Acorn Lodge - Enquiry Form

<BODY BGCOLOR="#FFFFFF" TEXT="#336633" LINK="#996633" ALINK="#CC9933" VLINK="#999966" BACKGROUND="images/right_back.gif"> <a name="top"></a> <table width="600" border="0" cellspacing="0" cellpadding="10"> <tr> <td> <div align="center"><img src="images/logos/theacornlodgelogo.gif" width="140" height="61" alt="Welcome to the Acorn Lodge Guest House"> <br> </div> <div align="center">[<a href="index.html" target="_parent" onMouseOver="MM_displayStatusMsg('go back to the reception');return document.MM_returnValue">reception</a>] [<a href="prices.html" target="_parent" onMouseOver="MM_displayStatusMsg('accommodation & prices');return document.MM_returnValue">accommodation & prices</a>] [<a href="enquiry.html" target="_parent" onMouseOver="MM_displayStatusMsg('make a reservation enquiry');return document.MM_returnValue">reservation enquiry</a>] [<a href="about.html" target="_parent" onMouseOver="MM_displayStatusMsg('a page about us');return document.MM_returnValue">about us</a>]<br> [<a href="special.html" target="_parent" onMouseOver="MM_displayStatusMsg('our special offers');return document.MM_returnValue">special offers</a>] [<a href="where.html" target="_parent" onMouseOver="MM_displayStatusMsg('find out where we are');return document.MM_returnValue">where we are</a>] [<a href="getting_about.html" target="_parent" onMouseOver="MM_displayStatusMsg('information for getting about');return document.MM_returnValue">getting about</a>] [<a href="edinspecial.html" target="_parent" onMouseOver="MM_displayStatusMsg('edinburgh hosts many great events');return document.MM_returnValue">edinburgh special events</a>]</div> </td> </tr> </table> <table width="600" border="0" cellspacing="0" cellpadding="0" height="10"> <tr> <td> </td> </tr> </table> <table width="600" border="0" cellspacing="0" cellpadding="0" height="55"> <tr> <td>   <h1>Enquiry Form</h1> </td> </tr> </table> <table width="600" border="0" cellspacing="0" cellpadding="0"> <tr> <td> <div align="center"><img src="images/dot.gif" width="580" height="1"></div> </td> </tr> </table> <table border="0" width="600" cellspacing="0" cellpadding="10"> <tr> <td><p>Please provide your personal preferences for accommodation at the Acorn Lodge Guest House. We will contact you to confirm your preferred room type is available for the nights specified below. <form method="post" action="http://www.ednet.co.uk/cgi-bin/user/acorn/1wer2sdf.pl" name="Acorn"> <input type="hidden" name="recipient" value="info@acornlodge.co.uk"> <input type="hidden" name="redirect" value="http://www.acornlodge.co.uk/success.html"> <input type="hidden" name="subject" value="Enquiry via The Acorn Lodge web site"> <input type=hidden name="missing_fields_redirect" value="http://www.acornlodge.co.uk/wrong.html"> <input type=hidden name="required" value="FULLNAME,email"> <input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT"> <table border="0" width="531" cellspacing="0" cellpadding="2" rules="cols"> <tr> <td align="right" valign="top" width="35%" class="frmtxt"><b>Full name: </b></td> <td align="left" valign="top" colspan="3" class="frmtxt"> <input type="text" name="FULLNAME" size="35" maxlength="35" class="rqdff"> *<b> Required field</b></td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Town: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="TOWN" size="35" maxlength="35" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Country: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="COUNTRY" size="35" maxlength="35" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Postcode/Zip code: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="POSTCODE" size="35" maxlength="35" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Contact number: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="PHONE" size="35" maxlength="35" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Fax: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="FAX" size="35" maxlength="35" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>e-mail: </b></td> <td align="left" valign="top" colspan="3" class="frmtxt"> <input type="text" name="email" size="35" maxlength="35" class="rqdff"> * <b> Required field</b> <p> </p> </td> </tr> <tr> <td align="right" valign="top" rowspan=2 class="frmtxt"><b>room type: </b><br> (Please type number<br> of rooms required)</td> <td valign="top" colspan="3" class="frmtxt"> <input type="text" name="SINGLE" size="3" maxlength="3" class="othff"> Single (s)</td> </tr> <tr> <td valign="top" colspan="3" class="frmtxt"> <input type="text" name="DOUBLE" size="3" maxlength="3" class="othff"> Double (s)</td> </tr> <tr> <td> </td> <td valign="top" colspan="3" class="frmtxt"> <input type="text" name="TWIN" size="3" maxlength="3" class="othff"> Twin (s)</td> </tr> <tr> <td> </td> <td valign="top" colspan="3" class="frmtxt"> <input type="text" name="FAMILY" size="3" maxlength="3" class="othff"> Family Room (s) <p> </p> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Date of arrival: </b></td> <td align="left" valign="top" colspan="3" class="frmtxt"> <input type="text" name="ARRIVE" size="10" maxlength="10" class="othff"> (e.g. <b>DD/MM/YY</b>)</td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Date of departure: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="DEPART" size="10" maxlength="10" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>No. of nights: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="NIGHTS" size="10" maxlength="10" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>No. of adults: </b></td> <td align="left" valign="top" colspan="3"> <input type="text" name="ADULTS" size="10" maxlength="10" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>No. of children: </b> <p> </p> </td> <td align="left" valign="top"> <input type="text" name="CHILDREN" size="10" maxlength="10" class="othff"> </td> <td align="right" valign="top" class="frmtxt"><b>Ages: </b></td> <td align="left" valign="top"> <input type="text" name="AGES" size="10" maxlength="10" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"><b>Please note any<br> additional requirements:</b><br> (e.g. estimated time of arrival)</td> <td align="left" valign="top" colspan="3"> <textarea rows="7" cols="30" name="ENQUIRY" class="othff"></textarea> </td> </tr> <tr> <td colspan=4 class="frmtxt"> <p class="frmtxt">We require your credit card details to make a reservation and so we will endeavour to follow up any enquiry concerning room availability. </p> <b>Please choose how you would like us to contact you.</b> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"> email: </td> <td align="left" valign="top" colspan="3"> <input type="radio" name="CONTACT" value="EMAIL" class="othff"> </td> </tr> <tr> <td align="right" valign="top" class="frmtxt"> fax: </td> <td align="left" valign="top" colspan="3"> <input type="radio" name="CONTACT" value="FAX" class="othff"> </td> </tr> <tr> <td align="right" valign="top" colspan="4"> <table width="100%" border="0" cellspacing="0" cellpadding="5"> <tr> <td width="70%"> <div align="center" class="frmtxt">Please tick this box if you would like to be kept up-to-date<br> with the latest news and special offers from Acorn Lodge B & B.</div> </td> <td> <input type="checkbox" name="OPT-IN" value="opt-in" class="othff"> </td> </tr> </table> </td> </tr> <tr> <td> </td> <td align="left" valign="top" colspan="3"> <p> </p> <input name="NFSubmit" type="submit" class="fbtns" id="NFSubmit" value=" Submit "> <input type="reset" value="Reset Form" class="fbtns" name="reset"> </td> </tr> </table> </form> </td> </tr> </table> <table border="0" cellspacing="0" cellpadding="10" width="600"> <tr> <td colspan="3"> <p><img src="images/dot.gif" width="580" height="1" border="0"><br> <br> <p align="center"> [<a href="index.html" target="_parent" onMouseOver="MM_displayStatusMsg('go back to the reception');return document.MM_returnValue">reception</a>] [<a href="prices.html" target="_parent" onMouseOver="MM_displayStatusMsg('accommodation & prices');return document.MM_returnValue">accommodation & prices</a>] [<a href="enquiry.html" target="_parent" onMouseOver="MM_displayStatusMsg('make a reservation enquiry');return document.MM_returnValue">reservation enquiry</a>] [<a href="about.html" target="_parent" onMouseOver="MM_displayStatusMsg('a page about us');return document.MM_returnValue">about us</a>]<br> [<a href="special.html" target="_parent" onMouseOver="MM_displayStatusMsg('our special offers');return document.MM_returnValue">special offers</a>] [<a href="where.html" target="_parent" onMouseOver="MM_displayStatusMsg('find out where we are');return document.MM_returnValue">where we are</a>] [<a href="getting_about.html" target="_parent" onMouseOver="MM_displayStatusMsg('information for getting about');return document.MM_returnValue">getting about</a>] [<a href="edinspecial.html" target="_parent" onMouseOver="MM_displayStatusMsg('edinburgh hosts many great events');return document.MM_returnValue">edinburgh special events</a>]</p> <p align="center"> [<a href="terms.html" target="_parent" onMouseOver="MM_displayStatusMsg('Terms & Conditions');return document.MM_returnValue">Terms & Conditions</a>] </p> <p align="center"><a href="mailto:info@acornlodge.co.uk">info@acornlodge.co.uk</a></p> <p align="center"><img src="images/dot.gif" width="580" height="1" border="0"></p> <b>The Acorn Lodge,</b> 26 Pilrig Street, Edinburgh, EH6 5AJ<br> <b>tel:</b> +44 (0) 131-555-1557 <b>fax:</b> +44 (0) 131-555-4475</td> </tr> <tr valign="bottom"> <td nowrap> [..<a href="#top" onMouseOver="MM_displayStatusMsg('Go back to top of this page');return document.MM_returnValue">back to top</a>..] </td> <td nowrap> <div align="center">Copyright © 1999 - 2004 Acorn Lodge</div> </td> <td> <div align="right"><img src="images/logos/en_ab_88x31.gif" width="88" height="31" alt="ICRA"></div> </td> </tr> </table> </BODY>