CzMA J.E.P.- Advertisement ordering

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html>  <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <title>CzMA J.E.P.- Advertisement ordering</title> <script language="JavaScript">  </script> </head> <script> function Validate(Form){ if (Form.Firma.value=="") { alert("You didn't fill in company name!!!") Form.Firma.focus(); return (false); } if (Form.Adresa.value=="") { alert("You didn't fill in address!!!") Form.Adresa.focus(); return (false); } if (Form.Osoba.value=="") { alert("You didn't fill in contact name!!!") Form.Osoba.focus(); return (false); } if (Form.Telefon.value=="") { alert("You didn't fill in contact telephone number!!!") Form.Telefon.focus(); return (false); } if (Form.Titul.options[0].selected) { alert("You didn't select title to advertise in!!!") Form.Titul.focus(); return (false); } return (true); } </script> <body> <body bgcolor="#FFFFFF" link="#003CB4" vlink="#003CB4" alink="#00A5C6"> <center> <table border="0" cellpadding="0" cellspacing="0" width="96%"> <tr> <td rowspan=2 valign="top" align="left" bgcolor="#7B94DE"> <a href="en/index.html" target="_top"><img src="images/logoh.gif" width=112 height=82 border=0 alt="CzMA JEP Home page"></a></td> <td align="center" bgcolor="#7B94DE"><font face="Arial" size="5" color="#FFFFFF"><B>CZECH MEDICAL ASSOCIATION J. Ev. PURKYN臍</B></font></td> </tr> <tr> <td align="center" valign="top" bgcolor="#7B94DE"><font face="Arial" size="4" color="#FFFFFF"><B>Journals - Advertisement ordering</B></font></td> </tr> <tr> <td align="left" valign=top background="images/bg.gif"> <a href="en/index.html" target="_top"><img src="images/logod.gif" width=112 height=27 border=0 alt="CzMA JEP Home page"></a></td> <td valign="top" align="center" background="images/bg.gif"> <A HREF="en/nts/aktuality.html" onMouseOver="obrazek1.src=obr1.src;" onMouseOut="obrazek1.src='en/images/aktua.gif';"> <IMG SRC="en/images/aktua.gif" NAME="obrazek1" ALT="News" BORDER=0 WIDTH=43 HEIGHT=26></A> <A HREF="en/spolecnost/ospolecnosti.html" onMouseOver="obrazek2.src=obr2.src;" onMouseOut="obrazek2.src='en/images/ocls.gif';"> <IMG SRC="en/images/ocls.gif" NAME="obrazek2" ALT="About Assocation" BORDER=0 WIDTH=69 HEIGHT=26></A> <A HREF="en/nts/nts.html" onMouseOver="obrazek3.src=obr3.src;" onMouseOut="obrazek3.src='en/images/onts.gif';"> <IMG SRC="en/images/onts.gif" NAME="obrazek3" ALT="Publishing Division" BORDER=0 WIDTH=111 HEIGHT=26></A> <A HREF="en/nts/casopisy.html" onMouseOver="obrazek4.src=obr4.src;" onMouseOut="obrazek4.src='en/images/casop.gif';"> <IMG SRC="en/images/casop.gif" NAME="obrazek4" ALT="Medical Journals" BORDER=0 WIDTH=75 HEIGHT=26></A> <A HREF="hledani0b1e.html?jazyk='1'" onMouseOver="obrazek5.src=obr5.src;" onMouseOut="obrazek5.src='en/images/vyhl.gif';"> <IMG SRC="en/images/vyhl.gif" NAME="obrazek5" ALT="Searching" BORDER=0 WIDTH=82 HEIGHT=26></A> <A HREF="en/nts/supplementa.html" onMouseOver="obrazek7.src=obr7.src;" onMouseOut="obrazek7.src='en/images/supp.gif';"> <IMG SRC="en/images/supp.gif" NAME="obrazek7" ALT="Supplements" BORDER=0 WIDTH=102 HEIGHT=26></A> <A HREF="en/nts/katalog.html" onMouseOver="obrazek8.src=obr8.src;" onMouseOut="obrazek8.src='en/images/kata.gif';"> <IMG SRC="en/images/kata.gif" NAME="obrazek8" ALT="Catalogue" BORDER=0 WIDTH=85 HEIGHT=26></A></td> </tr> </table>   <form onSubmit="return(Validate(this));" method="POST" action="http://www.clsjep.cz/objinzertform2a.asp"> <input type="hidden" name="Inzerce" value=""> <input type="hidden" name="Rozmer" value=""> <input type="hidden" name="Barevnost" value=""> <input type="hidden" name="UmisteniT" value=""> <input type="hidden" name="PredlohyT" value=""> <input type="hidden" name="Barva" value=""> <input type="hidden" name="R" value=""> <input type="hidden" name="G" value=""> <input type="hidden" name="B" value=""> <input type="hidden" name="UmisteniI" value=""> <input type="hidden" name="PredlohyI" value=""> <table border="0" cellpadding="2" cellspacing="0" width="96%" bgcolor="#CFE1FB"> <tr> <td colspan=2> </td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Company name: </font></td> <td width="50%"><font face="Arial" size="2"><input type="text" name="Firma" size="20" value=""></font></td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Complete address: </font></td> <td width="50%"><font face="Arial" size="2"><textarea rows="3" name="Adresa" cols="20"></textarea></font></td> </tr> <tr> <td width="100%" align="right" colspan="2"><hr noshade size="1"></td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Contact person: </font></td> <td width="50%"> </td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Name: </font></td> <td width="50%"><font face="Arial" size="2"><input type="text" name="Osoba" size="20" value=""></font></td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Phone number: </font></td> <td width="50%"><font face="Arial" size="2"><input type="text" name="Telefon" size="20" value=""></font></td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Fax number: </font></td> <td width="50%"><font face="Arial" size="2"><input type="text" name="Fax" size="20" value=""></font></td> </tr> <tr> <td width="100%" align="right" colspan="2"><hr noshade size="1"> </td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">Title to advertise in: </font></td> <td width="50%"><font face="Arial" size="2"><select name="Titul" size="1"> <option value="0">Select title</option> <option value="1" >Acta chirurgiae plasticae</option> <option value="2" >Anesteziologie a intenzivn铆 medic铆na</option> <option value="4" >膶asopis l茅ka艡暖膷esk媒ch</option> <option value="3" >Central European Journal of Public Health</option> <option value="6" >膶esk谩 a slovensk谩 farmacie</option> <option value="7" >膶esk谩 a slovensk谩 gastroenterologie a hepatologie</option> <option value="10" >膶esk谩 a slovensk谩 neurologie a neurochirurgie</option> <option value="11" >膶esk谩 a slovensk谩 oftalmologie</option> <option value="14" >膶esk谩 a slovensk谩 psychiatrie</option> <option value="9" >膶esk谩 gynekologie</option> <option value="15" >膶esk谩 radiologie</option> <option value="16" >膶esk谩 revmatologie</option> <option value="17" >膶esk谩 stomatologie</option> <option value="5" >膶esko-slovensk谩 dermatologie</option> <option value="8" >膶eskoslovensk谩 fyziologie</option> <option value="12" >膶esko-slovensk谩 patologie</option> <option value="13" >膶esko-slovensk谩 pediatrie</option> <option value="33" >Endoskopie</option> <option value="18" selected>Epidemiologie, mikrobiologie, imunologie</option> <option value="19" >Hygiena</option> <option value="20" >Klinick谩 biochemie a metabolismus</option> <option value="36" >Klinick谩 onkologie</option> <option value="21" >L茅ka艡 a technika</option> <option value="30" >Listy revizn铆ho l茅ka艡stv铆</option> <option value="22" >Otorinolaryngologie a foniatrie</option> <option value="23" >Pracovn铆 l茅ka艡stv铆</option> <option value="29" >Praktick茅 zubn铆 l茅ka艡stv铆</option> <option value="24" >Praktick媒 l茅ka艡</option> <option value="31" >Region谩ln铆 anestezie</option> <option value="25" >Rehabilitace a fyzik谩ln铆 l茅ka艡stv铆</option> <option value="28" >Revizn铆 a posudkov茅 l茅ka艡stv铆</option> <option value="35" >Revue 膶esk茅 l茅ka艡sk茅 spole膷nosti J. E. Purkyn臎</option> <option value="26" >Rozhledy v chirurgii</option> <option value="34" >Soudn铆 l茅ka艡stv铆</option> <option value="32" >Transfuze a hematologie dnes</option> <option value="27" >Vnit艡n铆 l茅ka艡stv铆</option> </select></font></td> </tr> <tr> <td width="50%" align="right"><font face="Arial" size="2">In which issues (in words): </font></td> <td width="50%"><font face="Arial" size="2"><input type="text" name="Jak" size="20" value=""></font></td> </tr> <tr> <td width="100%" align="right" colspan="2"><hr noshade size="1"> </td> </tr> <tr> <td width="50%" align="right"> </td> <td width="50%"><font face="Arial" size="2"><input type="submit" value="Next >" name="B1"></font></td> </tr> <tr> <td colspan=2> </td> </tr> <tr> <td colspan=2><div align="center"><a href="price-list-ad.html"><font size="3" face="Arial, Helvetica, sans-serif"><strong>Pricelist of Advertisement </strong></font></a></div></td> </tr> </table> </form> <table border="0" cellpadding="2" cellspacing="0" width="96%"> <tr> <td align="center" bgcolor="#FFFFFF"> </td> </tr> <tr bgcolor="#7B94DE"> <td align="center"><font FACE="Arial" size="1" color="#FFFFFF"> | <a target="_top" href="http://www.clsjep.cz/en"><font FACE="Arial" size="1" color="#FFFFFF">HOME PAGE</font></a> | <a href="kodovani.html"><font FACE="Arial" size="1" color="#FFFFFF">CODE PAGE</font></a> | <a href="index.html"><font FACE="Arial" size="1" color="#FFFFFF">CZECH VERSION</font></a><font FACE="Arial" size="1" color="#FFFFFF"> | </td> </tr> <tr bgcolor="#7B94DE"> <td align="center"> <font face="Arial" size="1" color="#FFFFFF">漏  1998 - 2008</font> <a target="_top" href="index.html"><font face="Arial" size="1" color="#FFFFFF">CZECH MEDICAL ASSOCIATION J. E. PURKYN臍</font></a></td> </tr> <tr bgcolor="#7B94DE"> <td align="center"><font face="Arial" size="1" color="#FFFFFF">Created by: </font><a href="http://www.ntservis.cz/"><font face="Arial" size="1" color="#FFFFFF">NT Servis, s.r.o</font></a></small></small><font face="Arial" size="1" color="#FFFFFF">., hosted by </font><a href="http://www.pes.cz/"><font face="Arial" size="1" color="#FFFFFF">P.E.S. consulting, s.r.o.</font></a></td> </tr> <tr bgcolor="#7B94DE"> <td align="center"> <a href="mailto:filipovska@ntservis.cz"><font face="Arial" size="1" color="#FFFFFF">WEBMASTER</font></a></td> </tr> </table> </center> <script src="http://www.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> _uacct = "UA-3029763-3"; urchinTracker(); </script> </body>  </html>

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CzMA J.E.P.- Advertisement ordering