CONTACT

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="043fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>KNBB District Dordrecht</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="KNBB District Dordrecht"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="COMMISSIES"><U>COMMISSIES</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="VERENIGINGEN"><U>VERENIGINGEN</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="COMPETITIE"><U>COMPETITIE</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Pers. KAMPIOENSCHAP"><U>Pers. KAMPIOENSCHAP</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="REGIO"><U>REGIO</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="100 Jaar Biljarten"><U>100 Jaar Biljarten</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="MEDEDELINGEN"><U>MEDEDELINGEN</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="WEEKBRIEF"><U>WEEKBRIEF</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="UITSLAGEN"><U>UITSLAGEN</U></A>   |   <B>CONTACT</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="044d2043.jpg"> <div> <IMG SRC="0b38c780.jpg" border=0 width="140" height="120" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="0c196f60.gif" border=0 width="150" height="246" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>CONTACT</I></div> <div> .</div> <bR> <DIV ALIGN="LEFT"></DIV> <div> Wilt u ons iets onder de aandacht brengen stuur ons dan onderstaand formulier toe en we nemen zo snel mogelijk</div> <div> contact per telefoon of E-Mail met je op. Alvast bedankt voor u inbreng.</div> <bR> <bR> <bR> <div>  <form name="htmlform" method="post" action="html_form_send.php"> <table width="450px"> </tr> <tr> <td valign="top"> <label for="first_name">Voornaam *</label> </td> <td valign="top"> <input type="text" name="Voornaam" maxlength="50" size="30"> </td> </tr> <tr> <td valign="top""> <label for="last_name">Achteraam *</label> </td> <td valign="top"> <input type="text" name="Achernaam" maxlength="50" size="30"> </td> </tr> <tr> <td valign="top"> <label for="email">Email Adres *</label> </td> <td valign="top"> <input type="text" name="email" maxlength="80" size="30"> </td> </tr> <tr> <td valign="top"> <label for="telephone">Telefoon nummer</label> </td> <td valign="top"> <input type="text" name="Telefoon" maxlength="30" size="30"> </td> </tr> <tr> <td valign="top"> <label for="comments">Opmerking *</label> </td> <td valign="top"> <textarea name="Opmerking" maxlength="1000" cols="25" rows="6"></textarea> </td> </tr> <tr> <td colspan="2" style="text-align:center">  <input type="submit" value="Submit"> <a href="http://www.freecontactform.com/html_form.php"></a> </td> </tr> </table> </form>  </div> </td> </tr></table></body>