<!-- saved from url=(0022)http://internet.e-mail -->
<HTML>
<HEAD>
<META NAME="author" CONTENT="Lutz Großkopf">
<TITLE>Nennung SPREEPOKAL 2017</TITLE>

<script src="../setframe1.js"></script>


</HEAD>
<BODY TEXT="#000000" BGCOLOR="#FFFFFF" LINK="#FF0000" ALINK="#FF0000" VLINK="#FF0000">
<body background="../grafik/b47.gif" bgproperties=fixed>

<FONT FACE="Times New Roman,Times"></FONT>


<P align=center><FONT SIZE=+2><FONT COLOR=#0000FF><b>Online-Nennung SPREEPOKAL 2017</b><BASEFONT SIZE=3></FONT><br>


<IMG SRC="../grafik/tampen.gif"><br>
<A HREF="S_spreeA.htm"><FONT SIZE=-1>[zur&uuml;ck zur Ausschreibung]</FONT></A></P>

<P align=center><FONT SIZE=+3><b>SPREEPOKAL 2017</b><BASEFONT SIZE=3></FONT><br>


<form action="/cgi-bin/SPK-16mailer.pl" method="POST" enctype="multipart/form-data" onSubmit="return chkFormular()">
<form action="input_text_tabelle.htm">

<input type="hidden" name="r_email" value="Spreepokal-2017@mwsc1190.de">
<input type="hidden" name="form_type" value="own_form">
<input type="hidden" name="subject" value="Online-Nennung Spreepokal 2017">

<input type="hidden" name="redirect" value="http://www.mwsc1190.de/p_sport/S_spreeB.htm">
<input type="hidden" name="required" value="realname">



<input type="hidden" name="sort" value="order:subject,realname,vorname,E-Mail,bootsname,kennzeichen,laenge,
	breite,verein,start-nr,vers-nr,anzahl,anreise,abreise,ort,datum,musik1,musik2">

<input type="hidden" name="redirect" value="http://www.mwsc1190.de/p_sport/S_spreeN.htm">
<input type="hidden" name="required" value="realname">
<input type="hidden" name="required" value="vorname">
<input type="hidden" name="required" value="E-Mail">
<input type="hidden" name="required" value="bootsname">
<input type="hidden" name="required" value="kennzeichen">
<input type="hidden" name="required" value="laenge">
<input type="hidden" name="required" value="breite">
<input type="hidden" name="required" value="verein">
<input type="hidden" name="required" value="start-nr">
<input type="hidden" name="required" value="vers-nr">
<input type="hidden" name="required" value="anzahl">
<input type="hidden" name="required" value="anreise">
<input type="hidden" name="required" value="abreise">
<input type="hidden" name="required" value="musik1">
<input type="hidden" name="required" value="musik2">
<input type="hidden" name="required" value="ort">
<input type="hidden" name="required" value="datum">
<input type="hidden" name="print_blank_fields" value="1">



<table align=center border="0">
 <colgroup>
    <col width="90">
    <col width="50">
    <col width="60">
    <col width="90">
    <col width="95">
    <col width="50">
    <col width="35">
  </colgroup>
  
 <TR><TD colspan="3"><P align=left><FONT SIZE=+2><b>Nennung<br></b><BASEFONT SIZE=3></FONT></TD></TR>
 <TR>
 <TD colspan="3"><P align=left>MWSC 1190 e.V.</TD>
 <TD colspan="4"><P align=right>E-Mail: Sportwart@MWSC1190.de</TD>
 </TR>
 <TR><TD colspan="3"><P align=left>Sportwart<br>Bruno-B&uuml;rgel-Weg 63<br>12439 Berlin</TD></TR>


 <tr>
  <td colspan=3><b>Name, Vorname des Eigners:</td>
  <td colspan=2><input name="realname" type="text" size="30" maxlength="40"></td>
  <td colspan=2><input name="vorname" type="text" size="15" maxlength="40"></td>
 </tr>
 <tr>
  <td colspan=3><b>E-Mail Adresse:</td>
  <td colspan=5><input name="E-Mail" type="text" size="55" maxlength="40"></td>
 </tr>
 <tr>
  <td colspan=2 align="left"><b>Name des Bootes:</td>
  <td colspan=2><input name="bootsname" type="text" size="15" maxlength="10"></td>
  <td align="left"><b>Kennzeichen:</td>
  <td colspan=2><input name="kennzeichen" type="text" size="15" maxlength="10"></td>
 </tr>
 <tr>
  <td colspan=2 align="left"><b>L&auml;nge &uuml;. a.:</td>
  <td colspan=2><input name="laenge" type="text" size="15" maxlength="5">&nbspm</td>
  <td align="left"><b>Breite &uuml;. a.:</td>
  <td colspan=2><input name="breite" type="text" size="15" maxlength="5">&nbspm</td>
 </tr>
 <tr>
  <td colspan=2 align="left"><b>Verein/ Heimathafen:</td>
  <td colspan=2><input name="verein" type="text" size="15" maxlength="30">
  <td align="left"><b>Start-Nr.:</td>
  <td colspan=2><input name="start-nr" type="text" size="15" maxlength="5"></td>
 </tr>
 <tr>
  <td colspan=2 align="left"><b>Versicherungs-Nr.:</td>
  <td colspan=3><input name="vers-nr" type="text" size="35" maxlength="25">
  <td colspan=2></td>
 </tr>
 <tr>
  <td colspan=5 align="left"><b>Anzahl der Crew-Mitglieder einschließlich Skipper:</td>
  <td><input name="anzahl" type="text" size="5" maxlength="2"></td>
  <td colspan=2></td>
 </tr>
 <tr><td colspan=7 align="Center">Die Bedingungen der Ausschreibung sind meiner Crew und mir bekannt und werdenvon uns vorbehaltlos anerkannt.</td></tr>
 <tr>
  <td align="left"><b>Anreise:</td>
  <td colspan=2><input name="anreise" type="text" size="15" maxlength="10"></td>
  <td align="left"><b>Abreise:</td>
  <td colspan="2"><input name="abreise" type="text" size="15" maxlength="10"></td>
 </tr>
 <tr>
  <td colspan=2><b>Musikwunsch 1:</td>
  <td colspan=5><input name="musik1" type="text" size="50" maxlength="75" value="Band 1 - Titel 1"></td>
 </tr>
 <tr>
  <td colspan=2><b>Musikwunsch 2:</td>
  <td colspan=5><input name="musik2" type="text" size="50" maxlength="75" value="Band 2 - Titel 2"></td>
 </tr>
 <tr>
  <td align="left"><b>Ort, Datum:</td>
  <td colspan=3><input name="ort" type="text" size="30" maxlength="15" value="Berlin">,</td>
  <td colspan="2"><input name="datum" type="text" size="15" maxlength="10"></td>
 </tr>
</table> 


</table>
<table>


<table align=center>
 <tr>
  <td colspan=2><p align="center"><br><input type="submit" value=" Absenden "> <input type="reset" value=" Abbrechen"> 
  </td>
 </tr>
</table>

</form>

<p align="center"><A HREF="S_spreeA.htm"><FONT SIZE=-1>[zur&uuml;ck zur Ausschreibung]</FONT></A></P>

</BODY>
</HTML>