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<table cellpadding="0" cellspacing="3" border="0" class="content">
<form action="index.php?taak=aanmelden" method="post" name="aanmelden">
<input type="hidden" name="aanmelden" value="yes" />
<tr>
<td colspan="2">vul de onderstaande velden in om jezelf gratis in te schrijven voor ... denk er aan dat je alle gegevens correct en naar waarheid invullen.<br />[* verplicht in te vullen gegevens]</td>
<tr>
<tr>
<td heigth="10"></td>
</tr>
<tr>
<td <?php echo $user_error; ?>>gebruikernaam *</td><td><input type="text" name="user" maxlength="16" class="aanmelden" value="" /></td><td class="melding"><?php echo $wrong_user; ?></td>
</tr>
<tr>
<td></td><td <?php echo $user_char; ?>
</tr>
<tr>
<td <?php echo $password_error; ?>>paswoord *</td><td><input type="password" name="password" maxlength="16" class="aanmelden" /></td>
</tr>
<tr>
<td></td><td <?php echo $password_char; ?>
</tr>
<tr>
<td <?php echo $password2_error; ?>>paswoord herhalen *</td><td><input type="password" name="password2" maxlength="16" class="aanmelden" /></td>
</tr>
<tr>
<td <?php echo $email_error; ?>>E-mail Address *</td><td><input type="text" name="email" class="aanmelden" value="" /></td><td class="melding"><?php echo $wrong_email; ?></td>
</tr>
<tr>
<td></td><td align="left"><input type="checkbox" name="show_mail" value="true" <? if($_POST['show_mail'] == "true"){ echo "checked"; }?>ik heb geen ander ancount</td>
</tr>
<tr>
<td height="10"></td>
</tr>
<tr>
<td <?php echo $first_error; ?>>voornaam</td><td><input type="text" name="first" maxlength="16" class="aanmelden" value="" /></td>
</tr>
<tr>
<td <?php echo $last_error; ?>>achternaam</td><td><input type="text" name="last" maxlength="16" class="aanmelden" value="" /></td>
</tr>
<tr>
<td <?php echo $country_error; ?>>provincie</td><td><input type="text" name="country" class="aanmelden" value="" /></td>
</tr>
<tr>
<td <?php echo $gender_error; ?>>geslacht<td colspan="2"><input name="gender" type="radio" value="m" class="gender" <? if($_POST['gender'] == "m"){ echo "checked"; }?> Man <input name="gender" type="radio" value="f" class="gender" <? if($_POST['gender'] == "f"){ echo "checked"; }?> Vrouw </td>
</tr>
<tr>
<td <?php echo $date_error; ?>>geboorte datum</td><td colspan="5"><select name=januari
<option value="0" selected> <option value="0" selected> januari <option value="0" selected> februari <option value="0" selected> maart <option value="0" selected> april <option value="0" selected> mei <option value="0" selected> juni <option value="0" selected> juli <option value="0" selected> augustus <option value="0" selected> september <option value="0" selected> october <option value="0" selected> november <option value="0" selected> december <option value="0" selected>
<?
$months = array('January','February','March','April','May','June','July','August','September','October','November','December');
for ($i=0;$i < 12;$i++)
{
if($_POST['month']==
{
echo "<OPTION selected VALUE=</option>";
}
else
{
echo "<OPTION VALUE=</option>";
}
}
?>
</select>
<select name="day">
<option value="0" selected> 1 <option value="0" selected> 2 <option value="0" selected> 3 <option value="0" selected> 4 <option value="0" selected> 5 <option value="0" selected> 6 <option value="0" selected> 7 <option value="0" selected> 8 <option value="0" selected> 9 <option value="0" selected> 10 <option value="0" selected> 11 <option value="0" selected> 12 <option value="0" selected> 13 <option value="0" selected> 14 <option value="0" selected> 15 <option value="0" selected> 16 <option value="0" selected> 17 <option value="0" selected> 18 <option value="0" selected> 19 <option value="0" selected> 20 <option value="0" selected> 21 <option value="0" selected> 22 <option value="0" selected> 23 <option value="0" selected> 24 <option value="0" selected> 25 <option value="0" selected> 26 <option value="0" selected> 27 <option value="0" selected> 28 <option value="0" selected> 29 <option value="0" selected> 30 <option value="0" selected> 31 <option value="0" selected>
</select>
<input name="year" type="text" size="4" maxlength="4" value="" /> (mm/dd/yyyy)</td>
</tr>
<tr>
<td height="10"></td>
</tr>
<tr>
<tr>
<td></td><td><input type="submit" value="Sign Up" name="aanmelden" /></td>
</tr>
</table>
</form>
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