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Server: Microsoft-IIS/8.5
System: Windows NT YDAWBH120 6.3 build 9600 (Windows Server 2012 R2 Standard Edition) AMD64
User: tentjecom_web (0)
PHP: 7.4.14
Disabled: NONE
$ pwd: D:/HostingSpaces/PHerau/iedereenfitvoorlondon.be/wwwroot/backup/
Upload Files
File: D:/HostingSpaces/PHerau/iedereenfitvoorlondon.be/wwwroot/backup/webform.aspx
<html xmlns="http://www.w3.org/1999/xhtml">

<head>
 
   

<title>Steun ons en Uw Gemeente</title>



<style type="text/css" align="center">
	

BODY { color: #182A72; background-color: #E5F2FF; font-family: verdana; margin: 0px; }
	

#PageOutline { text-align: center; margin-top: 300px; }
	

A { color: #182A72; }
	

H1 { font-size: 16pt; margin-bottom: 4px; }
	

H2 { font-size: 14pt; margin-bottom: 4px; font-weight: normal; }


</style>


<script type="text/javascript">

  var _gaq = _gaq || [];
  _gaq.push(['_setAccount', 'UA-8802244-2']);
  _gaq.push(['_trackPageview']);

  (function() {
    var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
    ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
    var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s);
  })();

</script>



</head>
	

<body xmlns="http://www.w3.org/1999/xhtml">





<!-- Begin of WEBFORM script 

 End of WEBFORM script -->

<br />

<table border="0">
   <tbody>
     <tr>
       <td>
<div align="center"> 


Iedereen Fit voor Londen
<br />
<span style='font-size: 8.0pt'> Een initiatief van vzw Healthcharter </span>
<br />
<img title="Iedereen Fit met Svetlana !" border="0" hspace="20" alt="" vspace="20" width="200" height="250" src="IedereenFit.gif" />



</div>


</td>
       <td>
<form action='https://madmimi.com/signups/subscribe/35190' method='post'>
<div align="center">



<label for="signup_first_name">
 Voornaam
</label>



<span style='mso-tab-count:1'>  </span></span>
<span lang=EN style='font-size:
 8.0pt;mso-fareast-font-family:"Calibri";mso-ansi-language:EN'>


<br />
<INPUT TYPE="text" NAME="signup[first_name]"><br>
</span>





<label for="signup_last_name">
  Achternaam 
</label>



<span style='mso-tab-count:2'>  </span></span>
<span lang=EN style='font-size:
 8.0pt;mso-fareast-font-family:"Calibri";mso-ansi-language:EN'>


<br />
<INPUT TYPE="text" NAME="signup[last_name]"><br>
</span>





<label for="signup_zip">
  Postcode
</label>

<span style='mso-tab-count:3'>  </span></span>

<span lang=EN style='font-size:
 8.0pt;mso-fareast-font-family:"Calibri";mso-ansi-language:EN'>


<br />
<INPUT TYPE="text" NAME="signup[ZIP]"><br>
</span>
 


<label for="signup_email">
  Email 
</label>



<span style='mso-tab-count:4'>  </span></span>
<span lang=EN style='font-size:
 8.0pt;mso-fareast-font-family:"Calibri";mso-ansi-language:EN'>


<br />
<INPUT TYPE="text" NAME="signup[email]"><br>
</span>

<b style='mso-bidi-font-weight:normal'>



<span lang=EN style='font-size:12.0pt;font-family:"Calibri","sans-serif";mso-fareast-font-family:"Calibri";
 mso-ansi-language:EN'>

<br />
<INPUT TYPE="submit" VALUE="Steun ons !" NAME="commit"
 ACTION="https://madmimi.com/signups/subscribe/35190" METHOD=post></span></b><span
 lang=EN style='font-size:12.0pt;mso-fareast-font-family:"Calibri";
 mso-ansi-language:EN'><o:p></o:p></span></p>
 </div>
 </form>

		
</div>
 
	
</body>

</html>







</td>
     </tr>

   </tbody>
   </table>
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