Miscellany

<?
include ('inc/head.html');
echo"<FORM ACTION=\"add.php\" METHOD=post>";
$currentDate= date("ymd");
echo"Current Date ---> $currentDate";
echo" <table align=\"center\">";
echo"  <tr><td><img src=\"/franvaro/images/space.gif\" width=\"1\" height=\"3\"></td><tr>";
echo"  <tr><td> Tel Nummer :</td><td><input type=\"text\" name=\"telnum\" maxlength=\"4\"></td></tr>";
echo"  <tr><td> Ditt Namn :</td><td><input type=\"text\" name=\"name\" maxlength=\"25\"></td></tr>";
echo"  <tr><td> Kontorsnamn :</td><td><select name=\"office\">";
echo"                   <option value=\"\">V\xe4lj ett kontor";
echo"                   <option value=\"\xc5s\xf6gatan\">\xc5s\xf6gatan";
echo"                   <option value=\"Katarinav\xf6gen\">Katarinav\xf6gen";
echo"                   <option value=\"Nacka\">Nacka";
echo"                   <option value=\"Hantverkargatan\">Hantverkargatan";
echo"                   <option value=\"Hornsgatan\">Hornsgatan ";
echo"                   <option value=\"Sibyllegatan\">Sibyllegatan ";
echo"                   <option value=\"Huddinge\">Huddinge ";
echo"                   <option value=\"J\xe4rf\xe4lla\">J\xe4rf\xe4lla ";
echo"                   <option value=\"Sk\xe4rholmen\">Sk\xe4rholmen ";
echo"                   <option value=\"Sollentuna\">Sollentuna ";
echo"                   <option value=\"V\xe4llingby\">V\xe4llingby ";
echo"                   <option value=\"Enskede\">Enskede ";
echo"                   <option value=\"Sundbyberg\">Sundbyberg ";
echo"                   <option value=\"S\xf6dert\xe4lje\">S\xf6dert\xe4lje ";
echo"                   <option value=\"Gustavsberg\">Gustavsberg ";
echo"                   <option value=\"Solna\">Solna ";
echo"                   <option value=\"\xc5rsta\">\xc5rsta ";
echo"                   <option value=\"Bromma\">Bromma ";
echo"                   <option value=\"\xc5kersberga\">\xc5kersberga ";
echo"                   <option value=\"S:t Eriksgatan\">S:t Eriksgatan ";
echo"                   <option value=\"Upplandsgatan\">Upplandsgatan ";
echo"                                                   </select></td></tr>";
echo" <tr><td> Fr\xe5n :</td><td><input type=\"text\" name=\"fromH\" maxlength=\"2\" size=\"2\">:<input type=\"text\" name=\"fromM\" maxlength=\"2\" size=\"2
\">";
echo"<iput type=\"text\" value=\"$currentDate\" name=\"fDate\"  maxlength=\"6\"></td></tr>";
echo" <tr><td> Till :</td><td><input type=\"text\" name=\"tillH\" maxlength=\"2\" size=\"2\">:<input type=\"text\" name=\"tillM\" maxlength=\"2\" size=\"2\">
</td></tr>";
echo"<tr><td> Ange orsak : </td><td><select name=\"reason\">";
echo"                   <option value=\"\">Ange orsak";
echo"                   <option value=\"Lunch\">Lunch";
echo"                   <option value=\"Sjuk\">Sjuk";
echo"                   <option value=\"M\xf6te\">M\xf6te";
echo"                   <option value=\"V\xe5rd av barn\">V\xe5rd av barn";
echo"                   <option value=\"Semester\">Semester";
echo"                   <option value=\"Tj\xe4nstledig\">Tj\xe4nstledig";
echo"                   <option value=\"Tj\xe4nsteresa\">Tj\xe4nsteresa</select></td></tr>";
echo" <tr><td> \xd6vrigt : </td><td><textarea name=\"comment2\" id=\"comment\" cols=\"20%\" rows=\"10\" tabindex=\"4\"></textarea></td></tr>";
echo" <tr><td></td><td align=\"center\"><br><input type=\"submit\" value=\"Enter\"><input type=\"reset\" value=\"clear\"></td></tr>";
echo"</table>";
echo"</form>";
include ('inc/footer.html');
?>