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<P STYLE="text-align: center;"><SPAN STYLE="font-size: x-small;"><A HREF="../freepage_ger/index.html">deutsche Version</A></SPAN></P>
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<FORM NAME="request_form" ACTION="/cgi-bin/formular.cgi" METHOD=POST>
<INPUT TYPE=HIDDEN NAME="fp_email" VALUE="rackow@ifw.uni-hannover.de">
<INPUT TYPE=HIDDEN NAME="fp_name" VALUE="Hilke">
<INPUT TYPE=HIDDEN NAME="fp_danke" VALUE="../scottage/book_form/thanks/thanks.html">
<P> </P>
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<TD WIDTH="86%" STYLE="background-color: rgb(204,204,204); background-image: none;">
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<TD COLSPAN=4 STYLE="background-color: rgb(225,225,255); background-image: none;">
<P><INPUT ID="FormsRadioButton7" TYPE=RADIO CHECKED NAME="FormsRadioButton1" VALUE="available_days_in"> <B>Please tell us which days are available in</B></P>
</TD>
</TR>
<TR>
<TD COLSPAN=4>
<P><BR>
<SELECT ID="FormsComboBox9" NAME="single_month">
<OPTION VALUE="not used" SELECTED>please select</OPTION>
<OPTION VALUE="January">January</OPTION>
<OPTION VALUE="February">February</OPTION>
<OPTION VALUE="Maerz">March</OPTION>
<OPTION VALUE="April">April</OPTION>
<OPTION VALUE="Mai">May</OPTION>
<OPTION VALUE="Juni">June</OPTION>
<OPTION VALUE="Juli">July</OPTION>
<OPTION VALUE="August">August</OPTION>
<OPTION VALUE="September">September</OPTION>
<OPTION VALUE="Oktober">October</OPTION>
<OPTION VALUE="November">November</OPTION>
<OPTION VALUE="Dezember">December</OPTION>
</SELECT>
<SELECT ID="FormsComboBox11" NAME="single_year">
<OPTION VALUE="2000" SELECTED>2000</OPTION>
<OPTION VALUE="2001">2001</OPTION>
<OPTION VALUE="2002">2002</OPTION>
</SELECT>
<SPAN STYLE="font-size: x-small;">for </SPAN>
<SELECT ID="FormsComboBox12" NAME="how_long">
<OPTION VALUE="1 week" SELECTED>1 week</OPTION>
<OPTION VALUE="2 weeks">2 weeks</OPTION>
<OPTION VALUE="3 weeks">3 weeks</OPTION>
<OPTION VALUE="4 weeks">4 weeks</OPTION>
</SELECT>
</P>
<P> </P>
</TD>
</TR>
<TR>
<TD COLSPAN=4 STYLE="background-color: rgb(225,225,255); background-image: none;" HEIGHT=19>
<P><INPUT ID="FormsRadioButton13" TYPE=RADIO NAME="FormsRadioButton1" VALUE="fixed_days"> <B>Please tell us if the following days are available:</B></P>
</TD>
</TR>
<TR>
<TD COLSPAN=4>
<P><BR> <SPAN STYLE="font-size: x-small;">arrival......:</SPAN>
<SELECT ID="FormsComboBox16" NAME="arrival_day">
<OPTION VALUE="1" SELECTED>1</OPTION>
<OPTION VALUE="2">2</OPTION>
<OPTION VALUE="3">3</OPTION>
<OPTION VALUE="4">4</OPTION>
<OPTION VALUE="5">5</OPTION>
<OPTION VALUE="6">6</OPTION>
<OPTION VALUE="7">7</OPTION>
<OPTION VALUE="8">8</OPTION>
<OPTION VALUE="9">9</OPTION>
<OPTION VALUE="10">10</OPTION>
<OPTION VALUE="11">11</OPTION>
<OPTION VALUE="12">12</OPTION>
<OPTION VALUE="13">13</OPTION>
<OPTION VALUE="14">14</OPTION>
<OPTION VALUE="15">15</OPTION>
<OPTION VALUE="16">16</OPTION>
<OPTION VALUE="17">17</OPTION>
<OPTION VALUE="18">18</OPTION>
<OPTION VALUE="19">19</OPTION>
<OPTION VALUE="20">20</OPTION>
<OPTION VALUE="21">21</OPTION>
<OPTION VALUE="22">22</OPTION>
<OPTION VALUE="23">23</OPTION>
<OPTION VALUE="24">24</OPTION>
<OPTION VALUE="25">25</OPTION>
<OPTION VALUE="26">26</OPTION>
<OPTION VALUE="27">27</OPTION>
<OPTION VALUE="28">28</OPTION>
<OPTION VALUE="29">29</OPTION>
<OPTION VALUE="30">30</OPTION>
<OPTION VALUE="31">31</OPTION>
</SELECT>
<SELECT ID="FormsComboBox18" NAME="arrival_month">
<OPTION VALUE="January" SELECTED>January</OPTION>
<OPTION VALUE="February">February</OPTION>
<OPTION VALUE="Maerz">March</OPTION>
<OPTION VALUE="April">April</OPTION>
<OPTION VALUE="Mai">May</OPTION>
<OPTION VALUE="Juni">June</OPTION>
<OPTION VALUE="Juli">July</OPTION>
<OPTION VALUE="August">August</OPTION>
<OPTION VALUE="September">September</OPTION>
<OPTION VALUE="Oktober">October</OPTION>
<OPTION VALUE="November">November</OPTION>
<OPTION VALUE="Dezember">December</OPTION>
</SELECT>
<SELECT ID="FormsComboBox20" NAME="arrival_year">
<OPTION VALUE="2000" SELECTED>2000</OPTION>
<OPTION VALUE="2001">2001</OPTION>
<OPTION VALUE="2002">2002</OPTION>
</SELECT>
<BR> <SPAN STYLE="font-size: x-small;">departure :</SPAN>
<SELECT ID="FormsComboBox22" NAME="departure_day">
<OPTION VALUE="1" SELECTED>1</OPTION>
<OPTION VALUE="2">2</OPTION>
<OPTION VALUE="3">3</OPTION>
<OPTION VALUE="4">4</OPTION>
<OPTION VALUE="5">5</OPTION>
<OPTION VALUE="6">6</OPTION>
<OPTION VALUE="7">7</OPTION>
<OPTION VALUE="8">8</OPTION>
<OPTION VALUE="9">9</OPTION>
<OPTION VALUE="10">10</OPTION>
<OPTION VALUE="11">11</OPTION>
<OPTION VALUE="12">12</OPTION>
<OPTION VALUE="13">13</OPTION>
<OPTION VALUE="14">14</OPTION>
<OPTION VALUE="15">15</OPTION>
<OPTION VALUE="16">16</OPTION>
<OPTION VALUE="17">17</OPTION>
<OPTION VALUE="18">18</OPTION>
<OPTION VALUE="19">19</OPTION>
<OPTION VALUE="20">20</OPTION>
<OPTION VALUE="21">21</OPTION>
<OPTION VALUE="22">22</OPTION>
<OPTION VALUE="23">23</OPTION>
<OPTION VALUE="24">24</OPTION>
<OPTION VALUE="25">25</OPTION>
<OPTION VALUE="26">26</OPTION>
<OPTION VALUE="27">27</OPTION>
<OPTION VALUE="28">28</OPTION>
<OPTION VALUE="29">29</OPTION>
<OPTION VALUE="30">30</OPTION>
<OPTION VALUE="31">31</OPTION>
</SELECT>
<SELECT ID="FormsComboBox24" NAME="departure_month">
<OPTION VALUE="January" SELECTED>January</OPTION>
<OPTION VALUE="February">February</OPTION>
<OPTION VALUE="Maerz">March</OPTION>
<OPTION VALUE="April">April</OPTION>
<OPTION VALUE="Mai">May</OPTION>
<OPTION VALUE="Juni">June</OPTION>
<OPTION VALUE="Juli">July</OPTION>
<OPTION VALUE="August">August</OPTION>
<OPTION VALUE="September">September</OPTION>
<OPTION VALUE="Oktober">October</OPTION>
<OPTION VALUE="November">November</OPTION>
<OPTION VALUE="Dezember">December</OPTION>
</SELECT>
<SELECT ID="FormsComboBox26" NAME="departure_year">
<OPTION VALUE="2000" SELECTED>2000</OPTION>
<OPTION VALUE="2001">2001</OPTION>
<OPTION VALUE="2002">2002</OPTION>
</SELECT>
</P>
<P> </P>
</TD>
</TR>
<TR>
<TD COLSPAN=4 STYLE="background-color: rgb(225,225,255); background-image: none;">
<P> <B>We are</B></P>
</TD>
</TR>
<TR>
<TD COLSPAN=4>
<P><BR>
<SELECT ID="FormsComboBox30" NAME="number_adults">
<OPTION VALUE="1" SELECTED>1</OPTION>
<OPTION VALUE="2">2</OPTION>
<OPTION VALUE="3">3</OPTION>
<OPTION VALUE="4">4</OPTION>
<OPTION VALUE="5">5</OPTION>
<OPTION VALUE="6">6</OPTION>
<OPTION VALUE="7">7</OPTION>
<OPTION VALUE="8">8</OPTION>
<OPTION VALUE="9">9</OPTION>
<OPTION VALUE="10">10</OPTION>
</SELECT>
<SPAN STYLE="font-size: x-small;">adults</SPAN> <SPAN STYLE="font-size: x-small;">and </SPAN>
<SELECT ID="FormsComboBox32" NAME="pets">
<OPTION VALUE="no pet" SELECTED>no pet</OPTION>
<OPTION VALUE="dog">dog</OPTION>
<OPTION VALUE="cat">cat</OPTION>
<OPTION VALUE="other pet">other pet</OPTION>
</SELECT>
<BR>
<SELECT ID="FormsComboBox34" NAME="number_children">
<OPTION VALUE="0" SELECTED>0</OPTION>
<OPTION VALUE="1">1</OPTION>
<OPTION VALUE="2">2</OPTION>
<OPTION VALUE="3">3</OPTION>
<OPTION VALUE="4">4</OPTION>
<OPTION VALUE="6">6</OPTION>
<OPTION VALUE="7">7</OPTION>
<OPTION VALUE="9">9</OPTION>
<OPTION VALUE="10">10</OPTION>
</SELECT>
<SPAN STYLE="font-size: x-small;">children</SPAN></P>
<P> </P>
</TD>
</TR>
<TR>
<TD COLSPAN=4 STYLE="background-color: rgb(225,225,255); background-image: none;">
<P><B>Please send us the available days and the rate </B></P>
</TD>
</TR>
<TR>
<TD ROWSPAN=2 VALIGN=TOP WIDTH="7%" HEIGHT=146>
<P STYLE="text-align: left;"> </P>
</TD>
<TD COLSPAN=3>
<P><BR><INPUT ID="FormsCheckbox4" TYPE=CHECKBOX NAME="with_email" VALUE="Yes"> <SPAN STYLE="font-size: x-small;">with email to the following adress</SPAN>
<BR><INPUT ID="adresse" TYPE=TEXT NAME="email" VALUE="" SIZE=26 MAXLENGTH=50><BR><BR><INPUT ID="FormsCheckbox5" TYPE=CHECKBOX NAME="by_phone" VALUE="Yes"> <SPAN
STYLE="font-size: x-small;">please phone us at</SPAN> <BR><INPUT ID="telefon" TYPE=TEXT NAME="phone" VALUE="" SIZE=26 MAXLENGTH=40><BR> </P>
</TD>
</TR>
<TR>
<TD VALIGN=TOP WIDTH="30%">
<P STYLE="text-align: left;"><INPUT ID="FormsCheckbox6" TYPE=CHECKBOX NAME="by_snailmail" VALUE="Yes"> <SPAN STYLE="font-size: x-small;">by post including your
leaflet and booking form to the following adress:<BR><BR>preferred language:<BR><INPUT ID="FormsRadioButton3" TYPE=RADIO CHECKED NAME="Language"
VALUE="english"> English<BR><INPUT ID="FormsRadioButton4" TYPE=RADIO NAME="Language" VALUE="german"> German<BR><BR><BR></SPAN></P>
</TD>
<TD WIDTH="3%">
<P></P>
</TD>
<TD WIDTH="58%">
<P STYLE="text-align: left;"><SPAN STYLE="font-size: x-small;">first name<BR><INPUT ID="FormsEditField1" TYPE=TEXT NAME="first_name" VALUE="" SIZE=26
MAXLENGTH=27><BR><BR>surname<BR><INPUT ID="FormsEditField2" TYPE=TEXT NAME="surname" VALUE="" SIZE=26 MAXLENGTH=30><BR><BR>adress<BR><TEXTAREA
WRAP=PHYSICAL ID="FormsMultiLine3" NAME="adress" ROWS=4 COLS=24></TEXTAREA><BR><BR>postcode<BR><INPUT ID="FormsEditField3" TYPE=TEXT NAME="postcode"
VALUE="" SIZE=26 MAXLENGTH=27><BR></SPAN></P>
</TD>
</TR>
<TR>
<TD COLSPAN=4>
<P></P>
</TD>
</TR>
<TR>
<TD COLSPAN=4>
<P></P>
</TD>
</TR>
</TABLE>
</TD>
</TR>
</TABLE>
<BR> <SPAN STYLE="font-size: x-small;">Do you have some comments?</SPAN><BR>
<TEXTAREA WRAP=PHYSICAL ID="FormsMultiLine2" NAME="comments" ROWS=4 COLS=26></TEXTAREA><BR> <BR> <SPAN STYLE=
"font-size: x-small;">please click “submit” to send us your request <BR> or “cancel” to clear the form<BR></SPAN><BR> <INPUT TYPE=SUBMIT
NAME="FormsButton4" VALUE="submit" ID="FormsButton4"><INPUT TYPE=RESET NAME="FormsButton2" VALUE="Cancel" ID="FormsButton32"> </P>
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<P> </P>
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<TD NOWRAP NOF="NB_FYHT" CLASS="TextNavBar">[<A HREF="../index.html">Home</A>] [<A HREF="../The_Cottage/the_cottage.html">The Cottage</A>] [<A HREF="../Maps/maps.html">Maps</A>] [<A
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<TD WIDTH=576 CLASS="TextObject"><ADDRESS><SPAN STYLE="font-size: x-small;">Ian MacIntyre / Hilke Rackow, Rinkmuir, Arncroach, Anstruther, Fife, KY10 2RL,<BR>Tel: +44 (0)1333 720263, </SPAN></ADDRESS><ADDRESS><SPAN
STYLE="font-size: x-small;">E-mail: <A HREF="mailto:macintyre@rinkmuir.freeserve.co.uk">macintyre@rinkmuir.freeserve.co.uk</A></SPAN><BR> </TD>
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