<HTML> <HEAD> <title>Formulario de Pedido : Auto CAT Monóvar</title> <meta content="False" name="vs_snapToGrid"> <meta content="False" name="vs_showGrid"> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <LINK href="rec/template_css.css" type="text/css" rel="stylesheet"> </HEAD> <body bgColor="#dddddd" leftMargin="0" topMargin="0" onload="setTimeout('window.close()',900000);window.defaultStatus='Auto CAT Monóvar - Tlfno. 965 978 290';document.forms[0].emp.focus();" marginheight="0" marginwidth="0"> <form name="Form" method="post" action="formulario.aspx" id="Form"> <input type="hidden" name="__VIEWSTATE" value="dDw5OTEyMzUwNDU7O2w8bWV0Oz4+MosjalUb6+yOJe60iODTreAGvn8=" /> <br> <table height="618" cellSpacing="0" width="989" border="0"> <tr> <td> <table id="T2" height="610" cellSpacing="0" width="789" align="center" background="img/__empresaFOR4.gif" border="0"> <tr> <td> <div align="justify"></div> <strong><font face="Comic Sans MS" size="2"> <DIV id="columna" align="left" ms_positioning="GridLayout"> <TABLE height="575" cellSpacing="0" cellPadding="0" width="783" border="0" ms_2d_layout="TRUE"> <TR vAlign="top"> <TD width="40" height="73"></TD> <TD width="1"></TD> <TD width="66"></TD> <TD width="1"></TD> <TD width="2"></TD> <TD width="80"></TD> <TD width="72"></TD> <TD width="27"></TD> <TD width="1"></TD> <TD width="3"></TD> <TD width="75"></TD> <TD width="3"></TD> <TD width="2"></TD> <TD width="3"></TD> <TD width="33"></TD> <TD width="2"></TD> <TD width="1"></TD> <TD width="20"></TD> <TD width="32"></TD> <TD width="8"></TD> <TD width="8"></TD> <TD width="23"></TD> <TD width="32"></TD> <TD width="9"></TD> <TD width="7"></TD> <TD width="1"></TD> <TD width="2"></TD> <TD width="6"></TD> <TD width="61"></TD> <TD width="18"></TD> <TD width="16"></TD> <TD width="9"></TD> <TD width="14"></TD> <TD width="7"></TD> <TD width="11"></TD> <TD width="32"></TD> <TD width="16" rowSpan="2"></TD> <TD width="39"></TD> </TR> <TR vAlign="top"> <TD colSpan="21" height="2"></TD> <TD colSpan="2" rowSpan="2"><a id="HyperLink3" title="Nuestra empresa" class="weblinks" href="../empresa/empresaesp.htm">Empresa</a></TD> <TD colSpan="5"></TD> <TD rowSpan="2"><a id="HyperLink2" title="Contactar con Auto CAT Monóvar" class="weblinks" href="../contacto/contactaresp.htm">Contactar</a></TD> <TD colSpan="2"></TD> <TD colSpan="5" rowSpan="2"><a id="HyperLink1" title="Buscador" class="weblinks" href="../buscador/busStock.aspx">Buscador</a></TD> <TD rowSpan="2"><a id="hpINI" class="weblinks" href="../default.aspx">Inicio</a></TD> </TR> <TR vAlign="top"> <TD colSpan="19" height="72"></TD> <TD colSpan="2"><IMG height="12" alt="" src="img/fle.gif" width="9"></TD> <TD></TD> <TD colSpan="3"><IMG height="12" alt="" src="img/fle.gif" width="9"></TD> <TD></TD> <TD></TD> <TD><IMG height="12" alt="" src="img/fle.gif" width="9"></TD> <TD><IMG height="12" alt="" src="img/fle.gif" width="9"></TD> </TR> <TR vAlign="top"> <TD colSpan="4" height="2"></TD> <TD colSpan="7" rowSpan="2"><input name="emp" type="text" maxlength="50" id="emp" tabindex="1" title="Ejemplo : &quot; SU EMPRESA S.L&quot;" /></TD> <TD colSpan="12"></TD> <TD colSpan="14" rowSpan="2"><input name="per" type="text" maxlength="50" id="per" tabindex="2" title="Ejemplo : &quot; Francisco Bueno&quot;" /></TD> <TD rowSpan="7"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="21"></TD> <TD colSpan="2"><span id="Label5"><font face="Verdana,Arial" color="Black" size="1">Empresa.</font></span></TD> <TD colSpan="4"></TD> <TD colSpan="8"><span id="Label6"><font face="Verdana,Arial" color="Black" size="1">Persona contacto. *</font></span></TD> </TR> <TR vAlign="top"> <TD colSpan="4" height="1"></TD> <TD colSpan="7" rowSpan="5"><input name="dir" type="text" maxlength="70" id="dir" tabindex="3" title="Ejemplo : &quot; Avda. Principal&quot;" /></TD> <TD colSpan="6" rowSpan="2"></TD> <TD colSpan="2" rowSpan="5"><input name="num" type="text" maxlength="5" id="num" tabindex="4" title="Ejemplo : &quot;12&quot;" /></TD> <TD colSpan="6" rowSpan="4"></TD> <TD colSpan="4" rowSpan="5"><input name="pis" type="text" maxlength="3" id="pis" tabindex="5" title="Ejemplo : &quot; 1º&quot;" /></TD> <TD colSpan="5" rowSpan="3"></TD> <TD colSpan="3" rowSpan="5"><input name="pue" type="text" maxlength="4" id="pue" tabindex="6" title="Ejemplo : &quot; A&quot;" /></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="1"></TD> <TD rowSpan="4"><span id="Label7"><font face="Verdana,Arial" color="Black" size="1">Dirección. </font></span></TD> <TD rowSpan="4"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="2"></TD> <TD colSpan="2" rowSpan="3"></TD> <TD colSpan="2" rowSpan="3"><span id="Label8"><font face="Verdana,Arial" color="Black" size="1">Nº. </font></span></TD> <TD colSpan="2" rowSpan="3"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="1"></TD> <TD colSpan="4" rowSpan="2"><span id="Label10"><font face="Verdana,Arial" color="Black" size="1">Puerta.</font></span></TD> <TD rowSpan="2"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="18"></TD> <TD colSpan="3"></TD> <TD colSpan="3"><span id="Label9"><font face="Verdana,Arial" color="Black" size="1">Piso.</font></span></TD> </TR> <TR vAlign="top"> <TD colSpan="4" height="2"></TD> <TD colSpan="7" rowSpan="4"><input name="pob" type="text" maxlength="60" id="pob" tabindex="7" title="Ejemplo : &quot;Peñaranda de Bracamonte&quot;" /></TD> <TD colSpan="27"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="2"></TD> <TD rowSpan="3"><span id="Label12"><font face="Verdana,Arial" color="Black" size="1">Población. </font></span></TD> <TD rowSpan="3"></TD> <TD colSpan="15"></TD> <TD colSpan="11" rowSpan="3"><input name="pro" type="text" maxlength="60" id="pro" tabindex="9" title="Ejemplo : &quot; Salamanca&quot;" /></TD> <TD rowSpan="3"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="2"></TD> <TD colSpan="5"></TD> <TD colSpan="3" rowSpan="2"><input name="cod" type="text" maxlength="5" id="cod" tabindex="8" title="Ejemplo : &quot; 37300&quot;" /></TD> <TD colSpan="7"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="17"></TD> <TD></TD> <TD colSpan="3"><span id="Label11"><font face="Verdana,Arial" color="Black" size="1">C.P.</font></span></TD> <TD></TD> <TD></TD> <TD colSpan="3"><span id="Label13"><font face="Verdana,Arial" color="Black" size="1">Provincia. </font></span></TD> <TD colSpan="3"></TD> </TR> <TR vAlign="top"> <TD colSpan="3" height="5"></TD> <TD colSpan="8" rowSpan="2"><input name="tel" type="text" maxlength="27" id="tel" tabindex="10" title="Ejemplo : 923 540 236" /></TD> <TD colSpan="27" rowSpan="4"></TD> </TR> <TR vAlign="top"> <TD height="18"></TD> <TD colSpan="2"><span id="Label14"><font face="Verdana,Arial" color="Black" size="1">Tlfnos. *</font></span></TD> </TR> <TR vAlign="top"> <TD colSpan="3" height="4"></TD> <TD colSpan="8" rowSpan="2"><input name="ema" type="text" maxlength="70" id="ema" tabindex="11" title="Ejemplo : &quot; info@sudominio.com&quot;" /></TD> </TR> <TR vAlign="top"> <TD height="34"></TD> <TD colSpan="2"><span id="Label15"><font face="Verdana,Arial" color="Black" size="1">email.</font></span></TD> </TR> <TR vAlign="top"> <TD colSpan="11" height="54"></TD> <TD colSpan="22"><span id="lbError"><font face="Verdana" color="Red" size="1"></font></span></TD> <TD colSpan="5"></TD> </TR> <TR vAlign="top"> <TD colSpan="17" height="3"></TD> <TD colSpan="12" rowSpan="2"><input name="mode" type="text" maxlength="60" id="mode" tabindex="13" title="Ejemplo : &quot;MERCEDES BENZ A 140 CLASIC 1.4 5V 4P&quot;" /></TD> <TD colSpan="6"></TD> <TD colSpan="2" rowSpan="2"><input name="ano" type="text" maxlength="4" id="ano" tabindex="14" title="Ejemplo : &quot; 2005&quot;" /></TD> <TD rowSpan="2"></TD> </TR> <TR vAlign="top"> <TD height="20"></TD> <TD colSpan="2"><span id="Label16"><font face="Verdana,Arial" color="Black" size="1">Marca. *</font></span></TD> <TD></TD> <TD colSpan="3"><input name="mar" type="text" maxlength="40" id="mar" tabindex="12" title="Ejemplo : &quot; MERCEDES BENZ&quot;" /></TD> <TD colSpan="3"></TD> <TD colSpan="5"><span id="Label17"><font face="Verdana,Arial" color="Black" size="1">Modelo-Versión. *</font></span></TD> <TD colSpan="2"></TD> <TD colSpan="3"></TD> <TD colSpan="3"><span id="Label18"><font face="Verdana,Arial" color="Black" size="1">Año.</font></span></TD> </TR> <TR vAlign="top"> <TD colSpan="9" height="4"></TD> <TD colSpan="10" rowSpan="2"><span title="Ejemplo : &quot; Si&quot;"><font face="Verdana" color="Black" size="1"><input id="met" type="checkbox" name="met" tabindex="16" /><label for="met"> Pintura metalizada</label></font></span></TD> <TD colSpan="19" rowSpan="2"></TD> </TR> <TR vAlign="top"> <TD height="20"></TD> <TD colSpan="2"><span id="Label19"><font face="Verdana,Arial" color="Black" size="1">Color. </font></span></TD> <TD></TD> <TD colSpan="3"><input name="col" type="text" maxlength="40" id="col" tabindex="15" title="Ejemplo : &quot; Rojo&quot;" /></TD> <TD colSpan="2"></TD> </TR> <TR vAlign="top"> <TD height="16"></TD> <TD colSpan="2"><span id="Label20"><font face="Verdana,Arial" color="Black" size="1">Pieza/s. *</font></span></TD> <TD colSpan="35"></TD> </TR> <TR vAlign="top"> <TD colSpan="2" height="46"></TD> <TD colSpan="35"><textarea name="pie" rows="3" cols="50" id="pie" tabindex="17" title="Ejemplo : &quot;MOTOR TDI y CAMBIO&quot;"></textarea></TD> <TD></TD> </TR> <TR vAlign="top"> <TD height="16"></TD> <TD colSpan="5"><span id="Label21"><font face="Verdana,Arial" color="Black" size="1">Observaciones.</font></span></TD> <TD colSpan="32"></TD> </TR> <TR vAlign="top"> <TD height="56"></TD> <TD colSpan="36"><textarea name="obs" rows="3" cols="50" id="obs" tabindex="18" title="Ejemplo : &quot; Comentario adicional.&quot;"></textarea></TD> <TD></TD> </TR> <TR vAlign="top"> <TD colSpan="8" height="32"></TD> <TD colSpan="11"><input type="submit" name="btENVIO" value=" Enviar solicitud >>" onclick="if (typeof(Page_ClientValidate) == 'function') Page_ClientValidate(); " language="javascript" id="btENVIO" tabindex="19" title="Enviar solicitud de pedido" Type="Submit" /></TD> <TD colSpan="19"></TD> </TR> <TR vAlign="top"> <TD colSpan="5" height="2"></TD> <TD rowSpan="2">&nbsp;</TD> <TD colSpan="8"></TD> <TD colSpan="4" rowSpan="2">&nbsp;</TD> <TD colSpan="7" rowSpan="2">&nbsp;</TD> <TD colSpan="2" rowSpan="2"></TD> <TD colSpan="6" rowSpan="2">&nbsp;</TD> <TD colSpan="5"></TD> </TR> <TR vAlign="top"> <TD height="24"></TD> <TD colSpan="2">&nbsp;</TD> <TD colSpan="2"></TD> <TD>&nbsp;</TD> <TD colSpan="4">&nbsp;</TD> <TD colSpan="3"></TD> <TD colSpan="3">&nbsp;</TD> <TD colSpan="2"></TD> </TR> </TABLE> </DIV> </font></strong> </td> </tr> </table> </td> </tr> </table> </form> </body> </HTML>