Blame | Letzte Änderung | Log anzeigen | RSS feed
<div class="basket"><div class="basket_oben"><style>.pflicht { font-size:18px; }</style><form action="<?=$SCRIPT_URL;?>" method="post" name="buy" class="buy" id="buy"><table><tr><td colspan="2"><input type="checkbox" name="Datenschutzbelehrung" value="true" <? if (($_POST[action] == "Persdata") and ($_POST["Datenschutzbelehrung"])) {echo "checked";} ?> /><input type="hidden" name="req[Datenschutzbelehrung]" value="text" />Ich habe mich über den <a href="/html/datenschutz.htm"><u><b>Datenschutz</b></u></a> und der Verarbeitung meiner personenbezogenen Daten in Ihrem Unternehmen informiert.<? if (($_POST[action] == "Persdata") and (!$_POST["Datenschutzbelehrung"])) { ?><p><a href="/html/datenschutz.htm"><font color="#FF0000"><b>Bitte informieren Sie sich über den Datenschutz und die Verarbeitung Ihrer personenbezogenen Daten für die Domain mediaran.de und deren Unterseiten!</b></font></a></p><? } ?></td></tr><tr><td colspan="2"><p>Bitte tragen Sie Ihre Rechnungsanschrift ein. Felderdie mit * gekennzeichnet sind, sind Pflichtfelder. Der Versand an Packstationenist aus logistischen Gründen nicht möglich.</p></td></tr><tr><td>Firma / öffentliche Einrichtung:</td><td align="left"><input type="text" name="Firma" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Firma] ?>" maxlength="31" /> </td></tr><tr><td>Vorname:<span class="pflicht">*</span></td><td align="left"><input type="text" name="Vorname" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Vorname];?>" maxlength="31" /><input type="hidden" name="req[Vorname]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Vorname])) { showError(); } ?> </td></tr><tr><td class="midcol">Nachname:<span class="pflicht">*</span></td><td class="midcol" align="left"><input name="Nachname" type="text" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Nachname] ?>" maxlength="31" /><input type="hidden" name="req[Nachname]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Nachname])) { showError(); } ?> </td></tr><tr><td class="midcol">Straße:* + Nr.:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="Strasse" class="text" style="width:84px" value="<?=$_SESSION[SHOP][buy][Persdata][Strasse] ?>" maxlength="31" /><input type="hidden" name="req[Strasse]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Strasse])) { showError(); } ?><input type="text" name="Hausnummer" class="text" style="width:30px" value="<?=$_SESSION[SHOP][buy][Persdata][Hausnummer] ?>" maxlength="31" /><input type="hidden" name="req[Hausnummer]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Hausnummer])) { showError(); } ?> </td></tr><tr><td class="midcol">PLZ:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="PLZ" class="text" style="width:60px" value="<?=$_SESSION[SHOP][buy][Persdata][PLZ] ?>" maxlength="31" /><input type="hidden" name="req[PLZ]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[PLZ])) { showError(); } ?> </td></tr><tr><td class="midcol">Ort:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="Ort" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Ort] ?>" maxlength="31" /><input type="hidden" name="req[Ort]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Ort])) { showError(); } ?> </td></tr><tr><td class="midcol">Land:</td><td align="left" class="midcol"><? $counter = -1 ?><select name="Land"><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Deutschland</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Niederlande</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Österreich</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Belgien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Luxemburg</option>--><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Dänemark</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Schweiz</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Frankreich</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Großbritannien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Italien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Spanien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Portugal</option>--><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Schweden</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Finnland</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Norwegen</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Irland</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][Land] == (1 << $counter)) {echo " selected";} ?>>Griechenland</option>--></select> </td></tr><tr><td class="midcol" valign="top">E-Mail:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="email" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][email] ?>" /><input type="hidden" name="req[email]" value="mail" /><?if (($_POST[action] == "Persdata") and (!strpos ($_POST[email], "@"))){ showError("!\nBitte geben sie eine E-Mailadresse ein!"); }?> </td></tr><tr><td class="midcol">Telefon:<span class="pflicht">*</span><br />(tagsüber ggf. Handy) </td><td class="midcol" align="left"><input type="text" name="Telefon" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Telefon] ?>" maxlength="31" /><input type="hidden" name="req[Telefon]" value="text" /><? if (($_POST[action] == "Persdata") and (!$_POST[Telefon])) { showError(); } ?> </td></tr><tr><td class="midcol">Fax:</td><td class="midcol" align="left"><input type="text" name="Fax" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][Fax] ?>" maxlength="31" /> </td></tr><tr><td valign="top" class="midcol">Bemerkung:</td><td class="midcol" align="left"><textarea name="Bemerkung" cols="40" rows="4"><?=$_SESSION[SHOP][buy][Persdata][Bemerkung] ?></textarea> </td></tr><tr><td colspan="2">abweichende Lieferadresse<input type="hidden" name="Lieferadresse" value="false" /><input type="checkbox" id="Lieferadresse" name="Lieferadresse" value="true" onclick="lieferadresse(this)"<? if ($_SESSION[SHOP][Lieferadresse] == "true") {echo " checked";} ?> /> </td></tr><tr><td>Firma / öffentliche Einrichtung:</td><td align="left"><input type="text" name="liefer_Firma" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Firma] ?>" maxlength="31" /> </td></tr><tr><td>Vorname:<span class="pflicht">*</span></td><td align="left"><input type="text" name="liefer_Vorname" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Vorname];?>" maxlength="31" /><input type="hidden" name="req[liefer_Vorname]" value="lieferadresse" /><? if (($_POST[action] == "Persdata") and (!$_POST[liefer_Vorname]) and ($_SESSION[SHOP][Lieferadresse] == "true")) { showError(); } ?> </td></tr><tr><td class="midcol">Nachname:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="liefer_Nachname" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Nachname];?>" maxlength="31" /><input type="hidden" name="req[liefer_Nachname]" value="lieferadresse" /><? if (($_POST[action] == "Persdata") and (!$_POST[liefer_Nachname]) and ($_SESSION[SHOP][Lieferadresse] == "true")) { showError(); } ?> </td></tr><tr><td class="midcol">Straße:* + Nr.:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" class="text" style="width:84px" name="liefer_Strasse" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Strasse] ?>" maxlength="31" /><input type="hidden" name="req[liefer_Strasse]" value="lieferadresse" /><input type="text" class="text" style="width:30px" name="liefer_Str_Nr" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Str_Nr] ?>" maxlength="31" /><input type="hidden" name="req[liefer_Str_Nr]" value="lieferadresse" /><?if(($_POST[action] == "Persdata")and((!$_POST[liefer_Strasse])or(!$_POST[liefer_Str_Nr]))and($_SESSION[SHOP][Lieferadresse] == "true")){ showError(); } ?> </td></tr><tr><td class="midcol">PLZ:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" class="text" name="liefer_PLZ" size="3" style="width:60px" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_PLZ] ?>" maxlength="31" /><input type="hidden" name="req[liefer_PLZ]" value="lieferadresse" /><? if (($_POST[action] == "Persdata") and (!$_POST[liefer_PLZ]) and ($_SESSION[SHOP][Lieferadresse] == "true")) { showError(); } ?> </td></tr><tr><td class="midcol">Ort:<span class="pflicht">*</span></td><td class="midcol" align="left"><input type="text" name="liefer_Ort" class="text" value="<?=$_SESSION[SHOP][buy][Persdata][liefer_Ort] ?>" maxlength="31" /><input type="hidden" name="req[liefer_Ort]" value="lieferadresse" /><? if (($_POST[action] == "Persdata") and (!$_POST[liefer_Ort]) and ($_SESSION[SHOP][Lieferadresse] == "true")) { showError(); } ?> </td></tr><tr><td class="midcol">Land:</td><td align="left" class="midcol"><? $counter = -1 ?><select name="liefer_Land"><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Deutschland</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Niederlande</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Österreich</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Belgien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Luxemburg</option>--><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Dänemark</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Schweiz</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Frankreich</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Großbritannien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Italien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Spanien</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Portugal</option>--><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Schweden</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Finnland</option><!--<option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Norwegen</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Irland</option><option value="<? echo 1 << ++$counter ?>"<? if ($_SESSION[SHOP][buy][Persdata][liefer_Land] == (1 << $counter)) {echo " selected";} ?>>Griechenland</option>--></select> </td></tr></table><table width="98%" border="0" cellspacing="0" cellpadding="0"><tr><td><a href="basket.html"><img src="/images/webelemente/buttons/bt_zurueck.gif" name="back" border="0" id="back" /></a></td><td align="right"><a href="javascript:document.buy.submit();"><img src="/images/webelemente/buttons/bt_ok.gif" name="forward" border="0" id="forward" /></a> </td></tr></table><script language="JavaScript" type="text/javascript">lieferadresse(document.getElementById("Lieferadresse"));</script><input type="hidden" name="action" value="Persdata" /><input type="hidden" name="step" value="<?=$_SESSION[SHOP][buy][step]+1;?>" /></form></div><div class="basket_unten"></div></div>