Unnamed

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /><title>Untitled Document</title><style type="text/css"><!--.style1 {font-family: Arial, Helvetica, sans-serif}--></style></head><body><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">    <tr>      <td width="168"><span class="style1">Naam:</span></td>      <td width="300"><span class="style1">        <input name="naam" type="text" size="40" />      </span></td>    </tr>    <tr>      <td><span class="style1">E-mail:</span></td>      <td><span class="style1">        <input name="mail" type="text" size="40" />      </span></td>    </tr>    <tr>      <td><span class="style1">Tel (of GSM): </span></td>      <td><span class="style1">        <input name="tel" type="text" size="40" />      </span></td>    </tr>    <tr>      <td><span class="style1">Muziekschool of conservatorium   waar les wordt gevolgd (of is gevolgd)&nbsp;</span></td>      <td>        <textarea name="school" cols="38"></textarea></td>    </tr>    <tr>      <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       </span></td>    </tr>    <tr>      <td><span class="style1">In geval van masterclass basklarinet of es klarinet</span></td>      <td><table width="238">          <tr>            <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>          </tr>      </table></td>    </tr>  </table>  <p align="center">    <input type="submit" name="Submit" value="Versturen" />  </p></form></body></html>