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		<table border="0" cellspacing="0" cellpadding="0" width="700">

			<tr>
			  <td height="10" align="right"></td>
			  <td height="10"><div align="center"><table border="0" cellspacing="0" cellpadding="0">

					<tr>

						<td width="12"><img src="../../img/kader/titel_links.gif" width="12" height="28"></td>


                <td background="../../img/kader/titel_midden.gif" class="blackheader2">Anfrage
                  Lichtpl&auml;ne</td>

						<td width="10"><img src="../../img/kader/titel_rechts.gif" width="10" height="28"></td>

					</tr>

				</table></div></td>
			  <td height="10">&nbsp;</td>
			  </tr>
			<tr>

				<td height="10" align="right"><img src="/v2/img/kader/kader_links_boven.gif" width="10" height="28"></td>

			    <td height="10" background="../../img/kader/kader_top.gif"></td>
			    <td height="10" width="10"><img src="../../img/kader/kader_top_rechts.gif" width="10" height="28"></td>
		</tr>

		<tr>

		  <td background="../../img/kader/kader_links.gif" width="22">&nbsp;</td>

		  <td bgcolor="#F7E7BD" class="blacktextnormal" height="100" valign="top">

			<br>

			<form name="lichtplan" action="lichtplan.php" method="POST" onSubmit="return LichtCheck(this);">

				<input type="hidden" name="to" value="georg@gavita.no">

				<input type="hidden" name="nextpage" value="http://www.gavita.nl/v2/nl/du/bedankt.shtml">

				<input type="hidden" name="subject" value="Gavita.nl - Lichtplan">

				<input type="hidden" name="comment" value="Uw aanvraag is verzonden">

				<input type="hidden" name="form" value="lichtaanvraag.txt">


              <table border="0" cellspacing="0" cellpadding="0">
                <tr>
                  <td class="blacktextbold" width="170">Kontaktangaben</td>
                  <td class="blacktextnormal" colspan="2">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2"><input class=button type="radio" name="type" value="Klant" checked>
                    G&auml;rtner&nbsp;&nbsp; <input class=button type="radio" name="type" value="Installateur">
                    Installateur</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Firmennamen*</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="bnaam" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2"><input class=button type="radio" name="manvrouw" value="Dhr." checked>
                    Herr&nbsp;&nbsp;&nbsp;&nbsp; <input class=button type="radio" name="manvrouw" value="Mevr.">
                    Frau</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Name Kontaktperson *</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="cpersoon" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Adresse *</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="adres" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Postleitzahl *</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="postcode" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Platz *</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="plaats" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Telefon.*</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="telefoon" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Telefax</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="fax" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">E-mail*</td>
                  <td class="blacktextnormal" colspan="2"><input type="text" name="email" size="40" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextbold" width="170">Vorzug:</td>
                  <td class="blacktextnormal" colspan="2">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextbold" width="170">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170" height="17"> Leuchte</td>
                  <td class="blacktextnormal" width="50%" height="17">
                    <input class=button type="checkbox" name="armatuur1" value="x" onKeyPress="return handleEnter(this, event)">
 Keinen Vorzug</td>
                  <td height="17" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal">&nbsp;</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur2" value="x"  onkeypress="return handleEnter(this, event)">
                    GAN 6-750 AL 230V-verbunden 600W </td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur4" value="x" onKeyPress="return handleEnter(this, event)">
                    GAN 6-750 AL 400V-verbunden 600W</td>
                </tr>
                <tr>
                  <td class="blacktextnormal">&nbsp;</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur3" value="x"  onkeypress="return handleEnter(this, event)">
                    GAN 6-750 AL 230V-verbunden750W</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur5" value="x"  onkeypress="return handleEnter(this, event)">
                    GAN 6-750 AL 400V-verbunden 750W</td>
                </tr>
                <tr>
                  <td class="blacktextnormal">&nbsp;</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur7" value="x" onKeyPress="return handleEnter(this, event)">
                    GAN 4-550 AL 230V-verbunden 400W</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur6" value="x"  onkeypress="return handleEnter(this, event)">
                    Elektronic vsa </td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="armatuur8" value="x" onKeyPress="return handleEnter(this, event)">
                    GAN 4-550 AL 230V-verbunden 550W </td>
                  <td class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Reflektor</td>
                  <td class="blacktextnormal" width="157"><input class=button type="checkbox" name="reflector1" value="x"  onkeypress="return handleEnter(this, event)">
                    Ecomax</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="reflector2" value="x"  onkeypress="return handleEnter(this, event)">
                    Medium Reflector</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" width="157"><input class=button type="checkbox" name="reflector3" value="x" onKeyPress="return handleEnter(this, event)">
                    Deep Reflector</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="reflector4" value="x" onKeyPress="return handleEnter(this, event)">
                    Integrated Reflector</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td class="blacktextnormal" width="157">&nbsp;</td>
                  <td class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Aufh&auml;ngemethode</td>
                  <td class="blacktextnormal" width="157"><input class=button type="checkbox" name="ophang1" value="x" onKeyPress="return handleEnter(this, event)">
                    Giebel Richting</td>
                  <td class="blacktextnormal"><input class=button type="checkbox" name="ophang2" value="x" onKeyPress="return handleEnter(this, event)">
                    Spant Richting</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" colspan="3">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Lichtniveau *</td>
                  <td class="blacktextnormal" colspan="2"><input name="lniveau" type="text" id="lniveau" onKeyPress="return handleEnter(this, event)" size="20">
                    [Lux]</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Vorhandene Kapazit&auml;t</td>
                  <td class="blacktextnormal"><input name="bvermogen" type="text" id="bvermogen" onKeyPress="return handleEnter(this, event)" size="20">
                    [kW]</td>
                  <td align="right" valign="bottom" class="blacktextnormal"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">Gew&auml;chssorte *</td>
                  <td class="blacktextnormal"><input type="text" name="soort" size="20" onKeyPress="return handleEnter(this, event)"></td>
                  <td align="right" valign="bottom" class="blacktextnormal"><img src="../../img/foto/lp1.gif" width="180" height="15"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" height="12">&nbsp;</td>
                  <td class="blacktextnormal" colspan="2" rowspan="3" align="right"><img src="../../img/foto/lp2.gif" width="250" height="36"></td>
                </tr>
                <tr>
                  <td width="170" class="blacktextbold" valign="top" height="12">Gewaechshaus
                    Daten</td>
                </tr>
                <tr>
                  <td width="170" class="blacktextbold" valign="top" height="12">&nbsp;</td>
                </tr>
                <tr>
                  <td colspan=2> <table cellpadding="0" cellspacing="0" border="0">
                      <tr>
                        <td class="blacktextnormal" valign="middle" width="130">Total
                          l&auml;nge *</td>
                        <td class="blacktextnormal" valign="middle" width="170"><input type="text" name="klengte" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>a</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal" valign="middle" width="130">Total
                          breite*</td>
                        <td class="blacktextnormal" valign="middle" width="170"><input type="text" name="kbreedte" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>b</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal" valign="middle" width="130">Binderfeld*</td>
                        <td class="blacktextnormal" valign="middle" width="170"><input type="text" name="vakmaat" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>c</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal" valign="middle" width="130">Binder
                          abstand *</td>
                        <td class="blacktextnormal" valign="middle" width="170"><input type="text" name="kapmaat" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>d</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal" width="130">H&ouml;he fitting-gewachs*</td>
                        <td class="blacktextnormal" width="170"><input type="text" name="hlgmaat" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>e</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal" width="130">Total h&ouml;he*</td>
                        <td class="blacktextnormal" width="170"><input type="text" name="phoogte" size="15" onKeyPress="return handleEnter(this, event)">
                          [m] <b>f</b></td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal">Weg*</td>
                        <td width="200" class="blacktextnormal"><input type="text" name="pad" size="15" onKeyPress="return handleEnter(this, event)">
                          [m]</td>
                      </tr>
                      <tr>
                        <td class="blacktextnormal">Position weg* </td>
                        <td width="200" class="blacktextnormal"><label>
                          <input name="ligging" type="radio" class="button" value="links">
                          links
                          <input name="ligging" type="radio" class="button" value="midden" checked>
                          mitte
                          <input name="ligging" type="radio" class="button" value="rechts">
                          rechts</label></td>
                      </tr>
                    </table></td>
                  <td align="right" valign="top"><img src="../../img/foto/lp3.gif"></td>
                </tr>
                <tr>
                  <td class="blacktextbold" valign="top">&nbsp;</td>
                  <td colspan="2" rowspan="3" class="blacktextbold" valign="top">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextbold" valign="top">Heizung</td>
                </tr>
                <tr>
                  <td class="blacktextbold" valign="top">&nbsp;</td>
                </tr>
                <tr valign="middle">
                  <td class="blacktextnormal">Anzahl Heizungsrohre</td>
                  <td width="157" colspan="2" class="blacktextnormal"><input type="text" name="xvbuizen" size="15" onKeyPress="return handleEnter(this, event)"></td>
                </tr>
                <tr valign="middle">
                  <td class="blacktextnormal">H&ouml;he bis Spant</td>
                  <td width="157" class="blacktextnormal"><input type="text" name="hvtott" size="15" onKeyPress="return handleEnter(this, event)">
                    [m]</td>
                </tr>
                <tr>
                  <td class="blacktextbold" valign="top">&nbsp;</td>
                  <td colspan="2"  rowspan="3" class="blacktextbold" valign="top">&nbsp;</td>
                </tr>
                <tr>
                  <td width="170" class="blacktextbold" valign="top">Spruehleitung</td>
                </tr>
                <tr>
                  <td width="170" class="blacktextnormal" valign="top">&nbsp;</td>
                </tr>
                <tr valign="middle">
                  <td width="170" class="blacktextnormal">Anzahl Spr&uuml;hleitungen</td>
                  <td width="157" class="blacktextnormal"><input type="text" name="xsbuizen" size="15"  onkeypress="return handleEnter(this, event)"></td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr valign="middle">
                  <td width="170" class="blacktextnormal">H&ouml;he bis Spant</td>
                  <td width="157" class="blacktextnormal"><input type="text" name="hstott" size="15" onKeyPress="return handleEnter(this, event)">
                    [m]</td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td width="170" class="blacktextnormal" valign="top">&nbsp;</td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td width="170" class="blacktextnormal" valign="top">&nbsp;</td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                  <td width="157" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170" valign="top"><br>
                    Fragen und/oder Bemerkungen:</td>
                  <td colspan="2" class="blacktextnormal"><textarea name="vraag" rows="8" cols="60"></textarea></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td colspan="2" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td colspan="2" class="blacktextnormal"><input type="submit" name="Submit" value="Senden">
                    &nbsp;
                    <input type="reset" name="Alles wissen" value="Alles l&ouml;schen"></td>
                </tr>
                <tr>
                  <td class="blacktextnormal" width="170">&nbsp;</td>
                  <td colspan="2" class="blacktextnormal">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" colspan="3">&nbsp;</td>
                </tr>
                <tr>
                  <td class="blacktextnormal" colspan="3">&nbsp;</td>
                </tr>
              </table>
			</form>		</td>

		<td width="10" background="../../img/kader/right.gif">&nbsp;</td>
		</tr>

		<tr><td width="10"><img src="../../img/kader/kader_links_onder.gif" width="22" height="10"></td>

			<td background="../../img/kader/bottom.gif">&nbsp;</td>

			<td width="10"><img src="../../img/kader/right_bottom_corner.gif" width="10" height="10"></td>
		</tr>
		<tr>
		  <td colspan="4"><div align="center"></div></td>
		</tr>
		</table>

	<br><br>

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