function checkForm(form) {
                var elem = form.elements
                for (var i = 0; i < elem.length; i++) {
                        if (elem[i].className == 'verplicht' && elem[i].value == '') {
                                alert('Het veld '+ elem[i].name + ' is niet ingevuld.')
                                return false
                        }
                }
                return true
        }  document.write('<div style="background: ; width: ;"><form method=post action=bestelformulier.php onsubmit="return checkForm(this)" >	<table width="100%" cellpadding=10px style="color:#000000; font-family:Times new roman; font-size:12pt">		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/balancerendemaanklein.jpg" /></td>			<td valign=top><strong>Balancerende maan</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;13.50</td>			<td valign=top><input type=text name=balancerende_maan size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/draakjeklein.jpg" /></td>			<td valign=top><strong>Draakje</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;6.00</td>			<td valign=top><input type=text name=draakje size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/puzzelbabydierenklein.jpg" /></td>			<td valign=top><strong>Insteekpuzzel babydieren</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7.50</td>			<td valign=top><input type=text name=insteekpuzzel_babydieren size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/puzzelkoeklein.jpg" /></td>			<td valign=top><strong>Puzzel</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;4.85</td>			<td valign=top><input type=text name=puzzel size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/stenenschilderenklein.jpg" /></td>			<td valign=top><strong>Stenen beschilderen</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7.00</td>			<td valign=top><input type=text name=stenen_beschilderen size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelbeerbruinerib.jpg" /></td>			<td valign=top><strong>Knuffelbeer bruin</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffelbeer_bruin size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelbeerrozerib.jpg" /></td>			<td valign=top><strong>Knuffebeer roze</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffebeer_roze size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelbeerturquoiserib.jpg" /></td>			<td valign=top><strong>Knuffelbeer turkoois</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffelbeer_turkoois size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelkonijnbruinerib.jpg" /></td>			<td valign=top><strong>Knuffelkonijn bruin</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffelkonijn_bruin size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelkonijnrozerib.jpg" /></td>			<td valign=top><strong>Knuffelkonijn roze</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffelkonijn_roze size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hangknuffelmodelkonijnturquoiserib.jpg" /></td>			<td valign=top><strong>Knuffelkonijn turkoois</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;19,50</td>			<td valign=top><input type=text name=knuffelkonijn_turkoois size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/knijpbeestblauwklein.jpg" /></td>			<td valign=top><strong>Knijpbeest muis</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9,50</td>			<td valign=top><input type=text name=knijpbeest_muis size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/knijpbeestkikkerklein.jpg" /></td>			<td valign=top><strong>Knijpbeest kikker</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9,50</td>			<td valign=top><input type=text name=knijpbeest_kikker size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/knijpbeestrozeklein.jpg" /></td>			<td valign=top><strong>Knijpbeest hond</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9,50</td>			<td valign=top><input type=text name=knijpbeest_hond size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/knijpbeestvarkenklein.jpg" /></td>			<td valign=top><strong>Knijpbeest varken</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9,50</td>			<td valign=top><input type=text name=knijpbeest_varken size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/knijpbeestzebraklein.jpg" /></td>			<td valign=top><strong>Knijpbeest zebra</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9,50</td>			<td valign=top><input type=text name=knijpbeest_zebra size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/reuzepuzzellievezevenklein.jpg" /></td>			<td valign=top><strong>Puzzel lieve zeven</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;13,95</td>			<td valign=top><input type=text name=puzzel_lieve_zeven size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/nijntjeindromenlandklein.jpg" /></td>			<td valign=top><strong>Nijntje in dromenland</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;6,50</td>			<td valign=top><input type=text name=nijntje_in_dromenland size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/altijdtijgerklein.jpg" /></td>			<td valign=top><strong>Altijd Tijger</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;8,00</td>			<td valign=top><input type=text name=altijd_tijger size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/gonnieengijsjeklein.jpg" /></td>			<td valign=top><strong>Gonnie en Gijsje</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;6,95</td>			<td valign=top><input type=text name=gonnie_en_gijsje size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/grimmklein.jpg" /></td>			<td valign=top><strong>Grimm</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;29,95</td>			<td valign=top><input type=text name=grimm size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/rupsjenooitgenoegklein.jpg" /></td>			<td valign=top><strong>Rupsje nooitgenoeg</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;14,95</td>			<td valign=top><input type=text name=rupsje_nooitgenoeg size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/lotjeisjarigklein.jpg" /></td>			<td valign=top><strong>Lotje is jarig</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;14,95</td>			<td valign=top><input type=text name=lotje_is_jarig size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/babyboekraadeensklein.jpg" /></td>			<td valign=top><strong>Babyboek raad eens hoeveel</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;14,95</td>			<td valign=top><input type=text name=babyboek_raad_eens_hoeveel size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/dekbedovertrekwitblauweruitbruingeel.jpg" /></td>			<td valign=top><strong>Dekbed blauw-bruin</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;60,00</td>			<td valign=top><input type=text name=dekbed_blauw-bruin size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/dekbedovertrekwitbruineruitgeelbruin.jpg" /></td>			<td valign=top><strong>Dekbed geel-bruin</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;60,00</td>			<td valign=top><input type=text name=dekbed_geel-bruin size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/trappelzakje1.jpg" /></td>			<td valign=top><strong>Trappelzak 1</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;40,00</td>			<td valign=top><input type=text name=trappelzak_1 size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/trappelzakje2.jpg" /></td>			<td valign=top><strong>Trappelzak 2</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;40,00</td>			<td valign=top><input type=text name=trappelzak_2 size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/trappelzakje3.jpg" /></td>			<td valign=top><strong>Trappelzak 3</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;40,00</td>			<td valign=top><input type=text name=trappelzak_3 size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/trappelzakje4.jpg" /></td>			<td valign=top><strong>Trappelzak 4</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;40,00</td>			<td valign=top><input type=text name=trappelzak_4 size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/zweeffiguurengelklein.jpg" /></td>			<td valign=top><strong>Zweeffiguur engel</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;11.50</td>			<td valign=top><input type=text name=zweeffiguur_engel size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/fotoalbumrozeklein.jpg" /></td>			<td valign=top><strong>Fotoalbum roze</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7,99</td>			<td valign=top><input type=text name=fotoalbum_roze size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/fotoalbumblauwklein.jpg" /></td>			<td valign=top><strong>Fotoalbum blauw</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7,99</td>			<td valign=top><input type=text name=fotoalbum_blauw size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/rammelaarklein.jpg" /></td>			<td valign=top><strong>Rammelaar</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;4,15</td>			<td valign=top><input type=text name=rammelaar size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/schortjeklein.jpg" /></td>			<td valign=top><strong>Schortje</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top>Leuk schort om te schilderen of te knutselen. </td></tr></table>			</td>			<td valign=top>&euro;&nbsp;14.95</td>			<td valign=top><input type=text name=schortje size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/vrolijkkerstfeestollieklein.jpg" /></td>			<td valign=top><strong>Vrolijk kerstfeest, Ollie?</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7.95</td>			<td valign=top><input type=text name=vrolijk_kerstfeest,_ollie? size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/wildezwanenklein.jpg" /></td>			<td valign=top><strong>Wilde zwanen</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;18.95</td>			<td valign=top><input type=text name=wilde_zwanen size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/Lakentjeklein.jpg" /></td>			<td valign=top><strong>Lakentje</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top>Handgemaakt lakentje van De Kikkerprinses. Afmeting 100 cm op 150 cm, 100% katoen en exclusief handwerk. Verkrijgbaar in rode of blauwe ruitjesstof. Andere kleuren mogelijk op aanvraag.</td></tr></table>			</td>			<td valign=top>&euro;&nbsp;24.95</td>			<td valign=top><input type=text name=lakentje size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/Spiegelklein.jpg" /></td>			<td valign=top><strong>Spiegel</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top>Spiegel van De Kikkerprinses. Afmeting 26 op 26 cm.</td></tr></table>			</td>			<td valign=top>&euro;&nbsp;14.95</td>			<td valign=top><input type=text name=spiegel size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/hoewordikeenpiraatinzevendagenklein.jpg" /></td>			<td valign=top><strong>Hoe word ik een piraat in 7 dagen?</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9.95</td>			<td valign=top><input type=text name=hoe_word_ik_een_piraat_in_7_dagen? size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/rupsjenooitgenoegbabyboekklein.jpg" /></td>			<td valign=top><strong>Rupsje Nooitgenoeg Babyboek</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;10.50</td>			<td valign=top><input type=text name=rupsje_nooitgenoeg_babyboek size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/juffrouwmuisdoetaandelijnklein.jpg" /></td>			<td valign=top><strong>Mejuffrouw Muis doet aan de lijn</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;2.99</td>			<td valign=top><input type=text name=mejuffrouw_muis_doet_aan_de_lijn size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/bijmolthuisklein.jpg" /></td>			<td valign=top><strong>Bij Mol thuis</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;5.00</td>			<td valign=top><input type=text name=bij_mol_thuis size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px>&nbsp;</td>			<td valign=top><strong>Slinger "Hoera Feest"</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;29.95</td>			<td valign=top><input type=text name=slinger_hoera_feest size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/Slokkebrokklein.jpg" /></td>			<td valign=top><strong>Slokkebrok</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;5.00</td>			<td valign=top><input type=text name=slokkebrok size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/Watisdatklein.jpg" /></td>			<td valign=top><strong>Wat is dat?</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;9.95</td>			<td valign=top><input type=text name=wat_is_dat? size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/Hetkrijtjeklein.jpg" /></td>			<td valign=top><strong>Het krijtje</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;12.95</td>			<td valign=top><input type=text name=het_krijtje size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/DikkieDikJarigKlein.jpg" /></td>			<td valign=top><strong>Dikkie Dik jarig</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;7.90</td>			<td valign=top><input type=text name=dikkie_dik_jarig size=4 style="background-color:#ffff99" /></td>		</tr>		<tr>			<td height=50px width=50px valign=middle align=center><img src="img_bestelform/DagKlein.jpg" /></td>			<td valign=top><strong>Dag!</strong>				<table style="color:#000000; font-family:Times new roman; font-size:12pt"><tr><td valign=top></td></tr></table>			</td>			<td valign=top>&euro;&nbsp;12.95</td>			<td valign=top><input type=text name=dag! size=4 style="background-color:#ffff99" /></td>		</tr>	</table><br /><br /><table width="" cellpadding="10px" style="color:#000000; font-family:Times new roman; font-size:12pt">		<tr>			<td>Naam&nbsp;*</td>			<td><input class="verplicht" type=text name=naam style="background-color:#ffff99" /></td>		</tr>		<tr>			<td>Email&nbsp;*</td>			<td><input class="verplicht" type=text name=email style="background-color:#ffff99" /></td>		</tr>		<tr>			<td>Adres&nbsp;*</td>			<td><input class="verplicht" type=text name=adres style="background-color:#ffff99" /></td>		</tr>		<tr>			<td>Postcode&nbsp;*</td>			<td><input class="verplicht" type=text name=postcode style="background-color:#ffff99" /></td>		</tr>		<tr>			<td>Woonplaats&nbsp;*</td>			<td><input class="verplicht" type=text name=woonplaats style="background-color:#ffff99" /></td>		</tr>		<tr>			<td>Telefoon&nbsp;*</td>			<td><input class="verplicht" type=text name=telefoon style="background-color:#ffff99" /></td>		</tr>		<tr>			<td valign=top>Opmerking</td>			<td><textarea  style="background-color:#ffff99" name=opmerking cols=40 rows=8></textarea></td>		</tr>		<tr>			<td colspan=2><input type=submit name=submit value=Verstuur /> <input type=reset value=Wis /></td>		</tr>	</table></form></div>');