ACC SHELL

Path : /srv/www/vhosts/bubbagump/
File Upload :
Current File : /srv/www/vhosts/bubbagump/formular.php

<br />

     <?php if($odeslano==1):?>


                         <div align="center" class="okraje"> <br />
                         Děkujeme za použití elektronické podatelny.<br />
                         Na Váš dotaz odpovíme co nejdříve.
                         <br /><br />
                         Obec Slavičky
                         </div> <br />


     <?php else:?>

                              <form action="odeslani.php" enctype="multipart/form-data" method="post">
                                <input type="hidden" name="menu" value="<?php echo $menu;?>" />
                                <input type="hidden" name="odeslanazadost" value="1" />


                                  <table align="center" cellspacing="0" cellpadding="2" border="0">

                                 <?php if($chybovazprava1):?>
                                        <tr><td align="center" class="chybovazprava" colspan="2"><?php echo $chybovazprava1;?>!!<br /><br /></td></tr>
                                 <?php elseif($nevyplneno):?>
                                        <tr><td align="center" class="chybovazprava" colspan="2">Nevyplnil jste položku <?php echo $polozka1;?>!!<br /><br /></td></tr>
                                 <?php endif;?>

                                     <tr>
                                       <td align="right"><b>Jméno a příjmení:</b>&nbsp;&nbsp;</td>
                                       <td><input type="text" name="jmeno" size="50" value="<?php echo $jmeno;?>" /></td>
                                     </tr>

                                     <tr>
                                       <td align="right"><b>Adresa:</b>&nbsp;&nbsp;</td>
                                       <td><input type="text" name="adresa" size="50" value="<?php echo $adresa;?>" /></td>
                                     </tr>

                                     <tr><td colspan="2"><br /></td></tr>

                                      <tr>
                                       <td align="right"><b>Telefon:</b>&nbsp;&nbsp;</td>
                                       <td><input type="text" name="telefon" size="30" value="<?php echo $telefon;?>" /></td>
                                     </tr>

                                     <tr>
                                       <td align="right"><b>Email:</b>&nbsp;&nbsp;</td>
                                       <td><input type="text" name="email" size="30" value="<?php echo $email;?>" /></td>
                                     </tr>

                                      <tr><td colspan="2"><br /></td></tr>

                                      <tr>
                                       <td align="right" valign="top"><b>Dotaz</b>&nbsp;&nbsp;</td>
                                       <td><textarea name="dotaz" cols="41" rows="10"><?php echo $dotaz;?></textarea></td>
                                     </tr>

                                     <tr>
                                       <td align="right"><b>Přiložený soubor</b>&nbsp;&nbsp;</td>
                                       <td><input type="File" size="37" name="soubor" /></td>
                                     </tr>

                                     <tr><td colspan="2"><br /></td></tr>

                                     <tr>
                                     <td colspan="2" align="center">
                                     
                                        <table cellspacing="0" cellpadding="0" border="0">
                                         <tr><td align="right"><input type="submit" value="Odeslat" /></td>
                                             <td> &nbsp;&nbsp;<input type="reset" value="Smazat" /></td>
                                         </tr></table>
                                     </td>
                                     </tr>

                                  </table>


                              </form>

                              <br /><br />


   <?php endif; ?>

ACC SHELL 2018