</head>  
    <body>  
        <div id="header"><?php include("include\header.inc");?></div> 
        <div id="footer"><?php include("include\footer.inc");?></div> 
        <div id="content"> 
            <p> 
 
 
   <script language="JavaScript"> 
<!-- 
 
function formCheck(formobj){ 
    // Enter name of mandatory fields 
    var fieldRequired = Array("naam", "straat", "huisnr1", "huisnr2","pcode1", "pcode2", "plaats", "telefoon", "email", "inschrijfnr", "reknum", "bank", "artiest"); 
 
    // Enter field description to appear in the dialog box 
    var fieldDescription = Array("naam", "straat", "huisnr1", "huisnr2","pcode1", "pcode2", "plaats", "telefoon", "email", "inschrijfnr", "reknum", "bank", "artiest"); 
 
    // dialog message 
    var alertMsg = "U bent vergeten onderstaande velden in te vullen:n"; 
 
    var l_Msg = alertMsg.length; 
 
    for (var i = 0; i < fieldRequired.length; i++){ 
        var obj = formobj.elements[fieldRequired[i]]; 
        if (obj){ 
            switch(obj.type){ 
            case "select-one": 
                if (obj.selectedIndex == -1 || obj.options[obj.selectedIndex].text == ""){ 
                    alertMsg += " - " + fieldDescription[i] + "n"; 
                } 
                break; 
            case "select-multiple": 
                if (obj.selectedIndex == -1){ 
                    alertMsg += " - " + fieldDescription[i] + "n"; 
                } 
                break; 
            case "text": 
            case "textarea": 
                if (obj.value == "" || obj.value == null){ 
                    alertMsg += " - " + fieldDescription[i] + "n"; 
                } 
                break; 
            default: 
            } 
            if (obj.type == undefined){ 
                var blnchecked = false; 
                for (var j = 0; j < obj.length; j++){ 
                    if (obj[j].checked){ 
                        blnchecked = true; 
                    } 
                } 
                if (!blnchecked){ 
                    alertMsg += " - " + fieldDescription[i] + "n"; 
                } 
            } 
        } 
    } 
 
      if (alertMsg.length == l_Msg){    
[b]// 8>< 
//HIER MOET DE VERWIJZING KOMEN 
 
<form action=bandverw.php name="form1" method="post" > 
 
 
// ><8 [/b]return true 
   }else{ 
        alert(alertMsg); 
        return false; 
    } 
} 
</script> 
 
 
<form onSubmit="return formCheck(this);" METHOD="post"> 
    <p align="center"><b>(Gegevens in lichtgeel gekleurde veld zijn voor administratie doeleinden en wordt niet weergegeven)</b> </p> 
  <table width="645" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#FFFFCC"> 
    <tr> 
      <td width="356"><div align="left"><strong>Naam: 
            <input name="naam" type="text" id="naam"> 
      </strong></div></td> 
      <td width="273"> </td> 
      <td width="395"> </td> 
    </tr> 
    <tr> 
      <td><div align="left"><strong>Straat: 
          <input name="straat" type="text" id="straat"> 
          </strong></div></td> 
      <td><strong>Nr: 
          <input name="huisnr1" type="text" id="huisnr12" size="4" maxlength="4"> 
          <input name="huisnr2" type="text" id="huisnr22" size="2" maxlength="2"> 
      </strong></td> 
      <td><strong>Postcode: 
          <input name="pcode1" type="text" id="pcode12" size="4" maxlength="4"> 
- 
<input name="pcode2" type="text" id="pcode22" size="2" maxlength="2"> 
      </strong></td> 
    </tr> 
    <tr> 
      <td><strong>Plaats: 
          <input name="plaats" type="text" id="plaats2"> 
      </strong></td> 
      <td><strong>Tel.nr: 
 
      </strong></td> 
      <td><strong> 
        <input name="telefoon" type="text" id="telefoon"> 
      </strong></td> 
    </tr> 
    <tr> 
      <td><strong>E-mail: 
        <input name="email" type="text" id="email"> 
      </strong></td> 
      <td><strong>Inschrijfcode: </strong></td> 
      <td><strong> 
        <input name="inschrijfnr" type="text" id="inschrijfnr"> 
      </strong></td> 
    </tr> 
    <tr> 
      <td><strong>Rek.nr: 
        <input name="reknum" type="text" id="reknum"> 
      </strong></td> 
 
      <td><strong>Bank: 
 
      </strong></td> 
      <td><strong> 
        <input name="bank" type="text" id="bank2"> 
      </strong></td> 
      <td> </td> 
    </tr> 
  </table> 
 
 
  <p><strong><p align="center"><strong>Artiest/ Bandnaam</strong>: 
    <p align="center"><input name="artiest" type="text" id="artiest"> 
    </p> 
 
   <p><strong><p align="center"><strong>Regio: </strong></p> 
<p align="center"><select name=regio> 
<option value=Noord_Holland selected>Noord Holland</option> 
<option value=Zuid_Holland>Zuid Holland</option> 
<option value=Zeeland>Zeeland</option> 
<option value=Utrecht>Utrecht</option> 
<option value=Brabant>Brabant</option> 
<option value=Limburg>Limburg</option> 
<option value=Groningen>Groningen</option> 
<option value=Friesland>Friesland</option> 
<option value=Drenthe>Drenthe</option> 
<option value=Flevoland>Flevoland</option> 
<option value=Overijssel>Overijssel</option> 
<option value=Gelderland>Gelderland</option> 
</select> 
 
  <p><strong><p align="center"><strong>muzieksoort/repertoire</strong>: 
    <p align="center"><input name="soort" type="text" id="soort"> 
    </p> 
  <p><strong><p align="center"><strong>Info:</strong></p> 
  <p><strong> 
    <p align="center"><textarea name="info" cols="100" rows="10" id="info"></textarea> 
    </p> 
  <p> </p> 
  <p><p align="center"> Foto <a href="upload.php" onClick="window.open('upload.php','upload', 
'width=300,height=300,scrollbars=no,toolbar=no,location=no'); return false">Uploaden</a> 
  <p align="center"> 
    <input type="submit" name="Submit" value="Verstuur"> 
  <p> 
 
 
  <p> </p> 
</form> 
<p> </p> 
<p> </p> 
</div> 
</body> 
</html>