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<!DOCTYPE HTML>
<html>
<head>
	<meta http-equiv="Content-Language" content="nl-be">
	<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
	<meta http-equiv="content-style-type" content="text/css">
	<meta name="author" content="Paul Lavigne" />
	<link href="../scripts/basic.css" rel="stylesheet" type="text/css">
	<script language="JavaScript" src="../scripts/validate_functions.js" type="text/javascript"></script>
	<TITLE>Inschrijving Rotaryzomer</TITLE>
<script language="JavaScript" type="text/javascript">	
function validate(form) {
//	alert("We zijn hier");
// init
	var fail = "";
	var aantal = 1 ;
	var paspoort = '';		// 1: nr id-kaart ( of paspoort voor buitenlanders) op te
	var naam_gebdat = '';	// 1: volledige naam & geboortedatum moeten opgegeven worden	
	var kost = '';
	var ond = '';
	var betaaladres = 'BE64 0689 3018 4052 van V.A.R.C.(M-ELisabeth van Alsenoy)';
// partner	
	var partner = document.getElementById("partner").checked;
// namen
	var voornaam = form.voornaam.value;
	var naam = form.naam.value;

// mailadres
	var mail_1 = form.email_1.value;
	var mail_2 = form.email_2.value;
// club
	var club_1 = form.club_1.value ;
	var club_2 = form.club_2.value ;
	var club_3 = form.club_3.value ;
	var club_4 = form.club_4.value ;
	var club_5 = form.club_5.value ;
// paspoort
	if(paspoort ==1) {
		var pasp =  form.pasp.value;
		if(partner) var pasp_p = form.pasp_p.value;
	}
//	geboortedata
	if (naam_gebdat == 1 ) {
		var gebdat = form.gebdat.value ;
	    if(partner)  {
			var gebdat_p = form.gebdat_p.value ;
			var vnaam_p = form.vnaam_p.value ;
			var naam_p = form.naam_p.value ;		
		}	
	}
	// privacy
	var privacy = document.getElementById("privacy").checked;
// testen
	if (partner) aantal = 2 ;	
	if (voornaam =="" || voornaam.length < 2  ) fail += "uw (volledige) voornaam is vereist.\n";	
	if (naam =="" || naam.length < 2 ) fail += "uw familienaam is vereist.\n";	
	if (mail_1 + mail_2 == "" ) fail += "uw e-mailadres is vereist.\n";
	if (mail_1 !== mail_2 && (mail_1 + mail_2 > "")) fail += "Uw e-mailadres is niet in orde.\n";
	var c1 = c2 = c3 = c4 = c5 = 0 ;
	if (club_1 >"") c1 = 1 ; 
	if (club_2 >"") c2 = 1 ;
	if (club_3 >"") c3 = 1 ;
	if (club_4 >"") c4 = 1 ;
	if (club_5 >"") c5 = 1 ;
	if (c1 + c2 + c3 + c4 + c5 == 0 ) fail += "Wij hebben de naam van uw club nodig.\n"; 
	if (c1 + c2 + c3 + c4 + c5 > 1 )  fail += "U mag maar 1 clubnaam opgeven.\n";
	if (paspoort == 1) {
		if (pasp == "") fail += "U moet uw id-kaart- of paspoortnr opgeven.\n";
		if(partner && pasp_p == "") fail += "U moet id-kaart- of paspoortnr van de partner opgeven.\n";
	}
	if (naam_gebdat == 1) {	
		if (gebdat.length != 10  ) fail += "Uw geboortedatum (dd/mm/jjjj) is vereist.\n";
		if (partner && (vnaam_p.length < 2 || naam_p.length < 2 ))fail += "volle naam en voornaam van uw partner is vereist.\n";
		if (partner && gebdat_p.length != 10  ) fail += "Geboortedatum van uw partner (dd/mm/jjjj) is vereist.\n";
	}	
	if (!privacy) fail += "U moet akkoord gaan met ons privacybeleid.\n";	
// Als ingegeven ok is
	if (fail == "") {
		var OK = "Beste "+voornaam+",\n\n";
		if ( aantal == 2 ) {
			OK += "U komt met uw partner\n";
		}
		var tot_bedrag = aantal * kost ;
		if (club_1 == "Rc. Wilrijk-Terbeke") {
			OK += "\nAls lid van Wilrijk-Terbeke zal onze boekhouding  \n"+aantal+" x "+kost+",- = EUR "+tot_bedrag+",- overschrijven\nU moet dus NIETS betalen!" ;
		} else {
			OK += "\nU gaat akkoord ten laatste 4 dagen vooraf\n"+aantal+" x "+kost+",- = EUR "+tot_bedrag+",- over te schrijven via\n" ;
			OK += betaaladres ;
			OK += "\nDe referentie (vorm \"RZ-"+ond+"-nn\") wordt u meegedeeld in de e-mail die u ontvangt\n";
		
		}		
/**/		OK = OK + "\nHet Rotary-Zomer Team.\n\nKlik 'OK' als u akkoord gaat, anders 'Annuleren' \n";
		if (confirm(OK)) form.submit(); 	
	} else { 
		if (fail != "") alert("Opgelet - er zit(ten) foutje(s) in het formulier:\n\n" + fail); 
	}
}
</script>
</head>


<body>
<div align="center">
<fieldset style="width:800px; align:center;">
<LEGEND style="text-align:center;"><img src="./figuren/header.png?t=31" style="width:700px; align:center;"></LEGEND>
<h1>Inschrijven voor  op  vanaf  uur</h1>
<table align="center" style="text-width:700px; border-collapse:collapse;  border:none; scrolling:no;">
	<tr><td colspan="2" style=" border:none; text-align:center;"><b>Beste vriend(in),</b><br/></td></tr>
	<tr><td colspan="2" style=" border:none; text-align:left;"><p><b>V</b>ul uw aanmelding hieronder in.<br/>

	<b>U</b> ontvangt dan een e-mail met verdere gegevens voor het overschrijven van het verschuldigde bedrag<br/> 
		<b>Z</b>odra wij dit bedrag op onze rekening ontvangen <b>(ten minste 4 dagen vooraf!)</b> staat u in de aanwezigheidslijst.<br/>Via klikken op <u>"Check uw betaling"</u> in de e-mail die zal ontvangen kan u uw inschrijving nazien.		
		</p></td></tr>
		<tr><td colspan="2" style=" border:none; text-align:right;"><b>&nbsp;<br/><nobr>De organisatoren van de ROTARY-ZOMER Vergadering.</nobr></b><br />		
	
</td></tr></table>
<br/>
<div align="center"><table style="text-align:center; text-width:700px; width:900px; border-collapse:collapse;  border:none;"><form action="inschrijven.php" method="post" name="bestelform"><tr><td style="text-align:right; border:none; font:Verdana; "><nobr>Uw voornaam: </nobr></td><td style="text-align:left; border:none;"><input type="text" name="voornaam" size="20" value="" required autofocus /><b style="color:red;">(*)</b></td><td style="text-align:right; border:none; font:Verdana; "><nobr>Uw familienaam: </nobr></td><td style="text-align:left; border:none;"><input type="text" name="naam" size="20" value="" required /><b style="color:red;">(*)</b></td></tr><tr><td style="text-align:right; border:none; font:Verdana; ">Uw e-mailadres: </td>	<td style="text-align:left; border:none;"><input type="text" name="email_1" size="20" required /><b style="color:red;">(*)</b></td><td style="text-align:right; border:none; font:Verdana; ">Herhaal e-mailadres ter controle: </td>	<td style="text-align:left; border:none;"><input type="text" name="email_2" size="20" required /><b style="color:red;">(*)</b></td></tr><input type="hidden" name="verg" value=" op  vanaf  uur" /><input type="hidden" name="ond" value="" /><tr><td style="border:none;font:Verdana;text-align:right;">Uw partner komt mee :</td><td colspan="3" style="border:none;text-align:left;"><input type="checkbox" name="partner" id="partner" /></tr><tr><td colspan="4" style="text-align:left; border:none; font:Verdana; ">- Kies uw club:</td></tr><tr><td style="text-align:center; border:none; font:Verdana; ">Antwerpen</td><td style="text-align:center; border:none; font:Verdana; ">Brussel</td><td style="text-align:center; border:none; font:Verdana; ">Limburg</td><td style="text-align:center; border:none; font:Verdana; ">Vlaams-Brabant</td></tr><tr><td style="text-align:left; border:none;" valign="top"><SELECT name="club_1"><OPTION value=""></OPTION><OPTION value="Rc. Aartselaar-4 Rivieren">Rc. Aartselaar-4 Rivieren</OPTION><OPTION value="Rc. Antwerp.International">Rc. Antwerp.International</OPTION><OPTION value="Rc. Antwerpen">Rc. Antwerpen</OPTION><OPTION value="Rc. Antwerpen-Minerva">Rc. Antwerpen-Minerva</OPTION><OPTION value="Rc. Antwerpen-One World">Rc. Antwerpen-One World</OPTION><OPTION value="Rc. Antwerpen-Amerloo">Rc. Antwerpen-Amerloo</OPTION><OPTION value="Rc. Antwerpen-Heideland">Rc. Antwerpen-Heideland</OPTION><OPTION value="Rc. Antwerpen-Metropool">Rc. Antwerpen-Metropool</OPTION><OPTION value="Rc. Antwerpen-Noord">Rc. Antwerpen-Noord</OPTION><OPTION value="Rc. Antwerpen-Oost">Rc. Antwerpen-Oost</OPTION><OPTION value="Rc. Antwerpen-Park">Rc. Antwerpen-Park</OPTION><OPTION value="Rc. Antwerpen-Ring">Rc. Antwerpen-Ring</OPTION><OPTION value="Rc. Antwerpen-Voorkempen">Rc. Antwerpen-Voorkempen</OPTION><OPTION value="Rc. Antwerpen-West">Rc. Antwerpen-West</OPTION><OPTION value="Rc. Antwerpen-Zuid">Rc. Antwerpen-Zuid</OPTION><OPTION value="Rc. Arendonk">Rc. Arendonk</OPTION><OPTION value="Rc. Bonheiden">Rc. Bonheiden</OPTION><OPTION value="Rc. Boom-Rupel">Rc. Boom-Rupel</OPTION><OPTION value="Rc. Geel">Rc. Geel</OPTION><OPTION value="Rc. Heist-op-den-Berg">Rc. Heist-op-den-Berg</OPTION><OPTION value="Rc. Herentals">Rc. Herentals</OPTION><OPTION value="Rc. Hoogstraten-Kempen">Rc. Hoogstraten-Kempen</OPTION><OPTION value="Rc. Kasterlee">Rc. Kasterlee</OPTION><OPTION value="Rc. Lier">Rc. Lier</OPTION><OPTION value="Rc. Mol">Rc. Mol</OPTION><OPTION value="Rc. Turnhout">Rc. Turnhout</OPTION><OPTION value="Rc. Westerlo">Rc. Westerlo</OPTION><OPTION value="Rc. Westmalle Kempen">Rc. Westmalle Kempen</OPTION><OPTION value="Rc. Willebroek Klein-Brabant">Rc. Willebroek Klein-Brabant</OPTION></SELECT></td><td style="text-align:left; border:none;" valign="top"><SELECT name="club_2"><OPTION value=""></OPTION><OPTION value="Rc. Brussel-Coudenberg">Rc. Brussel-Coudenberg</OPTION><OPTION value="Rc. Brussels Cantersteen">Rc. Brussels Cantersteen</OPTION><OPTION value="Rc. Brussels International">Rc. Brussels International</OPTION></SELECT></td><td style="text-align:left; border:none;" valign="top"><SELECT name="club_3"><OPTION value=""></OPTION><OPTION value="Rc. Beringen">Rc. Beringen</OPTION><OPTION value="Rc. Bilzen-Alden Biesen">Rc. Bilzen-Alden Biesen</OPTION><OPTION value="Rc. Borgloon-Haspengouw">Rc. Borgloon-Haspengouw</OPTION><OPTION value="Rc. Bree-Bocholt">Rc. Bree-Bocholt</OPTION><OPTION value="Rc. Genk">Rc. Genk</OPTION><OPTION value="Rc. Genk-Noord">Rc. Genk-Noord</OPTION><OPTION value="Rc. Genk-Staelen">Rc. Genk-Staelen</OPTION><OPTION value="Rc. Hasselt">Rc. Hasselt</OPTION><OPTION value="Rc. Hasselt Hasaluth">Rc. Hasselt Hasaluth</OPTION><OPTION value="Rc. Hasselt-Herckenrode">Rc. Hasselt-Herckenrode</OPTION><OPTION value="Rc. Hasselt-Juniperus">Rc. Hasselt-Juniperus</OPTION><OPTION value="Rc. Houthalen">Rc. Houthalen</OPTION><OPTION value="Rc. Midden-Limburg">Rc. Midden-Limburg</OPTION><OPTION value="Rc. Lanaken-Maasland">Rc. Lanaken-Maasland</OPTION><OPTION value="Rc. Maaseik">Rc. Maaseik</OPTION><OPTION value="Rc. Maasland-Lanklaar">Rc. Maasland-Lanklaar</OPTION><OPTION value="Rc. Neerpelt-Dommelvallei">Rc. Neerpelt-Dommelvallei</OPTION><OPTION value="Rc. Overpelt Noord-Limburg">Rc. Overpelt Noord-Limburg</OPTION><OPTION value="Rc. Riemst-Zuid-Limburg">Rc. Riemst-Zuid-Limburg</OPTION><OPTION value="Rc. Sint-Truiden">Rc. Sint-Truiden</OPTION><OPTION value="Rc. Tessenderlo">Rc. Tessenderlo</OPTION><OPTION value="Rc. Tongeren">Rc. Tongeren</OPTION><OPTION value="Rc. Zonhoven">Rc. Zonhoven</OPTION></SELECT></td><td style="text-align:left; border:none;" valign="top"><SELECT name="club_4"><OPTION value=""></OPTION><OPTION value="Rc. Aarschot">Rc. Aarschot</OPTION><OPTION value="Rc. Aarschot Demervallei">Rc. Aarschot Demervallei</OPTION><OPTION value="Rc. Asse">Rc. Asse</OPTION><OPTION value="Rc. Boutersem-Bierbeek">Rc. Boutersem-Bierbeek</OPTION><OPTION value="Rc. Diest">Rc. Diest</OPTION><OPTION value="Rc. Dilbeek-Pajottenland">Rc. Dilbeek-Pajottenland</OPTION><OPTION value="Rc. Gaasbeek-Pajottenland">Rc. Gaasbeek-Pajottenland</OPTION><OPTION value="Rc. Halle">Rc. Halle</OPTION><OPTION value="Rc. Herne-Markvallei">Rc. Herne-Markvallei</OPTION><OPTION value="Rc. Keerbergen">Rc. Keerbergen</OPTION><OPTION value="Rc. Landen">Rc. Landen</OPTION><OPTION value="Rc. Leuven">Rc. Leuven</OPTION><OPTION value="Rc. Leuven-Brussel-Dijleland">Rc. Leuven-Brussel-Dijleland</OPTION><OPTION value="Rc. Leuven-Rotselaar">Rc. Leuven-Rotselaar</OPTION><OPTION value="Rc. Linter-Getedal">Rc. Linter-Getedal</OPTION><OPTION value="Rc. Mechelen">Rc. Mechelen</OPTION><OPTION value="Rc. Mechelen-Opsinjoor">Rc. Mechelen-Opsinjoor</OPTION><OPTION value="Rc. Meise-Bouchout">Rc. Meise-Bouchout</OPTION><OPTION value="Rc. Overijse-Zoniën">Rc. Overijse-Zoniën</OPTION><OPTION value="Rc. Pepingen">Rc. Pepingen</OPTION><OPTION value="Rc. Sint-Pieters-Leeuw">Rc. Sint-Pieters-Leeuw</OPTION><OPTION value="Rc. Tervuren">Rc. Tervuren</OPTION><OPTION value="Rc. Tielt-Winge-Hageland">Rc. Tielt-Winge-Hageland</OPTION><OPTION value="Rc. Tienen">Rc. Tienen</OPTION><OPTION value="Rc. Vilvoorde">Rc. Vilvoorde</OPTION><OPTION value="Rc. Zaventem">Rc. Zaventem</OPTION></SELECT></td></tr><tr><td colspan="2" style="text-align:right; border:none; font:Verdana; " >Of vul hier in als uw club <b style="color:red;">niet</b> in de lijst staat: </td><td colspan="2" style="text-align:left; border:none;"><input type="text" name="club_5" /></td></tr><tr><td colspan="2" style="border:none;text-align:right;font:Verdana;">U gaat akkoord met ons <a href="../show_tekst.php?privacy=0&screen=privacy&titel=Privacy Verklaring" target="_new">privacy beleid (klik)</a>: </td><td  colspan="2" style="text-align:left; border:none;"><input type="checkbox" name="privacy" id="privacy" required /><b style="color:red;">(*)</b></td></tr><input type="hidden" name="nr" value=5 /><input type="hidden" name="ond" value= /><input type="hidden" name="agenda_id" value= /><input type="hidden" name="agenda_id" value=0 /><input type="hidden" name="datum" value= />
<tr><td style="text-align:right;border:none;"><b style="color:red;">(*)</b></td>
	<td style="text-align:left; border:none;" valign="top">: We hebben deze info nodig.</td></tr>
	
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