return false;	
	}
    else if (obj_type == "SINGLE_VALUE_RADIO" || obj_type == "SINGLE_VALUE_CHECKBOX")
	{

		if (obj.checked)
			return true;
		else
       		return false;	
	}
    else if (obj_type == "RADIO" || obj_type == "CHECKBOX")
	{

        for (i=0; i < obj.length; i++)
	    	{
		if (obj[i].checked)
			return true;
		}

       	return false;	
	}
	}


function  _CF_checkKontakt(_CF_this)

    {

    if  (!_CF_hasValue(_CF_this.Name, "TEXT" )) 

        {

        if  (!_CF_onError(_CF_this, _CF_this.Name, _CF_this.Name.value, "Bitte tragen Sie Ihren Nachnamen ein!"))

            {

            return false; 

            }

        }


    if  (!_CF_hasValue(_CF_this.Email, "TEXT" )) 

        {

        if  (!_CF_onError(_CF_this, _CF_this.Email, _CF_this.Email.value, "Bitte tragen Sie Ihre Emailadresse ein!"))

            {

            return false; 

            }

        }


    return true;

    }


//-->

</script>

 






<link rel="stylesheet" href="css/makeup-studio.css" type="text/css">



	  
	<FORM NAME="Kontakt" ACTION="gutschein_danke.cfm" METHOD=POST onSubmit="return _CF_checkKontakt(this)">  
<table width="100%" cellspacing="2" cellpadding="2" border="0">
 
<tr>
<td>
 
 </td
</tr> 
  <tr><!-- Row 1 -->
  
    <td  align="left"><img src="../deutsch/folder.jpg" width="165" height="200" alt="" border="0"></td>
	<td	 align="left"><table width="500" border="0" cellspacing="0" cellpadding="2">	
		 
 			
			<tr align="middle"><td><b><font color="#C0C0C0" size="6">Geschenkgutschein</font></b></td></tr>
			<tr align="middle"><td><font color="#C0C0C0">Schön sein kann man lerner</font></td></tr>
			<tr><td>&nbsp;</td></tr>
			
				
								
			<tr align="left" valign="middle"> 
			<td>Schenken Sie Gutscheine für</td></tr>
      		
			<tr align="left" valign="middle">
			<td colspan="3" width=500>
	  		<input type="checkbox" name="Einzelschminkkurs"  value="Ja"><b>&nbsp;&nbsp;&nbsp;
	  		Einzelschminkkurs&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;€&nbsp;100,-</b></td>
   			</tr>
	
			<tr align="left" valign="middle"> 
      		<td colspan="3" width=500>
	  		<input type="checkbox" name="Makeupberatung"  value="Ja"><b>&nbsp;&nbsp;&nbsp;
	  		Make up Beratung&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;€&nbsp;&nbsp;&nbsp;37,-</b></td>
   			</tr>
  
			<tr align="left" valign="middle">
	  		<td colspan="3" width=500>
	  		<input type="checkbox" name="Tagesmakeup"  value="Ja"><b>&nbsp;&nbsp;&nbsp;
        	Tages Make-up&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;€&nbsp;&nbsp;&nbsp;20,-</b></td>
    		</tr>
	
			<tr align="left" valign="middle">
	  		<td colspan="3" width=500>
	  		<input type="checkbox" name="Abendmakeup"  value="Ja"><b>&nbsp;&nbsp;&nbsp;
        	Abend-Make up&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;€&nbsp;&nbsp;&nbsp;40,-</b></td>
    		</tr>
			
			<tr><td>&nbsp;</td></tr>
			<tr><td>&nbsp;</td></tr>
			<tr align="middle"><td>Terminvereinbarungen unter Tel.: 01/513 11 55</td></tr>			
			<tr><td>&nbsp;</td></tr>
		
	</table></td>
		
  </tr>


</table>
		<center>
<table width="500" border="0" cellspacing="0" cellpadding="2">	

 
	   		
	<tr>
	<td rowspan="8">
	&nbsp;&nbsp;
	</td>
	</tr>

	
	<tr align="left" valign="middle"> 
      <td width="115">Name (VN/NN) <span class="pflichtfeld">*</span></td>
      <td width="394"> 
        
        <INPUT TYPE="text" NAME="Name" SIZE="35" MAXLENGTH="256">
      </td>
    </tr>
    <tr align="left" valign="middle"> 
      <td width="115">Strasse</td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="strasse" SIZE="35" MAXLENGTH="256">
      </td>
    </tr>
	<tr align="left" valign="middle"> 
      <td width="115">PLZ / Ort</td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="plz" SIZE="10">
        - 
        <INPUT TYPE="text" NAME="ort" SIZE="19">
      </td>
    </tr>
	<tr align="left" valign="middle"> 
      <td width="115">Land</td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="land" SIZE="35">
      </td>
    </tr>  
	<tr align="left" valign="middle"> 
      <td width="115">Telefon</td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="Telvw" SIZE="10">
        - 
        <INPUT TYPE="text" NAME="Tel" SIZE="19">
      </td>
    </tr>
	<tr align="left" valign="middle"> 
      <td width="115">Fax</td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="faxvw" SIZE="10">
        - 
        <INPUT TYPE="text" NAME="fax" SIZE="19">
      </td>
    </tr>
    <tr align="left" valign="middle"> 
      <td width="115">Emailadresse <span class="pflichtfeld">*</span></td>
      <td width="394"> 
        <INPUT TYPE="text" NAME="Email" SIZE="35">
      </td>
    </tr>
	<tr><td>&nbsp;</td><td>* Bitte unbedingt ausfüllen<br>
&nbsp;</td></tr>
    <tr align="center" valign="top"> 
	
      <td>&nbsp;</td>
	  <td colspan="2"> 
        <p>Kommentar / Anfrage / Mitteilung </p>
        <p> 
          <textarea name="Kommentar" cols="70" rows="8" wrap="VIRTUAL"></textarea>
        </p>
      </td>
    </tr>
	
	
    <tr align="left" valign="middle"> 
      <td colspan="2"> 
        Bezahlung per Nachname, zuzüglich € 3,- Porto<br>
        Alle Preise inkl. 20% MwSt
      </td>
    </tr>
	
	
	
    <tr align="left" valign="middle"> 
      <td colspan="2"> 
        <input type="submit" name="Abschicken" value="Absenden"></td>
        <td><input type="reset" name="Abschicken2" value="L&ouml;schen">
      </td>
    </tr>
	</center>
  </table>
</FORM>

<p>&nbsp;</p>
<table>
<tr>
<td>
&nbsp;&nbsp;
</td>
<td>
<p><a href="javascript:history.back()">zurück</a></p>
</td>
</tr>
</table>