author | František Kučera <franta-hg@frantovo.cz> |
Wed, 08 Feb 2012 13:16:13 +0100 | |
changeset 79 | aa8c8f51b0cc |
parent 74 | 48066e753dd6 |
permissions | -rw-r--r-- |
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<?xml version="1.0" encoding="UTF-8"?> |
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<!DOCTYPE html SYSTEM "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> |
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<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="cs" lang="cs"> |
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<head> |
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<meta http-equiv="content-language" content="cs"/> |
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<meta http-equiv="content-type" content="text/html; charset=UTF-8"/> |
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<title>Objednávka</title> |
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</head> |
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<body> |
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<h1>Objednávka</h1> |
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<form action="/objednavka/" method="post" class="objednavka"> |
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<fieldset class="radio"> |
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<legend>Zvolte variantu</legend><br /> |
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<label><input name="varianta" value="licence" type="radio" />Licence: 1 000 Kč</label><br /> |
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<label><input name="varianta" value="licence-instalace" type="radio" />Licence + odborná instalace: 1 500 Kč</label><br /> |
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<label><input name="varianta" value="hosting" type="radio" />Hostovaný provoz: 300 Kč za měsíc</label><br /> |
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</fieldset> |
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<fieldset> |
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<legend>Zákazník</legend><br /> |
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<label>Název školy: <input name="nazev" maxlength="64" type="text" /></label><br /> |
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<label>Ulice: <input name="ulice" maxlength="64" type="text" /></label><br /> |
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<label>Město: <input name="mesto" maxlength="64" type="text" /></label><br /> |
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<label>PSČ: <input name="psc" maxlength="16" type="text" /></label><br /> |
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<label>IČO: <input name="ico" maxlength="64" type="text" /></label><br /> |
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</fieldset><br /> |
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<fieldset> |
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<legend>Kontaktní údaje</legend><br /> |
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<label>Komtaktní osoba: <input name="osoba" maxlength="128" type="text" /></label><br /> |
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<label>E-mail: <input name="email" maxlength="128" type="text" /></label><br /> |
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<textarea name="klic" cols="100" rows="10">pokud chcete šifrovat e-maily, vložte sem svůj veřejný klíč (PGP/GPG nebo X509)</textarea><br /> |
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</fieldset> |
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<fieldset> |
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<legend>Doplňkové údaje</legend><br /> |
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<label>Předpokládaný počet uživatelů: <input name="pocetUzivatelu" maxlength="128" type="text" /></label><br /> |
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<textarea name="komentar" cols="100" rows="10">komentář (pokud nějaký máte)</textarea> |
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</fieldset> |
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<fieldset class="tlacitka"> |
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<legend>Zadat objednávku</legend><br /> |
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<button type="submit">Odeslat objednávku</button><br /> |
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</fieldset> |
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</form> |
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</body> |
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</html> |