td>
			<td><input class="stredni" type="text" name="Demail" value="<? echo $Demail; ?>"></td>
		</tr>
	
		<tr>
			<td class="submit" colspan="2">
			    <input class="submit" type="image" value="Registrovat" src="design/tlacitko_registrovat.gif">
 			</td>
		</tr>
	</table>
</form>
<?
endif;
?>

ACC SHELL 2018