Pozdrawiam I Z Gory dziekuje Adrian
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<title>Nie masz czasu na szukanie oferty ?</title>
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<body id="main_body" >
<img id="top" src="top.png" alt="">
<div id="form_container">
<h1><a>Formularz kontaktowy</a></h1>
<form id="form_8119" class="appnitro" method="post" action="">
<div class="form_description">
<h2>Nie Masz czasu na szukanie oferty</h2>
<p>Wypełnij Formularz Znajdzemy Ja Za Ciebie</p>
</div>
<ul >
<li id="li_9" >
<label class="description" for="element_9">Imię I Nazwisko: </label>
<div>
<input id="element_9" name="element_9" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_8" >
<label class="description" for="element_8">Numer Kontaktowy: </label>
<div>
<input id="element_8" name="element_8" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_1" >
<label class="description" for="element_1">Preferowane kierunki: </label>
<div>
<input id="element_1" name="element_1" class="element text medium" type="text" maxlength="255" value=""/>
</div><p class="guidelines" id="guide_1"><small>Pole Wymagane</small></p>
</li> <li id="li_10" >
<label class="description" for="element_10">Wyjazd z: </label>
<div>
<select class="element select medium" id="element_10" name="element_10">
<option value="1" selected="selected">Berlin</option>
<option value="2" >Bydgoszcz</option>
<option value="3" >Gdańsk</option>
<option value="4" >Katowice</option>
<option value="5" >Kraków</option>
<option value="6" >Poznań</option>
<option value="7" >Rzeszów</option>
<option value="8" >Szczecin</option>
<option value="9" >Warszawa</option>
<option value="10" >Wrocław</option>
</select>
</div><p class="guidelines" id="guide_10"><small>Wymagane</small></p>
</li> <li id="li_11" >
<label class="description" for="element_11">Typ wycieczki: </label>
<div>
<select class="element select medium" id="element_11" name="element_11">
<option value="" selected="selected"></option>
<option value="1" >wypoczynek</option>
<option value="2" >wypoczynek + zwiedzanie</option>
<option value="3" >zwiedzanie</option>
<option value="4" >narty</option>
<option value="5" >rejs</option>
<option value="6" >kolonie</option>
<option value="7" >kemping</option>
</select>
</div><p class="guidelines" id="guide_11"><small>Wymagane</small></p>
</li> <li id="li_12" >
<label class="description" for="element_12"> Wyżywienie: </label>
<div>
<select class="element select medium" id="element_12" name="element_12">
<option value="" selected="selected"></option>
<option value="1" >Bez wyżywienia (
</option><option value="2" >Śniadania (BB)</option>
<option value="3" >Śniadania i obiadokolacje (HB)</option>
<option value="4" >Śniadania, obiady i kolacje (FB)</option>
<option value="5" >Wszystko w cenie (AI)</option>
</select>
</div>
</li> <li id="li_13" >
<label class="description" for="element_13">Standard Hotelu: </label>
<span>
<input id="element_13_1" name="element_13_1" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_13_1">**</label>
<input id="element_13_2" name="element_13_2" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_13_2">***</label>
<input id="element_13_3" name="element_13_3" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_13_3">****</label>
<input id="element_13_4" name="element_13_4" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_13_4">*****</label>
</span>
</li> <li id="li_2" >
<label class="description" for="element_2">Termin Od: </label>
<span>
<input id="element_2_1" name="element_2_1" class="element text" size="2" maxlength="2" value="" type="text"> /
<label for="element_2_1">MM</label>
</span>
<span>
<input id="element_2_2" name="element_2_2" class="element text" size="2" maxlength="2" value="" type="text"> /
<label for="element_2_2">DD</label>
</span>
<span>
<input id="element_2_3" name="element_2_3" class="element text" size="4" maxlength="4" value="" type="text">
<label for="element_2_3">YYYY</label>
</span>
<span id="calendar_2">
<img id="cal_img_2" class="datepicker" src="calendar.gif" alt="Pick a date.">
</span>
<script type="text/javascript">
Calendar.setup({
inputField : "element_2_3",
baseField : "element_2",
displayArea : "calendar_2",
button : "cal_img_2",
ifFormat : "%B %e, %Y",
onSelect : selectDate
});
</script>
</li> <li id="li_3" >
<label class="description" for="element_3">Termin Do: </label>
<span>
<input id="element_3_1" name="element_3_1" class="element text" size="2" maxlength="2" value="" type="text"> /
<label for="element_3_1">MM</label>
</span>
<span>
<input id="element_3_2" name="element_3_2" class="element text" size="2" maxlength="2" value="" type="text"> /
<label for="element_3_2">DD</label>
</span>
<span>
<input id="element_3_3" name="element_3_3" class="element text" size="4" maxlength="4" value="" type="text">
<label for="element_3_3">YYYY</label>
</span>
<span id="calendar_3">
<img id="cal_img_3" class="datepicker" src="calendar.gif" alt="Pick a date.">
</span>
<script type="text/javascript">
Calendar.setup({
inputField : "element_3_3",
baseField : "element_3",
displayArea : "calendar_3",
button : "cal_img_3",
ifFormat : "%B %e, %Y",
onSelect : selectDate
});
</script>
</li> <li id="li_4" >
<label class="description" for="element_4">Ilość osób dorosłych: </label>
<div>
<input id="element_4" name="element_4" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_5" >
<label class="description" for="element_5"> Ilość dzieic do 2 lat: </label>
<div>
<input id="element_5" name="element_5" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_6" >
<label class="description" for="element_6"> Ilość dzieci od 2 lat: </label>
<div>
<input id="element_6" name="element_6" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_7" >
<label class="description" for="element_7"> Twoje uwagi: </label>
<div>
<textarea id="element_7" name="element_7" class="element textarea medium"></textarea>
</div>
</li>
<li class="buttons">
<input type="hidden" name="form_id" value="8119" />
<input id="saveForm" class="button_text" type="submit" name="submit" value="Wyślij" />
</li>
</ul>
</form>
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