<form onreset="return confirm('wirklich rücksetzen ?');" onsubmit="return check();" action="/cgi-bin/ub/cgi-mail" method="post" name="form1">
<input type="hidden" value="JavaScript Bestellung" name="subject" />
<h3><u><em><font face="Times New Roman">Bestellformular</font></em></u></h3>
<p><font face="Times New Roman">Ihre email-Adresse:<br />
<input type="text" size="32" name="mailto" /> </font></p>
<table border="1">
<tbody>
<tr>
<th><font face="Times New Roman">Anzahl</font></th>
<th><font face="Times New Roman">Bezeichnung</font></th>
<th><font face="Times New Roman">Einzelpreis</font></th>
<th><font face="Times New Roman">Gesamtpreis </font></th>
</tr>
<tr>
<td><font face="Times New Roman"><input type="text" onchange="changed(this);" value="0" size="3" name="anz1" /> </font></td>
<td><font face="Times New Roman">EKG-T T-Shirt</font></td>
<td><font face="Times New Roman"><input type="text" onchange="changed(this);" value="10.00" size="7" name="ein1" /> </font></td>
<td><font face="Times New Roman"><input type="text" onchange="changed(this);" value="0" size="7" name="ges1" /> </font></td>
</tr>
<tr>
<td><font face="Times New Roman"> </font></td>
<th><font face="Times New Roman">Gesamtsumme </font></th>
<td><font face="Times New Roman"> </font></td>
<td><font face="Times New Roman"><input type="text" onchange="changed(this);" size="7" name="total" /> </font></td>
</tr>
</tbody>
</table>
<p><font face="Times New Roman"><input type="submit" value="Bestellen" /> <input type="reset" value="Rücksetzen" /> </font></p>
</form>
