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<p align="center"><span class="style1"><strong>INSCHRIJVING</strong></span></p>
<p align="center" class="style1"><strong>MASTERCLASS / CLINIC</strong></p>
<form name="inschrijvingen" method="post" action="mail.php">
<table width="430" border="0" cellspacing="0" cellpadding="0">
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<td width="168"><span class="style1">Naam:</span></td>
<td width="300"><span class="style1">
<input name="naam" type="text" size="40" />
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<td><span class="style1">E-mail:</span></td>
<td><span class="style1">
<input name="mail" type="text" size="40" />
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</tr>
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<td><span class="style1">Tel (of GSM): </span></td>
<td><span class="style1">
<input name="tel" type="text" size="40" />
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<td><span class="style1">Muziekschool of conservatorium waar les wordt gevolgd (of is gevolgd) </span></td>
<td>
<textarea name="school" cols="38"></textarea>
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<td><span class="style1">Wenst in te schrijven voor de masterclass/clinic</span></td>
<td><span class="style1">
<input type="checkbox" name="checkbox1" value="klarinet_Eddy" />
Klarinet / Eddy Vanoosthuyse<br />
<input type="checkbox" name="checkbox2" value="Basklarinet_Marc" />
Basklarinet / Marc Kerckhof<br />
<input type="checkbox" name="checkbox3" value="Es_klarinet_David" />
Es klarinet / David Van Maele <br />
<input type="checkbox" name="checkbox4" value="Jazz_Michel" />
Jazz / Michel Pelligrino<br />
<input type="checkbox" name="checkbox5" value="Klezmer_Peter" />
Klezmer / Peter Merckx<br />
<input type="checkbox" name="checkbox6" value="Oude_klarinet_Vincenzo" />
Oude klarinet / Vincenzo Casale
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<td><span class="style1">In geval van masterclass basklarinet of es klarinet</span></td>
<td><table width="238">
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<td width="230" class="style1"><label>
<input type="radio" name="Klarinet" value="wel_een_klarinet" />
Ik beschik over een klarinet</label></td>
</tr>
<tr>
<td class="style1"><label>
<input type="radio" name="Klarinet" value="geen_klarinet" />
Ik beschik niet over een klarinet</label></td>
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<p align="center">
<input type="submit" name="Submit" value="Versturen" />
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