Cod: Selectaţi tot
<!-- begin form -->
<form method=post enctype=multipart/form-data action=processor.php onSubmit="return validatePage1();"><ul class=mainForm id="mainForm_1">
<li class="mainForm" id="fieldBox_1">
<label class="formFieldQuestion">Nume Referent *</label><input class=mainForm type=text name=Nume_Referent id=Nume_Referent size='20' value='<? echo "".$fetch_users_data->utilizator."";?>'></li>
<li class="mainForm" id="fieldBox_2">
<label class="formFieldQuestion">Telefon Referent *</label><input class=mainForm type=phone name=Telefon_Referent id=Telefon_Referent size=15 value="<? echo "".$fetch_users_data->telefon."";?>" style="background-image:url(imgs/phone.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li>
<li class="mainForm" id="fieldBox_3">
<label class="formFieldQuestion">Data Si Ora Rezervarii *</label><input class=mainForm type=text name=Data_Si_Ora_Rezervarii id=Data_Si_Ora_Rezervarii size='20' value='<? echo date("d/m/y H:i:s", time());?>'></li>
<li class="mainForm" id="fieldBox_4">
<label class="formFieldQuestion">Numar De Locuri Rezervate *</label><select class=mainForm name=Numar_De_Locuri_Rezervate id=Numar_De_Locuri_Rezervate><option value=''></option><option value="1">1</option><option value="2">2</option><option value="3">3</option></select></li>
<li class="mainForm" id="fieldBox_5">
<label class="formFieldQuestion">Data Plecarii *</label><input type=text name=Data_Plecarii id=Data_Plecarii value=""><button type=reset class=calendarStyle id=fieldDateTrigger_5></button><SCRIPT type='text/javascript'> Calendar.setup({
inputField : "Data_Plecarii",
ifFormat : "%d/%m/%Y",
showsTime : false,
button : "fieldDateTrigger_5",
singleClick : true,
step : 1
});</SCRIPT></li>
<li class="mainForm" id="fieldBox_6">
<label class="formFieldQuestion">Locul Plecarii *</label><select class=mainForm name=Locul_Plecarii id=Locul_Plecarii><option value=''></option><option value="Tulcea - Ora 22:00">Tulcea - Ora 22:00</option><option value="Tulcea - Ora 02:00">Tulcea - Ora 02:00</option><option value="Tulcea - Ora 09:00">Tulcea - Ora 09:00</option><option value="Babadag - Ora 22:30">Babadag - Ora 22:30</option><option value="Babadag - Ora 02:30">Babadag - Ora 02:30</option><option value="Babadag - Ora 09:30">Babadag - Ora 09:30</option></select></li>
<li class="mainForm" id="fieldBox_7">
<label class="formFieldQuestion">Locul Sosirii *</label><select class=mainForm name=Locul_Sosirii id=Locul_Sosirii><option value=''></option><option value="Constanta - Ora 00:30">Constanta - Ora 00:30</option><option value="Constanta - Ora 04:30">Constanta - Ora 04:30</option><option value="Constanta - Ora 11:30">Constanta - Ora 11:30</option><option value="Otopeni - Ora 04:00">Otopeni - Ora 04:00</option><option value="Otopeni - Ora 08:00">Otopeni - Ora 08:00</option><option value="Otopeni - Ora 15:00">Otopeni - Ora 15:00</option></select></li>
<li class="mainForm" id="fieldBox_8">
<label class="formFieldQuestion">Ora Decolare Avion * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Exemplu : 22:00</span></a></label><input class=mainForm type=text name=Ora_Decolare_Avion id=Ora_Decolare_Avion size='5' value=''></li>
<li class="mainForm" id="fieldBox_9">
<label class="formFieldQuestion">Nume Client *</label><input class=mainForm type=text name=Nume_Client id=Nume_Client size='20' value=''></li>
<li class="mainForm" id="fieldBox_10">
<label class="formFieldQuestion">Telefon Client *</label><input class=mainForm type=phone name=Telefon_Client id=Telefon_Client size=15 value="" style="background-image:url(imgs/phone.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li>
<li class="mainForm" id="fieldBox_11">
<label class="formFieldQuestion">E-mail Client</label><input class=mainForm type=email name=Email_Client id=Email_Client size=20 value="" style="background-image:url(imgs/email.png); background-repeat: no-repeat; padding: 2px 2px 2px 25px;"></li>
<li class="mainForm" id="fieldBox_12">
<label class="formFieldQuestion">Obs. Client</label><textarea class=mainForm name=Observatii_Client id=Observatii_Client rows=3 cols=20></textarea></li>
<li class="mainForm" id="fieldBox_13">
<label class="formFieldQuestion">Metoda De Plata *</label><select class=mainForm name=Metoda_De_Plata id=Metoda_De_Plata><option value=''></option><option value="Agentie">Agentie</option><option value="Sofer">Sofer</option></select></li>
<li class="mainForm" id="fieldBox_14">
<label class="formFieldQuestion">Modalitate De Plata *</label><select class=mainForm name=Modalitate_De_Plata id=Modalitate_De_Plata><option value=''></option><option value="Integral">Integral</option><option value="Partial">Partial</option><option value="Nimic">Nimic</option></select></li>
<li class="mainForm" id="fieldBox_15">
<label class="formFieldQuestion">Partial <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Cat A Platit Clientul Partial</span></a></label><input class=mainForm type=text name=Partial id=Partial size='5' value=''></li>
<li class="mainForm" id="fieldBox_16">
<label class="formFieldQuestion">Rest De Plata * <a class=info href=#><img src=imgs/tip_small.png border=0><span class=infobox>Cat Mai Are De Platit Clientul</span></a></label><input class=mainForm type=text name=Rest_De_Plata id=Rest_De_Plata size='5' value=''></li>
<!-- end of this page -->
<!-- page validation -->
<SCRIPT type=text/javascript>
<!--
function validatePage1()
{
retVal = true;
if (validateField('Nume_Referent','fieldBox_1','text',1) == false)
retVal=false;
if (validateField('Telefon_Referent','fieldBox_2','phone',1) == false)
retVal=false;
if (validateField('Data_Si_Ora_Rezervarii','fieldBox_3','text',1) == false)
retVal=false;
if (validateField('Numar_De_Locuri_Rezervate','fieldBox_4','menu',1) == false)
retVal=false;
if (validateDate('Data_Plecarii','fieldBox_5','date',1,'','') == false)
retVal=false;
if (validateField('Locul_Plecarii','fieldBox_6','menu',1) == false)
retVal=false;
if (validateField('Locul_Sosirii','fieldBox_7','menu',1) == false)
retVal=false;
if (validateField('Ora_Decolare_Avion','fieldBox_8','text',1) == false)
retVal=false;
if (validateField('Nume_Client','fieldBox_9','text',1) == false)
retVal=false;
if (validateField('Telefon_Client','fieldBox_10','phone',1) == false)
retVal=false;
if (validateField('Email_Client','fieldBox_11','email',0) == false)
retVal=false;
if (validateField('Observatii_Client','fieldBox_12','textarea',0) == false)
retVal=false;
if (validateField('Metoda_De_Plata','fieldBox_13','menu',1) == false)
retVal=false;
if (validateField('Modalitate_De_Plata','fieldBox_14','menu',1) == false)
retVal=false;
if (validateField('Partial','fieldBox_15','text',0) == false)
retVal=false;
if (validateField('Rest_De_Plata','fieldBox_16','text',1) == false)
retVal=false;
if(retVal == false)
{
alert('Please correct the errors. Fields marked with an asterisk (*) are required');
return false;
}
return retVal;
}
//-->
</SCRIPT>
<!-- end page validaton -->
<!-- next page buttons --><li class="mainForm">
<input id="saveForm" class="mainForm" type="submit" value="Submit" />
</li>
</form>